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Hi,
We are on CPS12.3.1. I would like to hear any feedback on service pack 2 with all the pros and cons..
Thanks, Jude
Posted : October 10, 2018 3:57 am
We have it in our sandbox environment and will go live with it 10/29/18. We are currently on 12.0.13.
Posted : October 12, 2018 2:17 am
we are upgrading to cps 12.3.2 very soon but postponing azure AD later on this year. would definitely want to know if there are any pros and cons. thks
Posted : October 15, 2018 2:03 am
I have a client that is on 12.3.2, and has had a LOT of problems with the Rx Refills. The system is now programmed to deactivate active medications with even the most minor modification to the prescription. For example, a provider adds a personal comment, not a note to pharmacy, just a comment, and the medication is deactivated and new medication is added to the list.
Other cases where a medication is deactivated:
a brand name is prescribed, and a generic name is used for the refill request
the description is even slightly different
the NDC number changes
a different provider is covering and so their name is on the Rx
etc.....
This is causing HUGE problems with seeing the list of prescriptions in one list.
Another issue is that when delegates are working several providers' lists, it's hard to see which requests are already being worked. So, the user clicks on the black clipboard, which creates a new document in the patient's chart, even if one has already been created. This causes numerous refill documents to be open in a single chart.
These are just some of the problems.
Robin
Posted : October 15, 2018 4:59 am
I am not certain that this is a defect as much as it is bringing the EMR into full compliance with all State Pharmacy Boards and DEA requirements. Technically, any modification to a prescription record is in fact a new prescription. Refills are a new prescription as well ('refill' is a misnomer - there really is no such thing). Both workflows technically supersede the original prescription as the active record.
That said, I agree that it is problematic in a digital world where historical data tracking is used and it creates needless clutter in the EMR, without question. Unfortunately, as with anything regulated, the rules are slow to change/modernize so we must resign ourselves to dealing with the unintended consequences.
Pharmacists were the best hope for a faster change to the rules, however there will be little support from that quarter since Sure Scripts and local pharmacy software systems do the heavy lifting and sorting for them (probably because they have always dealt with the issue so their systems were designed to accommodate them).
Therefore, I think the real ask here is for the EMR to create a better prescription history view in response to the additional records that 'full compliance' creates.
Posted : October 15, 2018 5:41 am
Does anyone knows if we need to update to the latest smpp (patient portal) before we upgrade to cps12.3.2 or can we do it after we upgrade to cps12.3.2?
Posted : October 16, 2018 4:58 am
Thanks for the feedback, Lee. We had reached out to Virence/GE about this, and that's what they said. However, the providers are really struggling with this, especially the ones that do a lot of prescribing of scheduled drugs. And while they understand WHY this is happening, it's really making a mess of the medications list and making it hard to track what's been prescribed.
We have also found a few instances where a prescription was denied, because it was too soon to be refilled. The pharmacy does see the that the Rx was denied, but the medication list in Centricity shows both a denial and the successful refill, complete with an Rx ID and details of where the refill was sent. That is inaccurate information.
I just want people to test this thoroughly and be prepared for what you'll encounter.
Robin
Posted : October 16, 2018 5:37 am
Our upgrade from 12.0.13 to 12.3.2 a week ago went well. I have noticed that if the providers sign the Rx's from the update meds window, that a lot of CPS crashes occur. I have had them change there signing workflow to the new prescriptions workflow and it has been much better.
Not had any issues with the starting duplicate documents on a request. All users have been instructed to look at the pending column before starting a document to ensure it has not been started already.
Have had several complaints about the lack of visibility on the new prescriptions form. For instance if a patient has move than 3 med to renew you have to scroll to see them. Also not indication on the left side if a med has been chosen already to be renew and brought to the right side.
I also have held off on Azure to probably December.
Posted : November 19, 2018 7:06 am
