Release Notes
Release 11.1 (November 10, 2024)
Clinical Incentive Program (CIP)
The Missed tab has been added to show patients who were unsuccessful in achieving their metric. The arrows beside the header can be used to sort the list. The list can be filtered by timeline, with the last six months as the default. Dual-role providers and practice staff members can sort the list by Providers.
Patient Chart Changes
If the patient's target weight changes due to a protocol, it will be indicated in the Fluid/BP section tooltip details.
The patient’s HIV results are blurred in the Infection section due to its sensitive nature. Click the “HOLD TO VIEW” link to expose the result. This option is only available to providers.
In the Clinical Summary tab, you can now refresh your prescription medication list and hover over the transmission status to view additional details. When adding a new prescription, a primary and secondary diagnosis can be linked to the medication.
Integrated Kidney Care (IKC) Patient List (Practice Users)
The IKC ESKD Patients tab is available under the Patients menu. Select the appropriate physician to view IKC patients on your physician's behalf. The list includes details about the patient and the IKC program. Click on the patient's name to be redirected to the patient’s chart.
(MOBILE ONLY – iOS and Android) ePrescribe
Care Team members can no longer submit verbal or faxed prescriptions for bundled meds on your behalf due to the ePrescribing requirement that began on October 1.
You can use OneView Mobile to get notified of time-sensitive pending ePrescriptions and efficiently review prescriptions prepped by your care team in CWOW. When logging in, select Login with DaVita Credentials so the ePrescribing process is seamless.
You can also set up Push Notifications under Menu > Settings > Notifications. When you have pending prescriptions or refill requests, they will be sent once a day at 12 p.m. EST.
(MOBILE ONLY – iOS and Android) Medication List
View a list of active, pending, and discontinued medications for a patient by tapping Menu > Prescriptions from the patient’s chart.
Release 10.1 (October 3, 2024)
H&P Workflow Changes
The H&P toggle was relocated to the History section of the encounter note. Expand the history to review the fields. Select the H&P toggle. The fields do not have to be edited to register the H&P was conducted. The "last updated" date appears when the note is finalized. Encounters marked as having a completed H&P will show the HP indicator next to the encounter note type under the Clinical Summary tab. The H&P date appears on the PDF.
Comms Hub (Web, iOS, and Android)
The OCMO Memos category has been added to the Comms Hub, and the COVID-19 category has been removed.
Patient Chart Changes
A new clinical study (CS) badge will appear in the patient banner when a patient is part of a DaVita Research Study. Hover over the badge for details about the clinical study. Up to four clinical study details will appear in chronological order. The clinical study details are available under the Treatment section of the Clinical Summary tab.
For patients with amputation records in CWOW, up to four Amputation history records are available under the Clinical Summary tab in the Treatment section.
Patient Admissions
The Neurology Note link can be accessed in the Patient Admissions dashboard when available.
(MOBILE ONLY – iOS and Android) Hospitalizations
Past hospitalizations will be displayed under the Status category of the patient’s chart. The records are sorted by the most recent date and contain up to the past six months of hospitalizations from CWOW. The clickable Recent Hx badge appears for a recent hospitalization.
Release 9.1 (September 5, 2024)
Care Team Assessments
Four new care team assessments appear under Patient Status in the Clinical Details subtab and the Clinical Summary tab under the IDT Assessments and Summaries section if available. The assessments are Patient Modality Decision Follow-Up, Home Modality Education, Modality Choice Discussion, and Administer PRAPARE (Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences).
Quality Metric Dashboard (QMD)
Each metric now has a View Patient List button and Best Practices link. Use the View Patient List button to access the metric's patient data. You can filter the list by facility and IKC Program. Select the link to view information and additional resources for the metric.
Release 8.1 (August 18, 2024)
Patient Care Tab
The Patient Care tab will replace the ESRD/AKI Mgmt tab in the patient's chart. It will contain the following sub-tabs: Clinical Details (formerly ESRD/AKI Mgmt), Rounding Summary, and Intradialytic Flowsheet. Clinical Details is the default sub-tab.
Rounding Summary
The Rounding Summary contains up-to-date patient clinical data that can be used while rounding. The summary data is conveniently located in one area with minimal scrolling.
Intradialytic Flowsheet
The Intradialytic Flowsheet tab contains up to 30 days of the vital signs and measurements monitored during an ICHD patient's hemodialysis treatment. It will include the following sub-tabs: Pre Tx Vitals, Intradialytic, and Post Tx Vitals. The default is Intradialytic.
Inactive Practice User Access Termination
Non-provider practice users who have been inactive for over 90 days will be automatically deactivated. After 75 days of inactivity, a notification will be sent to inform them that they have 15 days to log in to OneView before their access is deactivated.
Attach Files to the Patient's Chart
Providers and non-provider practice users with Clinical and Practice Super User access can attach documents no larger than 10MB to the patient's chart from the Files tab. To attach a document:
• Click Files tab, then ADD FILE
• Drag and drop or select the file (PDF, JPEG, or PNG)
• Enter required fields (category, title, acknowledgment)
• Select UPLOAD
Once the file is uploaded, the edit or remove icons are available. The Edit icon only allows you to modify the category and/ or title.
(MOBILE ONLY – iOS and Android) BMI Calculation
The patient's Body Mass Index (BMI) will be included in the Transplant Status section of the Limited and Comprehensive encounters.
(MOBILE ONLY – iOS and Android) Login with Your DaVita Credentials
You can easily log in using the Login with DaVita Credentials button. Using the SSO will give you the option to save your password in iCloud Keychain, which allows access to your stored password behind Face ID. It will also support future app integrations like ePrescribing.
Release 7.1 (July 11, 2024)
All Orders Queue Filters
The Patient Name and Order Status filters are available in the All Orders queue. These new filters will improve your workflow when reviewing specific orders.
To filter by the patient’s name, type a few letters, and the results will appear. Select the appropriate patient and all their orders will be displayed. The Status filter is a dropdown. Click the filter to select from the list. You can choose to use both filters if needed. The number of filtered orders appears at the bottom and in the Sign All button.
Medication List
The medications list is now divided into two tabs: Prescriptions and Medication Orders in the Clinical Details, Clinical Summary, and Profile pages. The Prescriptions tab contains e-prescriptions sent to an outside pharmacy for non-treatment medications.
This tab lets you view and sort prescribed medications, create e-prescriptions, and complete pending ones. The Medication Orders tab contains medications ordered in CWOW. Sort options, including ordering type, are available.
Problem List in Encounter
The Problems section was added to the PD, HHD, and AKI Encounter notes. Click the blue plus sign to add active problem (s) and display the patient’s current problems. Problems marked as priorities are at the top of the list with an orange star. If there is more than one priority problem, the most recently added priority problem will show first. Click the checkbox for each problem or Select All to add problems to the note.
This new section will allow you to add new patient problems and edit or resolve existing ones. Problems added to the note appear on the encounter PDF and will automatically appear in future encounters when the Keep in Notes toggle is enabled.
Documented HHD Loss Assessment
The Documented HHD Loss Assessment appears under Patient Status in the ESRD/AKI Mgmt tab. Click the VIEW button to display the assessment. The assessment is also available under the Clinical Summary page's IDT Assessments and Summaries section.
(MOBILE ONLY – iOS and Android) Patient Badges
To improve mobile navigation, the badges in the patient banner are now clickable. Click the badge, and additional .
(MOBILE ONLY – iOS and Android) Recent Hospitalization Badge
The Recent Hospitalization badge has been added to the patient banner to alert you of the patient’s hospitalization status. The badge displays if the patient has an admission date within the last 30 days. The badge will continue to show for 30 days after the patient is discharged.
Click to view the details of the most recent hospitalization entered into CWOW. Only the most recent hospitalization shows if there have been two events in the last 30 days. If the admit and discharge date differ, the number of days the patient was hospitalized appears by the discharge date.
(MOBILE ONLY – iOS and Android) All Labs on One Page
The patient's chart now has a Patient Care section. It will contain the All Treatment Data which lets you view all labs on one page, reducing the clicks needed to access the lab details.
Fluid/BP, Adequacy, Anemia, Nutrition, MBD, Infection, and Other are the displayed care categories. The care categories are an accordion list with the Fluid/BP section expanded, and all other categories collapsed. Each section can be expanded or collapsed by clicking the arrow to the right. You can scroll in an expanded section. Tap the comment bubble to view the note comments.
(MOBILE ONLY – iOS and Android) Shift Times on the Dialysis Schedule
The Dialysis Schedule filter for Shifts will only show available shifts for the day and will include the times. If that day has a Nocturnal shift, it will also display. The shift times will appear on the Dialysis Schedule.
Release 6.1 (June 6, 2024)
Clinical Incentive Program (CIP)
The Clinical Incentive Program (CIP) functionality in the Nephrology Care Alliance (NCA) portal has moved to OneView. Credentialed providers and their practice staff members with OneView access are asked to click the OneView Login button from the NCA Portal to be redirected to OneView.
If outstanding attestations exist for the credentialed provider registered in CIP, the Incomplete Clinical Incentive Program Attestations task appears on the Home page under My Activities & Reminders. The count displayed is the number of items that require review.
The CIP dashboard can be accessed from Analytics > Clinical Incentive Program. Providers can complete attestations and view your retrospective program performance without leaving OneView.
More Frequent Dialysis (MFD) Documentation in HHD Encounter
The More Frequent Dialysis (MFD) section was added to the HHD Encounter. This new section is available to physicians only. This functionality is supplemental to and not a replacement of the existing HHD Order Justification (HOJ) Form process.
If you have chosen to prescribe MFD for your Home Hemodialysis (HHD) patient, each CWOW order diagnosis is prepopulated and listed separately within the section. Beneath each diagnosis, you can select whether this is a new or existing condition being managed by MFD. The Additional Comments text box allows free-text comments and the use of snippets.
Notify a CWOW care team member if the diagnosis list is inaccurate. After the CWOW order update, refresh the encounter note for the most recent data. The encounter PDF will contain each diagnosis and comments, if entered, under the More Frequent Dialysis (MFD) section.
Computerized Provider Order Entry (CPOE)
The Computerized Provider Order Entry (CPOE) allows you to edit the In-Center Hemodialysis (ICHD) patient's Target Weight and Treatment Time in the patient's chart or while rounding. Click the ORDERS button to change the order.
Release 5.1 (May 19, 2024)
(MOBILE ONLY – iOS and Android) Push Notification Preferences
You can choose your push notification preferences under Menu > Settings > Notifications. The three existing push notifications are 100+ unsigned orders, new patient referral requests, and new patient admission requests. Slide the toggle to enable the notification. Enabled push notifications will pop up on your mobile device's home screen to alert you of important events that require attention..
Release 4.1 (April 4, 2024)
Medications List Modal
The medications list modal in the ESKD/AKI Mgmt tab is now moveable. Move or resize the modal to access the patient chart seamlessly without closing it.
(MOBILE ONLY – iOS and Android) Main and Patient Menus
The Main and Patient menu has changed. The color is now blue, and some text was altered to fit the allotted space.
Release 3.1 (March 7, 2024)
(MOBILE ONLY – iOS and Android) Push Notifications
We identified and fixed an issue that prevented users from receiving push notifications since October 2023. If you have push notifications turned on, you will begin receiving them again as of 3/8/2024.
Mobile app users can currently receive push notifications for unsigned order reminders, patient admission requests, and patient admission referrals. Users can turn push notifications on or off via their mobile device’s system settings.
(MOBILE ONLY – iOS and Android) Time Zone Variance Alert
The time zone alert appears when you create a new Limited or Comprehensive encounter note, and the time zone for the patient’s home facility and encounter are mismatched.
Release 2.1 (February 8, 2024)
Problem List Available in Encounter
The Problems section was added to the Limited and Comprehensive encounter notes. Click the blue plus sign for Add Active Problem(s) to display the patient's current problems. Problems marked as a priority are at the top of the list with an orange star. The most recently added priority problem will show first if there is more than one priority problem. Click the checkbox for each problem or Select All to add problems to the note.
This new section will allow you to add new patient problems and edit or resolve existing ones. Problems will automatically appear in future encounters when the Keep in Notes toggle is enabled. Problems added to the note appear on the encounter PDF.
Daprodustat Eligibility Icon
The Daprodustat medication eligibility icon was added to the Anemia care category of the patient's chart. Click the icon to view the coverage information.
(MOBILE ONLY – iOS and Android) Copy Forward Comments from the Previous Note
The comment from the most recent finalized note will automatically appear in the selected care categories if the copy-forward preferences are enabled in Settings>Customization (OneView web version).
(MOBILE ONLY – iOS and Android)
Microbiology comments were added to the patient chart's Microbiology care category.
Release 1.1 (January 14, 2024)
IKC (Integrated Kidney Care)Hospitalization Risk Rating
A new hospitalization risk badge has been added to the Patient Chart, Dialysis Schedule, Current and IKC Patients list. The 1-5 ratings are documented in CWOW and based on the Core Team’s analysis of whether or not the patient is at risk of hospitalization within the next 30 days.
The risk rating data definitions:
•Rating 4-5: The team is concerned or very concerned
•Rating 2-3: The team has some concern
•Rating 1: The team has no concern
IKC Hospitalization Alert
The Focus Patient Indicators banner appears in the Patient Status of the patient’s chart when the patient has an IKC Risk flag or has been hospitalized in the last thirty days. The banner contains the core team and recent hospitalization, if available. The core team record displays the risk rating and reason. The recent hospitalization data shows the reason for admission, length of stay, admission and discharge dates, and primary and secondary diagnosis.
IKC Patients Tab
Advance Practice Providers (APP) will have access to the IKC Patients tab in the Patients menu, which provides the patients participating in an IKC program. Data for the patient includes last name, first name, IKC badge, age, DOB, gender, phone number, and IKC program name. The list can be filtered by IKC program, patients (all, my, and covering), and modalities. Click on the patient’s name to open the patient’s chart. The APP will have the same functionality as the physician except for the DOWNLOAD MY IKC PATIENTS option.
Prior Authorization
Daprodustat was added to the list of medications that may require prior authorization. The MEDICATIONS ELIGIBILITY button under the Profile tab of the patient’s chart in the Insurance Details section contains the “Auth First” medications and coverage information.
(MOBILE ONLY – iOS and Android) Limited Notes
Limited Encounter notes are now available to all providers and can be accessed from the “Note” option in the right corner of the patient chart or the blue plus icon in Dialysis Schedule. The Limited note has the same functionality as the Comprehensive note.
(MOBILE ONLY – iOS and Android) IKC Filter
Providers can filter the Patients list by IKC Patients and IKC Program by clicking the filter icon. The IKC Patients filter contains My IKC Patients and Covering IKC patients. IKC Program will display the IKC programs in which your patients are participating.
Release 12.1 (December 14, 2023)
IKC (Integrated Kidney Care) Patients
The IKC Patients tab in the Patients menu provides access to patients participating in an IKC program. Data for the patient includes last name, first name, IKC badge, age, DOB, gender, phone number, and IKC program name. The list can be filtered by IKC program, patients (all, my, and covering), and modalities. Click on the patient’s name to open the patient’s chart.
Secure Documents on Comms Hub
Providers will be redirected to the sign-on page and must enter their DaVita username and password to access secure communications and marketing materials in the Comms Hub. After the provider has entered their username and password, a separate tab opens, and the PDF, document, video, audio file, email, or link will appear.
(MOBILE ONLY – iOS and Android) Patient History
Providers can edit the Patient History in the Clinical Summary section of the patient’s chart. Patient History contains the patient’s medical, surgical, social, and family history and the date it was last updated. To edit, slide the appropriate history section to the left to reveal the Edit option.
(MOBILE ONLY – iOS and Android) In Progress Notes on the Home Feed
In Progress Comprehensive notes will display within a carousel on the Home feed. The carousel contains up to three months of data and will show the last five In Progress notes. Tap the appropriate In Progress note to review or finalize the note.
(MOBILE ONLY – iOS and Android) Comprehensive Notes on Dialysis Schedule
Providers can create or edit Comprehensive notes from the Dialysis Schedule. A message appears at the top of the schedule and states, “Tap the C to create or edit an in-progress comprehensive encounter.” Tap the appropriate note to start, edit, amend, or view the PDF.
Release 11.1 (November 9, 2023)
Heparin
Treatment details, displayed under Adequacy, Nutrition, and MBD in the ESRD/AKI Mgmt tab, will include the Heparin Loading Dose, Hourly Dose, and Concentration for ICHD and HHD modalities. This information is also displayed in the patient’s chart under the Clinical Summary in the Treatment section and encounter PDF.
Body Mass Index (BMI)
The patient’s Body Mass Index (BMI) is calculated and displayed in the ESRD/AKI Mgmt tab and encounter note. The BMI appears in the Transplant Status section of the encounter note and PDF. The BMI is also displayed in the Clinical Summary tab under the Treatment section within the Metrics area.
Target Weight
The Last Post Treatment Weight was replaced with the Target Weight (Wt).
Access
In the ESRD/AKI Mgmt tab under Access, hover your cursor over the used arterial or venous needle data point, and a tooltip appears with the access type and location.
Release 10.1 (October 5, 2023)
(MOBILE ONLY – Android and iOS) Recent Patient List
The Recent Patients section has been added to your all-patients list and will display up to ten of the most recently viewed patients on OneView mobile and the web. Tap Find Patients on the Home feed or Patients under the Menu to access all patients.
Scroll up and down to view the complete list of patients. The blue dot at the top of the alphabet rolodex scrubber navigates back to the Recent Patients list. Tap the appropriate patient to be redirected to the patient’s chart.
Release 9.1 (September 7, 2023)
Mobile Rounding Available
Click or scan the QR code on the Home page under the Communication & Educational Resources section to download OneView Mobile. Scan the QR code with your phone to be redirected to the app store.
Click the QR code and enter your mobile phone number to receive a text with an app store download link. You will be redirected to the appropriate store for your mobile device (App Store for iOS or Google Play for Android).
ESRD/AKI Mgmt Updates
Treatment (TX) Time, prescribed, and average DFR (Dialysate Flow Rate) were added to the Adequacy care category. Prescribed and Avg BFR (Blood Flow Rate), Avg Arterial and Venous Pressures, and Used Needles are now available under the Access care category.
Non Visit Note (Web and Mobile - iOS and Android)
The Non Billable Note name was changed to Non Visit Note. The "Non Visit Note" has the same functionality, allowing the provider to document a patient interaction without a billable activity.
Monthly Visit Summary Report (Providers and Practice Super Users)
The date filter allows for the Current, Previous, or Custom month selection. Sort the report only to include the selected provider’s visits.
Practice Super Users – View the ESRD Quality Metrics Dashboard
Non-physician practice users (NPPU) with Practice Super User access can now access the ESKD Quality Metrics Dashboard by selecting Analytics from the menu. NPPUs can use the dashboard to review quality metrics for your practice’s patient population.
The dashboard will default to the My Practice view. The staff member will have the same functionality as the providers. The "Download Patient List" can be clicked to generate a patient list PDF.
(MOBILE ONLY – iOS and Android) Mobile Rounding Download
For providers accessing OneView via the URL on their phone, a banner advertising that mobile rounding is available was added to the Home page under the Communication & Educational Resources section.
The banner can be tapped to be redirected to the appropriate store for their mobile device (App Store for iOS or Google Play for Android) to download the OneView Mobile app.
(MOBILE ONLY – iOS and Android) Mircera Alert
The Mircera alert was added under the Anemia care category in the ESRD/AKI Mgmt tab of the patient's chart. Tap the Mircera informational icon for a pop-up message that contains details about the patient's next dose of Mircera, if available, and an email address for questions or comments. Click the Mircera value for additional information.
(MOBILE ONLY – iOS and Android) Start Note from Dialysis Schedule
The blue "+" icon can create the Non Visit Note and Comprehensive Encounter notes in the Dialysis Schedule. Tap the icon, and all the available note types appear at the bottom of the screen. Tap the appropriate note type to start the encounter note.
(MOBILE ONLY – iOS and Android) Comprehensive Notes
Comprehensive Encounter notes are now available to all providers and can be accessed from the “Note” option in the right corner of the patient chart or the blue plus icon in Dialysis Schedule. The note has a similar functionality as the web version.
(MOBILE ONLY – iOS and Android) Snippets
The snippet tool allows text frequently used for patient documentation to be inserted into the comments fields of the encounter note. Tap the select snippet icon, and the snippets created in the OneView web version will be available for selection.
Snippets are user, note, and field-specific, meaning only the user who creates the snippet will have it available as an option to select, and the snippet will only be visible in that specific note and field in which it was created.
The provider should only use snippets when the included wording accurately reflects and represents the care and observations from that specific patient visit. Snippets should not be applied to any patient record without careful review. Snippets must be carefully reviewed before storing and thoroughly evaluated for appropriateness for later use. The snippet text can be modified if needed.
Release 8.1 (August 11, 2023)
NPPs Access to ESRD Quality Metrics Dashboard
Non-physician providers (NPPs) can now access the ESKD Quality Metrics Dashboard by selecting Analytics from the Home page or menu. NPPs can use the dashboard to review quality metrics for their collaborating physician’s patient population.
The dashboard will default to the first physician listed in alphabetical order. The NPP must use the dropdown to select another physician. NPPs will have access to the same My Patients view as the selected physician.
IDT Summaries
The interdisciplinary team (IDT) role was added to the title of the IDT Summaries in the Clinical Summary tab of the patient’s chart. This feature helps quickly identify which of the three disciplines (nurse, social worker, or dietitian) performed the summary.
ICHD Treatment Details
ICHD Treatment details, displayed under Adequacy, Nutrition, and MBD in the ESRD/AKI Mgmt section of the patient’s chart, will include new fields for the dialysate baths. The new fields are Bath 1 and 2 for treatment time, concentration type, and dialysate potassium and calcium, if available.
Click the SHOW MORE link on the banner’s right side to display the entire treatment details. This information is also displayed in the patient’s chart under the Clinical Summary in the Treatment section.
Practice Users – Download Encounter Notes
Non-provider practice users (NPPU) with Practice Super User and Clinical access can download encounter documents directly from the Clinical Summary tab of the patient’s chart. All encounter types are available for download except for the Non Billable Note. The download icon is located in the Provider Notes section to the right of the encounter type.
(MOBILE ONLY – iOS and AND) Patient History
Patient History is available in the Clinical Summary section of the patient’s chart for all CWOW In Center Hemodialysis (ICHD), Peritoneal Dialysis (PD), and Home Hemodialysis (HHD) patients. Patient History contains the patient’s medical, surgical, social, and family history and the date it was last updated. History types with no history information will be blank. Up to five lines of detail are visible. Tap the “See more” link to view the full details.
(MOBILE ONLY – iOS and AND) ICHD Treatment Details
New fields for the dialysate baths are available in the In-Center Hemodialysis (ICHD) treatment summary details in Treatment under the Clinical Summary section of the patient’s chart.
The new fields are Bath 1 and 2 for treatment time, concentration type, dialysate potassium, and calcium, if available. To view the treatment details, tap the blue “Tx Orders Details.”
The treatment details are available in all care categories under the patient’s chart in the ESRD/AKI Mgmt section. Tap Treatment Details at the bottom of the screen within each care category to view the treatment details.
Release 7.1 (July 23, 2023)
Order Review at the Point of Care
A new All Orders section has been added to the encounter note, allowing providers to review their unsigned orders for a specific patient while rounding. This feature provides a consistent order review and signing cadence that promotes patient safety.
The All Orders section lists the patient’s unsigned orders entered at the physician’s direction by the care team in a DaVita facility. The count displayed to the right of the section header reflects the number of unsigned orders. The unsigned orders are listed by status (New, Changed, Discontinued, and Renewal) with the option to review. The physician may sign the order to complete the approval process or dispute the order for the registered nurse to address.
The Status, Order Type, and Order Description appear. Ellipses will be present if the full details are not displayed due to space limitations. Hover the cursor over the order, and a tooltip will show the full details.
CWOW refuted orders will display with orders of the same status. CWOW refuted orders have an orange info icon that will display the refuted date and reason when clicked.
Providers can sign all their orders for the patient by selecting the “Reviewed, Select to Sign All” checkbox. The provider can sign or dispute individual orders by selecting the appropriate icon to the right of the applicable order.
Providers cannot bulk dispute in the note. Instead, each order must be disputed individually by selecting the Dispute icon and entering a dispute reason. The dispute workflow is the same as in the Orders queue.
By clicking the Finalize button, the provider attests that they have met their obligation to meaningfully review selected orders. As a result, the orders are removed from the unsigned orders queue.
eRX Expired Pending Prescriptions
A new icon has been added to the Medications list in the patient’s chart to indicate when an e-prescribed prescription has expired due to not being signed by the provider within 30 days of entering it in the patient’s chart.
The provider will receive more information about the prescription status when they hover over the icon. If the provider would like to submit a new prescription for the medication, they will need to discontinue the medication and add it again.
eRX - Closing the Medication Dialog
Providers can now close the Medication dialog accessed in the ESKD/AKI Mgmt section of the patient’s chart by clicking anywhere outside of the dialog instead of having to scroll back up to the top to use the X icon.
Release 6.1 (May 15, 2023)
ESKD Treatment Choice Metrics
A new dashboard, ETC Metrics, has been added under the Analytics menu, displaying performance information on Home Modality Rate and Transplant Rate. Up to 6 months of data will be included in the graph. If a metric year has not been active for 6 months, all months for that metric year will display. There will be no patient-identifying information on the dashboard. Data will be refreshed monthly on the same day as ESKD Quality Metrics Dashboard (QMD).
ESKD Quality Metrics Dashboard
A new Missed Treatment / No Show Rate metric was added to the Quality Metrics Dashboard for both My Patients and My Practice views. This data represents missed treatments or no-shows not due to hospitalizations and is available for all physicians. Frequent Missers = patients who miss at least 2 treatments per month.
IKC Patient Population Report
New report available within Reports for Patient Population List for providers and practice users. Generate a list of Integrated Kidney Care (IKC) or Acute Kidney Injury (AKI) patients based on their current care program and modality.
eRX Updates
Updated Renewal Workflow: Existing medications can now be discontinued or retained during the renewal workflow by using the new options of Keep or Discontinue. This new workflow will eliminate the need to manually discontinue medication if the you want to change the current medication dose (previously accomplished in 2 steps). This new feature is optional. The original prescription is retained if the provider does not select one of the new options.
Prescription Status: A new orange info icon next to the med name in the patient’s chart will display the status (delivered electronically, faxed, etc.) of the prescription including date and time.
CWOW Dispute Multiple Orders
When disputing a CWOW order, if “Not My Patient” or “Order Not Given By Me” is selected as the reason and OneView recognizes more unsigned orders for the patient, all of the orders can be disputed at one time.
ESKD/AKI Mgmt: Ability to Search for Lab Results
The ability to locate a lab in the ESRD / AKI Mgmt section of the patient's chart has been added to assist providers in finding specific lab results within a care category.
Practice Users: Rounding List
Practice users can run the Rounding List report by provider or facility to see where and when your DaVita patients are dialyzing.
(MOBILE ONLY – iOS and AND) Station Number
The station number in which the patient is treating is now displayed on the Dialysis Schedule.
Release 5.1 (May 4, 2023)
Nephrology Care Alliance (NCA)
Nephrology Care Alliance (NCA) activities appear on the Home page under My Activities & Reminders if relevant content is available. The new activity tasks are Clinical Incentive Program Attestations and New Patients in Clinical Incentive Program. The activities are available for physicians participating in the Clinical Incentive Program (CIP) and will only be present if there is content. The count displayed is the number of items that require review.
Click on the appropriate CIP activity to launch the NCA application. The application automatically uses SSO (single sign-on). Nephrology Care Alliance (NCA) manages the content on the NCA site.
Insights under Analytics give an overview of what the Insights application is. In addition, physicians with access to Insights can click the Login link to open a new tab directly into the Insights section of the NCA portal.
For physicians that do not have Insights access, the Learn more link is visible. The one-page informational PDF details Insights and whom to contact to participate.
Practice Super Users – Dissociate Physicians
Non-provider practice users (NPPU) with Practice Super User access can now disassociate physicians no longer with the practice. Click “X” next to the provider’s name in the Physicians area. The Dissociate Physician box appears and allows you to confirm that the physician should be removed.
After the physician’s removal is confirmed, the dissociation does not impact the covering rights or any credentialing status of the physician. This process will maintain the data accuracy of the practice.
CWOW Encounter PDF
Respite treatment order details and the patient’s sitting and standing BP were added to the encounter PDF for CWOW patients.
Add and Renew eRX
When ePrescibing, the Add and Renew Prescription pop-up windows have been expanded to make it easier to view all the fields.
(MOBILE ONLY – iOS and AND) CWOW Vaccines
The CWOW patient’s immunization history of vaccines administered in a DaVita facility in the past two years is available. The vaccine name, date given, lot number, expiration date, dose, site, administration route, place of administration, administered by, and data source displays, if available. The most recent vaccines are listed first. “No Vaccinations have been documented for this Patient” appears if no vaccines are entered for the patient.
(MOBILE ONLY – iOS and AND) Patient List
The patient list on mobile will now match the web version. It will contain the visiting patients and no longer show inactive patients. In addition, the list will display the patient’s name, age, date of birth, and gender.
Release 4.1 (April 6, 2023)
Practice Super Users Can Add Staff Members
Non-provider practice users (NPPU) with Practice Super User access can now invite other practice staff members to join OneView on behalf of their physicians. Staff members that complete the registration are granted limited read-only Billing access and can view practice setting information and patient data reports.
Practice Super Users will click “+Add” in the Practice Staff area of the Home page and then enter the staff member's first and last name, email address, and physician sponsor. The email address will be the practice staff member’s username and cannot be changed during registration. A registration invitation email from no-reply@davita.com is sent to the staff member and physician sponsor. The registration expires after seven days from the date of the email.
CWOW Care Team Activity Comments
CWOW care team activity comments display in the patient's chart under the ESRD/AKI Mgmt tab for the associated care team note. To view, click the arrow next to additional comments. The comments will contain the action taken by the CWOW care team member, author, date, and time. Up to the three lines display on the initial load. For the entire comment, click the More icon.
ESRD/AKI Mgmt -Lab Data Rows
The rows for the lab data are narrower, so the scroll bar may not be at the bottom of the care category in the ESRD/AKI Mgmt tab of the patient’s chart.
(MOBILE ONLY – iOS) HiLo Research Study
Physicians with a patient that may be a good candidate for the HiLo Research Study will see a new task card on their Home feed. Tap the card for details on the study and how you can participate.
Release 3.1 (March 12, 2023)
Practice View ESKD Quality Metrics Dashboard
The My Practice view was added to the ESKD Quality Metrics Dashboard under the Analytics menu. The My Practice view provides the practice-level metrics data for all physicians with a confirmed practice association in OneView. It has the same functionality and metrics as the My Patient view.
Only physicians who complete the practice association setup in OneView > Settings> Practice will have the My Practice view. The metric data is taken as a snapshot and will not be updated if something changes, e.g., completing the practice association setup. However, the practice data will be visible after the next update, which occurs mid-month.
Home Page Redesigned
The Home page was revamped to provide quick content visibility. The redesigned page has the following sections: Welcome Banner, Activities & Reminders, Analytics, Communication & Educational Resources, IT Support, Customize Settings, Clinical Team, DaVita Apps, and Get Involved.
CWOW Care Team Activity – Education Materials
Education materials provided to the CWOW patient are documented in the ESRD/AKI Mgmt tab of the patient’s chart with the associated care team note.
Monthly Summary
The CWOW patient’s Monthly Summaries (progress notes) are available in the Clinical Summary tab of the patient’s chart under the IDT Assessments & Summaries section. The summaries provide a compilation of all discipline-specific documentation created in the month or quarter. For example, dietitian and nurse notes are populated into a summary monthly. Social work notes are populated quarterly. Click the “View the PDF for this Document” icon to open the PDF. The PDF will appear in a separate tab and can be viewed, printed, or downloaded.
Pending Refills
The provider can launch into the Rcopia refills review (eRX Messages) page directly from the patient’s chart. An orange banner appears at the top of the patient’s medications list and contains the number of pending refills. Click the orange Pending refills banner, and a separate window opens to the Rcopia Pharmacy Messages page.
Remove Pending Prescriptions
Providers can remove pending prescriptions from the patient’s medications list by clicking on the X to the right of the medication name.
CWOW Medication Order Justification
The medication order justification entered in CWOW by the DaVita care team is available on the patient’s medication list.
CWOW Care Team Initiated Medications
DaVita care team members will now be able to initiate prescriptions from CWOW. These prescriptions display on the OneView medication list with the “Rx (Care Team)” tag next to them. OneView created prescriptions will continue to have the RX tag. Providers must review these prescriptions on Rcopia as they currently do. Once signed, the CWOW-initiated medication is linked to the home medication order.
Patient Search
A recent patient list will appear whenever the patient search magnifying glass is clicked. The dropdown list will contain up to ten of the most recently viewed patients. Seven patients will display initially, but a scroll bar is available to view the complete list. Click on any patient in the list to be redirected to that patient’s chart.
Patient Population List
The AKI patient population list is available under the Reports menu. Providers can create the report by selecting the care program and modality and clicking the Create Report button. Once the report is generated, the option to “Download Report” (with the “last created” date and time) displays in the report area. The report generates in an Excel format.
Non-provider practice users that join the practice can create and download the Patient Population List. Unlike physicians, however, non-provider practice users must select the “Physicians” criteria for the report. One or more physicians can be chosen for the report.
Dialysis Schedule
In the Dialysis Schedule, the blue “+” icon can be used to create any note type. Click the icon, and all note types are available. The most common note types for that modality appear at the top of the list, followed by the other note types.
Snappy Heparin Medication Details
Heparin loading dose, concentration, and infusion appear in the ICHD and HHD Treatment Details banner in the ESRD/AKI Mgmt section of the Snappy patient’s chart for Adequacy, Nutrition, and MBD. Click the SHOW MORE link on the banner’s right side to display additional treatment details. This information is also displayed in the patient’s chart under the Clinical Summary in the Treatment section.
(MOBILE ONLY – Android and iOS) CWOW Treatments Summary and Details
The CWOW treatment summary and details are available in the Treatments under the Clinical Summary and all care categories in the ESRD/AKI Mgmt sections of the CWOW patient’s chart. Tap Treatment Details at the bottom of the screen within each care category to view the treatment details.
(MOBILE ONLY – Android and iOS) Non Billable Note
Providers can create an encounter note on mobile. The “Note” option is located in the top right corner of the patient chart. The only note type currently available is “Non Billable Note,” which allows the provider to document a patient interaction that doesn’t result in a billable activity.
Release 2.1 (February 09, 2023)
Institute of Nephrology
The Institute of Nephrology link was added to the Home Education Hub under the Resources menu. CME-accredited courses, training, and education are available on the Institute of Nephrology site. The link is on the screen’s right-hand side under the Latest Articles section. Click the link, and a separate window opens to log in using your DaVita credentials.
Static Care Category Dates
Date headers will remain fixed for ESRD/AKI Mgmt care categories with more than nine rows and a secondary scroll bar will be accessible to navigate the section. Prior to this release, the date header would not be visible when scrolling.
Mircera Information
The Mircera alert under the Anemia care category in the ESRD/AKI Mgmt tab of the patient’s chart will calculate and display the estimated week for the next dose of Mircera when in the MEDS view. Click the Mircera information icon, and a message appears with details about the patient’s next Mircera dose and an email address for questions or comments.
Pediatric Adequacy
The pediatric KT/V CMH lab result was moved from the Other care category to Adequacy.
CWOW Heparin Medication Details
The treatment details banner, displayed under Adequacy, Nutrition, and MBD in the ESRD/AKI Mgmt section of the CWOW patient’s chart, will include the Heparin Loading and Hourly Dose for ICHD and HHD modalities. Click the SHOW MORE link on the banner’s right side to display additional treatment details. This information is also displayed in the patient’s chart under the Clinical Summary in the Treatment section.
(MOBILE ONLY – Android and iOS) Patient Admission Referrals Details
Referring credentialed physicians can view the patient admission referrals details through the Menu > Patient Admission Referrals. Patient admission referrals are only available when the referring physician is assigned to a Clinic Review Request in the Patient Placement System (PPS).
Tap the appropriate patient, and the Patient Referral Details screen appears. The details screen may contain the following data; patient name, age, gender modality, referral date, medical questionnaire, associated medical records, and referral information.
(MOBILE ONLY – Android and iOS) Release Upgrade Alert
A release upgrade alert card has been added to the Home page. The alert is available after a release and notifies you that your version of OneView mobile is outdated. Tap the card, and you will redirect to the proper App Store of your device (App Store for iOS, Google Play Store for Android devices).
This alert allows you the flexibility to perform the release update at your convenience. After the installation update, the alert card is removed from the Home page.
If you do not perform the update by the next release, you will be required to update before you can use the application.
Release 1.1 (January 12, 2023)
Patient Admission Referrals Dashboard
Referring credentialed physicians can view the patient admission referrals through the Tasks > Patient Admissions menu. Patient admission referrals are only available when the referring physician is assigned to a Clinic Review Request in the Patient Placement System (PPS).
The dashboard may contain the following data; patient name, age, gender modality, referral date, facility, status, associated medical records, patient information, medical questionnaire, and referral information. In addition, an orange alert appears for PD patient(s) flagged as an urgent start.
Current Patients – IKC Status Filter
The IKC Status filter was added to the Current Patients list and is only visible if you have patient(s) participating in an Integrated Kidney Care (IKC) Program.
Click the IKC Status to select from the dropdown options. The options available are View All and each of the participating IKC programs. The patient's specific IKC Program details are found in the patient's chart under the Profile tab or by hovering over the IKC badge in the patient header.
CWOW Encounter PDF
The CWOW patient’s treatment order details were added to the encounter PDF for PD (peritoneal dialysis). PD orders include CCPD (Continuous Cycling Peritoneal Dialysis), CAPD (Continous Ambulatory Peritoneal Dialysis), and IPD (Intermittent Peritoneal Dialysis). In addition, the Target Cycler Time and Total Fill Vol/24 Hrs were added to the treatment data.
Automatic Logout
The automatic logout period was extended from 20 minutes to 45 minutes of inactivity.
(MOBILE ONLY – Android and iOS) Patient Admission Referrals
Referring credentialed physicians can view the patient admission referrals through the Menu > Patient Admission Referrals. Patient admission referrals are only available when the referring physician is assigned to a Clinic Review Request in the Patient Placement System (PPS).
The Patient Admission Referral summary may contain the following data; patient name, age, gender modality, referral date, facility, facility phone number, and status. In addition, an orange alert appears for PD patient(s) flagged as an urgent start.
After the patient is accepted to the facility, a push notification is sent to the physician’s phone. No patient details are included in the notification, only the DaVita facility where the referral has been completed. Tap the notification to navigate to the Patient Admission Referrals for more details.
(MOBILE ONLY – Android and iOS) Notes
Active and inactive encounter notes from the past 90 days can be viewed in the Clinical Summary section of the patient’s chart under Notes. The note type, date, status, and provider details are listed. The Active tab is the default. The All tab shows active and inactive notes. The inactive notes will be greyed out and have an Inactive status. Dialysis Schedule
The “View Previous Month” toggle was added to allow providers to view the current and previous month’s encounter notes on the Dialysis Schedule. The toggle is available for ICHD and PD/HHD modalities. On the initial load of the Dialysis Schedule, the current month displays, and the toggle is turned off.
When the toggle is clicked, it turns blue, and the current and previous months are visible. Labels appear next to the note pills to designate the month. The current month displays on top, with the previous month underneath it. The same functionality/workflows are available for the present and prior months.