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CPS 11.1

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CPS, C-EMR, PM

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tnc

(@tnc)

Posts: 517

Honorable Member

chrishuff1 said:

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.

GE will scramble if things are horribly bad, or at least they will know of some workarounds. I know because we had that experience when we went to 10.0, then 10.0.04 EAP the very next day. Not where we wanted to be but I still think it helps to not be the first.

I agree with you on the time frame and the reporting requirement and we are still 'planning' on a Q3 attestation but it won't happen if things go horribly wrong with a bad release. The only way to make things better is to have a CPS 12 release already out but that didn't happen nor was it promised for too long before it got delayed to a 2014 release.

I don't think we can survive another bad deployment so I will have my resume up to date if we have to knowingly upgrade to a bad CPS release to hit a government deadline. I have the scars of previous good upgrades to bad products. It makes me look bad all around even though I did my part.

Posted : January 21, 2014 4:16 am

Mitch Kwiatkowski

(@mitch)

Posts: 111

Estimable Member

We're in the EAP for CPS 12, and it is still on target for March. June is probably more of a cynical guess than anything else. Many vendors already have development copies for software integration and plug-ins. I expect issues, but as already pointed out, timing is everything, and there's little choice but to upgrade as soon as possible. My bigger worry is if the service pack (e.g., 12.1) has additional functionality not in 12 that is required for MU. I believe that was GE's original plan, but that could have been changed with the delay of 12.0.

On top of that, we're heavily invested in PCMH, and we're targeting a July 1st transition to ICD-10. If MU gets in the way, we'll drop it. I've already calculated projected penalties and lost incentives, and we can easily make up for that by closing care gaps and providing additional services such as obesity and CVD screenings. I think you'll see a huge drop in Stage 2 attestations as other providers make similar decisions.

I am anticipating a very tumultuous year. 🙂

Posted : January 22, 2014 4:36 am

Conda

(@crobinson)

Posts: 255

Reputable Member

Has anyone heard or have the service pack 11.1.0.75 this is what we are getting from GE as a recommendation

Posted : January 22, 2014 4:42 am

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

Does anyone know of a way to get a Custom Problem List to display more than 5 results at a time?

Our Behavioral Health team needs to use their Custom Problem List and some of the entries have more than 5 similar entries - e.g.

        BIPOLAR I DISORDER, SINGLE MANIC EPI, FULL REMIS (A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, PART REMIS(A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, SEV W/O PSY (A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, SEV WITH PSYCHO(A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, MILD (A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, MODERATE (A1)
        BIPOLAR I DISORDER, SINGLE MANIC EPI, UNSP(A1)

It does not seem to continue parsing the list after 14 characters are entered in the search field, so shortening the description does not seem to be an option if we still want to get enough specificity in the description.

Conda - we are going live on CPS 11.1.138 on 1/31/14 - if you would like our feedback on this version afterwards, you can contact me by email.

Joan Nordberg

[email protected]

Posted : January 22, 2014 10:12 pm

Sirna

(@sirna)

Posts: 384

Honorable Member

Joan, Have you thought about using the Problem Form and having the needed Dx Codes listed there to avoid using the smart list? Then you can have all items you need and not need to use the problem list.

Posted : January 22, 2014 10:47 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

Sirna said:

Joan, Have you thought about using the Problem Form and having the needed Dx Codes listed there to avoid using the smart list? Then you can have all items you need and not need to use the problem list.

Not sure what you mean by Problem Form - is this a custom form?

One work-around I just found for scrolling a custom list is to click the down arrow with the 'search for' box empty, and then use the PageDn key to move through the list to the get to the code. Our Behavioral Health team's custom list has 407 entries, and in CPS 10 they could enter the first few characters of a dx and the list would jump to that location and then the user could scroll from there.

Posted : January 22, 2014 10:57 pm

Sirna

(@sirna)

Posts: 384

Honorable Member

The problem form is Problems-CCC a canned form from GE that you can customize with needed Dx Codes per Specialty. If you have someone who can edit the CCC forms, they can set this up for you.

Posted : January 22, 2014 10:59 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

Sirna said:

The problem form is Problems-CCC a canned form from GE that you can customize with needed Dx Codes per Specialty. If you have someone who can edit the CCC forms, they can set this up for you.

Thanks for the update - we don't use the CCC forms. We do a lot of custom form development so we may consider this approach if the work-around of paging through the list is unacceptable to our users.

Posted : January 22, 2014 11:02 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

We went live with CPS 11.1.138 this weekend and have encountered a printing issue and are looking for anyone else who has seen it and/or knows what causes it.

When printing handouts from a Print button within a form (so it calls MEL's PRINTHANDOUT() ) an auto-created Internal Correspondence note is generated and then it gets auto-signed and ends up in the patient's chart. The only content of the Internal Correspondence note is the name of the handout it printed.

This behavior did not happen in CPS 10 and can't figure out what's causing it now.

Also, if a user does not have signing privileges for the Internal Correspondence note type, it pops up the route dialog after clicking the Print button and the user needed to route the document to themself to print.

Anyone have information about the cause and/or how to fix this?

Thanks

[email protected]

Posted : February 2, 2014 10:51 pm

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

JNordberg said:

We went live with CPS 11.1.138 this weekend and have encountered a printing issue and are looking for anyone else who has seen it and/or knows what causes it.

When printing handouts from a Print button within a form (so it calls MEL's PRINTHANDOUT() ) an auto-created Internal Correspondence note is generated and then it gets auto-signed and ends up in the patient's chart. The only content of the Internal Correspondence note is the name of the handout it printed.

This behavior did not happen in CPS 10 and can't figure out what's causing it now.

Also, if a user does not have signing privileges for the Internal Correspondence note type, it pops up the route dialog after clicking the Print button and the user needed to route the document to themself to print.

Anyone have information about the cause and/or how to fix this?

Thanks

[email protected]

A little more information:

The print dialog has a checkbox 'Record handout printing in chart' - and it appears that with the upgrade, the default is that this box is checked.

Does anyone know if there is a way to set the default for this 'Record handout printing in chart' checkbox to be unchecked? We could ask users to uncheck this box before they print, but would prefer to set the default for all users instead.

Thanks.

Posted : February 2, 2014 11:50 pm

tnc

(@tnc)

Posts: 517

Honorable Member

We have not seen that behavior with 11.1.075

Posted : February 3, 2014 3:05 am

JNordberg

(@jnordberg)

Posts: 61

Trusted Member

tnc said:

We have not seen that behavior with 11.1.075

Thanks for the information - the problem may have just been introduced in the 11.1.138 version.

We have forms with print buttons that have been in use for a long time and prior to the upgrade, the Internal Correspondence document was not created when PRINTHANDOUT was used.

And now it creates the Internal Correspondence document every time - unless the user's default for printing handouts is to have the 'Record handout printing in chart' unchecked. Still hoping to find a way to uncheck this box from the Group or Enterprise level and not by each individual user.

Posted : February 3, 2014 3:19 am

tnc

(@tnc)

Posts: 517

Honorable Member

Sounds very frustrating. It would be nice if that could be set with a custom SQL script but this seems to be a product defect

Posted : February 3, 2014 3:31 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

This was a function in EMR 9.5, which we just upgraded from so we wouldn't have noticed this particular issue. Originally MU reports pulled the clinical visit summaries from documents saved in the chart so our providers have become accustomed to doing it. Now it is based on the audit event of printing it, so it is not required to be saved. However our providers are still in the habit of doing so.

Posted : February 3, 2014 4:15 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

We upgrade this weekend from 9.5 to 11.2 which apparently just released last week. We've just about tripled GE's requirements on the DB, JBOSS, and Citrix server ends. We've been fairly stable in testing but after reading this thread I'm absolutley terrified I'm going to have doctors with pitchforks and torches banging on our doors by 11am Monday.

TNC- what was the setting you found to correct issues with Dragon?

Posted : February 3, 2014 11:56 pm

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