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I have been using the VNC viewer made for Chrome Enterprise version so I can use msximum encryption and dual monitor function.
When I was away from the office a while back, I could message my nurse within AC, edit forms, e-sign scripts and send labs and function as if I was on my desktop, except on the Chromebook of course. I do not use dragon on the chrome but type, so have not explored that avenue.
I really think the Chromebook if used properly can transform how you access your office remotely and point of contact with patient in office with the #ProjectedEHR feature.
Thanks Greg!

A big THANK YOU to Madelyn Kearns for this article!!!

http://www.medicalpracticeinsider.com/best-practices/putting-chromebook-clinical-test

Greg,
One additional thought I had, is if you take the vnc viewer/chromebook/updox plunge, would you consider a 10 dollar HDMI cord and flat screen TV?
I would be extremely interested in feedback to see how projecting all of the vaccinations to ma, pa and child would be at office visit.
I have a feeling it would be similar to some of my medicare patients with twice as many herbals than prescription meds, and sorting out the complex med list. Which has been tremendously improved with projecting on the large TV screen, and working through together.
I know with my own kids, seeing this at the visit on a shared screen manipulated by the doc to edit, correct and then print up would be helpful.
Thanks again for your feedback, as it is immensely helpful.

I would like to thank Gabriel Perna for doing a fantastic job on this!!! I also want to thank everyone on this user board for all the great help and insight. Never in my wildest dreams did I think a 169 dollar TV and a 279 dollar chromebook remoted into my data base would or even could impact patients in such a powerful way. I have been invited to talk in Chicago in October at the user conference on this subject. If any one else has implemented part or some of this approach, I would be interested in some feedback. For those interested Rob Tweed has some great articles regarding the Chromebook from his perspective on my twitter site or his which are fascinating.

http://www.healthcare-informatics.com/article/montana-one-physician-brings-ehr-bigger-screen

I am interested in any feedback from the ACUC in Chicago. Anyone try the Chromebook TV yet. My most recent blog on my twitter site came about by preparing for this conference.
http://jimmievanagon.wordpress.com/...ome-visual-and-educational-at-the-visit/

I think the design of Amazing Charts lends itself well to projecting visually.

Not unlike the walls of a gothic cathedral reverberating with the sound of an a cappella boys choir. I think if the simple to use and understand EHR like AC is intertwined with a simple affordable visual conduit like #ProjectedEHR, the ability to teach is magnified.

I cannot believe it has been nearly two years since starting the #ProjectedEHR approach, as I call it on twitter, where I continue to meet great folks from all over the world. I haven't been as active on the ACUB of late due to energies being focused elsewhere, including delving a bit into the Periscope & Blab realm.

I wanted to share my wordpress link to share some of the videos on #ProjectedEHR & also links to periscope/katch and Blab, some paintings & blogs thrown in unfortunately.

https://jimmievanagon.wordpress.com/about/

If any of you are interested in blabbing sometime, it is a great way to meet & next best thing to meeting IRL.


?I hear and I forget. I see and I remember. I do and I understand.?
Confucius

Have a Happy New Year all !

Here is a sample of Blab from last evening and near the end talk about #ProjectedEHR and possibilities.

https://blab.im/james-legan-md-inno...healthcare-after-hcldr-chat-with-wareflo

& also a link to learn more about Blab, but I think may be a very good medium to brainstorm & exchange ideas.

http://www.marc-levy.com/blab-im-tutorial/#whatisblab

I think Chrome Browser works the best but if any of you are interested in "Blabbing" let me know, a lot of fun !

Recent article on screen sharing of the EHR

http://consumer.healthday.com/gener...-technology-takes-over-study-705698.html

Here is a quote from the above mentioned article.

"Doctors also might turn the computer screen so that the patient can see it as well, Frankel said. That way, the computer could become a tool that helps a physician educate their patient on their own health status. Patients looking over a doctor's shoulder also might be able to catch any errors or typos in their health record."

And here is a Periscope video I did a while back to demonstrate my particular set up, and of course, "there is more than one way to skin a cat" (modified Mark Twain quote).

https://www.youtube.com/watch?v=kz9rVtRpuI0

Many thanks to JBS, Indy, Sandeep, & many others that have helped along the way down this Chromebook Highway !

Excellent! I do something similar with all-in-one 27 in inch computers and just angle them so the patient can see.

Kevin,
Thank you very much for your response, and if you care to answer I am very interested in how often you do this and what your patients think when you do. This has become a bit of a passion for me and I think started when I went from the paper chart world at the end of 2011. At the time I was interested in making the transition to capture the MU $ and avoid the MU penalties when my motherboard went out on my then brand new laptop I just started using at the point of care in each exam room. I found myself running between my desktop office computer and the exam rooms learning quickly when I had to refer to the computer. It was a very frustrating and painful transition but I learned a lot, especially when I wish I had the laptop to point something out or refer to. Your feedback is much appreciated.

Blab about Chromebook HDMI'ed to wall mounted TV~ #ProjectedEHR

https://blab.im/james-legan-md-projectedehr-let-s-stick-both-our-noses-in-the-ehr-denniskenez

Going to resurrect this old thread, but the trackpad went out on my HP 14 inch Chromebook so just got the ACER 14 inch chromebook and have been using for a week.

Here is a review: http://www.androidcentral.com/acer-chromebook-14-review

It is by far the best chromebook I have used to date. A good deal for the price IMHO.

So if you are looking for a chromebook, this one may be worth taking a peek.

Do these run Windows? AC says for v9 you need a minimum of an Intel i3 processor. Do you thinks this will run v9?

Chris,
The chromebook I am using, the 14 inch Acer, no, but runs on Chrome OS. Here is a link about it. http://www.computerworld.com/article/2893364/is-chrome-os-right-for-you.html

However, I use the chromebook at the point of care, as my simulated dual monitored desktop that has windows 7 with a beefed up processor. I use the Enterprise version of VNC view made for chrome to turn my chromebook into my "desktop". Here is a link on VNC viewer made for chrome.
https://www.realvnc.com/products/chrome/

With the HDMI port of the chromebook use an HDMI cord hooked to a wall mounted TV screen, 24 inch to share the EHR experience with the patient in real time. Works slick.

I have not tried this but windows can be installed on a chromebook. Here is a link.
http://www.digitaltrends.com/computing/how-to-install-windows-chromebook/
Thanks Chris.

Chris,

Most of our clients use the Chromebook RDC app to connect to an AC server via terminal services; be that their local server or our managed environment.

This makes the Chromebook superior to a laptop in many respects. We have a client looking at the Chromebook Pixel as a high-end replacement that travels with them like a tablet.

If the Doc needs assistance in buying or implementing AC or the accompanying infrastructure, let us know.

Chris,
I am on version 9.1 and on AC in the cloud and the VNC viewer made for chrome Enterprise Version with 256 bit encryption, behind the firewall on the intranet works very well.
However, more than one way to skin a cat, so I have not used the RDP for chrome, but using RDP with my main desktop to "attach" to AC in the cloud.

What I like about the VNC viewer is that it is easy to toggle between the "simulated desk top environment" and the native Chrome OS to go out onto the internet. And the VNC viewer supports the dual monitor function, which comes in handy such as looking at xray images on the right screen and AC on the left, to show pts on the wall mount TV, or toggling and googling stuff together too.

I blame Indy for pushing me down the chromebook highway by the way, my life has never been the same LOL .

Jimmie,
Hello, I have just read through all of this forum as I am trying to go mobile in my office. I was originally looking at the surface pro but stumbled on the chromebook and then this forum. It sounds like at some time you made the transition from in office server to cloud based AC which is what we use currently. The IT helpdesk recommended hard wired devices if using an app to log into a desk top in office. I'm assuming you are using a wireless system with the chromebook? If so do you have any issues with connectivity when you are "attaching," to AC in the cloud? Are you aware of anyone doing the same with an apple product? I currently use a MacBook to log in to my desktop when away through GoToMyPC and it seems to work fine, was wondering if there is an advantage to the chromebook vs a mac for in office use like this?
Sounds like you have been through quite a journey with all of this. Thank you for any insight you can provide.

You have several options.

For our clients who run in our managed environment, or on AC's you can use RDC to connect directly. In some cases, we have had to request that AC provision RDC versus just the App.

With RDC, you can use both Chromebooks and Macs. If AC is unable, unwilling to help, just give me a shout. It just takes some attention to detail.

There are a host of reasons to move away from Microsoft centrics solutions.

Mobile solutions and improvements are moving quickly.

Atlasdoc,

What Indy describes is a bit different than what I use at the office. For home I use a microsoft os base HP EliteBook laptop to directly connect via RDP to the cloud AC. AC tech support got all that hooked up for me. Also access updox from the laptop at home--works great can do everything I can here at office at home, except see pts, and now that I am e-scribing scheduled meds, works well, when I take time off from office.

However what I do from the office is a bit different. I have a standing dual monitored desktop (as my nurse) both RDP directly to cloud AC & both with updox--so only have 2 computers to maintain/upgrade in my "pod".

What I do with the chromebook is connect to my office desktop behind the firewall (intranet) with VNC viewer made for Chrome, Enterprise Version with 256 bit encryption for security. We upgraded our Instant Access Point with Aruba 110 series.

I can't even remember the last time I had a dropped connection with this wireless set up. However I am not transferring records or using the RDP function but just remote controlling my desktop with the chromebook, and can use two screens with the swipe on my touchpad.

The chromebook is easy to replace, with two step authentication, takes less than 5 minutes when you change out to a new one by signing into your gmail account and entering the 6 digit # to complete the 2 step authentication, so minimizes downtime with the point of care device in the office.

Hope this makes sense and helps, let me know if you have any other questions.

Jimmie, thanks for the info. Couple follow up questions.

Is there a reason that you don't just use your laptop at that office with direct access vs remote access with the chrome?

I remote in to the office with a macbook Air from home through gotomypc, is there a benefit to using chromebook vs the mac for this purpose? Do you know of anyone using a VNC viewer with a Mac in their office?

Forgive my tech ignorance, You said that you access AC directly from home but through an RDC? I thought using an RDC implied that you were remotely accessing a desktop or server?

Thanks again for your help.

Thanks Indy! will reach out if I can't figure things out. Probably after 10 hours of stubbornly trying to figure it out on my own.

M. Heim,

I use to use the laptop I now use at home at the office. I don't use it much except on Fridays when I take off over the summer, or once in awhile on the weekends (at home). It takes about 2-3 minutes to power on, quite a bit heavier, clumsier than the chromebook. When I use the VNC viewer on the chromebook, it is easy to click out and use the native linux os to go out onto internet and google with patients. And then click right back into my simulated desktop with AC on the chromebook. But most importantly about 1/4 the cost of the laptop and easily replaceable, and dummy proof, no upgrades or antivirus--so cheaper to maintain than the laptop--ie. don't worry about upgrading to windows 10.

Maybe Indy or Sandeep can answer your second question, I am not an apple fan, overpriced in my opinion,so I don't know. For what I need the laptop for at point of care the chromebook can do everything I need and in some respects better because of the solid state drive, noise free and fast on & off. Plus the battery on the chromebook can out last the laptop by two fold, up to 12 hours according to some of the reviews I have seen. Cost is the main reason I choose a chromebook over a macbook.

Your third question also may be better answered by Indy or Sandeep but my understanding is that VNC viewer remote controls the desktop whereas RDC is like the actual desktop imaged on the device you are using. So I wanted to differentiate using RDP from home on laptop versus VNC viewer from office with chromebook.

Also, one can port in through the firewall and I could connect to the office desktop with the chromebook from home with the VNC viewer for chrome too, but don't because I already had the laptop, and since I don't use it much don't mind using that as my device of choice from home, but could easily use my chromebook too.

One of my partners did use GoToMyPc with an I-pad but now uses the HP-stream as device at point of care with GoToMyPC, she likes having the keyboard on the stream.

Thanks again Jimmie,
I am trying the mac today as I already own it and figure it is a good trial. Using it with gotomypc. So far so good. Will likely go to the chrome book for my MA to room patients for cost purposes.

To connect directly to an AC instance (describing our connection capabilities), there are three approaches: RDC, RemoteApp, or secure HTML. Most clients use their Windows/Mac/Linux/Chrome device and use RDC. Those are all direct connections.

M.Heim,

You bet ! If you decide on a chromebook, I have found the 14 inch matte screen works best, I tried the 11 inch screen and too small for my 50+ year old eyes.
I have been very pleased with the 14 inch acer, now about 3 weeks of use. One trick I discovered is to hit control + or control- to enlarge or minimize for ease of reading or viewing.

Also & this may be pushing my luck here, if you have a 24 inch screen TV or larger, hook up an HDMI cord between the two and use the mirroring capacity of the chromebook to share what you are doing at point of care. If you do let me know how it goes and thanks again for your questions and conversation.

Thanks Indy for your thoughts too

Dell has a micro form factor desktop that is small enough to attach behind the monitor, running an Intel i5. One of them has the capacity for 3 displays and HDMI and Display Port connectivity. I'm thinking about this for the exam room with a second screen for the patient. I'd like to get rid of paper entirely, but I'm still printing lab sheet for patient review.

Chris,
If you decide to do this, let us know how this works for you.

So far, I'm very happy with the small form factor from Dell. It must be built with laptop components, because there is no big fan and it uses a transformer like a laptop does. It's one of our fastest computers now, as well as being tiny. It's nice to have the reception desk cleared off of the bulky tower case.

Just playing around with my new 15.6" touchscreen Acer Chromebook I just got today. I really like the back lit keyboard, the touch screen and largest screen I have ever used with a Chromebook. We will see how it performs in the office next week but I think I am most interested in how much I will use the touch screen. I have been thinking about making this change for a while, and finally decided today since Walmart had a pretty sweet deal. Maybe more on this topic later. There is no HDMI port but I had to get a usb-c to HDMI adapter, which should work just fine. Battery life is suppose to be more than 12 hours according the reviews I read.

I have been very pleased with the new 15.6" Acer today, I have been using it as my simulated desktop in each exam room with VNC Viewer made for chrome all day without a recharge and still have 6:18 left on the battery. I will be installing RDP for chrome so I can now turn the chromebook into my new laptop (will replace my old HP notebook laptop), so I will be able to use AC in the Cloud and Updox and do my secure video chat and work from home or vacation. Or if i lose internet and or electricity at the office, I can then use my mifi device from verizon and keep working on the chromebook. So for an affordable price this will be an excellent solution for the present and future, it will be my point of care device simulating my desktop with VNC viewer, or my new "laptop" RDP'd into AC in the cloud. I am disappointed with Medical One Dragon, claiming to be a cloud based solution, but unable to be deployed from a chromebook with the dragon extension for chrome. I do hope they get with the times to get this option available in the near future, or other solutions will push them from the market place IMHO.
Also the touch screen does not work when I use VNC viewer to simulate my desktop. This is the nicest laptop I have ever used. Takes seconds to turn on and off too.

Hi Jim,
I am in the market for a Chromebook, but I want a smaller, light one, for travel.
You have a lot of experience with them, any recommendation?

I like the Acer's but I have only tried HP's otherwise. Minimum screen size I would recommend would be 14 inches, I found this link that might help you make a better decision.
https://www.t3.com/features/best-chromebook

Thanks, Jim! I'll look at the Acers.

You bet Donna !!!! I was just thinking of our trip out to Laramie when you saw the big old moose at Vedauwoo, fun time that trip was. And if you can get a back lit keyboard, I would recommend that for sure. I love this 15.6 " ACER I have now.

Yes, Jim, that was a great trip! That is still the only time I have seen moose, even though I go to Maine every year. I really miss the ?old days? of AC with the original owner, the physician centric focus, and wonderful colleagues all working together to learn the new technology. Those were fun times.

I went to Walmart today to see the Chromebooks. The 15.6 looks really nice and it?s a great price. But, I think it is a little bigger than I want for travel. And you?re right, smaller than 14 is too small. They did not have the 14 inch on display, so I want to see if I can find it to demo before buying.

My current traveling ChromeBook is a Acer CB3 431.

14", aluminum, light, tight, and outta sight! (retro reference there)

Very tough, and a serious improvement over my previous ones.

Got it at Costco on sale for ~ $200 iirc.

Thanks, Indy! It just so happens that the Acer you have is the one I honed in on today.
Ha, ha, I recognize your retro reference.

I found another use for the Chromebook-RDP connection inadvertently today. Near the end of the day I just started running my antivirus scan on my desktop, and after I signed out of AC on my desktop my nurse asked if I would do 5 more things on AC. I panicked for a second, thinking I would have to either wait for the scan to get done, or finish things up at home. Then I realized I could just sign in on my chromebook rdp to AC in the cloud, keep my desktop antivirus scan going and get the stuff done. So yet another nice feature of the rdp chromebook feature.
I also realized I have 15 gb of data with a mobile hotspot on my phone, so easy to connect to the chromebook, and with the improved battery life on my phone, this will be a very viable solution to keep working in my office if i lose internet and or electricity. Of course my nurse won't be able to work on her desktop but we can at least keep working, where as before having the rdp chromebook connection I would be at a standstill and unable to work.