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#36263
10/10/2011 1:55 PM
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Hey all. If my back up is set to exclude the imported items does that mean lets say EVERYTHING crashed, i would lose all my imported items?
This seems odd that anyone would want to back up without imported items if this is the case.
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Yes, it means you would lose everything. The time it takes to send your AC database as well as the imported items over the internet to the Guardian Angels is very long and often mine would time out before back up completed. I do have other back up plans in place and also I manually copy and paste imported items to an external hard drive twice a week.
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. "
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Data base is too big to send off line in most cases. I complained about this a while back as well. I now do everything locally- back up the AC database daily and the imported items weekly. I figure $200 buck a year or whatever it is buys me a lot of thumb drives.
Bill Leeson, M.D. Solo Family Medicine Santa Fe, NM
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Our Database got too big to back it all up with online backup quite a while ago. We backup database without pictures & imported items online and backup everything to a dell backup system to removable media everynight and rotated off-site each day. Periodically during the day any changed or added imported items backup to another computer on the network.
The additional backup routines are batch files which are added to the Windows Task Scheduler to run automatically. I would be glad to give examples of these if you're interested.
BTW we also found a glitch with the online backup was caused by local ISP that resets at midnight everynight. As long as backup finished before or was started after midnight we have no regular problem.
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Another approach would be this, assuming that you are backing up to other drives in your office (we use another internal hard drive, an external hard drive, and a 2nd hard drive on another PC)
From time to time, (I try for weekly), after opening AC backup, click "Advanced settings" then uncheck "Use AC offsite backup" and "Exclude imported items", then run backup. You will then have imported items backed up in all on-site locations.
Just remember to return to usual settings after process is complete.
Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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yup that is what happened to me it was a mess. i had no idea i not getting true backup from ac paying for offsite backup to find out it was only the demos. i need the imports surgery consents etc.it was a mess. has anyone found a better solution.
Last edited by mbfoot; 10/13/2011 2:02 AM.
Podiatrist
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What do you mean by it was only the demos?
Bert Pediatrics Brewer, Maine
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Yeah, we only use imported items for our MidMark ECG's and Spirometry, Quest Lab Imports... ALL of our other scanning and documents, faxes and the like go into BERT's wonderful little program FAP, File Assist Pro, V 4.0.... Great PDF's of all our stuff, backed up separately every night all named by patients name, date of the scan saving process and whatever file name you created and assigned it to in FAP.... Love It, "From my cold dead hands...."
Paul
"Beware of the Medical Industrial Complex" "The Insurance Industry is a Legalized CARTEL"
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I run the backup daily including imported items and one copy goes to an external hard drive that remains in the office and another to a second external hard drive that I carry home every night. Our ENC file is nearly 14GB so it's too large to backup online.
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Ted, Our imported items are about 28Gb and we use Jungle Disk for online backup. Here is a story that might make you think twice about carrying a drive home each day. The story itself is quite ironic.
Jon GI Baltimore
Reduce needless clicks!
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The story itself is quite ironic. I don't know whether this is a HIPAA violation, but it certainly sounds like legal malpractice.
John Internal Medicine
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"We have no reason to believe that the information on the portable hard drive has been accessed or used improperly. The software was password-protected. Furthermore, it would take specialized technical expertise, software and hardware to access the records stored on it," the letter sent to patients said. What an idiot: Password-protected: It wasn't even encrypted. My guess the password was Rover or maybe something harder like Rover1 Specialized technical expertise: A 10 yo who spends four hours a day on an X-box. Software: The backup program likely found in an .xml or .txt file. Hardware: A computer. Does this guy think that none of the 161 patients knows anything about computers?
Bert Pediatrics Brewer, Maine
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I hate to say, I told you so, but....
So many people back up the AC file to a thumb drive and take it home. It is significantly easier to lose than an external drive.
You are much better off getting a safe that goes in the ground. You would be more likely to put your backups there as well.
You could also put it on you smartphone with the ability to wipe the data, although this is less than ideal.
I have researched quite a few flash drives, and IronKey still seems to be the best solution. I still don't know why none of the solutions is based on only being able to use the same USB port on one computer.
As to your backup files, I would be careful what folder or path you store them on. If your path is \\server\Amazing Charts\AC.enc changing that file to an .xml file will give the path, therefore the holder of the file will now know to possibly download AC to restore the data.
Bert Pediatrics Brewer, Maine
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Here is a story that might make you think twice about carrying a drive home each day. The story itself is quite ironic. Saw this today about data security, and thought Ironic indeed. ------snip------ "There are major problems here.? The first is the threat to patient privacy? we have plenty of evidence that the government is ill-suited to handle large amounts of data and keep it secret." Indeed we do. Just this fall, in fact, HHS contractor Science Applications International Corporation (SAIC) breached the privacy of five million patients. Nor can we derive much comfort from the assurance, on page 12 of the rule, that the bureaucrats are now cognizant of "concerns related to consumer privacy." HHS learned so much from this error that it just awarded SAIC another $15 million contract. The most ironic feature of this blunder, and the failure to learn from it, is that HHS is the federal agency charged with enforcing health privacy regulations in the private sector. Yes, this is the government agency that supposedly assures that the Health Insurance Portability and Accountability Act (HIPAA), whose primary provisions protect patient privacy, is followed to the letter by health care providers. And HHS routinely metes out punishment to hospitals and other entities that inadvertently lose patient data. Earlier this year, for example, it fined Massachusetts General Hospital $1 million because an employee lost 192 patient records on a commuter train. Nonetheless, the department has repeatedly demonstrated that it is incapable of living up to its own standards. The SAIC screw-up was by no means an isolated incident. http://spectator.org/archives/2011/10/17/wed-like-to-know-a-little-bit
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