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#28195
02/16/2011 12:04 PM
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Hi all, second time this has happened. Internet down this AM (system wide). During this time AC VERY VERY slow to start, and then ran very slowly after it finally started. As soon as internet came back, everything instantly back to normal. I chatted with tech support, they just said reboot everything, starting with server. I will try this tonight, with modem off, but I doubt this will be sufficient. Anyone else run into this situation? Thanks. Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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That makes no sense unless AC always "phones home" before it runs and, given the fact it can't maybe it hangs for a bit. Maybe ePrescribe needs to check in. I don't know why you would need to reboot anything.
Bert Pediatrics Brewer, Maine
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Hi Bert, I was thinking along those lines. Perhaps AC is checking to be sure that "You have the latest version" or similar. Probably something relatively easy to disable, but I don't know what! Thanks. Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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For what it is worth, we had a problem Monday morning where our internet connection was down but we still were connected within the office. We had no problem with the staff running AC on any of our computers at that point. (No providers were there so eRx wasn't used).
Jon GI Baltimore
Reduce needless clicks!
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Hi Jon, was AC already up, or did you have to start it while internet was down? Ours ran slowly but biggest problem was opening AC on any PC, took several minutes (at least) but seemed like an eternity. Thanks. Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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Hi Dr. Nallin,
One of the operations that may slow Amazing Charts down when you lose internet connectivity can be the interaction checking our e-prescribing feature utilizes. When you open the prescription writer the program automatically checks for interactions using New Crop/SureScripts medication database. This means it needs an internet connection, so it may be slow as the service tries to establish that connection. You can disable automatic interaction checking using the settings button in the upper right-hand corner of the prescription writer window to cut down on the time it takes to check for a connection. You may also want to check to see if there may be an issue with any of your office networking equipment. If you see your internet go down and then programs that run over the network seem to slow down there may be a larger issue.
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Test during lunchtime:
From hardwired desktop with RX interaction checking TURNED OFF with internet connected:
From clicking AC icon to signin screen 31 seconds From clicking signin screen to up and running 14 seconds
After modem turned off:
From clicking AC icon hung on "Checking datadase integrity" after 2 minutes gave up and reconnected modem.
This is not network slowdown, this is AC hanging.
Thanks. Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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Hi all, Just got a call(!!!!) from Mark at AC tech support, who had been following above discussion.He said that this indeed would be a problem, while AC starts it connects to be sure that AC is registered, has the right number of provider licenses, etc. So if internet is not up, it will take a long time to connect. No workaround at this time.
Since we have only had 2 internet outages over the last year, not too big a problem at this time.
Not thrilled with the situation, but MOST IMPRESSED with AC tech support after this. Thanks Mark!!!!
Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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I am still researching this. I had mentioned the Internet check by AC, but I am not convinced. CERTAINLY ePrescribe has nothing to do with it. It isn't even turned on when you are logging in. And, even then, if you open a script with the Internet off, it doesn't affect performance.
Gene, does it really take 31 seconds to sign-in screen? It shouldn't take any longer than 15 seconds. I am sure most of that time is being taken up by checking on the database integrity.
Bert Pediatrics Brewer, Maine
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They have added a "license" check which logs on and checks number of providers, etc - I assume this is what is causing the problem.
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I doubt it. I run my AC on my sandbox all the time, and it zings right up.
Bert Pediatrics Brewer, Maine
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One possibility:
His Internet issues and AC issue could be caused by an internal DNS or DHCP problem.
1. Ensure DNS is set up correctly and that records are up to date. 2. Ensure all computers have a unique IP address. 3. Ensure all computers are registered in DNS. 4. Ensure server IP setup is correct in that is has the right gateway, etc.
JamesNT
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If the above is correct or there are no issues, then try downloading Microsoft Network Monitor. http://www.microsoft.com/downloads/...658-b7f6-3088333d062f&displaylang=enRun this while starting AC and it will show you if AC makes requests to systems outside the local area network. JamesNT
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