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Dear AC -

I would like to request the ability to have an archiving option for AC for imported items past 7 years. As you can imagine after adding PDFs, Documents, Images and other attachments to the chart the Imported Items folder has grown past 10GB. Since we try to do full backups w/ imported items it makes it harder and harder to backup with the imported items selected. Since there is only a 7 year requirement for keeping patient charts, could we have a imported items cleaner in Amazing Utilites or Admin options to run ad-hoc that cleans these up if desired. Not sure if it would be best to archive them to a zip file that can be kept outside of backups process or just plain delete it. (maybe an option could exist for either).

Best Regards,

Chris

The option that we have instituted is to backup the imported items folder to the cloud, using an encrypted service such as Carbonite (which monitors the imported items folder and backs up new items overnight)

Then we do AC backups nightly, without including imported items. And the AC backup folder is also monitored by our cloud backup service, and backed up nightly.

This saves us from repeatedly sending a 10GB file to the cloud.

Now if only AC would implement a full and incremental backup solution...

NeuroDawg -

Thanks and I realize this is an option... although I dont think it is as clean as having one file to use for restore purposes.

Currently we run Amazing Charts inside of ESXi 5.5 (that server is backed up with xsibackup) - adhoc

We use encrypted backup of Imported Items - which runs nightly and does incrementals as well to the cloud (Jungle Disk) we also run the DB backup only nightly and a series of .bat scripts to clean up the extra directory that amazing charts writes its backup file to so that only the latest ~500MB backup file will get uploaded to JungleDisk. I also have a job created on the cloud end to remove the DB backup every 2 days so that we are not paying extra for cloud storage.

Also, if this wasn't enough I back up using windows server backup - custom on the AC install Dir to a CIFS share on a NAS inside of the office.

The POINT is that I really dont believe we need these files or could just simply "archive" them and back them up once and forget about it.... Id much rather backup one file every night then have this do incrementals and single files which could potentially miss something.... somewhere... or make for long restores....

Actually if you think about it, it's a more efficient way to restore. Since you can restore the database within minutes and copy the II over manually. Imagine how long it would take to restore a 100GB file. To decompress and extract a backup of that size would take hours and cost the practice money. But if you can at least get them the charts they need, they can start working and access the II as they are copying.

Is there any way to encrypt the imported items folder and still have it be functional?

BitLocker will encrypt the whole drive. Invisible to the user.

How much of a performance hit is bitlocker?

any caveats? potential bugs while running AC that might trace back to bitlocker? what if something goes wrong?

i'd love to do it, cause otherwise imports are plan pdfs with lots of patient info sitting there. currently at least it's on my password protected server in the office. but is that enough security?

if i had a laptop with the full database i'd say bitlocker would be mandatory.

thanks

It should be fine. I haven't run into any issues over the last 5 years. It's transparent to the OS. Performance impact appears to be negligible.

Most people have Everyone listed on their shared folder permissions. It would be rather easy to just take the data with you over the network. No need to steal or break in.

Bitlocker protects against physical theft and boot time attacks. So if the only thing between your computer and a thief is a window, I would strongly recommend using disk encryption. Disk encryption will do nothing to enhance network security.

If you have a TPM, it's really nice since the password check only activates if some attempt is made to modify the system. Other disk encryption programs require you to enter the password everytime at reboot. That could be a major issue if a PC needs to be rebooted remotely. That's why BitLocker with TPM is so prevalent.

I likely won't do this, because I am not too concerned with my patient data security. I know...

But, I just received in the mail from my Medical Liability Insurance that you can add to the plan and get $1,000,000 in protection which provides quite a few things. I am not promoting it. I didn't even read the entire letter. Just sayin'.

You can get up to 50K per record though (up to 1.5 million). I think most of those insurance policies require to meet their minimum standards before the policy applies. That means using disk encryption.