Version 8.2 Release Notes

Amazing Charts Version 8.2
Using Version 8, you will be able to prepare for ICD-10 by using the features we’ve added to practice,
test and train for the switchover date. You can also enjoy a litany of features that we’ve added since
Version 7.1.3, like being able to create a schedule for anyone in your practice, and saving multiple
pharmacies for the patient.
Contents
Clinical Workflow and ICD-10 ....................................................................................................................... 2
Billing and ICD-10 .......................................................................................................................................... 6
Five Minute Clinical Content Updated .......................................................................................................... 7
User Preference for Diagnoses without Codes Alert .................................................................................... 7
Educational Menu Item................................................................................................................................. 7
New Spell Checker ........................................................................................................................................ 8
Scheduling for All Users ................................................................................................................................ 9
More Preferred Pharmacies for Patients .................................................................................................... 10
Improved Search Options for Medications ................................................................................................. 11
Patient Search by DOB ................................................................................................................................ 11
Preferred Contact Method Enhancements ................................................................................................. 12
Additional Enhancements ........................................................................................................................... 13
Corrected Defects ....................................................................................................................................... 14
Known Issues that Exist in 8.2 ..................................................................................................................... 15
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Clinical Workflow and ICD-10
ICD-10 mode will turn on starting October 1, 2015.
Historical Problems
Patient diagnoses will be automatically transformed to ICD-10 using code mappings made available by
the National Library of Medicine.
Before:
After:
Problem Search and ICD-10
The problem search will also be updated to allow you to search for any ICD-10 diagnosis for dates of
service on and after October 1.
Before:
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After:
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Diagnosis Search Order
When searching for diagnoses by ICD code, the results will be ordered by code.
Summary Sheet Diagnosis Hover-Over
When you hover over a problem in the Summary Sheet in ICD-10 mode, the ICD-10 problem description
(versus the clinical problem description) will display.
ICD-10 Search in Past Encounters
We’ve added an ICD-10 filter in Past Encounters allowing you to filter through encounters.
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Refining ICD-10 Codes
The organizations you belong to have likely let you know that in ICD-10, you’ll be coding for laterality,
complications, initial visits, and more.
The process of choosing more granular ICD-10s is called refining, and yellow codes in the problem list
now signify codes that can be refined, and there is a new refining feature you can access.
Refining User Preference
In User Preferences, you can control when the refining tool opens from the Most Recent Encounter.
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Edited Decision Support Rules Switch
If you’ve edited any Clinical Decision Support rules in Admin, you will need to use a manual Admin
feature to reset those rules to add ICD-10 conditions to those rules.
Note: You’ll want to run this switch after October 1, 2015 – once you’re using ICD-10.
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Billing and ICD-10
ICD Toggle on the Superbill
There is a new area on billing screens where you can toggle a bill and all its functions to ICD-9 or ICD-10.
Searching for Codes
Searching for billing codes works the same from billing screens, except in ICD-10 mode you’re searching
through ICD-10 codes.
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Five Minute Clinical Content Updated
Five minute clinic content was update and also works with ICD-10.
User Preference for Diagnoses without Codes Alert
A user preference was added to control whether you see an alert when a diagnosis with a “000” code is
added to the patient’s Assessment.
Educational Menu Item
Added an educational menu link to Amazing Charts that users can visit to review version-specific
educational information on our website.
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New Spell Checker
New Spell Checker Dictionary
A new Spell Checker incorporating a clinical content medical dictionary is now integrated into the Most
Recent Encounter, the Enlarge Textbox screen, and the Structured Family History screen. A custom dictionary is also supported!
New Spell Checker User Preferences
In User Preferences, you can turn on the spell checker so it checks the note before signing it off. You can
also turn on the “Check spelling as I type” feature, which identifies misspelled words while you type.
Note: When “Check Spelling as I type” is turned on, you will be able to access your templates by holding
down the Shift key while right-clicking your mouse.
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Scheduling for All Users
All users will have the ability to create a schedule for themselves, regardless of their level of access. This
allows nursing assistants, secretaries, or any other staff member to have their own schedule.
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More Preferred Pharmacies for Patients
All patients will be able to have an unlimited number of preferred pharmacies. You can enter the
patient’s preferred pharmacies in their chart or when prescribing.
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Improved Search Options for Medications
On the Write Scripts screen, providers will now have the ability to search for medications using a “Starts
With” search in addition to the existing “Contains” search. You can toggle between the two searches.
Patient Search by DOB
You can now search for patients by their Date of Birth in the Patient List. Once enabled in the Admin
Miscellaneous Settings, age will be replace by date of birth in the Patient List, and you can search by it.
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Preferred Contact Method Enhancements
The patient’s preferred contact method will display in the Patient List, the Scheduler, and the
Appointment Verification screen.
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Additional Enhancements
Functional
Area
Enhancement Description
Introduced
in Version
Invoice Improvements:
 Billing Comments now display in invoices
 The insurance company and the amount paid will show up in invoices.
 Type of payment will be displayed on printed invoices and patient receipts.
A pop-up message will appear to notify users when a non-billable diagnosis code is
added to a patient’s problem list.
The Payor List will open from the Billing Info Demographics screen without requiring
the user enter the ADMIN password.
Vitals Enhancements:
 The Peak Flow graph can graph to a maximum of 880The Pain and Pre and
Post Peak Flow fields have been added to the Letter Writer in the Encounter
- Objective options.
 Searches for all vital signs can be run, and can be conducted using English or
metric units.
 The Vitals reports have been streamlined to include the same information,
and will not include fields that do not contain data.
 The sliders for recording Vitals have been removed.
Improvements to the Clinical Summaries and Transfer of Care documents:
 The Export Location will be remembered after it is defined for the first time.
 Changed messaging in documents to reflect whether information was
excluded or not available.
 To help users fulfill the 2014 measures for Patient Electronic Access and
Clinical Summaries, the Full Patient Record version of the Clinical Summary
will be sent to the patient’s portal on sign off, if the option to automatically
send the document of chart sign off is enabled. The encounter-based clinical
summary was previously sent.
A pre-loaded template was added to the Letter Writer that allows users to print out a
letter with the new Instructions section text in it, instead of only the Plan section.
Added Glaucoma Screening Rule to Clinical Decision Support
The size and position of the chart is now being remembered throughout a user’s login
session.
When submitting feedback through Amazing Charts, you will now be able to enter a
subject for the message.
7.0
Exports often created by our users were updated to ensure they work with
ICD-10. These exports include the CCDA, the CCD, Syndromic Surveillance files
and billing export files.
8.2
Clinical
Decision
Support
We added new triggers to sex-specific decision support rules so that they
trigger for the correct patients, updated rules with new conditions, and added
new rules that have been introduced nationally.
8.2
Quality
Measures
All CQMs in the “Other Measures” category have not been updated for ICD10, and a note of this has been added to the screen.
When importing CCDAs when the system is in ICD-10 mode, the problems will
be displayed and imported as ICD-10 codes.
8.2
Billing
Billing
Billing
Charting
Charting
Charting
Charting
Charting
Communicat
ion
Exports
Importing
CCDAs
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8.0
7.0
8.0
8.0
8.0
7.0
6.5
8.0
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Corrected Defects
Functional Area
Charting
Referrals
Charting
Spell Checker
Charting
Spell Checker
Charting
Diagnoses
Charting
Diagnoses
Description of Corrected Problem
If a referral is added for a patient on the Add New Patient
screen, that referral information may not be saved to the
patient’s record.
All Immunization and Medication names have been added to
the spell checker dictionary, so they are not identified as
misspelled.
Custom dictionaries created prior to updating Amazing
Charts are loaded into the new spell checker.
Fixed duplicate diagnosis message so duplicate patient
problems searched from the Most Recent Encounter can be
added to the Assessment without adding to the problem list.
Reported
in Version
8
8
8
7.1.3
Misc
Enlarged Text
Box
When searching by diagnosis codes, the results are sorted in
code order.
The following shortcut keys on the Most Recent Encounter
are working: CTRL+T (Templates), CTRL+E (Enlarged Text
Box), CTRL+P (Print).
Changed directions on the Direct Messaging Admin screen
concerning vetting.
Lab results display correctly when there are multiple data
types contained within the same file.
Error where the wrong patient’s chart is added to a message
when a user has been previously viewing another message.
The invoice was modified to move insurance information out
of the #9 letter window.
Transactions are filterable in the Lab and Radiology
Transactions form.
Templates added from the Enlarged Text Box screen is now
added to where the cursor is instead of the bottom of the
text box.
Patient Portal
Any duplicate patient portal accounts will be fixed.
7
Spell Checker
Templates
When the spell checker is turned off, templates will launch
when from the Most Recent Encounter when you Alt+Right
Click
8
Templates
The Family Member History Notes in the structured family
history screen can now bring up the templates editor.
8.0.2
Charting
MRE
Direct
Messaging
Labs
Messaging
Attachments
Misc
Misc
Page 14 of 16
7.1.3
8
7.1.3
7.1.3
8
8
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Known Issues that Exist in 8.2
The issues listed below describe defects that we acknowledge exist in version 8.2 of Amazing Charts and
have been reported by other users. We will be addressing these in a future release. If the correction is
already scheduled and in process it will have a timeframe noted in the Planned Resolution column. At
this time we are unable to commit to a timeframe for the other but most all of them are planned for the
next major release. Depending upon your workflow and usage of Amazing Charts these may or may not
impact you and the level of impact will also depend on your specific usage of the feature. If you feel
that the negative impact of some of these issues outweigh the benefits offered in this release you may
choose to wait for your specific issues to be resolved before you update.
Functional
Area
Reported
in Version
Performance
Delay Opening
Patient Chart
8.0
Charting
Current
Medications
8.2.2
Charting
Last Note
Backup
7.1
Billing
7
Charting
Spell Checker
Charting
Spell Checker
Charting
Sign Off
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8
Known Potential Issue
Some systems are experiencing an
abnormal delay upon opening a
patient’s chart. This can be
attributed to a variety of your
systems attributes including a large
number of prior encounters
The current medication list on the
MRE contains new medications
prescribed upon opening a
forwarded chart.
The Last Note Backup functionality
has been replaced with a new
method of restoring a lost note, but
the Last Note Backup executable is
still accessible in the Amazing Charts
directory and should be removed.
If the list of payors has been
customized, insurance information
for a customized payor may not print
on an encounter sheet.
If the option to check spelling when
a note is signed is enabled, the new
Spellchecker will not check in the
Overall Family History of structured
Family History on sign off.
8
If the option to check spelling when
a note is signed is enabled, the new
Spellchecker will not check in the
Instructions section of the MRE.
7
When a provider that requires a
supervising provider’s co-signature
on notes (e.g. a Mid-Level) signs a
note, the Billing Provider will be
changed to the supervising
provider’s name once the
Planned
Resolution
Work-around
We are working to address
this in our next release(s)
Q2 2015
None
Q2 2015
None
TBD
None
TBD
If the option to check spelling
as you type is enabled, the
spellchecker will check for
errors in structured Family
History.
If the option to check spelling
as you type is enabled, the
spellchecker will check for
errors in the Instructions
section of the MRE.
None
Q3 2015
Q3 2015
TBD
Version 05042015
supervising provider co-signs the
note.
Charting
Enlarged Text
Box
8
Charting
Misc
8
Charting
Misc
7.1
MU
Portal and
Direct
7
Labs
7.1
Interfaces
8
Letter Writer
7.1
Upgrading &
Installing
Page 16 of 16
7.1
Chief Complaint text is highlighted
upon opening Enlarged Text Box- if
you start typing text is removed
On the MRE, the Plan tab allows the
user to add the Meds list to the Plan
and to view the draft – users have
requested that this functionality also
be added to the Instructions tab.
Printing the Current Note as a TEXT
(.txt) file from the patient’s chart will
return an error.
Images and documents cannot be
sent with Transfers of Care via Direct
Messaging.
Some lab results may return the
following error when imported via
an interface: “Lab Note Text exceeds
maximum length of 100 characters.”
Midmark Spiro – an error occurs
upon the initial calibration of the
device.
In the Letter Writer, if you select the
option to add the Updated Meds list
to the letter, all medications will be
added instead of just the list of
updated medications.
If you are changing the directory
during the install process, the
installer may install Amazing Charts
in the previous location.
Un-highlight the text before
you start entering new
information
Q2 2015
None
TBD
Current notes can be
previewed, and printed from
the preview screen.
You can send images and
documents via Direct Message
in Updox Inbox.
None
TBD
TBD
TBD
Restart Amazing Charts after
installing and prior to
calibration.
Unwanted medications can be
manually removed in the
Letter Writer or click on the
Add Med List to Plan box to
add current medications
In the Registry:
Hkey_Current_User/Sofware/
VB and VBA/Software - delete
AC registry then have to go
into
Hkey_Local_Machine/Softwar
e/Wow6432Node - delete
Amazing Charts entry.
TBD
TBD
TBD
Version 05042015