Ok been on the Version 11 for a about 2 months. So far not many problems and some things I like. I do not have a lot of shut downs and would say no more than I had before this version. The overall responsiveness seems faster but every now and then there will be a lag. NO rhyme or reason to why the lag. Sometimes I can be waiting on a lag and be able to start typing in the next box and things roll smoothly other times not. I am on a wireless network going room to room with patients using a laptop.
The prescription writer is definitely the biggest change I have noticed.
1. Height, weight, pt phone number and address are on the top of the prescribing screen, I like this. rest of the screen seems to be the same.
2. If no preferred pharmacy has been indicated (new patients) then a box will come up with pharmacies in the area and you choose one.
3. When you write the prescription it HAS TO HAVE THE UOM. If you leave UOM blank the prescription can not be sent. If you start to type something, a drop down box comes up which is nice BUT you can not just hit enter and move to the next box(refills). You either have to tab key to the next box or click on the next box for the UOM descriptor to be saved. Drop down favorites are saved.
4. pressing prepare script send the prescription to the Pending Medications box. From here you can see the Pharmacies listed for the patient. This is nice but a larger box so that a better descriptor could be seen would be beneficial. You only get a 14 character description of the pharmacy. You can hover over the name or click a magnifying glass icon to see the full description of the pharmacy. This is helpful. If you click the magnifying glass then a list of all the pharmacies for this patient with pharmacy info shown. This is nice. From here you can set the preferred pharmacy (check the box) no longer having to go to the demographics page! You can use this page to change the preferred pharmacy, click for one pharmacy to get all pending meds or go back to each med and send to different pharmacies. Hallelujah! Up to 5 pharmacies can be listed.
5. Once meds are in the Pending medication box, then hitting the prescribe button transfers them into the next window, ready to transmit. This is where Bert is seeing the medications are put into the pt's chart even if not sent to the pharmacy or printed. This is also where you can send a message to start a PA for the med to a staff member, print prescriptions or transmit to the pharmacy. This window shows the prescriber and the prescriber's address as well as a box that sends a test to the patient for "Monitor RX adherence and test supporting information to patient". Some patients like it others don't. If you have to work late then it will text patients late at night as well. There is also a box at the top that if checked will take you back to the prepare script stage after transmitting or printing. The pharmacy is listed but again this is too short as you don't get the address just the store number. The pt info is at the top as well. THE ONE THING I DON'T LIKE IS THAT THE PHARMACY CAN NOT BE CHANGED ON THIS SCREEN. IT WOULD HELP IF YOU COULD CHANGE IT BOTH AT THE PRESCRIBE SCREEN AS WELL AS THE TRANSMIT SCREEN. PATIENTS WILL CHANGE THEIR MINDS. GOING FROM THE TRANSMIT BACK TO THE CHART OR THE "RETURN TO WRITE SCRIPTS" PAGE HAS THE LONGEST DELAY!
WE SHOULD BE ABLE TO CHANGE THE PHARMACY AT BOTH WINDOWS, WHICH WOULD SAVE TIME!!!!
7. One other thing is that I have found several meds that are no longer the NDC and need have to "codify" them. They were fine before the update to Version 11 but now have to be changed. These have to be changed before you can escribe and sometimes it is hard to tell that they need to be changed. When the "favorites" is expanded then these may need to "codify" but this process can not be done in the "favorites" drop down box. I have not figured out the easiest way or if there is a way to Fix the favorites. I would think this list would have a way to be edited.
8. Once electronic refills have been sent, the medication will now have a message in the note "Notes to Pharmacist" box that reads Approved electronic refill request sent to New Crop". WHY IS THIS THERE ON EVERY REFILL?????? I delete it the next time I refill if not electronic.
9. WHAT THE HECK TAKES SO LONG TO GET NEW MEDICATIONS IN THE SYSTEM? Example the new weight loss medication Wegovy. Seems like it take this system a couple of months when the reps are telling me others have new meds in the system in just a week or two.
Sorry it is so long but hope it helps, support has still been good for me but the hours are not like they used to be, have to keep trying to catch them on chat but the tech support staff has been spot on with fixing my problems.