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Is it required that all EMR's are upgraded to SP11? Or is it just for practices using CQR?
Posted : December 2, 2015 4:22 am
We tried upgrade again and was able to successfully install SP11 in our test environment. Orginally we had completed the upgrade from the manual download as it was not available in the Server setup. Between the extraction and moving SS files versus downloading from the Server Setup something got messed up in the process.
We are testing today to verify if the fixes are complete.
Posted : December 2, 2015 4:25 am
Guess I will add mine results as well. Loaded without any issues on my test server.
Posted : December 2, 2015 7:15 am
Hi Teresa,
First, I am sorry you have experienced some issues we indicated are fixed in the General Availability version of SP11. So that we can properly identify these issues, it would be greatly appreciated if you could contact support at 888-436-8491 and provide more details.
Thank you
Posted : December 2, 2015 12:04 pm
I'd be interested to hear about CMS 135 & CMS144 as well. Or anything that deals with adding problems lists from Custom lists. In our current setup on SP9 our providers use custom lists instead of the smart list (because its a specialty) and nothing counts towards MU. Supposedly this is fixed in SP11, i'd love to hear if that is a fact and not more unfulfilled promises from GE.
My Fear is we will upgrade to Sp11 and the changes will not be retroactive to update the MU data. Our providers have been meeting meaningful use but because the system was so poorly designed a special much more unwieldy workflow is required to do the same exact task they already do.
Posted : December 3, 2015 11:07 am
Derek
As part of the SP11 process, I believe GE runs a couple scripts to recalculate the MU numbers and resubmit them to the cloud. You numbers should look even better if you are already meeting them now. What you can do is print out something which you can use as your official 'documentation' in a hopefully unlikely case where the numbers look worse for you post SP9. I think that is what we are going to do here at our clinic but we are hopeful for better numbers.
Mike Zavolas
Tallahassee Neurological Clinic
Posted : December 3, 2015 11:56 am
Sorry my original statement wasn't very clear. Below is an example, its very simplistic and i understand its more complicated. My providers are meeting conducting a workflow that "should" meet the needs for Meaningful use but do to a Bug in CPS it does not. Currently because of this my providers show up with "no results" under a few measures that are tied to this bug with "smart lists".
Example A:
Provider adds Problem X to problem list by selecting it from Smart List = makes database entry that shows Met for Meaningful use
Example B:
Provider adds Problem X to problem list by selecting it from CUSTOM List = does NOT make database entry that shows Met for Meaningful use.
As far as the Provider is concerned and the Patient is concerned everything is perfectly normal, its just a bug in the in design of the system.
Posted : December 3, 2015 12:39 pm
Is anyone experiencing the Drug interaction settings not working?
After further testing on SP11 I am finding that EVERY chart that has a prior Drug interaction of any severity, that does not already have a drug interaction override reason applied, will be locked in such a manner that the visit cannot be signed until the drug interactions have reasons applied.
I currently have ALL system and user prefference drug interaction override settings off.
I have found that if no drug interactions existed in the chart prior to the upgrade, users see no change unless they add a med during the visit that already resides on the allergy list, they are forced before signing to override this interaction, which is new as all settings for Drug interaction overrides are shut off.
Even if a user wanted to do a phone note in a chart that had a med on both the med and allegery list prior to the upgrade without a overrride reason, they cant even document text and sign without satifing the override reason for old interactions... Anyone seeing this?!? I have only tested in our Demo enviroment but interested in your feedback. (GE ticket filed, will update here if I get a resolution)
Posted : December 4, 2015 10:36 am
We are seeing the interaction checking thing pop up too. We had issues with our test system so this is the first I have been able to put my hands on it, but YES I see this. OK I called GE and here is what I know.
Personal interaction preferences overwrite enterprise interaction preferences. I couldn't get out of the note and I have all privileges. GE said the thresholds need to be set like this:
Certainty of drug/drug interactions: established
Severity of drug/drug interactions: major
Degree of contraindication for drug/problem, drug/age, or drug/gender: Absolute
Criticality of drug/allergy: Critical
Every chart will require acknowledgement of prior interactions once, after the upgrade. Rational: The system didn't work correctly before to force user to acknowledge interaction. So now they have to do a historical acknowledgement. One of the options for that is Patient is already on the medication or this combination which seem to be a logical choice. The only thing I have not checked is users who don't have all privileges so I will have to do more checking tomorrow. My thought is that I can make the changes in production at the enterprise level that need to be made before we upgrade because our preferred enterprise changes did stick after the upgrade, I am waiting to hear back from GE on that one. That would save having to go in and set everyone after upgrade (or sending out notes to users and we all know how that would go over). I just can't believe this hasn't been a bigger impact on sites who have upgraded already.
Posted : December 4, 2015 1:55 pm
We recently installed SP11 and found a huge amount of drug interaction popups. We were able to disable drug contraindications for drug-problem, drug-age, and drug-gender on the JBOSS JMX Console. This has been a life saver as we now only receive popups regarding drug-drug alerts.
Posted : December 7, 2015 7:15 am
I have tested the SP11 patch for the Drug interaction ovveride issue in our demo system and it appears to have worked 🙂
Posted : December 8, 2015 4:24 am
I am testing as well. Finding that I am not getting the pop-up at all. I am finding that the contraindcation button while in the add meds is a blue "i" button and then changes to the appropriate contraindication button. I even added a handwritten med that the patient was allergic to and the contraindication button turned from blue "i" button to the red stop sign but did not require an over-ride. I am not sure sur ethat is a good thing but think that is maybe how it has always behaved. Is this your finding as well?
Posted : December 8, 2015 5:33 am
Successfully upgraded two seperate sites last night to SP11 with both the drug and MU patch. No issues with interactions and business as usual!
Posted : December 10, 2015 5:23 am
We did our upgrade on Saturday and it went really well. We did spend some time with providers in advance of the upgrade to make sure they will be familiar with some of the changes.
We did SP11+(GE.EMR.Chart.BusinessLogic.dll, mlBase.dll, and mlChart.dll) updates
Mike Zavolas
Tallahassee Neurological Clinic
Posted : December 14, 2015 8:40 am
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