Release 6.1 (June 3, 2021)
List of “In Progress” Encounter Notes
A list of encounter notes that were started within the last 90 days but have not been finalized is now assessable through the Patients menu. The option to filter the list by “All Patients”, “My Patients” or “Covering Patients” will be available as well as the option to filter by month.
Transition of Care Note
A new encounter note type to document Transition of Care activities occurring in the last 60 days is now available from the patient’s chart under the “START NOTE” option. The purpose of this note type is to allow a provider to document the dates, method of patient engagement and plan of care as part of the Transition of Care process following a patient being discharged from the hospital.
When a new Transition of Care note is created, if only one hospitalization occurred in the last 60 days, the note displays the admit and discharge dates of the recent hospitalization for the patient at the top of the note. If multiple hospitalizations occurred in the last 60 days, the note displays the admit and discharge dates as options in a dropdown list. If no hospitalizations occurred in the last 60 days, the note displays an open field to manually enter both the admit and discharge dates.
After the Transition of Care note is finalized, it will display in the Notes section of the Clinical Summary page sorted by the note creation date.
COMMS Hub - Non-Physician Practitioner Access
Non-Physician Practitioners (NPPs) will now have access to the COMMS Hub and relevant content including the COVID-19 vaccination attestation form.
Non-Provider Practice Users: Download Encounter PDFs
Non-Provider Practice users will now have the ability to download a PDF version of an encounter note on behalf of the physician. Under “DOCUMENT DOWNLOAD”, you will have the option to filter by month, year, date of birth and patient name before clicking “SUBMIT”. Searching and downloading encounter notes can only be done for one patient at a time. Only encounter notes that have been finalized or finalized and amended by the physician will be available to download.
NOTE: In order to access this functionality, permissions need to be granted to the non-provider practice user by a physician. This is completed by the physician by navigating to Settings > Practice > Access Setting. Then locate the applicable user(s), check the box for “Clinical” and click “SAVE”. This configuration only needs to be set by one physician in the practice.
(MOBILE ONLY – iOS and ANDROID) CWOW Patient Labs - Other
Lab data classified under the “Other” care category will now display in OneView Mobile for CWOW patients, if applicable.
Release 5.1 (May 13, 2021)
Removed Comment Carousel Header for all Care Categories
The header (i.e. “Nutrition Comments”) for the section displaying care category comments, located under each care category, has been removed to simplify the screen. The heading for the care category will still be present and will be your indication as to which section the comment belongs to.
Fluid/BP: Missed Treatments and Hospitalizations
Badges for Missed Treatments and Hospitalizations under the Fluid/BP care category will now display in the date row for CWOW patients. If the patient has missed a treatment, a “MTx” badge will display in the date row for the date that was missed. If a patient was hospitalized, a “HOSP” badge will display. If the patient 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 “MTx” badge will display adjacent to the date. Hovering over the badge will give you the date and reason (if available) for the missed treatment or hospitalization.
All Lab Data Now Coming from CWOW
All lab results will now be pulled from CWOW, no matter whether the patient is Snappy or CWOW.
Microbiology Results for CWOW Patients
We have temporarily suspended display of microbiology lab results for CWOW patients due to technical issues. The display of this information will be added back to the chart once the issue is resolved.
PET Transport Classifications
PET Transport Classifications will now display in a new section under Adequacy care category. A subset of the data in the report will display by default with the ability to view the entire PET Profile report by clicking the “SHOW FULL REPORT” link.
Footer No Longer Visible by Default
The Finalize button, located at the bottom of the encounter note, will not be visible until you scroll to the bottom of the encounter note. This was implemented to allow for maximum viewing of the encounter fields on iPad.
Increase Comment Section of Max Character Count
The character limit for all comment fields in the encounter note has been increased from 2000 to 4000 characters.
Remove Access from Physical Exam Section
The Access Status field located in the Physical Exam section of the encounter note, allowing you to document “No Problem” or “Problem”, has been removed. The ability to document detailed information about the patient’s access is located in a separate section below Physical Exam.
New Section: Assessment and Plan
A new section, labeled Assessment and Plan, has been added to the bottom of the encounter note. This section will automatically compile all care category comments (except Patient Status and Physical Exam comments) into one section and appear in the encounter PDF. Clicking the blue care category link in this section will scroll you back to that section in the encounter note.
Additional PD Labs
Four additional types of labs have been added to their respective care categories in the PD encounter note and will display results, if applicable. The new labs are: Urine Output (Adequacy), A1C (Nutrition), Vitamin D and Magnesium (Mineral/Bone Disorder).
Adequacy Treatment Details in Encounter PDF
If treatment prescription information exists for a patient, prescription details will now output in the encounter PDF under the section labeled “Adequacy Treatment Details”. This information will display in all encounter note types.
(MOBILE ONLY - iOS) COVID 19 Vaccine Attestation Form in Comms Hub
The attestation form to document a provider’s COVID-19 vaccination status (similar to the Flu attestation) is now available through COMMS Hub. The ability to document whether you, as a provider, received or declined the vaccine is available. If you select the option that you received the vaccine, you will be asked to document the manufacturer and the date(s) the vaccine was administered.
(MOBILE ONLY - iOS) Task Card Reminder to Use Browser on iPad
If you open the OneView Mobile app on an iPad, a new task card will be displayed on your Home page reminding you that OneView Mobile should be accessed via a Chrome browser on an iPad. At this time, OneView does not have an iPad-compatible app. Tapping the task card will open OneView in a Chrome browser.
(MOBILE ONLY - iOS and ANDROID) Additional CWOW Patient Labs
In the ESRD/AKI Mgmt section of the patient's chart, lab data for Anemia, Nutrition, Mineral/Bone Disorder, and Infection will now display, if available.
Release 4.1 (April 11, 2021)
Dialysis Schedule: Time Left on Dialysis (CWOW Patients)
Release 3.1 (March 11, 2021)
SHAPE 10 / Roxadustat Graph Updates
The header for the SHAPE TRENDS graph located under the Anemia care category of the patient’s chart will now indicate the protocol in which the patient is participating in – SHAPE 10 or Roxadustat.
Visiting Patients Available through Search
You will now be able to locate charts for “visiting patients” when looking for patients using the Search field in the upper right corner of the application. Previously, access to these charts was only available through the Dialysis Schedule. When using the Search field, multiple records will display for the patient with the difference being the facility. Either option will take you to the same chart; patients only have one chart in OneView.
In addition, all facilities where the patient dialyzes will now be listed under the Profile section of the patient’s chart.
NOTE: When viewing a chart for a patient being seen in multiple facilities, the facility that shows in the patient banner (at the top of the chart) is the facility where the patient’s vitals were last documented.
The ability to view a list of patients no longer in your care is now available from the Search field or by going to Patients > Former Patients. From the Search field, after typing the name of the patient you are looking for, the option to view the list of Former Patients will be available at the bottom of the results list. When viewing Former Patients from the Patients menu, a list of patients deactivated within the last 90 days will be displayed by default to assist with finding recent patients easily.
Charts for patients that have been out of a physician’s care for more than 90 days will not be accessible in OneView. In order to view these charts, call Physician Support to request access.
New encounter notes can only be created for former patients if they have been in your care anytime in the last 90 days. If the patient has not been in your care for 90 days or more, new encounter notes cannot be created in OneView. It is possible to create an encounter note for a former patient that has been in your care in the last 90 days; however, you will not be able to set a date for an encounter more recently than 14 days from the last documented encounter.
HHD Order Justification – Electronic Form No Longer Available
As of February 28, 2021, the ability to submit electronic forms for HHD Order Justification (or More Frequent Dialysis) will no longer be available in OneView. You should return to using the paper version of the form until this feature is re-released at a later time.
(MOBILE ONLY) Access to the Dialysis Schedule
The ability to view a list of your patients being seen in a DaVita facility within the next 7 days is now available in OneView Mobile. Your Dialysis Schedule will be available through the Menu option with the ability to filter based on facility, day of the week, shift and COVID-19 status. When viewing your list of patients, you will see their name, age, date of birth, gender, shift and modality. You will also have a visual indication whether an encounter note has been created for a particular patient for the current month with details on the type of encounter it was. A filled green box indicates the encounter note was finalized while a dotted yellow outline represents an in-progress encounter note. A white box indicates no notes were created for that type of encounter for the current month. Tapping a finalized encounter note (filled green box) will display a read-only version of the encounter note.
If location services are enabled and OneView finds a facility within a radius of the user (100 meters/.06 miles), the patient list for the DaVita dialysis facility nearest to their geo-location will auto-populate and won’t need to be manually selected. The option to modify the location is available through Filter.
NOTE: This feature is only being released to a pilot group at this time.
(MOBILE ONLY) Patient Chart Redesign
The patient chart redesign utilizing 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) has been released to all mobile users at this time. To view more information on this redesign, click here.
Release 2.1 (February 12, 2021)
Encounter Note Updates
New Note Type – Home Training
A new type of encounter note to document when training on the Home modality was performed is now available when you click “Start Note” from within the patient’s chart. Home Training encounter notes will not be included in visit totals in the Monthly Visit Summary report.
Amendment Workflow Update
In the Clinical Summary section of the patient’s chart, the ability to amend a finalized encounter note is now available for any provider. Previously, only the provider who finalized the encounter note was able to make an amendment. Documentation as to who made the amendment will display in the PDF version of the encounter note. Also, after 90 days has passed, the option to amend the note will no longer be available.
Backdating Restricted to 90 Days
The ability to backdate an encounter note has been limited to 90 days. When selecting the date of the note, dates prior to 90 days will now be greyed out and not available to select.
Rules for Modifying Notes > 90 Days Old
You will no longer be able to amend, edit, or finalize encounter notes that are older than 90 days. The option to reactivate or deactivate the encounter note will still be available.
Ability to Edit Practice Address
Once you have confirmed your practice association within OneView, if you notice your practice address is incorrect you will now have the ability to edit your information by navigating to Settings > Practice and selecting the edit icon. Modifying the practice address will update the address for all providers associated with that practice. Editing a practice address can only be completed by a physician.
Access Termination for Non-Provider Users
The ability to remove a practice association for a non-provider staff member is now available through Settings > Practice. This action can only be completed by a provider, and will terminate the non-provider staff member’s access to OneView. The non-provider staff member will receive a confirmation email notifying them of the change after the termination is completed.
Dialysis Schedule: Filter by Modality
In order to simplify viewing a list of your patients by modality, we have added the option to filter the Dialysis Schedule by ICHD or HHD, PD. If you are viewing a PD or HHD patient and click the plus sign to start an encounter, the respective encounter note type will open automatically. The ability to view patients by modiality is only available for Snappy patients at this time.
Patient Chart: ESRD/AKI Mgmt Updates
HIFs Graph – SHAPE Roxadustat
The SHAPE 10 graph located under the Anemia care category of the patient’s chart has been renamed to “SHAPE TRENDS” and will now include data on the Roxadustat protocol as well as the SHAPE 10 protocol. Roxadustat data will display in a teal color while SHAPE 10 will continue to display in blue. The date in which the Roxadustat medication was started will be displayed with a vertical line. For Roxadustat, a white background on the graph indicates the patient is participating in a clinical study for the medication. If the graph background is light teal, this indicates the patient is on the Roxadustat protocol.
Care Category Alerts – Out of Range Labs
When a patient has lab results within the past 30 days that are considered out of range, an orange notification will display to the right of the care category header indicating the provider should review this information.
(CWOW Only) Timestamp on Lab Details
For CWOW patients only, when you hover over a lab result in the ESRD/AKI Mgmt section of the patient’s chart, the time displayed will be determined by the timezone set through the browser. This will allow the user to view the time the lab was drawn in their own timezone.
MVS Report: Column Added for Patient ID
The Monthly Visit Summary Report (available through the Reports menu) has been updated to include a column for the patient’s ID.
(MOBILE iOS ONLY) Push Notifications for Unreviewed Orders
If notification settings are enabled through your phone settings, OneView will now push a notification every 7 days if there are one or more unreviewed orders available for the provider.
Release 1.1 (January 21, 2021)
COVID-19 Vaccine Status in Patient Banner
The patient’s COVID-19 vaccination status will be displayed in the banner at the top of the patient chart if vaccination records have been entered into Snappy. When you hover over the status, a dialog will appear with the date(s) of the vaccination. This information will also be displayed in the Clinical Summary section of the patient’s chart under Vaccines.
COVID-19 Vaccination Attestation Form in Comms Hub
Providers will be able to document their COVID-19 vaccination statuses by completing a form similar to the Flu attestation through COMMS Hub. The ability to document whether you, as a provider, received or declined the vaccine is available. If you select the option that you received the vaccine, you will be asked to document the manufacturer and the date the vaccine was administered.
Encounters: Finalize Button Always Available
The requirement to view all data present in the ESRD / AKI Mgmt section of the patient’s chart prior to the Finalize button being available in an encounter note has been removed.
Patient Chart: Section Accordions and Go To Links
The ability to minimize and expand each care category in the ESRD / AKI Mgmt section of the patient’s chart is now available. The Patient Status, Fluid/BP and Adequacy sections will be maximized by default. All other sections will be minimized but can be expanded by clicking the plus sign next to the section title. In addition, if a “Go To” link is selected from either the top of the ESRD / AKI Mgmt section or from within the encounter note, you will be taken to that care category section with the data automatically expanded.
Release 12.1 (December 17, 2020)
Falcon Silver Access through OneView
The ability to navigate to Falcon Silver directly through OneView has been removed. The option for “Falcon Silver” under the DAVITA APPS menu and the “Start & Complete Encounters” task card on the home page have been removed. Users are still able to access Falcon Silver using the packaged browser, which was pushed out to all DaVita-managed devices in late November 2020.
The ability to associate yourself and staff members with a practice has been added to the OneView application. Under Settings > Practice, providers will have the ability to confirm the practice affiliation we have on record. If the defaulted information is not accurate, the ability to associate with a different practice will be available. Providers and staff members assigned to your practice who have not confirmed their association will show as pending. Providers will have the ability to add Practice Staff members which will invite that person to login to OneView. Functionality available within OneView for Practice Staff is limited, and includes viewing practice information and the Reporting module.
Release 11.1 (December 3, 2020)
Encounter: H&P Indicator
The option to document whether a History and Physical (H&P) was completed during an office visit is now available through all encounter note types. The “Completed H&P” option is located at the top of the encounter note with the option to select “Yes” if it was completed. Designating the completion of an H&P can only be done once the History section of the encounter note (located below the “Completed H&P” option) has been reviewed. If “Completed H&P” is set to Yes, an indicator will display next to the encounter note in the Clinical Summary section of the patient’s chart in order to make it easier to locate those notes.
All encounter note types have been updated to include free-text fields to document patient information related to Medical, Surgical, Social and Family History. Comments documented in a previously finalized Falcon Silver or OneView encounter note for each field will display in subsequent OneView encounter notes with the option to edit the comments, if necessary. A new section displaying documented patient history has also been added to the patient’s Clinical Summary for easy reference.
Patients being treated at a facility other than their “home” location will now display on the Dialysis Schedule.
Patient Vitals Added to Encounter PDF
When the patient’s Fluid or BP information is documented in an encounter note, the information will now display on the PDF version of the encounter note (available through the Clinical Summary section of the chart). The PDF will include data from the last 3 times Fluid and BP information was documented. Incomplete data will be represented by an asterisk.
Labs Not for ESRD Treatment Comments
Comments related to Labs Not for ESRD Treatment documented through the queue or within an encounter note will now display in the ESRD / AKI Mgmt section of the patient’s chart under Infection in a carousel. The comments will also display in the PDF version of a finalized encounter (available through the Clinical Summary section of the chart). The date the comment was made, as well as the lab, and the specific comment documented will be displayed in both the carousel and the PDF. When viewing the carousel in the ESRD / AKI Mgmt section of the chart, a “test tube” icon will indicate the comment was documented through the queue, while a “document” icon will indicate the comment was documented in an encounter note. Clicking a comment originating from the encounter note will open a PDF of the encounter note.
Labs Not for ESRD Treatment documented through CWOW will now display in the OneView encounter note as well. In a future release, this information will also be displayed in the queue.
The ability to associate yourself and staff members with a practice has been added to the application. Under Settings > Practice, providers will have the ability to confirm the practice affiliation we have on record. If the defaulted information is not accurate, the ability to associate with a different practice will be available. Providers and staff members assigned to your practice who have not confirmed their association will show as pending. Providers will have the ability to add Practice Staff members which will invite that person to login to OneView. Functionality available within OneView for Practice Staff is limited, and includes viewing practice information and the Reporting module.
NOTE: This feature is only being released to a pilot group at this time.
(MOBILE ONLY) Nephrology Care Alliance Content
OneView Mobile will now display a task card on the home page if relevant content from Nephrology Care Alliance (NCA) related to the Clinical Incentive Program is available for the provider. Task cards will only be present when there are outstanding alerts and will include a number badge indicating how many alerts are available. There are 2 cards related to NCA content – “Clinical Incentive Program Attestations” and “New Patients in Clinical Incentive Program”. Tapping either card will take you to the content managed by NCA.
(MOBILE ONLY) HHD Order Justification Forms
The ability to document medical necessity for More Frequent Dialysis (MFD) for home hemodialysis (HHD) patients is now available through OneView Mobile. A task card will display on your home page in the mobile app if an order exists. You can also navigate to the queue through the Tasks menu. A meaningful clinical narrative and attestation must be entered prior to submitting the form.
NOTE: This feature is only being released to a pilot group at this time.
Release 10.1 (October 29, 2020)
Patient Chart – ESRD/AKI Mgmt Updates
SHAPE 10 Graph – Hover Text for Start Date
Under Anemia, in the ESRD/AKI Mgmt section of the patient’s chart, hover text has been added to the “SHAPE 10.0 START” line displaying the date when the protocol began.
Patient Status (Chart Section and Encounter Note)
The Overall Patient Status section of an encounter note has been renamed to “Patient Status”, and a new section displaying this information has been added to the ESRD/AKI Mgmt section of the patient’s chart. The Patient Status section of the ESRD/AKI Mgmt tab will display previously finalized comments with an option to copy the comment into a current encounter note. Amended comments will be displayed; however, they will not have the option to copy into the note available.
Treatment Details for HHD, CCPD & CAPD
Treatment details (displaying under Adequacy, Minderal/Bone Disorder, and Nutrition) in the ESRD/AKI Mgmt section of the patient’s chart, will now be available for all home modalities. There will be a SHOW MORE link located on the right side of the banner which will display additional treatment details. This information will also display in the patient’s chart under Clinical Summary.
Dialysis Schedule: Row Height Reduced
When viewing the Dialysis Schedule, the amount of visual space between each patient has been decreased to allow for more patients to fit on the screen, in turn reducing the amount of scrolling that may be needed to find the applicable patient.
Release 9.1 (October 8, 2020)
New Buttons for Starting an Encounter
The Dialysis Schedule has been redesigned to display relevant encounter information prominently so a provider can plan their next actions appropriately. There is now a column (“Comp”) that will display the most recent Comprehensive note from the current calendar month and a column (“Additional MCP Notes”) displaying up to 3 additional MCP notes. For AKI patients, the Comp column will be blank and the Additional MCP Notes will be labeled “AKI”. If an encounter was created in the current calendar month, the date of the encounter will display on the bubble, otherwise a “+C” or “+L” (allowing you to create a new one) will be present. If a bubble has a date listed and an orange dashed outline, this indicates the encounter is still in progress. If the bubble has a date and a green-filled background, this indicates the encounter has been finalized. Clicking on a bubble with a date will open that encounter. Clicking anywhere else on the row will open the patient’s chart. Clicking the blue plus sign to the right of the bubbles will display the option to create a new Comprehensive or Limited encounter note. For AKI patients, the blue plus sign will display the option to start an AKI encounter.
Workflow Change – Starting/Closing an Encounter
Closing an encounter note that was started from the Dialysis Schedule will now take you back to the Dialysis Schedule, as long as you haven’t navigated elsewhere within the chart in between opening and closing the encounter.
Manually Entered COVID-19 Results
COVID-19 results manually entered in Snappy will now display in the ESRD/AKI Mgmt section of the patient’s chart in the Infection section.
Non-ESRD Labs in the Encounter – CWOW Data
Non-ESRD lab results that were entered through CWOW in the last 90 days will now display in the encounter in OneView. This data will not be available in the Non-ESRD Labs queue until a later release.
(MOBILE ONLY) I&A: Group Agreement
Group Agreements will now be available under Invoice & Attestations in OneView Mobile, if applicable.
Release 8.2 (August 27, 2020)
ESRD/AKI Mgmt - Shape 10 Graph
A graph displaying Hemoglobin (Hgb) levels and Epogen doses for patients that are on the new Shape 10 anemia management protocol has been added to the Anemia care category of the ESRD/AKI Mgmt section of the patient’s chart. The graph also includes a suggested dose (coming from the third party vendor), the prescribed dose of Epogen, and missed treatments. By default, the graph will be collapsed but can be expanded by clicking “+SHAPE 10 TRENDS”. Upon opening the graph, 180 days of data will load with the ability to scroll to the right to view additional data. The date in which the Shape 10 protocol was started will be displayed with a vertical line. A blue background on the graph indicates the patient is on the Shape 10 protocol. A white background indicates a time prior to the protocol starting, or after the protocol was discontinued. If the patient is within their first 3 months on the Shape 10 protocol, a message will display indicating they are in this initial transition period.
Encounter Note Updates
Non-ESRD Labs (Snappy Only)
The ability to document labs designated as not for the treatment of ESRD is now available through the encounter note for labs (ordered within the last 90 days) classified under Nutrition, Infection or Other. This functionality is available in the Comprehensive, PD and HHD encounter note types for Snappy patients. Physicians may select either “Changed Care Plan” or “No Change” and will also have the ability to document comments, if necessary. A “Past Due” indicator will display if the lab has not been reviewed within 30 days of the resulted date. Entering documentation for a non-ESRD lab through the encounter note will remove that lab from the Labs Not For ESRD Treatment queue and vice versa.
Save Button Removed
The SAVE button has been removed from all encounter note types due to the fact that it is no longer necessary. OneView performs an auto-save function every few seconds. The time in which the encounter note was last saved is displayed where the SAVE button used to exist.
Collapsible Sections (Limited Encounter)
When you start a Limited encounter note, the Overall Patient Status and Fluid/BP sections will be expanded and all other sections will be collapsed. For all other encounter note types, all sections start expanded. To collapse a section, click the dash located to the left of the section title. To expand a section, click the plus.
ESRD/AKI Mgmt Updates
PET Profile (CWOW)
Lab results applicable to the PET Profile will now be accessible through a link located below the Adequacy care category in the ESRD/AKI Mgmt section of the patient’s chart. This data previously displayed in the Adequacy table but was segmented for ease of use. When the “PET PROFILE RESULTS” link is clicked, a new dialog will display with the applicable information.
Monthly Lab Tests (Snappy and CWOW)
Certain labs that are ordered on a regular basis have been moved to a new section labeled “Monthly Lab Tests” under the Infection care category. The labs that will display in this new section were previously displayed under the Other care category. This change was made to improve the organization of lab results.
The Reports module has been redesigned as a two-step process to generate a report. The new workflow will allow you to download reports generated at a previous time, and will include the date it was created. After selecting your report criteria and clicking “Create Report” a message notifying you the report is being processed will display. Once the report has been created, the option to “Download Report” (with the “last created” date and time) will display in the report area. This new workflow is applicable to both the Monthly Visit Summary and All Patient Insurance reports.
(WEB AND MOBILE) Flu Attestation 2020/2021
The ability to electronically attest to receiving an Influenza vaccination for 2020/2021 will be available through the COMMs Hub in OneView starting September 1st. Clicking the applicable card in the COMMs Hub will display the form. Once the form has been successfully submitted, a confirmation message will display.
(MOBILE ONLY) Medscape Content – Pilot Only
A group of users will be piloting access to Medscape content via OneView Mobile. These tools include: Nephrology Calculators, Drug Monographs and Interactions tools, and personalized Medscape news and journals.
(MOBILE ONLY) Labs Not for ESRD Treatment
The ability to sign or dispute orders designated as “not for the treatment of ESRD” is now available on Mobile. A task card will display on the Home screen if there are outstanding orders. Tapping the task card will take you to the queue where you will select “Reviewed, Changed Care Plan” or “Reviewed, No Change” prior to submitting the documentation. A reason will also be required if you note that the care plan changed. Once you select a “reviewed” designation and click “SIGN AND SUBMIT”, that order will be removed from the queue. This new feature mirrors the functionality released on the web app in the 2020.6.1 release.
Release 8.1 (August 6, 2020)
HHD Order Justification
The ability to document medical necessity for More Frequent Dialysis (MFD) for home hemodialysis (HHD) patients is now available through OneView. A task card will display on your home page if an order exists. You can also navigate to the queue through the Tasks menu. A meaningful clinical narrative and attestation must be entered prior to submitting the form. NOTE: This feature is only being released to a pilot group at this time.
Dialysis Schedule – Sort Order
If the Dialysis Schedule is sorted by one of the available filters (day, shift, facility, COVID-19 status) and the user navigates to another page in OneView and then back to the Dialysis Schedule, the sort order will remain. The sort order will persist for the current session. Once the user logs out of OneView, the Dialysis Schedule will return to the default view.
Patient Chart – ESRD/AKI Mgmt Updates
Additional Lab Results
Additional lab results have been added to the Anemia and Mineral/Bone Disorder categories. For Anemia, new labs include: RBC (2242), HGBx3 (2343), MCH (2246), MCHC (2247), RDW (2240), MPV (2259), TRANSFERRIN (6161), TRANSF SAT (6163), and TRANSFERRIN RECEPTOR (8251). For MBD, new labs include: CAxPHOS CORRECTED (1794) and CAxPHOS PRODUCT (1059).
Show More – High/Low Indicator
When additional lab results exist for an individual care category, a green SHOW MORE link will appear at the bottom of the table. If there are lab results out of range in the SHOW MORE list, an indicator will appear to the right of SHOW MORE. The icon for this indicator has changed to “H/L” to be more obvious to the user. This functionality existed previously – the only change is the icon.
Access Information – CWOW
The patient’s access information has been added to the ESRD/AKI Mgmt section of the patient’s chart for CWOW patients. The data presented includes: access type, access site, access age, placement date, last use date, and surgeon.
Orders – Navigate to Top
If the Orders queue has more than 10 orders listed, a “TOP” link will appear at the bottom of the page allowing you to easily jump to the top of the list.
Encounter Note Updates
Last Saved Timestamp
We have added a timestamp indicating when OneView last saved changes to the encounter which is located at the bottom of the screen, to the left of the SAVE button. OneView performs an auto-save function every few seconds.
Each section of the encounter note can now be collapsed (or expanded) for added flexibility. Click the dash, located to the left of the section title, to collapse the section. Click the plus to expand it.
(MOBILE ONLY) New Menu Navigation
OneView Mobile has been redesigned to use a floating navigation menu instead of the slide-out menu previously located on the left side of the application. The new floating menu is presented as a green circle located in the lower right corner of the app and will open the list of options in a drawer (pops up from the bottom of the screen). The drawer can be closed by tapping the down arrow or by sliding the menu down. All the same options previously offered are still available.
(MOBILE ONLY) Patient Updates
All Patients List
The ability to view a list of all patients for which the user is the primary nephrologist and/or has been granted Covering Rights for is now available under Menu > Patients. The patient’s name, age, date of birth, gender, facility and primary nephrologist will be listed for each patient. You will be able to filter the list by modality, COVID-19 status, your patients versus covering patients, and facility. Tapping a patient’s name will open the patient’s chart.
The patient chart will now utilize a “drawer” style of navigation that allows you to view additional data by swiping the drawers up and down (open/close) from the bottom of the screen. When the drawer is open, the applicable sections of the chart will be displayed with the active section displaying in green. When the drawer is closed, a green bar will be displayed at the bottom of the screen and can be tapped or swiped up to open the drawer menu.
In the Profile section of the patient’s chart, 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.
Within the Clinical Summary section of patient’s chart, the read-only medication list can now be sorted by active or all medications by tapping the applicable toggle at the top of the screen. To view (or hide) additional medication details, tap the green down arrow located to the right of the medication name. The Active queue will display all currently active medications while the All queue will display active and inactive medications for the patient. Inactive medications will be greyed out.
A list of all encounters created for the patient in Falcon Silver or OneView in the past 90 days is available through the Notes menu located in the Clinical Summary section of the patient’s chart. The type of encounter, date, status and provider will be displayed. Tapping an individual encounter will display a read-only copy of the encounter note.
Additional Lab Data
Any lab value located in the ESRD/AKI Mgmt section of the patient’s chart can be long pressed (tap and hold) in order to view additional details about that lab. Additional details include test name, result value, test code, reference range, collection date and time, and laboratory name. On occasion, only partial data will be viewable on the initial load. The remaining information can be viewed by scrolling down. Tap anywhere on the screen to close the additional details.
(MOBILE ONLY) COVID-19 Updates (available since 5.1 release on 5/7/20)
A new alert card will be displayed at the top of your Home screen and will provide a quick way to view information about COVID-19. Tapping “COVID-19 Updates” will take you to the Comms Hub which will be filtered to display only communications related to COVID-19.
(MOBILE ONLY) COVID-19 Patients (available since 5.1 release on 5/7/20)
A new alert card labeled “COVID-19 Patients” will now display on the Home screen and will take you to a list of all patients that have had a COVID-19 entry within the REM system. The list will be sorted alphabetically by last name and can be filtered by modality, COVID-19 status, your patients versus covering patients, and facility. Tapping a patient will take you directly to their COVID-19 information.
(MOBILE ONLY) Licensure & Certification (available since 5.1 release on 5/7/20)
You will now see a task card on the home screen if an outstanding Licensure and Certification (L&C) questionnaire is available. There are no actions that can be taken within OneView - it is simply a reminder for you to check your email for information on completing the questionnaire. The email will link you to the electronic DocuSign form. If you have no outstanding L&C questionnaires, no task notification is displayed.
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".