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Sportsdocchicago #29250 03/17/2011 9:15 PM
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Started practice with a 'paperless' office using Osborne 1, wrote my notes on Wordstar using templates, each patient record a 70k 51/4" floppy. Dbase II for my Rx's.

Later used Hypercard on a 'Monster Mac 512' and a 150mb external drive.

Later tried to network my practice in Win 3.1 peer network (nightmare).

I love AC!

Indy #29251 03/17/2011 9:21 PM
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Originally Posted by Indy
Since this an <authorized> topic mod, let me ask how we (as citizens) might go about displacing 'insurance" companies?

No love lost there, but to use the technology term, how do we go about dis-intermediating such companies who are not providing medical care from actual providers?

Short answer -- pay cash.

More reasonable answer -- buy a high deductible policy (possibly tied to a HSA), and pay first dollar expenses yourself up to the deductible. Then the insurer only has a say if you have major expenses.

Best answer -- hold the insurer responsible if their coverage decisions adversely affect your health, just like you would every other decision-maker in the healthcare process.


John
Internal Medicine
Indy #29253 03/17/2011 9:53 PM
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Originally Posted by Indy
Since this an <authorized> topic mod

OK, we could go back to I had a computer with a 1KB hard drive, but since the title of the thread is 6.0, just thought we should include it a little more.

And it's global mod, not mod....


Bert
Pediatrics
Brewer, Maine

Bert #29255 03/17/2011 11:20 PM
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Originally Posted by Bert
Originally Posted by Indy
Since this an <authorized> topic mod

OK, we could go back to I had a computer with a 1KB hard drive, but since the title of the thread is 6.0, just thought we should include it a little more.

And it's global mod, not mod....

Allow me to attempt to correct my previous post:

Since this is an <authorized> topic mod, as directed by the Global Mod .... http://amazingcharts.com/ub/images/icons/default/cool.gif

Better?

Let me ask the earlier question differently.

Have there been attempts by groups of providers (family care, specialists, imaging) to combine their services and offer that to patients through a collective that removes the third party (insurance company or government entity) from the equation?


Indy
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Sportsdocchicago #29256 03/18/2011 10:52 AM
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Originally Posted by Indy
Better?
No, it is not better. It is still just as disparging, sarcastic and insulting as the first.

It wasn't about the global vs non-global.(that was a joke I felt I could make based on your post) It was about the authorized.

If you're going to make fun of me, please do it in a PM.



Bert
Pediatrics
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Sportsdocchicago #29257 03/18/2011 11:40 AM
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Anyone can point out a thread has been hijacked, the simple observation that the subject matter has drifted significantly away from the author's first question. I guess it is not that big of a deal here as Ketan has long since abandoned the thread -- maybe due to two hijackings (of whch I was a part of).

You don't need to be an admin, global mod or mod to point it out.

Originally Posted by Bert
OK, even though this thread has been hijacked at least five times, I say we go with either 6.0 or healthcare as in BTMRMOM.
Please note that I never used the word mod in my original post.


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29258 03/18/2011 11:53 AM
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Scene 2.....Leslie, turning tail and running...throwing off her "Moderator" T-shirt as she scampers away.


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. "
Bert #29259 03/18/2011 1:15 PM
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Originally Posted by Bert
Originally Posted by Indy
Better?
No, it is not better. It is still just as disparging, sarcastic and insulting as the first.

It wasn't about the global vs non-global.(that was a joke I felt I could make based on your post) It was about the authorized.

If you're going to make fun of me, please do it in a PM.

Woa.

Bert,

It was never my attempt to disparage, insult or otherwise trouble you. I am sorry that you took such offense.

My use of the word "mod" was meant as a short-hand for the software change control use of the word "modification", as in a deliberate, authorized change to an existing end item.

My obtuse, recovering engineer roots are showing, because I don't see (much less intend) anything in the original comment other than acknowledgement that the thread had strayed(with my involvement), and you had come along and were gently nudging the conversation back on topic, or on the topic posed about insurance companies and healthcare in the US.

With that in mind, I acknowledged that I was focusing on the authorized modification to the thread, and asking a question about that subject.

That is, and was the totality of my point.

In retrospect, even though we were all talking about software, it belatedly occurs to me that not everyone may have been involved with engineering change control applied to software, and thus "mod" could be mis-interpreted.

If I have so poorly used the English language that I have so offended you Bert, please accept my apologies - there was no intent.


Indy
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Sportsdocchicago #29260 03/18/2011 1:30 PM
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Well, I guess I have no other choice but to accept given my misspelling of the word "disparaging." smile I completely misunderstood your intent.

As another on the board always says, "I am definitely too sensitive."

I think one thing for me is that your statements, while always being helpful even if just a bit over my head, have become so difficult and complicated, that I can't interpret them. That is a compliment.


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29261 03/18/2011 1:40 PM
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I didnt have time to review all the posts on this topic, but i think I got the just:

Time is money and money is time....that said, V6.0 is money and time is of the essence......more importantly being recognized with substantial resources(MU program) for doing the right thing is "priceless"...... I have had great success striking out on my own and I owe it to 3 entities: Amazing Charts and Updox and the right staff....How many folks have worked this dream for several years and are feeling that this is the dawn of the change of our paridigm shift?.......feels great!
Here comes the point where I will get boo'ed....... V6.0, yeah I want it faster,,,,time is money.......How much is it going to cost to get it by the end of the quarter? Being cost effective is great (AC)....but maybe this isnt the time for that? What say you AC users?

Sportsdocchicago #29262 03/18/2011 1:44 PM
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Leslie, I think it is ok to come back now.

The question that Indy raises is certainly an excellent one. May I (gingerly) suggest that you introduce it as a new thread?


Jon
GI
Baltimore

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Sportsdocchicago #29263 03/18/2011 1:49 PM
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Bert, thank you for you hearing me out, and I am glad that we were able to clear up my obtuse comment.

One of my purposes of dropping into the board when time allows is to help folks out; if I am that obtuse, I wonder how helpful I'm actually being.

I was serious about my question; has a group of doctors banded together and attempted to provide healthcare "like an insurance company", but without functioning like an insurance company?

Per Jon - I am fine opening a new thread.

Last edited by Indy; 03/18/2011 1:53 PM. Reason: New thread suggestion

Indy
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Sportsdocchicago #29264 03/18/2011 1:56 PM
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Indy,

I think the issue is not so much antitrust (which would be defined by the lawyers I have spoken with) would be two doctors in an Olive Garden agreeing to not take BC/BS. It is crazy. If all of the doctors in Maine agreed to not take Mainecare for one week, it would be chaos, and they would have to sit down with us and actually come up with a CBA. But, doctors are awful business people and too busy to do this.


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29265 03/18/2011 1:59 PM
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Originally Posted by Rallen12
V6.0, yeah I want it faster,,,,time is money.......How much is it going to cost to get it by the end of the quarter? Being cost effective is great (AC)....but maybe this isnt the time for that? What say you AC users?
I have always been the one to say when it comes out it comes out. But, now that it is affecting my bottom line with the whole prescription debacle, I (gingerly) am demanding it be released.


Bert
Pediatrics
Brewer, Maine

Bert #29266 03/18/2011 2:10 PM
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Originally Posted by rallen12
Here comes the point where I will get boo'ed....... V6.0, yeah I want it faster
No booing from me on this one.

Originally Posted by Indy
I wonder how helpful I'm actually being.
Extremely helpful.

Originally Posted by Bert
Indy, I think the issue is not so much antitrust
I think that is definitely ONE of the issues. Let's give this its own thread!


Jon
GI
Baltimore

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Steven #29316 03/21/2011 9:32 PM
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Originally Posted by Steven
Okay I can't stand it - looked in my junk room - Commodore Vic-20, Commodore 64, TI-994a, Sinclair ZX-81, Apple II+, and the CPM machines and TRS-80s went back to my uncle ..... seems not that long ago.
Those look familiar, Sincalir, Commodore 64 were the toys but was using a Kaypro 10 as my first office computer with dBase II applications. Added a 1 megabyte ram-drive to the 64k and 10 meg HD. Was faster than the IBM PC for the dBase apps.
Tried networking Kaypros with KayNet, did not work.
First PC was a 286 with 30 mb HD and added a 300 mb ESDI drive.
Had an early NEC PostScript laser that had more memory and faster processor than my PC :^)
Novell networks and software were later.

Greg

Last edited by Greg Phillips; 03/21/2011 9:33 PM.
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The Amiga ruled.

Dave

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V6.0 issues:

There are def some beta issues with the 6.0! But they are working on them. Will keep you all posted..

Oh and commadore 64 sucked! Go Atari 2600!


Ketan R Mody MD
Elite Sports Medicine Institute, Ltd
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Westmont IL
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Ketan, can you please elaborate on some of the more important issues with 6.0. I have not heard anything official re release date and still is anxiously awaiting.

I think Atari 2600 is pass?. My Timex ZX81 has a whopping 64K ram expansion hanging off the back, and I have 24 lines of 32 characters to work with for real-time graphics!

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TRS-80!!!!!!

JamesNT


James Summerlin
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TSP800!! smile


Bert
Pediatrics
Brewer, Maine

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IBM model 36


Indy
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Franklin Ace 1000, Apple II+, TI 994a, Sinclair ZX81, Commodore Vic 20, Commodore 64, a slew of IBM compatible from 286 to current.


Steven
From beautiful southwest Washington State.
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We have to mention something about AC 6.0 to keep on topic (and this is what I am saying about it).

Don't forget the Adam. I wrote my first practice management system on it. Used cassette tapes for storage.

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Most people had about 6.0 Active Computers (AC) in the past.


Bert
Pediatrics
Brewer, Maine

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lol bert.


Wayne
New York, NY
Hey, look! A Bandwagon! Let's jump on!
Sportsdocchicago #29514 03/31/2011 7:03 PM
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As an NP, Medicare is not authorizing us for $$. This is a great EMR and I use this independently with Medisoft. However, I am very interested in the Practice Mgmt as currently, I am being faced with Medisoft requiring updates due to coding changes and other stuff that is over my head such as ICD10 in 2012. They also want me to buy into their EMR. As a small office, I don't need all the bells and whistles. From previous posts, I'm guessing the PMR is still in line... Thanks if you have any other input.


Peggy Hensley, FNP
Sportsdocchicago #29543 04/01/2011 9:39 PM
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When is V 6.0 going to be released. Our doctor wants to attest on April 18. That is definitely not going to happen. Any news??

Sportsdocchicago #29888 04/14/2011 7:49 PM
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Facebook announcement today that V6.0 is in beta testing and will be out by the end of this month, barring no major bugs.

Sportsdocchicago #29890 04/14/2011 9:26 PM
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I'll believe it when I see it.


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM
Sportsdocchicago #29897 04/14/2011 11:40 PM
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That's not what it said on My Space.


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29902 04/15/2011 11:07 AM
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but yes it does say it on Facebook. What does it say on Myspace?


Wayne
New York, NY
Hey, look! A Bandwagon! Let's jump on!
Sportsdocchicago #29904 04/15/2011 1:52 PM
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LOL. I was joking on My Space. Sorry. Interesting it is on Facebook.


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29905 04/15/2011 1:55 PM
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I am sorry, too. I don't find it interesting. It is the same minimal information that Jon B posted here a couple of weeks ago.


Jon
GI
Baltimore

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Sportsdocchicago #29908 04/15/2011 3:55 PM
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I like your Oriole, Jon.


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM
Sportsdocchicago #29913 04/15/2011 8:34 PM
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I see that the 6.0 beta is up for downloading.

Have a nice weekend!

Sportsdocchicago #29916 04/15/2011 10:32 PM
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I do not see a downloadable version of 6.0 on the site. Where do you see it?


Bert
Pediatrics
Brewer, Maine

Sportsdocchicago #29919 04/16/2011 12:03 AM
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Bill #29921 04/16/2011 12:29 AM
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Originally Posted by Bill
I like your Oriole, Jon.

Thanks, Bill. As they say around here, "How 'bout dem O's!"

Last edited by JBS; 04/16/2011 5:22 AM.

Jon
GI
Baltimore

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Sportsdocchicago #29922 04/16/2011 12:36 AM
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I requested to and was given the beta on V6.0.4 about 2 weeks ago. Overall not bad, but a resource hog and bogged down my Pentium 2.4 machines. Prescriptions were dog slowwwwwwwwww.
Better on a dual core, slow but acceptable.

Number of minor improvement but they have been listening. Printing out a chart is a single step in 6.0.4. Can't remember now, I sent a few bug reports but other than above very stable. Other than one computer not printing until restarted after install (dual core) it has not crashed in a network of 6 computers in 2 weeks.

Minor problems installing, had to make sure I turned off virus protection on one machine, needed to reinstall.

Won't work on Windows 2000. My legacy machine with an old immunization program has been passed by. It had run 5.1.5 well.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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