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excessive unsigned documents in desktop causing major slowness cps12

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CPS, C-EMR, PM

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lic08

(@lic08)

Posts: 286

Reputable Member

Topic starter

We have a physician who has a lot of unsigned documents on her desktop. For some reason in CPS12 it is causing major slowness when entering office visits/notes or browsing around. When I logged in, everything works fine. When I select the physicians' document desktop view, it slow down everything I do as well. GE suggest signing all those documents but that would take a long time. It started happening after the upgrade to version CPS12. Has anyone seen this? thx.

Posted : June 21, 2014 7:34 am

tnc

(@tnc)

Posts: 517

Honorable Member

lic08 said:

We have a physician who has a lot of unsigned documents on her desktop. For some reason in CPS12 it is causing major slowness when entering office visits/notes or browsing around. When I logged in, everything works fine. When I select the physicians' document desktop view, it slow down everything I do as well. GE suggest signing all those documents but that would take a long time. It started happening after the upgrade to version CPS12. Has anyone seen this? thx.

We have at least one provider who does this and we just upgraded to CPS12 on Thursday. No problems for us yet but can you tell me what is "a lot"? I would like to compare numbers and keep an eye out for performance problems. Also, can you see any odd activity on the SQL or jboss server to coincide with this theory?

Mike Zavolas

Tallahassee Neurological Clinic

Posted : June 23, 2014 12:09 am

lic08

(@lic08)

Posts: 286

Reputable Member

Topic starter

We are talking about 5 digits.

Posted : June 23, 2014 12:11 am

glamontagne

(@glamontagne)

Posts: 89

Estimable Member

Ouch! We thought anything over 100 was a lot.

Posted : June 23, 2014 12:42 am

tnc

(@tnc)

Posts: 517

Honorable Member

lic08 said:

We are talking about 5 digits.

Wow. I think ours is over 1000 but less than 2000

Mike Zavolas

Tallahassee Neurological Clinic

Posted : June 23, 2014 1:08 am

Sirna

(@sirna)

Posts: 384

Honorable Member

I have been told in the past by GE that for every 100 documents on the desktop causes the system to be slowed by 10 seconds. So with 5 digits of documents, you are going to see a lot of slowness. We have had to enforce providers keeping their document loads in the low hundreds if any at all to avoid this.

Posted : June 24, 2014 4:59 am

tnc

(@tnc)

Posts: 517

Honorable Member

Sirna said:

I have been told in the past by GE that for every 100 documents on the desktop causes the system to be slowed by 10 seconds. So with 5 digits of documents, you are going to see a lot of slowness. We have had to enforce providers keeping their document loads in the low hundreds if any at all to avoid this.

Would that 10 second slowness just affect the desktop with the 100 documents or the entire system? We have several with 600 documents or so but it is used as a 'garbage dump' of a sort (weird workflow I suppose), and there is no intention to ever sign them, unless it causes issues with others' desktops. Honestly, depending on teh day and no matter how new may hardware is or how much RAM I have allocated someone will complain about "the system being slow" with nothing else to go on.

Mike Zavolas

Tallahassee Neurological Clinic

Posted : June 24, 2014 5:13 am

Sirna

(@sirna)

Posts: 384

Honorable Member

It would directly affect that particular desktop. So my desktop is empty and I would have no slowness, but when changing desktop views to the affected desktop everything would slow to a snails pace. We had a provider that had over 3000+ items on their desktop and it was like watching paint dry.

Posted : June 24, 2014 5:15 am

lic08

(@lic08)

Posts: 286

Reputable Member

Topic starter

Agree. I changed the desktop view to the affected desktop and everything would slow to a halt. Changed it back to my desktop and everything runs normally. so i thought i was on to something. What if i logged into the affected user and change the desktop to someone else. Unfortunitely that didn't work either.

Posted : June 24, 2014 5:22 am

Sirna

(@sirna)

Posts: 384

Honorable Member

The only way to fix this is to clean up the desktop. No other work around that I know of.

Posted : June 24, 2014 5:23 am

Jim Poulos

(@jpoulos)

Posts: 118

Estimable Member

We also have a number of providers who have a bunch of unsigned documents, namely old transcriptions, hospital progress notes, labs, etc. that were brought in as part of backloading and historical dumps from these various interfaces. Is there some systematic way of "Administratively Signing" these documents, possibly with the GE system user 'electronic signature' and possibly a note on the document indicating "being administratively signed, blah, blah, blah" so that it doesn't look like the IT folks are signing clinical documents?

Posted : June 25, 2014 6:15 am

jhuckaby45

(@jhuckaby45)

Posts: 65

Estimable Member

My suggestion would be to use Arnold Acantu's CPS Docviewer it allows the physicians to sign their documents much quicker. Several of my physicians are using it and they love it. This is his site. https://www.aphoenixtech.com/ He is also a heavy poster on the CHUG.

Justin

Posted : June 25, 2014 7:30 am

Jim Poulos

(@jpoulos)

Posts: 118

Estimable Member

Arnold,

Can you provide a screen shot on your website so that we can see what your tool can offer?

Posted : June 25, 2014 7:50 am

Sirna

(@sirna)

Posts: 384

Honorable Member

We have a dummy user account called LinkLogic and we use that to sign off on any documents and it states Electronically signed by LinkLogic. This is more for any orphaned documents that drop in from our various interfaces.

Posted : June 25, 2014 9:55 pm

aballard

(@aballard)

Posts: 43

Trusted Member

We use DocViewer as well. Has been a great tool for our docs who fall behind and their desktops become unmanagable.

Posted : June 26, 2014 12:05 am

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