Release Notes
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.