Accuro©EMR is
the most recent version of Accuro available. The reason for no version number
is because Optimed is going to a more regular release schedule to avoid large annual
releases. Optimed is now offering 6-week updates to all customers. This means
that roughly every 6 weeks we will provide a release in the form of “Update
Accuro” which you can run at your convenience. Note that once you update one of
your computers, all of your computers will need the update run.
The release
notes below are dated. When you apply the update, you will receive all changes
since your last update. To find the last date you updated, login to Accuro and
click Help > About > Details.
Billing
The following improvements have been made to the A/R by Insurer Report:
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A column has been added that displays claims corresponding tracking pins.
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A site filter has been added for clinics with sites enabled.
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Insurers are now listed in one dropdown that includes all the previously listed insurers and the following new options: All, All Private and All Government.
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A load accounts receivable button has been added rather than auto loading when the provider, insurer etc. are changed.
The billing percentages field in the claim details window can now be edited. Users can enter any percentage over 0%. To access claim details select the Claims icon > select the appropriate tab > right-click on a claim and select Claim Details.
After a user has added a provider's WCB number in provider configuration and the next button is pressed the following message is now displayed "Please ensure the Provider's WCB number is entered in your online e-WCB account at https://my.wcb.ab.ca in order for your submissions to be accepted. Please contact Optimed Support if you need assistance". To access provider configuration press F2 > click the Configure button.
Documents
When a document is uploaded into Accuro, the audit log entry will include where the document was uploaded from. To access the audit logs click Users > select Manage Security > click the Audit Log tab.
The next appointment date is now displayed at the top of the window in the documents area of Accuro. To access the documents area select the Documents icon.
Encounter Notes
The appointment history in encounter notes now displays the no show [NS], no charge [NC], arrived [A] or confirmed [C] status of an appointment. To access the appointment list select the EMR icon > click the Encounter Notes tab > the appointment list is down the left-hand side of the window.
When adding an image to a provider's letterhead users no longer have to save the image to an http url. The image can be added to an acc_images folder (located within accdocs) and then uploaded into the header using the protocol "accimages:///". To check the location of the accdocs folder click Tools > select Admin Tools > select Accdocs Viewer.
Labs
Any Excelleris labs flagged "CRIT" are now displayed in the critical labs popup in the labs are of Home. To access labs select the Home icon > open the Labs folder > open the appropriate provider's folder.
Options "Select All" and "Deselect All" have been added to lab results graphing. When graphing labs for a patient the graph of prescriptions over time displays an entry for every prescription including renewals. To assist users when a patient may have a large number of medications (and the selectable list of medications can be very large) users can now select all and deselect all. To access lab graphing results select the EMR icon > click the Encounter Notes tab > click the Lab graphing Results button (the button with the bar chart on it).
Messaging/Tasks
A "Reply All" button has been added to the mail area of Accuro. The other buttons in the mail area have been moved around to make room for the new "Reply All" button. To access the reply to all button select the Home icon > Open the mail folder > open the Inbox folder > select the appropriate message > the Reply All button is located towards the middle of the window.
Other
In several places throughout Accuro "atleast" has been corrected to "at least".
Patient Demographics
Post Code to City Mappings is now included on the Update Lists window when a user first logs into Accuro. This will make changes to the postal code database if any updates are available. If a user is already logged into Accuro the Update Lists window can be accessed by clicking the Updating Lists in Accuro icon located at the bottom-right of the Accuro window.
A preferred contact method has been added to the Patients Demographics section. Users have the choice of selecting home phone, work phone or cell phone. To access the new preferred contact method field select the Patients icon > click the Demographics tab > the Preferred Contact Method field is in the Phone #s section.
Prescriptions
Significant enhancements have been made to the drug interactions and prescriptions area of Accuro:
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Dosage warnings when the dosage of a prescription is changed has been updated.
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Mass application of managements is now allowed.
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Low dosage alerts can now be disabled.
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Passive notice of drug interactions are now allowed.
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The option to auto apply previous managements done for a patient on new warnings.
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Accuro generated messages have been made clearer.
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Warnings are now included for formulations.
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Messages are now included to indicate what warnings are not done (e.g. neonatal and pediatric dosages).
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Drug DIN is now included on the prescription printout.
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The number of warnings when applying favorites has been dramatically reduced.
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External medications can now be renewed.
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Drug formulations are now listed before manufactured drugs in search results.
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Allergy search results are now displayed in the order of non-drug, allergen groups and then drugs.
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There is an option to default Print on Rx to Off for Prescription Warning Managements.
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Continuous prescriptions are now exempt from the auto-expiry.
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Drugs are categorized into the following in encounter notes, Non-Drug, Allergy and Intolerances.
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The Order Status column in Medications has a tooltip to show the details of the most recent status history.
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Only single management is required for Duplicate Therapy or Drug to Drug interaction between medications on a Prescription Script.
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Manufactured Drugs not yet marketed in Canada are no longer displayed in search results.
Allergies:
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One search for all allergies and allergy groups are prioritized over drug allergies.
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If an allergy has no name then the group name is used.
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Severity defaults to unknown, a severity level can be left as unknown (except for clinics using PIP).
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Users can now add multiple reactions and severity levels can be selected (depending upon what is chosen).
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The severity can be overridden by the reactions chosen and the severity the reaction has.
Medications:
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New description and New Compound are now two separate buttons.
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Search is now a popup rather than in the main window.
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Interactions are now displayed at the bottom of the Add Prescriptions window. These do not have to be actioned until the end if that is what a user prefers.
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Click the icon to bring up management options Apply previous management defaults to on. Note: Users can manage multiple interactions at the same time using the Ctrl+click or Shift+click, but they must be of the same type.
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Where interactions occur for a prescription that is being written (for varying dosages of the same medication). The duplicate warning can be dealt with in management.
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Where items are being managed Accuro finds the mirrors of the items you are managing and applies the management to both items.
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Drug use defaults to blank with the user having to select either short term or continuous.
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Once a script has an item on it compounds cannot be added. A compound has to be the first item on the prescription or a new prescription must be created.
Compounds:
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Ingredients for compounds are provided by First Data Bank. If an ingredient is not listed then a medication list update is required.
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A New Compound Prescription button has been added.
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If a dosage warning message is given at the end of a compound prescription a user must go back and change the dose in order for the warning message to be cleared.
Prescriptions:
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DIN is included in prescription printouts.
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There is a new system setting to exempt acute prescriptions from being expired. They are displayed in red to indicate that they should be expired but they are still shown as active.
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If the status of a prescription is changed, users can now hover over the prescription and a tool tip when and why the prescription was changed.
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There is an option to disable low dose warning messages (but to select the user needs to be logged in as a doctor).
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Expanding and collapsing prescriptions displays the most recent version of a prescription. Non-active prescriptions are not displayed when the prescriptions are rolled-up.
Disable Low Dose Warning (need to be logged in as a doctor)
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Click Tools.
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Select Preferred Managements.
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Click the Interaction Management Levels tab.
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Deselect the Show Low Dosage Alerts checkbox. Note: the default for the Show Low Dosage Alerts checkbox is selected.
Create a New Compound Prescription
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Click the EMR icon.
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Click the Medications tab.
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Click the New Compound Prescriptions button.
Reporting
A health card expiry date constraint has been added to the query builder. This is only available for provinces that support entering an expiry date for the health card in the patients section of Accuro. To access the Alerts (Query Builder) click Reports and select Alerts (Query Builder).
Security
Updates have been made to the activity log viewer to improve performance and loading speed.
Gamma Dynacare labs and Medicine Hat labs are being updated to have a single global login rather than user specific logins.
A manage accounts feature permission has been added which controls access to the Manage Accounts button in the private billing and insurer payments sections of Accuro. To access the manage accounts permission click Users > select Manage Security > click the Feature Access tab down the left-hand side > select either Role Permissions or User Permissions tab > Manage Accounts is located at the bottom of the Claims section.
The database will now contains information on the history of updates to the database structure, including the date and time updates were made.
Traffic Manager
In the waiting room table in the traffic manager "Type" (Appointment Type) has been added as a column header, defaulted to hidden. If selected Type is displayed to the left of the Reason column. To select the columns displayed in the traffic manager select the Traffic icon > click the Column Selector button located directly above the scroll bar.
Performance
Updates have been made to the billing software to improve the loading efficiency and speed for all provinces.
An update has been made to the claims section so that information stored on the tabs is only loaded once the tab has been selected. This prevents unnecessary loading of information and improves the speed with which the claims section loads.
Fixed Issues
Creating an alert for a 03.04J patient search was failing due to a database error. An update has been made so that this search can now run as expected. To create an alert click reports > select Alerts (Query Builder).
Users no longer have the ability to archive appointments that are masked to them. Only the person who masked the appointment or another user with permissions can archive masked appointments. To archive an appointment press F4 (Quick Patient Appointments View) > click the Appointment History tab > right-click on appropriate appointment and select Archive.
A client reported that when saving a private bill the invoice number is removed. An update has been made so that when a bill is saved the invoice number field is checked to see if the user has added an invoice number and only saves with empty invoice # if one has not been added.
The lab count query was running very slowly. Updates have been made to improve speed.
The requisition form date is now displayed in the date column in the virtual chart (if there is one) instead of the DOS of the form. There had been some confusion because the requisition form date was displayed on the requisition form and in encounter notes but the DOS (which was sometimes a different date) was displaying in the virtual chart. To access the virtual chart select the EMR icon > click the Virtual Chart tab.
An update has been made to Alerts (Query builder). The start date had been taken from the dosage table but compounds do not have dosages, so the start time is taken from the medication table. To access alerts (query builder) click Reports > select Alerts (Query Builder).
Generated On:
Mon Sep 10 15:15:36 PDT 2012