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chmc #70878 02/15/2017 3:16 PM
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History with these tech companies tends to repeat itself.

If there is habitual slowdown or failures, it's probably because the responsible company is not proactive, doesn't retain good staff or does the job just "good enough for now".

Maybe it's in their name - Newcr*p... wink

We don't pay very much comparatively, so I'm guessing Newcrop is the lowest cost erx vendor. We are probably getting what we pay for. I'd pay a significant amount more per year for fast and reliable erx.


Larry
Solo IM
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chmc #70883 02/15/2017 7:12 PM
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koby,

My bet is it has nothing to do with NewCrop for a multitude of reasons. For one thing, there aren't many talking about it, plus the pipe is at the end of the EMR, and you have all the bells and whistles turn off.

You are IM, so I am guessing you have individual patients on a lot more drugs than I. Remember, when AC starts, it brings over most of the demographics so you don't have to wait to open a patient. If you recall when there was a significant delay (23 seconds in wireless), the next patient would be 18, because some of the info brought over could be used for that patient. Remember the tabs. You clicked on Summary. Slow. Next time. Fast.

Now, when AC makes the query to load data in the beginning it brings over a lot of data, but it does NOT bring over the meds. That would be a lot of useless data. Seems like bring over all the demographics would be a lot as well, but....

Now, the amount of time to open your script writer is directly proportional to how many meds you have for that patient. Which is why it SHOULD open much quicker the second time around. When you print a script it has to be written to the database. I don't know if you have to query it back. You shouldn't.

Now, keep this in mind. If you have 20 meds on a patient, you may have 60 inactive. I have suggested to AC to not bring over the inactive when you open a patient. With me, 80% of the time, I don't need the inactive.

But, you should do an experiment.

1. One med
2. 15 meds
3. 15 meds with 60 inactive

Unfortunately, you need the inactive, which will be in the summary section but not very useful.

Give that a try and let me know.

If there is a problem, please PM me.


Bert
Pediatrics
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chmc #70885 02/16/2017 8:20 PM
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Koby,

I would be it is something to do with the speed of your NIC with the speed of your switch. You may have a Gb switch, but a single port may be connecting much slower. With your network speeds you may not notice a difference with 100Mbps, but at 10, you definitely will.

Of course, your unmanaged switch may fix it if there is a problem with your managed switch. But, with your managed switch, you will be able to see the port and what is going on with its status, link speed and duplex. As we talked about, your can force the link speed and duplex and you can change the Ethernet to your port. Ideally, your ports would be numbered to match numbers on your Ethernet jacks and the names would match your hardware.


Bert
Pediatrics
Brewer, Maine

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