Frequently Asked Questions

Transition & Access to OneView

1.  How do I log on to OneView?

You can access OneView from a desktop, laptop, tablet, or iPad by going to www.oneviewdps.davita.com.  Google Chrome is strongly recommended as the preferred browser, as it provides a more user-friendly experience.  Safari can be used but it is recommended that you turn off pop-up blockers.  Currently, Internet Explorer, Edge, and Firefox are not acceptable browsers. 

OneView can be accessed on an iPhone, you can download the app from the App Store. Almost all the same workflows are accessible except for encounters notes can not be created from the mobile application at this time.

2.  Who has access to patients in OneView?

Unlike Falcon Silver, OneView won’t automatically put you in a practice relationship with other providers in your practice.  To allow other providers in your practice to care for patients assigned to you, pay attention to the following.

To access a patient chart, you’ll need to be:

-         Credentialed at the facility where the patient treats

-         AND assigned as the primary physician for the patient

o   OR granted physician-to-physician covering rights that can be set in OneView

o   OR a collaborating non-physician provider (NPP) for either the primary physician or a physician who has been granted covering rights

Pay special attention if:

-         You round with NPPs – They will need to be credentialed at the same facilities as you and will need to be in an official collaborating relationship with you as part of the DaVita credentialing process.

-         You rotate on-call or hospital rounding across your practice or geographic region – Even for remote chart access for patients that are cared for by your partners, you’ll need the same combination of facility credentialing and covering rights as outlined above.  You may need to verify that you are credentialed at the same facilities as all the providers in your practice or region.

3.  How do I handle cross covering outside my practice?

A physician may grant covering rights to any other physician credentialed in their facility.  That allows the covering physician to view patient charts and create encounter notes for those patients they are covering.  This feature provides cross-coverage capabilities both for physicians in the same or different practices.  Covering rights are available under the Settings tab in the main menu.

4.  What happens to my old notes from Silver?

Two years of finalized notes from Silver or iPad are available for viewing as a PDF in OneView in the clinical summary tab in any patient’s chart.

5.  Will anyone else from my practice have access to OneView?

After you complete the practice association process through Settings > Practice, you can invite non-provider practice users to join OneView.  The non-provider practice user must complete the registration process to be granted limited read-only access which will include the ability to view practice information and the Reporting module.

6.  Can a non-provider practice user be set up for multiple practices?

Yes, but they must be set up with a different email address for each practice.

7.  How do I access inactive or former patients?

Once an active patient is permanently discharged, expired, or no longer in your care, OneView considers the patient a “former” patient.  Former patient's medical records are now available through the Search field and Patients >Former Patients.  

The search field returns active patient records but former patients can be located by clicking “View Former Patients” at the bottom right of the results.  The Former Patient tab under Patients will list former patients that have at least one documented encounter in OneView in the past 90 days.  You must attest once per login that you are viewing protected health information.  

8.  How do I access a visiting patient?

Patients being treated at a facility other than their “home” location can be accessed from the Dialysis Schedule and Patient Search tools.  

The Snappy patient’s chart shows data across facilities except for the medication list and access which only displays the data from where the patient is actively treating.  Limited data displays for CWOW patients, but you can see the medications list and access entered by the patient’s “home” facility.  You can create an encounter note and open the patient chart information from the Dialysis Schedule and Patient Chart, as well as, view the visiting patient data on the Monthly Visit Summary report.

9.  How do I run reports on my monthly dialysis facility rounding to support billing processes?

A Monthly Visit Summary report is available for you to download under the Reports tab in OneView.  It lists a physician's patients and each finalized note (representing a visit) for that patient within the specified month (regardless of the provider that entered the note).  This report will include encounter notes entered in OneView and Falcon Silver.  Patients that are permanently discharged or expired will not display on the Monthly Visit Summary Report.  We apologize for the inconvenience and are working towards a solution.

10.  What happens to patient data (like allergies and medications) that I’ve entered in Silver?

Allergies and medications will be pulled from the data managed by the DaVita dialysis care team using Snappy.  This ensures there are a single medication list and a single allergy list per patient, rather than a physician-entered list and a care team-entered list.  Until your facility moves to CWOW, the care team will be responsible for updating allergies and medications in Snappy, including medication orders.  When your facility moves to CWOW, we will offer the ability for physicians to add, edit, and delete allergies and medications directly through OneView.  There will be an ePrescribe option coming soon to allow you to prescribe non-treatment medications.

11.  How long will I have access to Silver?

There will be 2 waves of the Falcon Silver sunset process.  When your sunset wave starts, you have 90 days before your access is denied.  You will be prevented from creating new encounters but you can edit existing encounters with the status of in-progress, finalized, and amend finalized to complete your documentation.  Any reports you would like from Falcon Silver must be run and printed/saved within the 90-day shutdown window. 

Non-provider practice users will be notified of Falcon Silver sunset.  Non-provider practice users will need to be invited to join OneView by a physician in the practice.  After 90 days, all users (providers and non-provider practice users) who are part of that wave will no longer have access to Falcon Silver applications.  By August 2021, Falcon Silver applications (Web, iPad, and Android) will be shutdown. 

Viewing Patient Data

ESRD/AKI Mgmt: Integrated views by physiologic grouping (care categories) including labs, treatment data, medications and the assessment and plan from recent notes

Clinical Summary: Finalized notes, medications, allergies, immunizations and the treatment order

Profile: Patient demographics, insurance and contact information (including care team/providers)

12.  How much patient data is available?

Two years of lab, microbiology & serology results; 120 days of treatment flow sheets.

13.  What about hospitalizations?  How do I keep track of medical events?

Hospitalizations are displayed today as a missed treatment on the Fluid/BP section.  Hovering or clicking on the missed treatment will show the reason for the missed treatment and if it was identified as a hospitalization.  We will be enhancing this functionality in the future.  If you want to provide feedback, please sign up to participate in the Voice of the Physician.

Charting

OneView ESRD/AKI flowsheet with split-screen documentation highlighted

14.  How do I write a SOAP note in OneView?

Subjective: Use the “Overall Patient Status” comments to enter patient complaints, symptoms, or interval events since the last time a clinician saw the patient.  Free-text fields to document patient information related to Medical, Surgical, Social, and Family History are available.

Objective: Use “Reviewed” to indicate that you’ve reviewed the objective data for that care category. If the patient is within range or at goal, no other comment is necessary.

Assessment & Plan: Each care category has a comment box for assessment and plan text. 

As you round you will see historical notes from all providers displayed below the lab or treatment data for that care category.

15.  How do I document normal findings?

OneView uses a focused documentation approach which is the process of requiring notes when there are pertinent findings.  The focused document approach reduces the amount of time spent on documentation, reduces repetitive charting of routine care, provides a record that is easily read and understood and highlights any variations from the expected plan of care. 

In OneView, clicking the “Review” button indicates that you reviewed the labs and data for that care category, but if lab or treatment values are at goal, no other input is necessary.  Clicking the “Review” button ensures that the section is included in the PDF version of your finalized note.

16.  Can I pull forward my notes?

Providers can copy text from a previous finalized OneView encounter note into their current note.  The COPY INTO NOTE functionality should only be used when the included wording accurately reflects and represents the care and observations from that specific patient visit and should not be inserted into any patient record without careful review.  All copied text must be thoroughly evaluated for appropriateness to the specific encounter.  Please note that comments from an unfinalized OneView encounter note or a Falcon Silver encounter note will not display and therefore cannot be copied. 

17.  What do I do about non-dialysis problems or non-ESKD labs?

Non-dialysis problems can be documented in the assessment and plan field (comment box) for the “Other” care category.  Future updates will include integration with the problem list.

Labs not for the treatment of ESKD are displayed in the “Other” care category.  In some cases, you may be asked to provide additional documentation to support the ordering of these labs.

18.  What about History & Physical notes?

The option to document whether a History and Physical (H&P) was completed during an office visit is available through all encounter note types.  The “Completed H&P” option is located at the top of the encounter note.  Data from the H&Ps will be visible in the PDF encounter notes. 

19.  How should I enter a non-rounding note?

At this time we support note templates for the diagnoses and modalities we treat, including AKI & ESKD; ICHD, HHD, and PD.

20.  Why is the Time Left not appearing for all patients on the Dialysis Schedule?

OneView receives a data feed from Snappy that contains the time left on dialysis.  If there is any service disruption of feed, it will cause data delays.  When this happens, the feed is prioritized to provide minimal disruptions.  If this issue happens for a single patient only, then contact Physician Support with the patient details.

21.  What hasn’t been built yet?

We are working on the following:

-         Viewing care team notes

-         Entering orders or writing notes to the care team

-         Documentation from mobile (Rounding)

-         Accessing patient’s problem list


Feedback & Help

Make yourself heard through Voice of the Physician

VOP is an opportunity to weigh-in on the technology you use to provide excellent patient care.  Your input helps us decide which features to build and what improvements need be made to our IT tools.  As a member, you will receive monthly 3-5-minute online surveys or occasional invitations to share feedback via teleconference.

Join here: http://www.davitaphysiciansolutions.com/voice-of-the-physician/

Physician Support

1-844-DVA-PHYS

PhysicianSupport@davita.com


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