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#6873 04/17/2008 11:08 PM
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Hey folks,
Who out there has started playing with the new release and what is the word??? What is good and slick, what has made your life better, and is it behaving itself like a good boy should???


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The "Enlarged View" is the coolest thing! Anybody who has ever had to squint when typing an encounter note should appreciate this.

Ctrl-E now gives you an enlarged view of each text field, with templates still available via right-click, and you get big buttons to navigate from field to field.

It is going to be great for Boomer Eyes and for people using tablet PCs.

I thought I would hear raves about it from Leslie and Wayne by now, but maybe they haven't discovered it!?!?!?!?


Brian Cotner, M.D.
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I loaded it on my laptop to play with. Pretty similar to other versions, was not able to reconfigure the prescription, which is the primary project I am focusing at the moment.

You have to register as a prescriber on this version. This went smoothly.

Using the search function was reworked, I will have to compare side by side, I'm not sure it's better, maybe I'm just used to the old version, didn't play with it long.

It has the ability to magnify the boxes, I just got better bifocals, don't need that at the present, but I can see it could be useful.

Added ACL labs which I use, I talked to the rep, they are supposed to get back to me.

Seemed to install faster

Overall, a nice move forward, I have not installed in working environment, as I want to play with it a bit and really haven't had time


Wendell
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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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Wendell:

Did you email Jon about fixing the Rx adjuster?

Arkansas just passed the same law regarding tamper-proof Rx Pads, and I would like to be able to print on the freebies too!


Brian Cotner, M.D.
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Do you mean being able to tweak it this way and that way? Didn't someone say that this was now possible??? Just sounds familiar.


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I thought it was fixed with this release, but I thought Wendell said it wasn't.


Brian Cotner, M.D.
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It still will not go up and to the left, by the negative numbers, only down and right.

No I have not reported this as I should, maybe I'll send a bug report today


Wendell
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I went ahead and reported it today.


Brian Cotner, M.D.
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Hey you guys,
I get the feeling that by this point things are pretty rock steady in this older version, but none the less, I always want to know "how stable is the new version"? I don't mind helping out and reporting minor issues, heck it is the ethical thing to do, to pitch in and help out in making AC the best that she can be. But if a version just wants to crash regularly and has the girls screaming for me to come look at this and that half a dozen times a day as my doc is not getting her charting done, then that is the update I need to avoid...

So how stable has this new version been while you've been testing driving it??? Thanks.


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Stable so far, but limited usage.


Brian Cotner, M.D.
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Thanks Brian, Anyone else???


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I have been using the new version since the day it came out - works good, no real dramatic changes. Have had no crashes - seems stable - also used the alpha test version which came out a few days before and it worked well.


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I used it once. I can crash it over and over but only with the same thing.

If you bring up an ICD-9 code when you do a note and type in something like Asthma, exacerbation and that do a backspace it will crash. Since I do that often, that would be quite a pain.

Twips don't work. Never could understand why that is so hard. Also, always hard to switch between different script formats. Still love TPS800. Can't beat it.


Bert
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But, I am like Leslie (I think it was she). There just aren't enough advantages to switch.


Bert
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I complained about the twips today, along with a couple of other issues.

I'll have to try Bert's bug out; sounds like fun!

As far as advantages, I am glad to have the undo function working in the HPI section, and the tabs resizing properly. I am also happy with the Enlarged View Ctrl-E, as I have mentioned several times before.


Brian Cotner, M.D.
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Yes, Bert is correct. Although I have not yet tried the new version, I really see little of added value at this time for my particular needs. Hence, I likely will not upgrade. Fix the SpellChecker, fix the Allergy box and a few of those issues and I'll be on it like the proverbial odiferous bear splat.

Leslie


Leslie
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I have been using it for just a few days and am having a lot of trouble with it crashing on me. Here is the error message I get:
Run-time error '-2147217900 (80040e14)':

Syntax error (missing operator) in query expression
providerName= 'O'ROURKE' OR PracticeWide=TRUE'.

It happens every time I try to save anything under user preferences and frequently when I click on a chart that is in the message bin. If anyone has a suggestion for making this stop, please let me know.

Also since i downloaded this beta version I am having trouble using offsite backup. When I click on the file that it is supposed to go to, the error messages says it's an empty file. This is a big problem; I hope I don't lose any charts before they get this thing fixed. Guardian angels worked on it a bit on Thursday, but they weren't able to fix it. the only solution the programmer had was to change my name and lose the apostrophe. It was my understanding that this was one of the things the new version was supposed to fix.

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Leslie:

What do you need out of the spell checker? I ask because I may have a fix. wink


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Brian,
I would like to be able to see what the spellchecker is wanting to change. Currently one cannot scroll down to see what word the checker highlights, meaning I have to guess. When I first put in "Lexapro" in the body of a note, the checker wanted to change it to "leapfrog". I guessed correctly grin that no where in my note did I want to say anything remotely resembling "leapfrog". But I could not find the word the checker had picked out.

Leslie


Leslie
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I've been using it for a bit. We've had 2 problems which were not detected until I upgraded the main system.

1) Installation "wacked" the driver/interface to our fujitsu twain scanner. I eventually uninstalled the scanner software, and reinstalled it. It now works-- a little more cumbersome than initially 'cause I get this different screen now before scanning, but at least it does work again.

2) Installation "wacked" our Quest bridge. Not the HL7 download. but the "bridge" where the Quest computer can retreive the patient demographics from AC. So the MA is filling out paper lab forms (she thinks its faster than inputting it into the pc) and we download the results.

AC support has not been successful at resolving either issue. On the second one, the support person said "its a Quest problem." Nothing irks me more than that type of finger pointing. If everything is fine, and I change one thing, your program, and then things are not fine, Occam says your program changes caused it. So, what changes did you do that could affect it. Dont just hide behind "ours is working like we designed it." If nothing else, tell what you changed so the other guy can more easily see if he can change his software.

I may actually email Jon directly on this. Or I may try to get a Quest tech to come out and uninstall the bridge software, and reinstall it to see if that helps. Quest was very helpful BTW, spending several ours operating remotely trying to discover the problem (but unsuccessfully.)

They have made some improvements in this version. The larger print on the addendum pop-up is nice. They PARTIALLY fixed a bug in the Quest lab import where unnecessary things were being highlighted. They made it so that you could scan directly into the non-medical folder.(I've been asking for that simple fix for over a year-since they added it for file import but not for scanning. It should have ALWAYS been there.)

Uh oh, gotta go catch my train.



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Leslie:

I could not reproduce your problem with the spellchecker.

(I never use it because all words dictated with Dragon are spelled correctly).

All the misspelled words I placed in my documents were highlighted. Was Lexapro scrolled offscreen perhaps? It may have been highlighted, just not visible.

In a case like that, the Enlarged View might be helpful as it puts all typed words in a field on-screen at the same time; you would have to type for a LONG time before your text would flow off-screen.

Of course, I haven't checked to see if the spell checker works on the Enlarged View... confused


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Brain,
I have not tried the Enlarged Window View but I shall. Yes, the spellchecker does a great job of finding the wrong words. However, the spellchecker window overlies the encounter window and you cannot minimize it (spellchecker) in order to get back to the encounter. Another example....Spellchecker brings up the following 'n'. But the incorrect word lies soemwhere out of view in my text and I cannot figure out what I need to change it to because I cannot scroll down. As it turns out, the misspelling was 'n ot' ("not").
I will try the enalrged view.

Leslie



Leslie
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Leslie:

I thought I would let you know that Jon did an experiment with the controls on the enlarged view of the latest beta version (3.79) and they are not working properly. It will be fixed directly.


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Just trying to get caught up on the forum when I saw this...

Quote
It is going to be great for Boomer Eyes

Since I was not even aware of the new release I'll have to download it and play with it this weekend.

I'll love this feature I'm sure!


Barbara C. Phillips, NP
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Jon has already posted new beta changing the magnifier to alt-up arrow so the arrows will still allow you to move cursor and not open magnifier. I noted this yesterday with a BUG REPORT and he answered today - this illustrates how to send recommendations or bugs and he works quickly if he can. Download beta 3.7.10


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I am really digging the improved keyboard navigation in 3.7.12. This is an area that I think will help EVERYONE when they discover it.

ALT KEYS

Try this for an exercise:

First, hit [Alt+Right Arrow], and watch as your cursor moves from text field to text field in the main screen. Now, [Alt+Left Arrow], moves you back through the previous fields.

Now, hit [Alt+Up Arrow] to enter the Enlarged View. All text in each field is now displayed in full, in a larger type size, in Verdana font for enhanced legibility. cool

Now, hit [Alt+Right Arrow] again, and you will move through each text field, just as you did on the main screen. [Alt+Left Arrow] likewise works just as it does on the main screen. [Alt+Down Arrow] saves all changes made in the Enlarged View and takes you back to the main screen.

CTRL KEYS

[Ctrl-A] now works to "Select All"! [Ctrl-C], [Ctrl-V], [Ctrl-X] all serve their customary functions in every field.

[Ctrl+Z] also works for all fields now! (Undo didn't work in the HPI before now). Jon has said that he will make [Ctrl+Z] undo the [Ctrl+N] function -- let's keep reminding him about that.

[Ctrl+Right and Left Arrow keys] moves you through the text fields word by word. [End] moves you to the end of a line. [Home] moves you to the beginning of a line.

This is big. These changes are going to help people who have been squinting at their screens. They are going to help those of us who physically have a hard time using a mouse for long periods of time.

These changes are also going to make it easier for folks to create voice and keystroke macro commands.

This is a HUGE enhancement to Amazing Charts.


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Here's another keyboard navigation exercise.

Place your cursor at the beginning of a block of text that you want to cut and paste. Press [Ctrl+Shift+Right Arrow]. Keep hitting right arrow until your block of text is selected. Press [Ctrl+X].

With this method, you don't have to guess about where to click with the mouse or where to stop dragging, when you want to move some text. Just keep arrowing until the sentence is selected.

When you get used to keyboard navigation, you will find it is quicker for many tasks, as opposed to switching between mouse and keyboard.

Some of these capabilities existed previously, but Jon has added new functions that make the old functions work better.

It is possible now, for instance, to select patients via keyboard, without touching the mouse. I understand that there is more of this kind of thing coming.

These improvements make it much easier to sit with a wireless keyboard in your lap, and type while you listen to your patient.

Your monitor can sit out-of-sight, and a fair distance away, using the Enlarged view.


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Ctrl+Alt+B brings you a cold beer from the fridge. smile


Bert
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Bert,
When in the world do you have time for a cold beer?? You are working too many hours, son. In the end it really makes no difference. Trust me. You have nothing left you need to prove. Enjoy life a little more, before you are too old and arthritic.

Leslie, the Old Wise One


Leslie
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A cold beer, a bright 24 inch flat screen compuer, A VERY POWERFUL POWERFUL SUPPLY (kind of an inside joke), and a cold bed at home at 2AM. Who could ask for more.


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More Cow Bell????


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