tag:blogger.com,1999:blog-18943510.post4517839244914158569..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The Disjointed Servers of Health CareDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-18943510.post-62073029056735322122008-10-28T17:20:00.000-05:002008-10-28T17:20:00.000-05:00Wes,You need to get your organization to support s...Wes,<BR/>You need to get your organization to support single log on (SLO). We have over 1400 disparate information systems, most of which do not speak to one another but we all access the applications we need with a single user ID and password. The SLO launches along with the application once you log on to the PC so as the application opens, it signs you on.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-39958716413086301122008-10-22T14:59:00.000-05:002008-10-22T14:59:00.000-05:00Dr Wes - you bring up a great point. And Art Vand...Dr Wes - you bring up a great point. And Art Vandelay also makes some great points too. Probably the best one is to lobby for a SSO application (big bucks there). It's expensive and most institutions don't think it's worth the investment. Your job is to convince the higher ups with the control over the $.<BR/><BR/>The upshot? The physicians need to get involved in the process, not just Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-46189455348158619082008-10-22T11:34:00.000-05:002008-10-22T11:34:00.000-05:00Art_Vandelay-Thanks so much. We are very fortunat...Art_Vandelay-<BR/><BR/>Thanks so much. We are very fortunate to have electronic access to so many applications and their associated information. But, like you say, the doctors are experiencing significant "growing pains." Hopefully IT administrators can use this feedback to understand the needs of those of us on the front lines to improve efficiencies as system (and server) integration DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71047164227029429502008-10-22T06:31:00.000-05:002008-10-22T06:31:00.000-05:00Art_Vandelay - Dr. Wes - a couple of recommendatio...Art_Vandelay - Dr. Wes - a couple of recommendations:<BR/><BR/>1. Ask if the plan is to migrate to the Cardiology Module - Cardiant. It is definitely less robust than each of the best-of-breed systems you've mentioned but it is quickly getting to the "80/20" function level (i.e., 80% of the most needed functions to do the ROUTINE processes are there). If/when you get this going, ensure they allowAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75816013935363494432008-10-21T21:44:00.000-05:002008-10-21T21:44:00.000-05:00It is ridiculous that you accept this. If you rol...It is ridiculous that you accept this. If you roll over, IT geeks run all over you. If you demand excellence they will provide you with it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-45226475985466687352008-10-21T08:38:00.000-05:002008-10-21T08:38:00.000-05:00The issue runs even deeper. Now, we must log on t...The issue runs even deeper. Now, we must log on to each server to check for "non-verified" readings that need to be electronically "signed." Because there is no centralized location to know which server has non-verified reports that need to be electronically "signed," we must log on to each server to check for outstanding reports EACH DAY. We assume the entire liability for the presence of DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37229564991751686072008-10-21T08:10:00.000-05:002008-10-21T08:10:00.000-05:00AND every hospital has different servers! I curren...AND every hospital has different servers! I currently work at 2 hospitals, and I have to know every server at both hospitals. Wouldn't it be nice if at least they could be consistent with every hospital in the state having the same programs? The worst is when you forget a password, have to call the IT help desk and they spend 20 minutes trying to reset your password. talk about inefficient!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-55218722031467630782008-10-21T07:06:00.000-05:002008-10-21T07:06:00.000-05:00I agree--just one, not the sea.I agree--just one, not the sea.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53054161073884852852008-10-21T06:09:00.000-05:002008-10-21T06:09:00.000-05:00And of course, for security purposes, your passwor...And of course, for security purposes, your password needs to be changed on a frequent basis. Obviously the servers are not in sinc with each other, so you never know when your old password is required to be changed. And, of course, you can't use anything close to any other password previously utilized. Where do you store all those passwords?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-72095577905115164702008-10-20T23:21:00.000-05:002008-10-20T23:21:00.000-05:00I couldn't agree more. I spend a good 2-3 minutes...I couldn't agree more. I spend a good 2-3 minutes every single time I have to log into the daily chart, then the electronic record, then the radiology system, then the dictation system.<BR/><BR/>And the HIPAA rules log me out after just a few minutes of inactivity. <BR/><BR/>Give me one system. Give me one log in. Make it voice recognizable. Make it wireless. And make it fast and I could The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.com