CWOW and Snappy Differences in OneView

CWOW and Snappy Differences PDF

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CWOW and Snappy Differences in OneView


Overview

OneView is an intuitive tool DaVita credentialed providers use to manage the care and documentation of ESKD and AKI patients in the DaVita dialysis facilities.  OneView can be accessed from a desktop, laptop, tablet, or iPad using a web browser or a mobile device by downloading the app from the App Store (iOS) or Google Play Store (Android).  Please note that encounter notes are read-only at this time for mobile.

Center Without Walls (CWOW) is a new DaVita clinical IT platform used by the facility care team that replaces and combines Snappy, Chairside Snappy, and Falcon Dialysis.  

Reference Table

OneView has the same basic functionality for both CWOW and Snappy patients, but there are some workflow and/or data differences.  Outlined below in this quick reference guide are the workflow and/or data differences in OneView for CWOW versus Snappy facilities.  (More details about the current differences follow the table)

OneView Features CWOW Snappy
NPP Order Review and Signing Yes No
Multiple Order Dispute No Yes
Patient Summary Report PDF Yes No
Missed Treatments/Hospitalizations No Yes
SHAPE Graphs No Yes
IDT Assessments Yes No
Care Activity and Patient Notes Yes No
Psychosocial/TX Modality Care Category Yes No
Access Table Grid No Yes
Problem List No No
Allergies Yes Yes,read-only
Vaccine Data Yes, read-only Yes, read-only

OneView Differences

    Orders

    Differences for CWOW and Snappy patients within the Orders queue include:

    • In OneView for Snappy facilities, non-physician practitioners (NPPs) were not able to sign their Snappy orders.  These orders went to their collaborating physician for review/sign/dispute.  Please realize that in CWOW, NPPs must review/sign/dispute their own CWOW orders which is a new workflow for them.
    • The Snappy order queue allows multiple orders to be disputed at one time if the dispute reason is "Not My Patient" or "Order Not Given By Me."  Orders in the CWOW queue must be disputed individually.


    ESRD/AKI Mgmt Tab

    Differences for CWOW and Snappy patients within the ESRD/AKI Mgmt tab of the patient's chart include:

    •  Patient Summary Report PDF is available for CWOW patients only.  Click PATIENT SUMMARY button to generate the report. 

    • The missed treatments and hospitalizations functionality in the Fluid/BP care category is available for Snappy patients only at this time.  This functionality will be implemented for CWOW facilities in a future release. 
      • Workaround - Generate the Patient Summary Report PDF from OneView.
    • Only ICHD treatment order details (displaying under Adequacy, Mineral/Bone Disorder, and Nutrition) are available for CWOW patients.  Snappy can view treatment order details for all modality types.
      •  Workaround - Generate the Patient Summary Report PDF from OneView.
    •  SHAPE Trends (SHAPE 10 or SHAPE Roxadustat) graphs under the Anemia care category are available for Snappy patients only.
    •  The “TX DATES” view under the Anemia, Mineral/Bone Disorder, and Nutrition care categories displays the administered dose of a medication for all modalities for Snappy and CWOW facilities in OneView.  For CWOW facilities, the medications below may be missing from the care category display: (but will be visible in the Medication list.
      • 1.  Mircera
      • 2.  Epoetin Alpha-epbx
      • 3.  Iron Sucrose
      • 4.  Calcitriol
      • 5.  Cinacalcet
      • 6.  Sensipar
      • 7.  Zone Bar 
      • Workaround – Review these medications from the Clinical Summary section of the patient’s chart or click the MEDICATIONS button on the ESRD/AKI Mgmt section.

    • The CWOW patient's MATCH D Modality Assessment, Interdisciplinary Team (IDT) Assessment(s), and Plan(s) of Care (APOC) are available in the ESRD/AKI Mgmt and Clinical Summary tab of the patient's chart.  
    • Completed care activity and patient notes created by the care team within the last six months are available in the ESRD/AKI Mgmt tab of the CWOW patient’s chart.  
    • CWOW patients will have a care category named Psychosocial/TX Modality that contains social worker documentation.
    • The grid table for the Access care category is for Snappy patients only.  
    • Heparin is available in the treatment order for Snappy patients only. 
      • Workaround – View the medication list for prescribed Heparin.

    Clinical Summary Tab

    Differences for CWOW and Snappy patients within the Clinical Summary tab of the patient’s chart include:

    • The vaccination data for Snappy and CWOW patients is view-only.  Snappy patients only have the vaccine name, date given, and data source.  CWOW patient data contains vaccination name and type, date given, place of administration, lot number, expiration date, site, administered by, data source, and refusal reason, if applicable.     
      •  Workaround – To add, update, or remove any of the vaccine data, contact the patient’s DaVita care team.
    •  Problems list is not yet available for either CWOW or Snappy patients.  This functionality is being designed for CWOW.
    •  Care Team Notes will be available in a future release.
      •  Workaround – Contact a care team member to obtain any care team notes.

    Resources

    OneView Training and Support

    •  Help Center:  OneView has a Help Center icon located in the top right corner.  When clicked, it will display multiple learning and support options, short tutorials, FAQs, and updates in OneView.
    •  Pop-Up Help (“Guides”):  When an area is clicked for the first time in OneView, there may be a brief text description of how to navigate that area.  Take time to read these.
    •  Physician Support Line:  1-844-DVA-PHYS
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