Release 3.1 (March 12, 2020)
ESRD / AKI Mgmt Updates
Several additions have been made to the data displaying under the ESRD / AKI Mgmt section of the patient’s chart for Snappy patients. Details are below.
Same Day Treatment Vitals
When looking at the Fluid/BP section of the chart, if the patient is currently receiving a dialysis treatment, their treatment vitals will display in the first column. An orange dot indicates there are multiple results for that vital. When you hover your cursor over the vital, a tooltip will appear with the vital data and treatment date.
Treatment Medications – MDB and Nutrition
You will now see details on prescribed and actual treatment medications applicable to Mineral/Bone Disorder and Nutrition by toggling between the two views – Lab Dates and Treatment Dates. The prescribed Snappy or Med Check home and treatment medications that were active for a particular lab draw date will display by default under the “LABS DATES” tab. To view the actual dosage of a treatment medication given to a patient while in a DaVita dialysis facility for a treatment date, select the “TX DATES” tab. Study medications will be included, however, medications taken outside of the treatment will not be included. A “P” icon represents a protocol medication, while a “P” with a slash indicates the medication is non-protocol.
In the Profile section of the patient’s chart for both Snappy and CWOW patients, you will now see the patient’s current insurance information. The primary, secondary, and tertiary insurance will display if available in Reggie. The insurance name, address, phone number, effective date, group number, insurance ID, and coverage start date are listed, if present.
Encounter Note Updates
Several additions have been made to the encounter note. Details are below.
A section has been added to all encounter note types for document information related to transplant status. The provider can document if the patient is a transplant candidate, comments related to the status, the patient’s transplant status, and status date. There are no required fields within the section. If transplant information is documented in OneView, the most recent information will display in the PDF version of the encounter note. The most recent transplant status will not appear on the PDF for Falcon Silver encounter notes.
Amend Finalized Confirmation
In the Clinical Summary section of the patient’s chart, a pop up asking to confirm your action will appear if the “Amend this Note” icon is clicked for a finalize encounter note. The pop up will ask to verify the action of creating an amendment to the finalized note. If “Yes” is selected, the note will open so the amendment can be documented. When “Cancel” is selected, it will return you to the Clinical Summary screen.
(MOBILE ONLY) Patient Search
The Patients menu was removed from the left navigation. To search for a patient, use the search bar at the top of the home screen.
(MOBILE ONLY) Patient Chart Redesign
The patient chart was redesigned to utilize a “drawer” style of navigation common in mobile devices that allows you to view additional data by swiping the drawers up and down (open/close). The chart will be organized into 3 sections of read-only information for Profile, Clinical Summary, and ESRD/AKI Mgmt information. To add, update, or remove any of the data under any area of the patient’s chart, the patient’s DaVita care team must be contacted.
To view more information on this redesign, click here.
Release 2.1 (February 13, 2020)
Treatment Medications in ESRD/AKI Mgmt
In the ESRD/AKI Mgmt section of the patient’s chart, for Snappy patients, you will now see details on prescribed and actual treatment medications applicable to Anemia by toggling between the two views – Lab Dates and Treatment Dates. The prescribed Snappy or Med Check home and treatment medications that were active for a particular lab draw date will display by default under the “LABS DATES” tab. To view the actual dosage of a treatment medication given to a patient while in a DaVita dialysis facility for that lab draw date, select the “TX DATES” tab. Study medications will be included, however, medications taken outside of the treatment will not be included. A “P” icon represents a protocol medication, while a “P” with a slash indicates the medication is non-protocol.
Release 1.1 (January 16, 2020)
ESRD/AKI Mgmt Updates
Several additions have been made to the data displaying under the ESRD / AKI Mgmt section of the patient’s chart for Snappy patients. Details are below.
Infection and Immunization
You will now find Serology and Body Fluid Cell CT/Diff results in their own table under the Infection section of the patient’s chart. This data was previously organized under Other.
Care Category Comments
You will now see Care Category comments documented in a previous encounter note displayed in their respective category in the ESRD/AKI Mgmt section of the patient’s chart. Comments displayed are from finalized encounter notes created in OneView. Comments in an unfinalized OneView encounter note, or a Falcon Silver encounter note will not be displayed. Care Category comments are visible but cannot be acted upon.
To view a PDF of the encounter in which the note was created, click the document icon next to the comment date and the PDF will open in a separate browser.
Read-Only Medications List
A list of the patient’s current and historical medications will now be accessible from the ESRD/AKI Mgmt section of the patient’s chart for added convenience. This list is the same list you will see under the Clinical Summary section of the patient’s chart. The list will display all active medications by default. Selecting the “ALL” option will display the patient’s inactive medications along with the active meds. In the ALL list, inactive medications will be grey and italicized and active meds will be bolded.
Patient Chart: Lab Section Removed
The Labs section of the patient’s chart has been removed for both Snappy and CWOW patients.
For Snappy patients, the data will now live under the ESRD/AKI Mgmt section of the chart under the respective Care Category. For instance, you will find Creatinine results under the Adequacy section and Hemoglobin results under Anemia.
No lab results will display for CWOW patients at this time.
Labs Displayed in PDF Note
For Snappy patients, a subset list of laboratory results will now display in the applicable care category in the encounter note allowing the user to comment on specific lab results. The most recent lab value and draw date from the previous 6 months will display. The same list of labs will also display in the PDF version of the note, if the lab was documented in the encounter note. The list of applicable labs includes: spKdt/V, Hemoglobin, Iron Saturation, Ferritin, Albumin, Potassium, Phosphorus, Corrected Calcium, and PTH-Intact.
Release 12.1 (December 19, 2019)
Infection Data Moved
You will now find infection data under the ESRD/AKI Mgmt section of the patient's chart. This data was previously located under Labs within the patient’s chart. Microbiology results will display as a card with a color-coded bar at the top indicating the status of the result. A grey bar indicates a preliminary result, blue is normal, and orange is positive. Detailed information for an individual lab can be viewed by clicking VIEW REPORT. Serology and Body Fluid Cell Ct/Diff results will display under Microbiology in a table format.
Treatment Details for Nutrition & Mineral/Bone Disorder
Treatment specific details for the care categories of Nutrition and Mineral/Bone Disorder will now be displayed in the ESRD/AKI Mgmt section of the patient's chart. The data includes: Time, Heparin Dose, Dialysate Ca, Heparin Load, Dialysate K, Prescribed BFR, Dialysate Bicarb and Dialyzer. This information is displayed directly under the header for each section and will currently only be available for Snappy patients. The section will be collapsed by default. To view the treatment details, click SHOW TX DETAILS.
Show More - Out of Range Indicator
In the ESRD/AKI Mgmt section of the chart, at the bottom of each care category, an orange exclamation point will be present next to SHOW MORE when one or more lab results within the last 30 days (not currently visible) are either high or low. Click SHOW MORE to view those results.
Release 11.1 (November 21, 2019)
Prescribed Treatment Medications
In the ESRD/AKI Mgmt section of the patient's chart, you will now see details on prescribed treatment meds applicable to Anemia, Nutrition or Mineral/Bone Disorder when you hover over the result for a given treatment date. If multiple active orders were given on the same date, information on all orders for that date will display on hover.
Adequacy Treatment Details
Treatment specific details for the care category of Adequacy will now be displayed in the ESRD/AKI Mgmt section of the patient's chart. The data includes: Time, Heparin Dose, Dialysate Ca, Heparin Load, Dialysate K, Prescribed BFR, Dialysate Bicarb and Dialyzer. This information is displayed directly under the header for Adequacy and will currently only be available for Snappy patients.
(MOBILE ONLY) Lab Notifications from DaVita Labs
In order to provide more visibility into urgent lab results coming from DaVita Labs, we will now display notifications for these results, as a feed card, on the home screen of OneView Mobile. This feature will provide visibility of labs to the physicians and care teams to aid in making timely decisions. The lab notifications displayed are based on DaVita Lab’s Urgent Notification policy and will be presented as a read-only card with the ability to view details when tapped, and will not include push notifications. These cards will exist on the feed for 12 months and will be displayed from newest to oldest. Tapping the card will display summary details about the patient and the lab result. The details screen will provide the physician and care team more data around that specific lab.
Release 10.1 (October 24, 2019)
Missed Treatment Indicator
In the patient’s chart under ESRD/AKI Mgt, if the patient has missed a treatment, a “MT” badge will display in the date row in the Fluid/BP section for the date that was missed. If the patient has missed sequential days of dialysis treatments, the number of missed treatments will display on the badge as well. If the patient missed a dialysis treatment on the same day as an office visit, the “MT” badge will display adjacent to the date. Hovering over the badge will give you the date and reason (if available) for the missed treatment(s).
OneView will now include patients receiving Peritoneal Dialysis, therefore PD-specific lab data may show in the ESRD/AKI Mgt tab under the Adequacy, Mineral Bone Density and/or Nutrition sections.
Protocol orders for patients in CWOW clinics will now be available in OneView for review. Signing the protocol order will serve as a signature for per-protocol orders, unless a provider has requested a change be made to a per-protocol order. When a change is made to a per-protocol order, a CHG order will result and need additional signature.
Release 9.2 (September 26, 2019)
The Communications Hub has been completely restyled in this release. The same functionality as before still exists, except now it lives at the bottom of the screen instead of on the right. In addition, now you can filter content based on communication type by going to Comms Hub from the left navigation menu.
Release 9.1 (September 12, 2019)
Dialysis Schedule – Support for Geolocation
The dialysis schedule now supports geolocation technology meaning that if Location Services are turned on (through Chrome, Safari, etc.) and you are at a dialysis center, OneView will recognize the location and automatically display your schedule for that facility. Please make it a practice to confirm that the geolocation technology has placed you correctly and that the correct center is displaying.
Advanced Health Practitioners will now have access to view the same information that physicians see in OneView for those providers with whom a collaborating physician relationship has been established through the Physician Credentialing team. You can view more information here.
Release 8.1 (August 15, 2019)
Patient Chart: Treatment Details
On the Clinical Summary tab of a patient chart, treatment details are available including treatment times, frequency, access, target weight, heparin details, and other details. If there is more than one type of treatment that has been performed within the last 5 treatments, then details from those various treatments are available as a separate line item.
Patient Chart: Top Banner
If a patient is being treated for Acute Kidney Injury, an "AKI" indicator will display in the top informational banner of the patient’s chart. The banner now also includes dialysis center, shift, target weight, and patient phone number.
The Sign and Dispute buttons have been changed to icons, and the "Sign" button is now disabled until at least one order is selected (by using the checkboxes). For Snappy orders, the unsigned orders queue can be sorted by date or by patient name. Additionally, when the page first loads, if there are recent orders, then the All Orders section is collapsed.
Release 7.1 (July 19, 2019)
The Clinical Summary tab on the Patient Chart now includes a read-only list of administered vaccines, and a summary of treatment metrics, access, and other treatment details.
The Patient Profile on the Patient Chart includes demographic and provider information.
The ESRD/AKI Mgt tab now includes the additional care categories of Anemia, Dialysis Adequacy, Nutrition, and Mineral/Bone Disorder. This is only available for Snappy clinics at this time.
Lab names on the Labs and ESRD/AKI Mgt tabs have been updated to reflect the name shown in Snappy to provide consistency when communicating with the care team. This is only available for Snappy clinics at this time.
The Home Page has a new task notification card for ePrescriptions, named Pending Prescriptions, which links to MedCheck, and Help Desk information to make it easier for users to reach support when needed.
When disputing an order with a dispute reason of "Not My Patient" or "Order Not Given by Me", the system finds other orders for that patient to facilitate disputing those orders in bulk.
CWOW Dialysis Schedule
For those users rounding in CWOW clinics, those clinics have been added to the Dialysis Schedule.
Release 6.1 (June 6, 2019)
Treatment Tab - Fluid/BP
Fluid/BP data for up to 120 days of treatment will be displayed for HD patients in the Treatment section of the patient's chart.
Release 5.1 (May 17, 2019)
Patient Orders Removed
Previously, a CWOW patient's chart included information from the current diet, lab, and treatment orders, regardless of order status (signed or unsigned). Due to the CWOW release R6 including an architectural change to orders, this functionality will not work, and thus the Patient Orders section has been removed from the Clinical Summary tab of the Patient Chart.
New CWOW Order Types
There are three new types of Treatment Orders - Additional Day of Dialysis, Sequential Order, and Backup Hemodialysis Order. An Additional Day of Dialysis Order is for those patients who need more than three treatments per week. A Sequential Order is for an additional treatment to remove fluid (but not to perform dialysis). A Backup Hemodialysis Order is ordered for in-center dialysis for a Home Patient.
Release 4.1 (April 18, 2019)
Covering Rights grants access to the patient chart to another physician. The user assigns Covering Rights to other physicians credentialed in the same DaVita clinics. The user sees the rights assigned to other physicians, and the rights other physicians have assigned to the user.
Dialysis Schedule for Snappy Clinics
Users can see the list of patients for whom they are the primary nephrologist as well as the patients whose primary nephrologist is someone for whom they are covering (through OneView Covering Rights).
Users can search for their patients (and for those for whom they are covering) by name. When the results list appears, clicking on a patient's name takes the user to the Patient Chart.
Up to four patient charts can now be opened simultaneously. Navigation between charts is performed by clicking on the tab associated with the patient's chart.
Users can open a patient's chart through the Patient Search feature or by clicking on the patient in the Dialysis Schedule. The Patient Chart shows data from Snappy including Lab Results, Microbiology results, medications, and allergies (medications may also be shown from MedCheck).
Release 3.1 (April 4, 2019)
Bulk Order Review
There are now 2 queues for Orders - Last 7 Days and All. The Last 7 Days queue gives you increased discretion when reviewing orders less than 7 days old given the contemporaneous nature of those orders. Review of orders older than 7 days in the All Orders queue is limited to 20 at a time.
You can now search for communications by title on the Inbox and Bookmarked tabs of the Communications Hub.
Release 1.1 (January 17, 2019)
You can now add an allergy to the allergy list in the Patient Chart. You can also edit or remove an existing allergy, as well as document that the patient has "no known allergies".