Where is the video? I have done some and it is getting a little understandable. I don't know how to free text.
WHAT IS MY FOUR DIGIT CODE? It's not the same one.
Should I map amoxicillin-clavulanate to Augmentin (one is brand)
Where is the friggin' video
Not sure what code it is asking you for....
"Should I map amoxicillin-clavulanate to Augmentin (one is brand)"... I don't think it makes much difference. Going forward, if you typically type in "Augmentin" in the eRx box, then map to Augmentin. If you typically type the generic, then map to that. (And note that for all the patients who were previously prescribed the drug, the mapped version is what will show in their chart from before - if that matters at all).
Re-watched the video, thanks for posting the link.
Just realized why some medications are in RED, "the system can not find any reasonable matches to that item." I think these will most likely become free text but I will look for something because I have found some matches.
Thanks for posting Bert, bet your not the only one with this isue as it is not in the video or the release notes. Sorry I didn't think to post that earlier!
If you and/or Jon can send these links that are either labeled as to what they are or I can make them tinyurls, I will ask Ruben to put them at the top of the board for everyone. Also the manual. What do you think. Or maybe just your grabbing them so you both don't do the work twice.
I am thinking sit down at one time starting at 6 am and do ALL THE MEDS IN BLACK. Those would be easier to migrate. Anyone doing that. I mean I know a few are doing all at one time, but it seems the red ones would bog you down and be frustrating. Then you would only have the red ones in each person's meds and could map it or free text.
I went to the admin screen and did the bulk mapping. My eyes were crossed by the time I was done. I think it's worth it to do this once and get it over with. You don't want to be waiting at the eRx screen when you're trying to get to the next patient. Now our doctor hasn't had any problems with eRx.
Serene Office Manager General Pediatrics Houston, Texas
The whole eRx process is definitely slower for now- maybe other aspects of the program as well. Not huge differences but noticeable. Have also had a few freezes requiring restarts. I suspect these are due to the ongoing need to complete the mapping process. I am hoping these annoyances disappear when mapping is done and those menus stop popping up.
I find it easier to just do the mapping either in the room, some pts talk a lot anyway, or in the morning before start seeing pts while doing refills. I go off of the schedule. The idea of doing the ones in black first is valid and may try that, I just don't like the time I am having to focus on meds I'll never prescribe again (outdated or removed from the market).
I feel the prescribing portion has improved after the update if it weren't for the mapping. Electronic refill requests are super fast and the ability to do multiple patients with controlled substances is great. The only problem with the controlled substances is you can't pull up the PMP Aware screen from the refill screen but still a huge improvement.
I have had a couple of crashes but usually just with printing things. Not sure what is happening. AC support looked into the issue and there is nothing in the AC log to indicate why this is happening. Please write down when you have a crash, date and time, and then when you get a chance contact AC support and let them look at the log. Maybe we can find some common ground causing these crashes.
I guess on the east coast the prescription writer does not warn you when you close before saving a med. Maybe it is a setting in preferences.
The 2FA could have less clicks and is redundant, otherwise pretty good
Has anyone noticed that the tablets, capsules, etc. are no longer in alphabetical order, they are put where they are most used.
When I prescribed something like Concerta after the process, the ADHD seems to be gone.
I am not sure what everyone does with the red ones. Chris says they are out of date, etc. I find at least 80% matches (not exact -- but the same medication) on all of them.
I've opened up some patient charts go to prescribing and there are some with a number of meds listed kind of greyed out and it doesn't ask me to map them so I just go ahead and write whatever rx I was going to write and it goes through apparently not requiring the all meds must be mapped edict prior to writing a new rx
It is a setting, it will ask if you don't want to see that dialog box again and can click it, I didn't do it comes up each time, not sure how to reset
I wish the 2 factor authentication could be set to either Authy app or Hard token as a user preference and change only if needed (would save a click most of the time)
The UOM list changed with Version 11, I posted that as an improvement.
Do you mean at the end of the instructions for the prescription it no longer says ADHD?
Red ones are not necessarily out of date, the video says they are ones the system does not have good reasonable match, or something like that. I quoted the Video earlier!
those are probably meds that need to be "codify" adjusted. See if you can codify anything that is in grey and italicized. Those are iikely the Free Text meds you did during mapping. Sorry for the late response.
I have found an issue with Free Text during mapping, if you free text and then get an electronic refill for that medication it will not be sent. This is, so far, the only problem I have seen with freely using Free Text mapping.
There is also an issue with AC electronic refills. This has been discussed with AC. If you have a medication that comes in for a refill and does not have a match it is an issue. The medication will be denied (no match), deny reason given, any comments, and then send. A pop up box will come up that says " Object reference not set to an instance of an object". Hit OK. Med stays on the screen. Get ticked off and wonder why, forget about it and close the screen! Now if you go back to the refill screen that one is gone, earlier builds of V12 did not erase that non matched, non refilled medication, so this was a good change on ACs part.
I've opened up some patient charts go to prescribing and there are some with a number of meds listed kind of greyed out and it doesn't ask me to map them so I just go ahead and write whatever rx I was going to write and it goes through apparently not requiring the all meds must be mapped edict prior to writing a new rx
Originally Posted by ChrisFNP
koby, those are probably meds that need to be "codify" adjusted. See if you can codify anything that is in grey and italicized. Those are iikely the Free Text meds you did during mapping.
The way I understand it, an uncodified prescription is italicized (whether pre- or post-V12). Hopefully this is what koby means by "kind of greyed out". It can be a legit prescription but cannot be e-prescribed (because the words are not in the formulary database). If all the other patient's meds are codified though, this will not trigger a need for mapping so you can just go ahead and eRx the others. (Agreeing with Chris here).
Originally Posted by ChrisFNP
if you free text and then get an electronic refill for that medication it will not be sent. This is, so far, the only problem I have seen with freely using Free Text mapping.
A problem, perhaps, but an expected outcome. The prescription is not in the database so it cannot be sent. You either codify it early when you switch to V12, or later, when you need to refill it. In other words, you didn't lose anything by free texting it.
A problem, perhaps, but an expected outcome. The prescription is not in the database so it cannot be sent. You either codify it early when you switch to V12, or later, when you need to refill it. In other words, you didn't lose anything by free texting it.
Correct but on the electronic refill requests the medication not mapped correctly does not show up and you have to go to the chart to fix
So I am going to write a novel here. I want to come in on my day off and do a lot of mapping. I agree with Serene. Just get it done. But I just don't understand the red ones. When I try really hard I can find good matches for the red ones. What does confuse me is if I have a brand name like Synthroid and another Brand name like Levoxyl. Do you think it is better to map Synthroid to Levoxyl then to free text it?
So, I don't like the idea of free texting all these red ones. These are not old drugs or drugs I don't use. I don't want them to not be mapped. What happens when a patient has an unmapped drug in their profile? I just don't understand it.
Do you think it is better to map Synthroid to Levoxyl then to free text it?
All that follows is my opinion... and it might be wrong.
My answer is that it doesn't make a big difference.
Lets say you prescribed a patient Synthroid pre-V12. If you map it to Levoxyl... or if you free text it, then there are two implications: 1. If you go back and look at that patient's meds, you will see that "Synthroid" is no longer on his list of active meds; It will either have italicized Synthroid if you free-texted or "levoxyl" there instead. AND Synthroid is added to the list of inactive meds.
2. The next time you want to eprescribe a thyroid supplement for that patient, you can write it either way (Synthroid or Levoxyl). BUT it will be quicker and easier to send Levoxyl if you mapped it to that because it is already in the list of active meds.
So.... in general, map to the version (brand or generic) you typically use to save a little time when renewing.
But it makes little difference, because with a couple clicks, you can activate the inactivated Synthroid, and re-prescribe it.
And to make it more of a coin-flip... keep in mind that if you map in the admin section, you are changing all the pts prescriptions at once. So if you sometimes prescribe brand, and sometimes generic, there is no way to decide which will be better to map to going forward.
It does not make sense to agonize over this, IMHO.
Originally Posted by Bert
So, I don't like the idea of free texting all these red ones. These are not old drugs or drugs I don't use. I don't want them to not be mapped. What happens when a patient has an unmapped drug in their profile? I just don't understand it.
So you free text Synthroid and it goes to italicized Synthroid. What happens when you go to prescribe Synthroid again? It sitll makes no sense to me. Unless I can send the non-codified italicized Synthroid.
If it is italicized it cannot be eprescribed. That is the unbreakable rule.
If you started with Synthroid on the left and mapped it to Synthroid, then yes, you can just eprescribe it. If you started with Synthroid but did not find a match for it, so you free texted it, then now it is Synthroid and you cannot eprescribe it.
Found an issue this morning I though I would warn others about. I think it has been posted before but didn't find that thread.
The directions for a medication were changed by the pharmacy and I did not catch it until later. The medication was Ozempic 1mg dose (4mg/3ml), pharmacy changed to 4mg dose weekly. I know it was changed from the pharmacy side because of the way the other part of the prescription was written. I also looked at the history and it was written correctly the 1st time it was sent but changed on a refill.
This is an issue with the electronic refill requests coming in from the pharmacies.
I may be reading this question incorrectly, but you can eRx from the very first patient as long as that patient's past meds are migrated. Which, of course, migrates everyone with that medication so it gets faster and faster. I rarely have to migrate a medication.
Still migrating, have 1600+ meds to go. I refuse to sit at one time and do all of them, I see it as a waste of time. Iw ill do them as they come up. Some meds I will never use again and may only be ion one pt that could be dead. I started at over 3,000.
You can still prescribe if not all medications in the database are migrated. You just can not prescribe for a patient that has not had all meds migrated and matched, thus the example above. I had not seen this lady for some time and she had been on 2 different named OCPs due either to pharmacy or insurance availability. Yes there is a generic, not my point of the post. These are old and inactivated meds but I still had to match them to prescribe for her. I showed this as just an example of how ludicrous this whole system is with migrating.
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