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CPS 11.1

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CPS, C-EMR, PM

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Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

mshastany said:

When selecting a flag from the desktop the previously highlighted flag stays selected as well (this sometimes causes both to be deleted accidentally). Can’t remember if
this is a known issue or not.

Problem search issues (the descriptions are not end user friendly, causing incorrect dx’s to be selected)

Regarding flags, we've seen the same thing, and I believe it's a known issue.

As far as the problem search goes, make sure you have *Smart List selected as your default problem custom list. If you don't, your search won't be as useful as what you're used to in prior versions. The Smart List allows keyword searches while any other search in the Reference List will have to match the textbook description of the ICD-9 code. When we first went to CPS 11, we didn't have this set as the default, and problem searches were horrible. After changing preferences, the search improved dramatically.

We also experience a fair number of crashes, and we have poor performance overall. It seems to have gotten worse over the last few months despite efforts to improve the infrastructure hardware. So we've come to the conclusion that it's the application and we have to live with it until CPS 12. Hopefully, that eases our pain without adding a ton of new issues.

Posted : January 14, 2014 11:48 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

Mitch -

Which version of CPS11 are you on

CPS 11

CPS 11.1

CPS 11.1.138

We are trying to figure out if the Problem search issues (when not using the Smart List) is new to CPS11.1.138 or whether is was a known issue in earlier versions of CPS 11.

We are currently on CPS 10.1.3.301 and testing CPS 11.1.138 in our DEV environment before our January 31,2014 go live date with it.

Thanks.

Posted : January 15, 2014 1:54 am

acantu

(@acantu)

Posts: 722

Prominent Member

kmarsh said:

We decided to do just that - skip 11 and upgrade to 12 (from EMR 9.5).

I would recommend the same, CPS 11 has been a really poor failure in our eyes, really slow and a lot of bugs and crashes. Hopefully CPS 12 is finally corrected! I have been working on custom add-ons to by-pass the issues on CPS 11, so hopefully my job will be a bit easier on the next release.

Posted : January 15, 2014 2:10 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

JNordberg said:

Mitch -

Which version of CPS11 are you on

       CPS 11

       CPS 11.1

       CPS 11.1.138

We are trying to figure out if the Problem search issues (when not using the Smart List) is new to CPS11.1.138 or whether is was a known issue in earlier versions of CPS 11.

We are currently on CPS 10.1.3.301 and testing CPS 11.1.138 in our DEV environment before our January 31,2014 go live date with it.

Thanks.

We are on 11.1. We haven't gone to 11.1.1 because we're in the CPS 12 EAP and will be upgrading soon. To my knowledge, the search functionality is by design. The Smart List is for more user-friendly keywords while the full search is for the formal descriptions. From what I can tell, that won't change in CPS 12. The Smart List is the way to go if you're looking for better search functionality.

I would second Arnold's recommendation - skip 11 and go to 12.

Posted : January 15, 2014 3:37 am

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

Mitch Kwiatkowski said:

We are on 11.1. We haven't gone to 11.1.1 because we're in the CPS 12 EAP and will be upgrading soon. To my knowledge, the search functionality is by design. The Smart List is for more user-friendly keywords while the full search is for the formal descriptions. From what I can tell, that won't change in CPS 12. The Smart List is the way to go if you're looking for better search functionality.

I would second Arnold's recommendation - skip 11 and go to 12.

We had decided to go to CPS 11 to at least get ICD-10, since it is unclear when CPS12 will be released - especially since we would wait for SP 1 before going to CPS12. Since you are in the EAP program do you have a sense of when CPS12 will be in general release?

Would you try the following scenario for problem search, using Smart List, in both your CPS 11.1 and CPS 12 versions and let me know your results - I'm really curious to know if this is a 11.1.138 only bug - it may help clarify things for us going forward.

Here's one scenario to show the problem search bug when using the Smart List in 11.1.138:

Search for "heart" - "Neoplasms" chapter is in range 760 - 779 (this is incorrect when user drills down)

Search for "lung" - "Neoplasms" chapter is in range 800 - 999 (this is also incorrect when user drills down)

Search for "kidney" - "Neoplasms" chapter is in range 140 - 239 (this is correct when user drills down)

If, in the 2 incorrect chapter results listed above, the user had selected the 140-239 range, regardless of what the chapter's description was, they do see the blocks for neoplasms.

Thanks much.

Posted : January 15, 2014 4:45 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

The problem issue that mshastany posted about involves the smart list (that many providers say isn't too smart).

For example - when using the smart list and typing "pharyngitis" the first listed option is "pharyngitis, acute" with a code of 074.0. Per ICD this is pharyngitis caused by coxsackie virus (which is not indicated anywhere in the description), and is not the 462 code that would be more appropriate - further down on the list as "pharyngitis". It seems that the descriptions should better indicate what is an important difference that affects clinical documentation and billing. There are several others like this.

Posted : January 15, 2014 9:36 pm

lkeith

(@lkeith)

Posts: 457

Honorable Member

If I remember correctly, the way the smart list was described to me was that it would remember the diagnosis the provider uses so if a provider has selected Hypertension,benign more than something else, this it would be the first 'option' when typing 'hyper'. Basically, it would learn from the provider what his/her most used diagnosis are.

Posted : January 15, 2014 10:53 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

lkeith said:

If I remember correctly, the way the smart list was described to me was that it would remember the diagnosis the provider uses so if a provider has selected Hypertension,benign more than something else, this it would be the first 'option' when typing 'hyper'. Basically, it would learn from the provider what his/her most used diagnosis are.

We have found what we think is a bug in the problem search functionality (at the chapter/block/group level) when we were testing CPS 11.1.138 in our DEV environment and would like to know if it existed in CPS 11.1 and if it still exists in CPS 12.

When providers start out on CPS 11 or if they are searching for a problem they have never used, the smart list may not have relevant diagnoses. If what they are searching on returns more than 60 results, the chapter/block/group format of the results list is displayed and that is where we are seeing the bug.

We would like to know if anyone else can replicate our bug in their current version of CPS11.1 and/or an early adopter version of CPS12.

One scenario for replicating the bug is to open the 'New Problem' window and do the following 3 searches on the full reference list (so that you will get the chapter/block/group format of the results list):

Search for "heart" - the result list shows the "Neoplasms" chapter is in range 760 – 779 (this is incorrect when user drills down)

Search for "lung" - the result list shows the "Neoplasms" chapter is in range 800 – 999 (this is also incorrect when user drills down)

Search for "kidney" - the result list shows the "Neoplasms" chapter is in range 140 – 239 (this is correct when user drills down)

If, in the 2 incorrect chapter results listed above, the user had selected the 140-239 range, regardless of what the chapter's description was, they do see the blocks for neoplasms.

If anyone does this test, please let me know your results.

Thanks.

Joan Nordberg

[email protected]

Posted : January 15, 2014 11:36 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Yes, I believe that it learns as well, but unfortunately these were factory choices that they started with and the descriptions are not end user friendly.

Posted : January 16, 2014 12:09 am

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

tweisberg said:

Yes, I believe that it learns as well, but unfortunately these were factory choices that they started with and the descriptions are not end user friendly.

Even if the smart list does 'learn' over time, we are concerned that new users, or those searching for a problem not included in their smart list may get so many results returned (more than 60) that the chapter/block/group format is used and the user must drill down through the results to find what they are looking for - and this is where we find the bug with some search results.

We have been told by GE that there is no prior report of the problem search bug we are finding, so we are trying to find out if it really was introduced in CPS 11.1.138 (before we upgrade to this version from CPS 10.1.3.301 on 1/31/14)

The scenario to reproduce the problem search bug is listed in my previous post - if anyone tests it on CPS11.1 or their CPS12 demo, I'd love to know your results.

Thanks.

Joan Nordberg

[email protected]

Posted : January 16, 2014 12:35 am

Conda

(@crobinson)

Posts: 255

Reputable Member

We were set to upgrade to the service pack next month and on the list for version 12 the beginnig of the second quarter but we are having so many issues off and on with the version we are on which is 11.0.0.621 that our providers have pretty much decided to wait and just chance going to 12

Posted : January 16, 2014 2:15 am

lkeith

(@lkeith)

Posts: 457

Honorable Member

Just had a call with our technical engineer for our conversion and we discussed this issue. She said that is was working as designed, but she did mention that there are some changes on the way based on feedback from clients. She just wasn't sure if it will be in a service pack for 11 or just 12.

Posted : January 16, 2014 2:28 am

tnc

(@tnc)

Posts: 517

Honorable Member

chrishuff1 said:

lkeith said:

Just wondering what the status of your CPS11 issues are? We are supposed to be upgrading in January but now I'm a little worried.

Why not skip 11 and go to 12? It's due to be released in, I believe, February.

I know we will have to upgrade, but I would love for others to upgrade before me. I have enough "point zero" scars so I would rather wait until 12.1 or at least know that things aren't horrible before having to upgrade.

FYI, We upgraded to 11.1 in November and it is running fine. I do not know of any chart crashing, billing issues, performance issues or anything else. We did it mainly to become familiar with ICD-10 and I think that was a good idea. The only thing I can think of is an issue with Dragon which I am told we should have seen in CPS 10. There is an easy workaround though. Just disable a setting and you are good to go. The CPS crash looked a lot worse though. I am told it is a .NET issue where there is competition for a hardware resource (microphone in this case)

I hope CPS 12 comes out soon, but not too soon to be a buggy mess like CPS 10.

Mike Zavolas

Tallahassee Neurological Clinic

Posted : January 21, 2014 3:32 am

tnc

(@tnc)

Posts: 517

Honorable Member

lkeith said:

chrishuff1 said:

lkeith said:

Just wondering what the status of your CPS11 issues are? We are supposed to be upgrading in January but now I'm a little worried.

Why not skip 11 and go to 12? It's due to be released in, I believe, February.

The powers that be are pushing it. For those of you live and having issues, did any of the issues you are having become apparent while you were testing or did they start happening once you went live? Also, is GE actively trying to fix the issues?

We had a very good experience going to 11.1 (from 10.X) in November. We fortunately did not see any issues being discussed here. The swat team was very helpful on most things except where Kryptiq was involved but we have to be the project managers; don't depend on GE or anyone else to know everything about your site. The more planning you can do, the better. Keep an upgrade log to refer to with every upgrade (we have an internal blog for ours).

Mike Zavolas

Tallahassee Neurological Clinic

Posted : January 21, 2014 3:36 am

chrishuff1

(@chrishuff1)

Posts: 201

Reputable Member

joshua.tilson said:

jdibiasio said:

chrishuff1 said:

lkeith said:

Just wondering what the status of your CPS11 issues are? We are supposed to be upgrading in January but now I'm a little worried.

Why not skip 11 and go to 12? It's due to be released in, I believe, February.

I heard it was going live at the end of March

Going straight to a new version is just asking for trouble. Best bet is to wait for at least a service pack to be released to fix some of the day one issues you are going to see in version 12.

That's not going to be possible though. Our vendor said they expect GE to release it to the public around June now, and our vendor won't push it out till July so they can test their plug-ins etc. With meaningful use stage 2 being 3 months of reporting, there's no way GE is going to get SP1 out before we have to start reporting, and we have to have 12 for that.

Posted : January 21, 2014 3:51 am

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