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#16755
10/17/2009 10:34 PM
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Hello, I'm 4yrs out of residency and 12 weeks into a new practice. Hope to be of help in the future. Appreciate the comraderie.
I scan via a fujitsu 6130 and its bundled twain driver - pdf into imported items. Results - microfishesque images. Tried faxing directly from AC - clogged the fax and produces poor quality images. Tried emailing some scanned notes - clogged our internet for 2 days! Had to cancel the email to restore internet speed. I now print then fax. Defeats a key purpose of an EMR. Suggestions?
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Joined: Aug 2004
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Faxing from AC should give you exactly the same images and output as printing and faxing - what are you using to fax ? I have a print driver that is tied directly to my large fax/copier, but many people use Brother All in one Machines or the equivalent in another brand. I fax all my scrips, various orders, etc all day every day and never have a problems. If your images that you print are not as good as you want you need to adjust your settings on your twain driver - I think you need to be more specific about how you do each and then what exactly is happening.
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Joined: Sep 2003
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I agree with Steve. And, I am sure you will be of great help.
But, I think it is hard to help, because I am at a loss as to some of your issues. I am not sure how you are clogging your Internet, because an email isn't going through. With everything you are mentioning, it sounds like a key rule in medicine: a headache, sore throat and abdominal pain isn't a migraine, mono and appendicitis, it's probably just one thing like strep throat.
Maybe a bad analogy, but your symptoms arer so varied with the emails and faxes and scans that it sounds like you have one major issue causing all this.
Anyway, good luck, and let us know how it goes. Maybe we can help a bit more with more info.
Bert Pediatrics Brewer, Maine
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@gino
check size of your scanned pdf. Could it be scanned too high a resolution, thus creating huge pdf file? Then maybe some change in settings will fix it.
Peter "1 Doctor, 0 Staff" Internal Medicine
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thanks for the replies. If Occam's razor were applied i'd say the problem starts with scanning as SoloMio suggests. Steven is correct re printing and faxing - I print then fax or mail if there are several pages as these tend to be the large files that clog the system.
Only scanned items are problematic. I suspect the PDFs are bloated so I'll look into adjusting scan settings or perhaps getting better software. Better yet, i may find a documents consultant to review my entire process.. takes too long to figure this all out by trial and error.
You guys were very helpful. BTW, I use an HP laserjet M1319f MFP all-in-one. I regret buying it, scans too slow, fax and printing functioning suboptimal. I am changing to a dedicated fax machine.
the email clogged my internet because my Covad upload DSL speed was only 350 KBps - not intended for sending large data files. I found out that Covad was charging me for a "1.5Mb DSL" when in fact i was getting 460 Kbps dwnload and 350 upload. I made them refund me. Lesson learned - trust but confirm.
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Use your twain driver to adjust the different settings to try lower resolution, but then print them to make sure they are still readable. I found that I chose the high compression settings and this made them as small as I could, but very readable. Another office that I see records from are barely readable when you print them and I would not send my records that way. That may solve your problem.
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Use your twain driver to adjust the different settings to try lower resolution, but then print them to make sure they are still readable. I found that I chose the high compression settings and this made them as small as I could, but very readable. Another office that I see records from are barely readable when you print them and I would not send my records that way. That may solve your problem.
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I use a xerox documate 515 and very happy with it: it batch scans up to fifty sheets; but i do not use the software that came with it; instead I use paperport 12. Nothing beats a FAX modem. You get savings in space and bypass the printing step. Also, if I use AC via remote login I can FAX remotely. Just my preferences 
Peter "1 Doctor, 0 Staff" Internal Medicine
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again thanks ... will check out all 3 suggestions 1. tweaking the twain 2. paperport 12 3. fax modem instead of machine (office plans to change to client server platform when other 2 docs get on board - at that time a fax server may be in order)
thanks
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please let us know how you solve your problem 
Peter "1 Doctor, 0 Staff" Internal Medicine
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