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#10531 09/13/2008 4:37 AM
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Well? We need lots of stuff to be done, I really hoped we would be hearing something on Version 4 by now. Anyone have any rumors.


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".
DocMartin #10534 09/13/2008 2:18 PM
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Ahh yes, Version 4...

We have been working on this non-stop since our the Users' Conference. Literally.

The good news is that it is nearly done. We are doing internal testing right now (which comes before the alpha version).

We hit some big snags with our rewrite to a SQL Server backend database(some of which we've still not solved adequately). While SQL Server will allow the program to grow as each practice grows, getting it to install and run without requiring an on site database administrator has been quite difficult. And given the horror stories we heard from users coming to Amazing Charts from Soapware after the problems they introduced when migrating from Access to SQL (bugs, crashes, overwhelmed tech support, and a lot of user frustration), we wanted to avoid a similar fiasco. Thus, the plan is that until it works really well, is easy to install, and easily upgrades existing users - it isn't considered ready.

That said, it is really close now, and I will be showing it at the AAFP show in San Diego next week for any folks wishing to come by our booth (1604).

Jon


Jonathan Bertman, MD, FAAFP
President
Amazing Charts
Jon@AC #10543 09/13/2008 10:23 PM
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Glad to hear you are working hard on it. I won't be at San Diego, but would love to see it, and I am willing to wait, (not patiently but willing to wait).


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".
DocMartin #10553 09/15/2008 7:22 PM
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And thank you for your approach to releasing it as well. Nice and quiet and stable is very nice and much apperciated....


"Beware of the Medical Industrial Complex"
"The Insurance Industry is a Legalized CARTEL"
hockeyref #10558 09/16/2008 5:00 PM
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as for the convention in san diego, i'll be in town for family, but is there a way not to pay $150-250 (One-day Assembly Pass) just to see ver 4? or actually, do you need a pass just to see the vendor area?

http://www.aafp.org/online/en/home/cme/aafpcourses/conferences/assembly/2008reg/regfees.html

djkym #10562 09/17/2008 3:47 PM
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Greetings!

Stability is better than crashing buggy software. I can wait.

Primary care network has conference in Dearborn, MI.
(Primare care network is similar to Primed).

http://www.primarycareed.com/conferences.html
Click on Dearborn.

http://4d.primarycarenet.org:8070/4daction/web_conf_detail/662413:20:54


We Michiganders would love to have AC there.




joseph2 #10574 09/19/2008 6:04 PM
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It is always appreciated when the release of the product is delayed so that it actually works when in the user's hands. Well, it is appreciated by us users, anyway.

Jon, thanks for the TLC in the upgrade path.


Wayne
New York, NY
Hey, look! A Bandwagon! Let's jump on!
Wayne #10576 09/20/2008 1:30 AM
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I hope V4 will be compliant with EZClaim

Satis #10593 09/22/2008 5:22 PM
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Can't wait!!!
Thanks for a wonderful product with more good things to come.
Looking forward to eprescribing and less keystrokes for icd9s.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO
vroberts #10598 09/23/2008 8:16 AM
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As one of those former SoapWare users who crashed when the SQL conversion was made, I too can wait until the program is stable and the support team is geared up.

Leslie


Leslie
Hospital Employed Physician Who Misses The Old AC

"It's a good thing for a doctor to have prematurely grey hair and itching piles. It makes him appear to know more than he does and gives him an expression of concern which the patient interprets as being on his behalf. "
Leslie #10633 09/27/2008 11:44 PM
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This is like some sort of High School Prom Night scenario. Can't wait, but don't want to be the first!


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".
DocMartin #10642 09/29/2008 4:57 AM
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Please post on the website a demo or list of improvements and new features as soon as possible. My practice is growing very quickly and since purchasing AC when I started my practice, I now need more functionality. Procedure notes are awful; if I don't have time to finish the note, I have to copy and paste the text somewhere else since there is no forwarding in the Addendum section (where procedure notes are). Addendums are not actually addendums to notes either! The format of the notes is unflexible; most EMR notes have sections for the referring provider, PCP, and reason for consultation at the top of the page. I find myself frequently flipping and closing screens to finding out where to send the note or who to address the letter. Also, losing notes is becoming a real disappointment; despite the lastnotebackup file since the notes are not known to be lost until later in the day (after the lastnotebackup file has purged it). I never had that problem with AC V3.6.

Please, give me some hope that V4 is worth the wait.

offroadn #10647 09/29/2008 9:48 PM
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Offroadin, I have not found the Addendum to be useful for much, as it is a note, that is not a note if you know what I mean. For the minor procedures that I do, I chart them in the assessment where I have a large library of templates for such stuff. So I code the condition, (ie: "Actinic Keratosis 702.0" and then I hit the assessment templates, and have "Proc. Cryo AK" to select which yields the following: "In usual fashion, lesions were frozen with liquid nitrogen with 1 mm border x 3. Discussed the expected course and need to follow up for skin check in 3 months. The patient understands."
Of course I have to modify the templates to suit the actual case, (1mm vs 2 mm border, or closed with 3-0 Nylon vs. 2-0 etc.) Overall it works for me. I hope this helps you get by.
I chart the description of the physical exam under "physical exam" where it belongs, but make a reference there, "see assessment for the procedure".
We bought Amazing Charts only as a temporary fix while we learned about the use of EMR's and got our infrastructure up to speed. So far the improvements have been coming faster than our ability to integrate the changes. (We are just that slow) We JUST got the lab interface working. Quest was very unhelpful, an employee retired and the responsibility fell on someone who took a while to get it moved to a high priority. (Me)
I don't think Ver 4 will be substantially different than what we have now, but FUNDAMENTALLY the change is huge, as it goes from access to sequl based. We will see.


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".

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