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I always print a hard copy of my clinical note.
I rely on the program to offer me that option--which I set in the user preferences section under "Edit".
Ever since I have upgraded to version 9 the option to print randomly disappears and I have to reset it. It doesn't make much difference whether I click the Save box.

Not a huge issue? more of an annoyance than a problem ? but I sometimes have to go back and print several charts manually if I forget to notice that the box isn't there.

Hi Tom,

Which version of AC are you specifically using? I cannot reproduce that issue, and I have tried to do it in various ways. I am using the preferences that you mention under notes, and the box would have to be unchecked. (Which I am sure you know; just making sure we are referring to the same box).

If you using a different version 9, this is an obvious bug, which needs to be fixed, and I would think it is more than annoying. I would send it in using Recommended Improvements under Help on the main window of AC.

Do you mind if I ask why you print each encounter? Thanks.

Tom,
I have experienced the same thing. Most of my notes are faxed to referring docs, so my default is to bring up the print screen after each visit to print-to-fax with the Updox printer.
Un-checking of the relevant preference box has happened to me a few times in the year or so since I moved to V9. I can't say for sure how often or how many times it has happened, though now I am paying closer attention. It has quite unusual, but perhaps is increasing in frequency.

But don't you want it unchecked?

Yes, default is checked, and I uncheck it and tick the box that says "save" preferences -- then it spontaneously reverts to default from time to time, seemingly randomly.

Bert--using version 9.4.3.
Haven't used anything else since 6.x
Reason for printing -- front office uses it for billing, and one of providers insists on paper charts. Many things in life do not work as envisioned by their creators -- most trenchently, an EMR! I have given in -- custom trumps efficiency every time

Minor nuisance, just an oddity.

So everyone has to print the paper because one provider likes paper charts? That's very odd. Just opened a new medical clinic, and so nice not to have a chart room! The server room is about 4 x 5 feet and also houses all the electrical, phone, etc.

Yes, Chris.
One provider married to the other provider who refuses to use EMR.
Medicine is complicated, but domestic arrangements make it even more challenging.

Living the dream in Astoria, OR.

I can't imagine how that would be easier, but then I've never use paper charts. Systems of reconciliation and such have to be transferred, but that's a minimum of learning new skills. Learning to type is a big barrier for many in the Boom generation - most important class I took in HS. Easy to learn to type if you just purpose yourself to do it: and I mean touch typing not pecking. Typing 100 wpm saves so much of your life-hours over writing with a pen.

Since you are living the dream too: let me know if you ever want to trade all that nasty rain and wind for snow and wind.

@Tom

I am going to have to ask you to refrain from using words such as "trumps" in your posts, lol. J/K

Bert, you can't Trump what he wants to say like that, as what he says trumps other people's opinion in his own trumped up mind!

HaHaHa--

Is anyone else out there married to the co-owner of their practice?
I assure you, they dynamics are very different from any other arrangement.

On the other hand, I believe with MedPAC that the MIPS/MACRA formulas are fatally flawed, and only benefit large corporate entities -- and I take the difficulty of launching AC V.10 (delayed again, I guess) to be more evidence of that conviction.

I have hoped for years that AC would be the tool that would allow small independent practices to survive, but I am losing faith.

I think my wife may be correct, and I am wasting a lot of time and some money.

Time Trumps Money, every Time

yeah -- you can't take it with you.
Best to live the dream, not the obsession.