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Teresa, GE has responded but they have told us that no other customers have reported the problem that we are experiencing. We have multiple databases and we are seeing it in multiple databases. We are actively working on this with our VAR and GE but they have not been able to identify any resolution. We've sent logs to GE. The difficulty is that we have not been able to reproduce the problem at will. It's very random. Our docs think it's related to adding prescription on patients that have a large number of meds. We have told GE this is a patient safety issue becuase when the meds disappear, they physician is unable to review medications in the chart update and the medications no longer print in the Chart Note.
These are the symptoms when the problem occurs:
-Medications disappear from the Prescriptions form
-Medications are no longer displayed in the Text Translation of
the chart note
-Medications are no longer displayed in the Med Update window
when clicking “Change/Update Meds” button from a form
The providers have to either close the Chart module or log out of Centricity to get the meds to reappear.
-matt
Posted : January 3, 2013 1:22 am
mj2718 said:
Teresa, GE has responded but they have told us that no other customers have reported the problem that we are experiencing. We have multiple databases and we are seeing it in multiple databases. We are actively working on this with our VAR and GE but they have not been able to identify any resolution. We've sent logs to GE. The difficulty is that we have not been able to reproduce the problem at will. It's very random. Our docs think it's related to adding prescription on patients that have a large number of meds. We have told GE this is a patient safety issue becuase when the meds disappear, they physician is unable to review medications in the chart update and the medications no longer print in the Chart Note.
These are the symptoms when the problem occurs:
-Medications disappear from the Prescriptions form
-Medications are no longer displayed in the Text Translation of
the chart note
-Medications are no longer displayed in the Med Update window
when clicking “Change/Update Meds” button from a form
The providers have to either close the Chart module or log out of Centricity to get the meds to reappear.
-matt
We are having this problem and have had it since upgrading to 10.1.3 in October. Our GE rep and our support tech have both admitted the issue and tell us it is being worked on. I have gotten the impression that when CPS 11 is release initialy it may not be fixed but will be in a Service Pack soon. We have been having weekly updates from our GE Rep (Sales) and have expressed our displeasure at initially being told nobody else was having the problem and then being told it will be fixed in CPS 11 and then having it implied that will only occur in the 1st SP to 11. It has gotten to the point in our office (which has been on this program since 2000) that many ofour users are agitating for looking for different software as a last resort.
Please understand that the future "promises" are not sure things but come from sales people. Maybe engineering is nearer to a fix than others in the organization realize or just may be further from a fix than they understand.
The program is genrally a very good one we believe but the cycle of fix one issue, break another is getting trying.
CHUG is coming and perhaps many of us should collar GE personnell and express our frustration. It certainly seemed to change the attitude of our reps when we did this 2 weeks ago by phone. They went from Pollyanna to a subdued attitude in our long discussion.
One more thing. We users have put a major load on the developers asking for neat things but perhaps we shoud back off for a few months and quit asking forthe mon while they catch up with Government mandate changes and also fix the current issues. The program is so big and complicated that when they try to fix an issue they break something else.
Warren B. Scott, MD (Retired)
Family Medicine of Mt. Pleasant
Mt. Pleasant, Iowa
Posted : January 3, 2013 3:28 am
Dr.Warren, thank you for your reply! Would you or a support person at your office be willing to discuss this on a call? If you have a GE SPR number, could you send that along so that I can share it with the GE engineer we are working with?
I think if I could prove to them we are not the only customers having this issue we could get them to commit more resources to resolving it.
GE has not stated to us that this would be fixed in CPS 11 or any service pack. They are still trying to figure out what the problem is. Orignially they attached our issue to a known SPR where Medications would remain unsigned even though a document was signed off (SPR 45314). The fix for that SPR was to run a SQL script to update the medications - in the MEDICATE table - having inconsistent values. We had already been running that script because we also had that issue on service pack 2. So it wasnt that. It took several conversations to explain to our VAR and GE that the issue we are having is different than that.
Thanks,
Matt Johnson | Fisher-Titus Medical Center | [email protected] | 419-660-2888
Posted : January 3, 2013 4:35 am
This is the new SR / SPR we were given.
SR 1-297189173
SPR 52837
-Medications disappear from the Prescriptions form
-Medications are no longer displayed in the Text Translation of
the chart note
-Medications are no longer displayed in the Med Update window
when clicking “Change/Update Meds” button from a form
Users have to close the Chart module or log out of Centricity to get the meds to display again.
Interestingly, when a provider recently had the problem occur, she remained in the Document (meds are gone) and had a nurse also join the update. The nurse WAS able to see the meds even the provider could not.
-matt
Posted : January 3, 2013 4:41 am
I believe all of these issues are related to the UI_Layout table as acantu mentioned above. This table has also given us trouble with occasional lockups while trying to open documents from the chart desktop view and from the billing module on the PM side when a user rearranges the columns. Running a regular script on the database as he described has solved all of these issues for us.
It would also explain why one user can see the meds while another cannot.
Hope this helps someone,
Mike
Posted : January 3, 2013 4:46 am
Thanks Mike. We setup the script that acantu provided to run every 15 minutes on one of our databases that is having the problem, however, the providers continue to have the problem. It also does not appear to have decreased the number of occurrences (according to our providers). I had high hopes and was pretty bummed 🙁
I verified the records are deleted from the UI_Layout table when the script runs.
So this doesnt appear to be the solution.
thx -matt
Posted : January 3, 2013 4:52 am
Topic starter
We have noticed the same thing. The meds would not be showing on the providers computer on the prescription form, but I could go into the chart of the same patient and it is there. Debbie
Posted : January 3, 2013 5:01 am
mj2718 said:
Dr.Warren, thank you for your reply! Would you or a support person at your office be willing to discuss this on a call? If you have a GE SPR number, could you send that along so that I can share it with the GE engineer we are working with?
I think if I could prove to them we are not the only customers having this issue we could get them to commit more resources to resolving it.
GE has not stated to us that this would be fixed in CPS 11 or any service pack. They are still trying to figure out what the problem is. Orignially they attached our issue to a known SPR where Medications would remain unsigned even though a document was signed off (SPR 45314). The fix for that SPR was to run a SQL script to update the medications - in the MEDICATE table - having inconsistent values. We had already been running that script because we also had that issue on service pack 2. So it wasnt that. It took several conversations to explain to our VAR and GE that the issue we are having is different than that.
Thanks,
Matt Johnson | Fisher-Titus Medical Center | [email protected] | 419-660-2888
Matt,
We Have bee working with GE on the disappering Meds since early in November 2012. Here is a copy of an e-mail from the support tech who sent the problem on to engineering.
"
From: Stevens, Jack (GE Healthcare) [mailto:[email protected]]
Sent: Wednesday, November 14, 2012 8:35 AM
To: Dr. Scott
Cc: Stahl, Evelyn (GE Healthcare)
Subject: RE: SR# = 1-287858667 ,Cust:FMMP;Pri:Medium;Mess:Version ~ CPS 10.1.3.300 Clinic/Contact work hrs ~ Mon 8a-230p, Tu-F varies (mostly mornings) CST *
Good Morning Dr. Scott,
The problem with the medication text not showing up has been sent to our development team SPR 52489 and I am afraid there is not anything more I can do to resolve the issue. I am sure Eve is doing all she can to push on development for a fix but she would be better able to answer that during your call.
Thanks
Jack"
Eve is our Sales Contact and we have been having biweekly talks with her about this with little progress but as I recall she thought it would be fixed in CPS 11 but wasn't sure if it was upon release or in the 1st Service Pack. We tried acantu's script fix discussed elsewhere in this thread fix but it did not work for us and introduced the problem of resizing windows within CPS every hour when it ran.
Warren B. Scott, MD
Posted : January 3, 2013 5:45 am
Thanks Dr.Scott, we have a call tomorrow with GE engineering tomorrow. We'll be sure to discuss this info with them.
I'll post any updates.
-matt
Posted : January 3, 2013 7:39 am
For those that may still have the issue after running the script i posted, you might need to try to index the medication table, however I still need to test it, which is going to be a little hard since we have not had this issue since I wrote the first script. But I will see what I can do.
Posted : January 7, 2013 12:46 am
GE engineering may have found an issue. One of the developers are looking at it. I'll post updates as they come.
-matt
Posted : January 7, 2013 7:56 am
MJ,
What was thier excuse when you finally proved to them that others were having the same problem and had been complaining to them?
W. B. Scott
Posted : January 8, 2013 12:26 am
Dr.Scott, I sent the info for your SR to the GE engineering contact that we've been working with. I wasnt on the conf call the day it was discussed. I was told that they acknowledged it but not much was said. Last Friday 1/11 we were told to test changing a setting in the EMR.ini file of the client directory.
They asked us to change the "UseOneConnection" from 1 to 0.
We've done this for one terminal server and have had a physician testing it since last Friday. As of yesterday at 2pm, she had not had the problem. She saw 7 patients on Friday after we made the change and worked all day Monday.
We are having her try it for one more day before making the change on more servers. I'll continue to post any updates.
This is the explanation we were given for what this setting does:
Setting this value to zero puts the transactions and all writes on a separate connection from the reads, preventing any pending read results from getting trashed by the transaction statement
-matt
Posted : January 15, 2013 12:51 am
Did changing the UseOneConnection from 1 to 0 worked for anyone else?
Thanks.
Posted : January 24, 2013 11:28 pm
lic08 said:
Did changing the UseOneConnection from 1 to 0 worked for anyone else?
Thanks.
I changed this setting on Jan 15 for 2 users. When I returned yesterday from a trip they reported that the changed worked. One user denies any problems now and the other gets an occasional mild delay but it is much improved.. They told the rest of our physicians while I was gone and most made the change on their computers without help as I had left detailed instructions. They are all uniformly pleased with the result. 
Posted : January 25, 2013 12:12 am
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