As an office manager, We were so excited about switching to e-faxing. We have had it for 1 week and I can honestly say it has NOT helped our workflow at all for 3 reasons:
1) We cannot split faxes - this is important bc we often get 10-50 page faxes containing different patient reports from hospitals. So when we get these faxes, we cannot use the "attach to patient chart" feature. We have to print them off, sort them and rescan them into Dr Chrono and THEN attach them to the patient chart. Waste of time!
2) We cannot E-Sign faxes - this is important bc we have to sign pathology reports, lab reports, specimen report, etc and AGAIN, we have to print these out, sign them, and scan them back into Dr Chrono. Another Time Waster.
3) We cannot make any notes, add text boxes, or free write to any of these faxed reports - this is important bc often we need to add a recall date, write in a quick plan note, or communicate with another dr or hospital. So again, we have to print them out, write on them, and scan them back into Dr Chrono. Time Waster.
So like I said, E-Faxing hasn't helped us at all. If anything, it has added to our work load bc we now have to handle thing 3-4 times before we accomplish the task.
Time is a valuable commodity in a busy Drs office. E-faxing and e-documenting are meant to save time, not add to it! I have seen a few other suggestions on here that mention or touch on these problems but none that cover it all. I have voted and commented on all of those, but felt someone needed to consolidate the faxing issues. I cannot image this isn't a problem for every other provider out there. Please fix these issues soon!!!!
Even though they now allow you to split the faxes, I have not been able to get it to work correctly, not EVEN ONCE! I believe that there is a bug in the system!!!
The inability to split faxes is a BIG PROBLEM!!!!
Concur. Love love love - this EHR. But definitely things needing attention. We appreciate being heard. Thank you in advance.
Drchrono has just released an update allowing mobile (iPad) users to sign incoming faxes:
In referene to #1...We have just been printing the pages we need as pdfs and then attaching them to patient charts, I don't know if that helps.
On the ipad version, in "tasks" there is an edit button (top right). This allows you to free tex and free draw (BUT IT PERMENANTLY CHANGES TO THE NEW VERSION of the document) I complete incoming faxed forms, free text , and sign off the same as I would a paper document on the ipad. We use the faxing exclusively unless some one brings in a 2 sided form to be completed.
You are correct to note that iPad users can sign outgoing faxes. This is documented on the support site: https://support.drchrono.com/hc/en-us/articles/229709687
In our office, however, the policy is that the MD signs off (and dates) on incoming faxes. That way if someone (eg: malpractice discovery) asks "when did the MD look at the records?" we can show them a signature/date.
I am less enthused with the amendments feature. Amendments appear to be designed to help out when someone requests an addendum after-the-fact, not so much to hold the MD's comments as documents are first added to the record.
There are two kinds of amendments with drchrono. The first kind is an amendment to a clinical note, which works pretty well. The second kind is an amendment to the patient's chart, which is documented here: https://support.drchrono.com/hc/en-us/articles/215556808
Amendments to the patient's chart are not really valid alternatives for adding comments to incoming faxes. When you make an amendment to the patient's chart, you actually upload a new document. The amendment does not change existing documents and does not show up in the uploaded documents section of the patient's chart.
Instead it shows up under the Amendments tab, and will add a permanent bright blue icon next to the tab showing how many amendments are in that tab. Further, if you view the amendment document it is unchanged - for example you cannot circle or underline unusual lab results. All of your comments are limited to a text field outside of the document. It is like taking the original document, making a copy, and placing the copy in a separate folder with your comments written on the folder. We wanted to write on the original document.
Probably even more important than the rest of my critique is that there is no way to print or fax an amendment to the patient's chart. The web referral feature cannot send amendments to the patient's chart (although it does send amendments to clinical notes). There is no print function or "view as PDF" for amendments to the chart. As far as I am concerned the feature doesn't exist because data going into an amendment never comes back out.
Igor Tes commented
I like this idea, with one minor improvement.
I would like to be able to place a document that was faxed directly into the drchrono note.
Dr. Gaylord commented
They now have a sign fax on rhe iPAD. Maybe use that to send? Have doctor/NP/Pa sign/send when the lock note?
You can add comments on the amendment feature.
Alison Bhattacharyya commented
Our workaround is to use Updox as a preprocessor - everything gets faxed into Updox first, and all the things you need to do to faxes is available:e.g. sign, rotate, split documents, etc. Then when ready to save to patients chart fax it into DrChrono.
Some of the features you mentioned above are in fact possible (from a PC) without actually printing things out, although whether these workarounds would actually save time is debatable. And there is no question that drchrono could use an overhaul in this arena.
1) You receive batch incoming faxes (multiple patient records consolidated into one fax). Since incoming faxes are in .PDF format, you can use a tool like ghostscript to split the PDF into multiple files rather than waste paper and toner printing and scanning. You would then need to upload each document individually.
This won't be easy as you would need to program the computer - that's what you pay drchrono for! But it is possible.
2) You need to sign faxes. Luckily unlocked .PDF files support this feature - if you download the incoming fax PDF and open it with Adobe Reader or equivalent, you can use the "sign" functionality (https://helpx.adobe.com/reader/using/sign-pdfs.html) to paste an image of the doctor's signature. Then save the PDF and upload it to the patient's chart.
3) You need to annotate medical records received as an incoming fax. Similar to #2, open the PDF with Adobe Reader or equivalent. Then you can use "add text" to add text boxes. Save and upload the document to the patient's chart.
Related e-fax feedback:
I have a work-around to keep you sane-- if on mac- open fax in preview. It allows you to sort and save "batches" as well as save a signature to attach / text fill forms. Then you can sort them into patients charts. Saves paper and scan time. Just a thought.