We have had the same issue since we upgraded to CPS 12 in June 2014. We are in a VMWare virtual environment.
We upgraded from CPS 10 and have been on centricity since CPS 9.0 in 2010 with an almost flawless experience. Granted we are a small clinic (licensed for 28 concurrent users) but the degradation in performance has been surprising.
Some things we have on our list;
1) Introduced a new Application server (we have separate database and application servers) - minimal improvement. However from a troubleshooting standpoint we have a clean install. As per GE the addition of HTML forms and the CQR component add a load on the Application server that may require allocation of more processors. Documentation recommends two dual cores, we allocated three.
2) Curb the number of unsigned documents in the EMR. Apparently every 100 documents can slow down the response on a providers desktop up to 10 seconds (please verify with centricity support). We have managed to keep our providers down to a max of 75. Every once in a while, one will escape and we'll have to corral them back. So far all providers have been very cooperative.
3) Archive OBS - when a patient chart is opened, all the values associated with each OBS term is called and displayed, For example, the hypothetical OBS term, BP, stores values gathered on the patient in 2010. If 2010, 2011, 2012 values are archived, they are not called when chart is opened and chart should respond quicker. User/provider still has a button to display all values if necessary (scheduled) - Your support personnel should be able to guide you with this.
4) Discuss with providers how many months back they want to see documents. [Preferences > Patient Charts > Documents (“Document Display” Section)]. Same concept as in (3) above. If you limit the number of documents displayed by default, it may provide some performance benefit - (scheduled)
5) Performance analysis - script analysis of the database to determine if any optimization is necessary - (scheduled).
So far, we have minimal improvement. Hopefully we'll get something tangible once we get through this list.
Hope this helps someone.
Thanks.
Ben
Posted : December 8, 2014 7:00 am