Release 7.1 (July 9, 2020)
Enhancements to Snippets
Several modifications were made to the Snippet functionality to improve the user experience. Snippets created in a Comprehensive encounter will now be available in a Limited encounter and vice versa, eliminating the need to save them twice. Snippets can now be used in the Access comment box whereas they were not available in this field previously. The ability to add a Snippet (in any field) was added to the workflow of amending a note, which is completed through the Clinical Summary section of the patient chart. Finally, in order to make it clear that a Snippet was saved, we added a success message which will appear above the comment field after a Snippet is saved so you know the action took place.
Telehealth Link to DCC (HHD Notes)
The Telehealth link within the HHD encounter will now take you directly to DaVita Care Connect (DCC) to allow you to complete a telehealth visit. DCC will open in a new browser with you already logged in.
Invoice and Attestation – Skilled Nursing Facility
Attestation forms for Skilled Nursing Facilities are now available in OneView. This new attestation form will be available for medical directors who support the Skilled Nursing Facility modality as part of their MDA (Medical Director Agreement). The user work-flow will be the same as all other modalities.
Release 6.1 (June 4, 2020)
Patient COVID-19 Status
We have changed the verbiage for all 3 COVID-19 statuses to make them more clear. Symptomatic and Asymptomatic will now display as “PUI Symptomatic” and “PUI Asymptomatic” and the patient-positive designation will display as “COVID-19 Positive”.
The ability to filter the Dialysis Schedule by COVID-19 status was added in this release. The new dropdown will be located to the right of the existing Facility dropdown.
Any area displaying the patient’s COVID-19 status will now provide additional information when you click on the status. The information is related to the most recent event documented in REM and includes: Status; Last Date in Facility; Facility Action; Receiving Dialysis in Facility; and Patient Treatment Going Forward.
Patient Chart – ESRD/AKI Mgmt
The patient’s access information has been added to the ESRD/AKI Mgmt section of the patient’s chart for Snappy patients. The data presented includes: primary access, access concurrent, average blood flow rate and dynamic venous pressure.
Integration with CWOW Data
Lab data for the following care categories will now display for CWOW patients, if applicable: Adequacy, Anemia, Mineral/Bone Disorder.
Patient Chart – Encounters
Telehealth Documentation (AKI Encounter)
The option to designate that the encounter was performed via telehealth is now available in the AKI encounter note type. Clicking the “Yes” pill button, located at the top of the note, will designate the encounter as a telehealth encounter, and will show as such on the Monthly Visit Summary report and the PDF version of the encounter.
The ability to create and select from a pre-defined list of common statements has been added to all encounter note types. Snippets will be unique to each user, encounter type and field within the encounter note. This means, for example, if a Snippet was created in the Overall Patient Status field of a Comprehensive note, that Snippet will not display in the Anemia comment field of a Limited note. The only exceptions to these rules are: Transplant Status – Snippets will be available across all encounter note types for an individual user; Access – Snippets will not be available yet. If you used Snippets in Falcon Silver, those Snippets will be available in OneView.
Adding a previously saved Snippet to an encounter field is done by clicking the blue comment bubble with quotes located to the right of the text box field. Saving a new Snippet is done by clicking the blue comment bubble with a plus sign located inside the text box field. Deleting a Snippet can be done by clicking the X located to the right of the statement.
Navigate to the Top
The ability to quickly jump to the top of the encounter note is now available by clicking the green “Top” option located to the left of the Finalize button in the encounter, eliminating the need to manually scroll.
Patient Chart – Clinical Summary: Units of Measurement
In the Clinical Summary, under the Treatment section, the patient’s height and weight will now be displayed in both metric and imperial measurements. Height will display in centimeters and inches, and weight in kilograms and pounds.
Snappy Orders – New Sort Options
Orders Entered Within Last 7 Days Queue
The list of orders in the “last 7 day” queue can now be sorted by the type of order by clicking the “Order” column header. When the list is sorted by Order Type, the arrow to the right of the column header will turn green. If you would like to revert back to the list being sorted by the patient’s last name, you must refresh the page to do so.
All Orders Queue
The list of orders in the All Orders queue can now be sorted by the patient’s facility by clicking the “Facility” column header. When the list is sorted by Facility, the arrow to the right of the column header will turn green. If you would like to revert back to the list being sorted by the patient’s last name, you can click the “Patient” header to do so.
I&A – Additional Question
An additional question has been added to the Attestation form bringing the total to 9 questions. The new question is related to whether any nephrologists have joined your practice in the last 3 months.
Release 5.1 (May 7, 2020)
COVID-19 Status – Patient Banner and Clinical Summary
The patients' COVID status, as entered through REM, will now appear in the top banner of the patient's chart. The Clinical Summary (located in the patient's chart) will now also display COVID-19 information including the patient’s initial status versus current status, test result, notification method, whether the patient is hospitalized, and where the patient will be treated going forward.
Telehealth Link to DCC (PD Notes)
The Telehealth link within the PD encounter will now take you directly to DaVita Care Connect (DCC) to allow you to complete a telehealth visit. DCC will open in a new browser with you already logged in.
Release 4.2 (April 23, 2020)
Patient COVID-19 Status
Home Page Task Card
OneView will now display your patients’ COVID-19 status, as entered in REM, in the All Patients list. Patient statuses will be updated in OneView on an hourly basis, and display as Asymptomatic, Symptomatic, or Positive with COVID-19.
All Patients Filter
There is a new dropdown available under Patients > All Patients to filter the list by the patients’ COVID-19 status as entered in REM.
Status options are Asymptomatic, Symptomatic, or Positive with COVID-19. The data is updated on an hourly basis.
Release 4.1 (April 9, 2020)
Licensure & Certification Questionnaires
You will now see a task card on the home screen if an outstanding Licensure and Certification (L&C) questionnaire is available. When you hover over the task card, the list of outstanding questionnaires will display. The task card is not actionable and reminds you to check your email for information on completing the questionnaire. The email will link you to the electronic DocuSign form. If the OneView user has no outstanding L&C questionnaires, no task notification is displayed.
Patient Chart Updates
Copy Care Category Comments
Care category comments entered in a previous, finalized encounter created in OneView will now be available to pull into and edit in a new encounter. Previous comments will display beneath their respective care category in the ESRD/AKI Mgmt section of the chart. Clicking the document icon next to the comment date (in the ESRD/AKI Mgmt section of the chart) will generate a PDF of the encounter the comment was documented in.
New Care Category - Access
A new section for Access information has been added to the ESRD / AKI Mgmt section of the patient’s chart. The ability to filter based on the status of the Access (active/inactive) is available. A section to document findings related to Access has also been added to the encounter note. Access information is coming from Snappy.
New Encounter Note Types
Two additional encounter note types are now available when starting an encounter from the START NOTE button in the patient’s chart. The new note types are for HHD and AKI encounters.
All Patients List
The ability to view a list of all patients in which the user is the primary nephrologist and/or has been granted Covering Rights for is now available under Patients > All Patients. You will be able to filter the list by All Patients, My Patients or Covering Patients, as well as by Facility or Modality. If a provider’s name is present under the Facility name (on the right side of the list), this indicates the OneView user is not the primary nephrologist for that patient.
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)
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)
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
Release 10.1 (October 24, 2019)
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)
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)
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)
For those users rounding in CWOW clinics, those clinics have been added to the Dialysis Schedule.
Release 6.1 (June 6, 2019)
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)
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)
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)
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".