Home Forums Discussions Problems Imported items alternative

If I remember correctly, some users are using an alternative solution to accessing Imported Items from AC, which is getting pretty slow in patients with lots of items. Can I get a "Classic Comics" version of this? Is it just storing PDF files in a separate folder on the server, or is there more to it? How does it handle imported labs from Quest? Can you access the data directly from AC, or is it more or less using a separate program to view the data? In other words, is there a solution that really integrates with the patient record but is separate and faster?

David,
I find II to bog down with more Items added. Even talked to GAS, who suggested more memory.
Got new server, improved speed, but still too slow.
So I put an HTML file in each II folder, ran the "fix" for broken links in II. The code in the HTML file points to the folders I keep the "original" PDFs and tiffs in. So that lets me open Explorer to that folder, sort by date, and use PDF viewer or fax viewer to page thru the images. I have to embed any comments in the file rather than AC, but that is easy to do.
(we scan and receive faxed in TIFF format -- smaller than PDFs )

Wow, Roger

That is some rather brilliant tweaking, and I think well beyond my talents so far. I will keep it I'm mind if the speed becomes less tolerable.

Bert has (developed?) a file viewer called, I think, File App Pro, that does much of that for you (Bert, are you listening? Yeah like he wouldn't be!)

Bert's program is actually File Assistant Pro, and he seems a bit reluctant (too humble?) to tout it much. I will leave it to him to describe it. I believe it only works in a one-provider practice.

Bert's FAP (File Assistant Pro) only works in a one provider practice (sniff sniff).

Yeah, it is only for a single physician practice. It is an extraordinary program. I don't it due to being humble or reluctant, only because those who download it seem to have no clue how to set up four folders and share them. So most gave up.

Bert, some of your reply did not come through. Can you modify it or re-post it? Does that mean it CAN. work with multiple providers if I had a real IT person work on it?

No, it cannot. Ed is working on a new version that can. That said, if you had a system where multiple PDFs for different doctors came in, then you could. For instance, in my setup, the inbox would look something like:

Mouse, Mickey_lab_05.22.12
Smith, John_discharge_05.22.12
Washington, George_consults_05.22.12

In the above scenario, ALL of those files would be mine by default. Any of the labs, etc. would be ordered by me. However, in a three person practice, Mickey may be yours, John belongs to doctor 2, and George to doctor 3. But, you wouldn't necessarily know that. So, it makes it tough to work with in that case. And, even if your staff could label them aMouse, Mickey_lab_05.22.12, that would put a lot of stress on your staff.

Are you talking about faxes (PDFs) in the above scenario? Or just II in general?

Thanks yo UpDox, incoming things are not the problem... It is that II are getting slow when there are a lot of labs and PDF files in place.

Interesting. SQL could be the problem then since Windows Explorer seems to be working fine as Roger demonstrated with his web page directory idea. Perhaps something for the programmers to investigate.

I don't believe we have a problem with II at the moment.

I don' see how it could be SQL, although if there is a question, then RAJA should definitely be consulted. He could tell you yes or no.

Of course, SQL Express gives you way less pages, so the key is are you pulling the same patients over and over. Of course, statistically you would as they are the ones you just got labs, x-rays, consults on.

Of course with FAP, if you used redundancy, e.g. normal import to UpDox (I don't know UpDox), you could then name, categorize and name patient and import into F.A.P. You wouldn't have to know whose is whose, because you would already have done that in UpDox.

Of course, pulling the file in F.A.P. would take about one to two seconds, if that.

Faxboard with multiple lines can separate faxes by line for multi-provider practices. (Assuming you have one line per provider.) You could use macros for quick renaming anything else.

But, the lab or x-ray are not going to send different results to different doctors through different labs. Besides it would likely be an issue with accuracy.

BTW, I guess you guys are all concerned about tracking "Who" signed off on any given document and whose in box it would be routed to as well... But we use Both Bert's FAP for almost all of our scanning including faxes saved and staying all "E" (with our Brother's included Paperport handling the faxes in and out, converting them to PDF's), old charts, insurance cards and the like, paper and faxes labs and reports and the like.... All while we use Quest with the AC interface for most of our labs so we get the full benefit of "E" labs that can become data points with the values to be tracked and the like...

But as I have said previously one of the things Nancy really likes about having this works with BUT is separate from AC program is the fact that she can have two windows open at the same time for easy back and forth to read a report and talk with the patient all while looking for something else or charting into AC all at the same time.... It allows for that separate look and write on another piece of paper like, more natural work flow... Read or review and discuss, write or look elsewhere....

So anyway if you are NOT concerned about who signed off on what or who gets it like perhaps in a two or three provider, still fairly small office where you trust and lean into one another to share things well... In its present state it might still fit your purposes...

My other thought is that you can still keep your AC Import Items a bit smaller and more managable by using FAP for all of those things that Don't need a particular docs signature.... Or what we do frequently on the mailed in paper stuff even here in a solo office, Nancy initials the lab or written report after reading it but prior to scanning it.. In this way it is captured with double proof that she really did read it and not just I scanned it in and cleared it although she never really read it.... Not fool proof but adds a layer of more accountability as our writing could never be confused for the others.... So use FAP immediately for getting rid of lots of old paper or fowarded charts, anything post docs review or doesn't need the doc's review in particular either... Gets you that much closer to using FAP fulltime when the new version is ready... Go Ed!!!

Anyway, Nancy loves FAP and how it and AC work well together so I strongly recommend it to those that are willing to be half smart and understand basics like, finding and setting paths to folders so as to not drive Bert and Ed extra mad... Which using AC for a couple of years certainly should have taught you by now if you are lerking here I would hope....

Thanks Paul,

This is a link to a PDF with a couple of ways to sign it electronically with time and date stamp.

http://www.medwaresoftware.com/

Don't worry about the versions.

There is also Amazing Labels, which if you have a DYMO printer is a must app.