Check in process
Since upgrading to the new 1.6, our check in process seems to be problematic. We are getting a second entry line on the same day with a "No Reason". I suspect that it has something to do with entering the weight, but I can't be sure. This is the sequence we are using:
1. Click on Check In. OK.
2. Select Waiting Room. OK.
3. Weight - enter new weight or keep previous weight. OK.
4. Document template - SKIP.
5. Visit - Either OK or EDIT or NEW NOTE. OK.
The problem is that sometimes when we follow this it appears to work normally, but occaisionally it will enter a new, dated, line with "No Reason".
Any ideas?
Re: Check in process
We too are having problems adjusting to the new system. Not so much in having a second entry line, but more so of having the Visit line sometimes "In Progress" and other times "Completed". Again we cannot find why. We thought that starting the Invoice through the Summary and not completing the lnvoice would leave it "In Progress" - but sometimes it goes to "completed". Also when the patient is checked in, sometimes the Visit line says "completed" or "in Progress' when the vet starts the consult by clicking in "consult"........... it is doing our head in as when the next "visit' comes along if the previous visit is still "in Progress" it puts the new visit under the previous one...
Has anyone worked out a solution? Thanks Anna
Re: Check in process
We have only just started using 1.6 today but have already had the same problem as kinross vet with a second visit line being added (as "no reason"), and the medication charges for the visit we actually wanted were duplicated on this visit + the "no reason" visit. The invoice total was correct however, i.e the fees were only charged to the client once.
Once the duplication was noted we then attempted to correct the problem by deleting the items from the "no reason" visit. First we attempted to remove the Drontal sale from the "no reason" visit, but found it changed it to customer inv item on this visit and the consult visit. We have not gone any further as we are not sure what to do to fix this. Screen shot attached.
Status was also a problem as with annaplat. The actual visit we wanted was left "in progress", the "no reason" visit completed. We have since manually completed the actual visit.
This visit included charges put through on the patient invoice tab, plus we then added items for the clients other patients through the charges tab (to the same invoice). This seems to be the only way to sell items to other pets in the same household now? We thought this may be what created the second visit??
Cheers,
Jannine & Bernie
Re: Check in process
Finding it difficult to duplicate as it seems to be an intermittent problem, but it seems the second visit "no reason" is appearing on some of the visits when the Vet has completed the "consul" visit thru the Patient Invoices section, but then the Nurse has gone into it via the Client Charges section, and then added more product?
Is this what others are finding?
Re: Check in process
Trev. I haven't upgraded to 1.6. Might drop by and have a look at the problem at your place if that is alright?
Re: Check in process
No worries Garry. Just send me a txt when you know which day.
Dr. Trevor Pavey
Principal
Lakeside Vet Centre
Re: Check in process
Hi to all,
Wondering if anyone has totally sorted the in progress visit status. We are checking histories at the end of every day and finding many have stayed in progress when they have gone thru the complete charging/payment process. We are having trouble duplicating it in the Demo system (of course) but we are finding 1.6 a touch frustrating at present.
Any thoughts from others?
Cheers,
Bernie
Re: Check in process
We upgraded a few weeks ago, but even prior we found the reception/waiting room worklist a little superfulous, - accumulating patients whenever we worked on their records - so have bypassed this in the cycle. We skip the option of checking the patient into reception/surgery etc, and merely work off the schedule which clearly tells us the status of the patient. Our receptionist occasionally uses the worklist to check for missing trasnactions, but basically goes through and deletes/completes them all daily. The worklists are useful in other areas, but as a waiting room tool we feel it is not helpful.
Re: Check in process
We also upgraded two weeks ago, and initially , I was very pleased with the extra capabilities of OpenVPMS ver 1.6. However, I am now becoming increasingly annoyed. I have just spent three hours trying to replicate the problems that others are also experiencing with the "Check in/Waiting room/ visit "process. Sometimes in the History, there is only one visit, but on other occasions, using EXACTLY the same data and using EXACTLY the same process , there is any additional No Reason visit, when the vet presses Consult from the waiting Room . This causes confusion to all other staff within the practice and redundancy within the Patient History. So how about a solution guys? If we are doing something incorrect, please tell me. If it's a bug , then tell us that too.
Re: Check in process
We have been Yuri's suggestion of only using the scheduler and not the worklists and all has been fine.
We are also having trouble reproducing for Tim to test but something is happening in the worklists.
Re: Check in process
Hi Paul,
I think we can definitely say its a bug as we really dont set out to make life difficult on purpose :-)
Our problem as well is to reproduce and like you I have spent hours trying to replicate and have not been successful as yet. As soon as we can replicate we will definitely fix it immediately ... so give us as much info as possible and we will keep trying .
Cheers Tony
Re: Check in process
BTW Paul are you checking in consults to a work list list and consulting from the worklist or consulting straight from scheduling ?
Cheers Tony
Re: Check in process
the problem seems to occur, when using the "Waiting room"worklist. And so the Receptionist admits a client, transfer from the Scheduler to a "Waiting Room" worklist, and then the consulting Vet, "consults"from that Waiting List. This will generally give a second No Reason entry in the Medical Record
Re: Check in process
Looking for any variables here: are your consulting vets using wired or wireless connection to server? Our problems seemed to occur in Worklists, and mostly on the consulting and surgery workplace (wireless) laptops (but then they're the most frequently used).
Yuri.
Re: Check in process
All terminals are wired. It really is weird, cos I can use the same client, the same process, the same patient, and get it as an intermittent problem
Re: Check in process
Hi Everyone,
I was just thinking would the problem be some users hitting "Add Visit and Note" rather than just "New -> Note" when consulting ?
This is a new feature as well so sorry had to ask ..
Cheers Tony
Re: Check in process
Hi Tony,
We are only using the note button.
I does seem to be the waiting room list. When I consult from client ordered list - no problems. This is just a one entry and done visit though - not an in and out multiple times.
Thanks
Bernie
Check in process
I haven't been able to reproduce the problems being described, but the following may help clarify how and when OpenVPMS creates Visits:
-Tim