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0 comments on “Windows 7 – Client Access vs Windows 7, The Sequel”

Windows 7 – Client Access vs Windows 7, The Sequel

On my last two posts, I discussed enabling the Windows 7 Administrator account and the problems associated with installing and using Client Access on Windows 7.  This post will show you the steps to take to configure Client Access for every user on a Windows 7 PC.

While changing these files, we’ll use the snap-to-edge feature of the Windows 7 Aero Desktop.  This will allow you to see two windows at the same time much like an FTP screen.  First Go to the Control Panel and click on Folder Options.  Go to the View tab and under the Advanced Settings area click the radio button next to the “Show Hidden Files” entry and then Click the OK button.

Assuming you’re logged on as the Administrator:

  1. Click on the Start Menu and click the Computer link (on the right side of the menu).
  2. Double click on the C: drive and go to Program Files/IBM/Client Access/Emulator/Private.
  3. Click the title bar and drag the window right until the cursor touches the right edge of the screen. (It should resize and fill half the screen)
  4. Click on the Start Menu and click the Computer link.
  5. Double click on the C: drive and go to Users/Administrator/AppData/Roaming/IBM/Client Access/Emulator/Private.
  6. Click the title bar and drag the window left until the cursor touches the left edge of the screen.
  7. In the left window, with the Ctrl key pressed, click the AS400 file and the newly created workstation file. This should highlight both files.
  8. Right click on one of the files and choose Copy.  In the right window, right click and choose Paste. Replace any file that requires it.
  9. In the right window, right click the workstation icon and choose Open With, then choose Notepad.  (Remember to uncheck the “always use the selected program to open this kind of file” check box)
  10. Find the “defaultkeyboard” entry and enter this line: “DefaultKeyboard=C:Program FilesIBMClient AccessEmulatorprivateAS400.KMP” without the quotes.

On the left side, click the back button until you’re at the C: drive.  Double click the Users folder and then the Public folder.  Double click the Desktop folder.  In the right screen, right click the workstation icon you created and drag and drop it into into the left screen and into the UsersPublicDesktop folder.  When asked, choose to make it a shortcut icon.  This will put the workstation on everyone’s desktop.

Using these steps, you’ll be able to install Client Access, move and configure the workstation file to the IBM folder that everyone has access to, and then create a shortcut on everyone’s desktop.  All your coworkers will look at you with envy!  They’ll want to be you!  If you get too lost while trying to accomplish these instructions, call me and I’ll get you straightened out.

0 comments on “Windows 7 – Client Access vs Windows 7”

Windows 7 – Client Access vs Windows 7

I started using Windows 7 not long after it came out.  It didn’t take me long to realize that it is easier to use than Windows XP and more stable that Windows “Linux is Better” (also known as Windows Vista).  I had a concern that there might be problems with the vast array of software that our customers use.  That turns out not to be the case….almost…

Windows 7 is a little quirky when it comes to allowing users to access some programs.  This is very evident when it comes to Client Access.  You install Client Access the same way you did in Windows XP.  The fun begins when you start configuring it.

If you haven’t read my other Windows 7 article about setting up the Administrator account now would be a good time to do so…go ahead…I’ll wait.  If you can’t find it, look in the Networking/PC Support Category on the right.

Assuming that you’ve enabled and logged onto the Administrator account, let’s proceed.  To configure Client Access, click on the Start Menu and then All Programs.  Click on the IBM iSeries folder, then the Emulator folder, and then the “Start or Configure Session” icon.  Configure the session and save it.  For instructions on configuring the Client Access sessions, email me at treynolds@dsmhospital.com and I’ll send you a cheat sheet that will walk you through the steps.

If you launch Client Access (and it’s configured correctly) then you should be able to log on to the server.  It’s all fun and games until you change user accounts, then you’ll get so many error messages that you’ll probably start apologizing for things you didn’t even do! (I personally confessed to the Chicago fire, but after I calmed down I realized that was a bit nutty.  I have since recanted.)

You see, the saved Client Access configuration is NOT placed in the Program Files/IBM/Emulator/Private folder like it is in Windows XP.  Instead it’s saved in the App Data folder of the installing user account.  In this case, the Administrator’s App Data folder.  Since other users would not normally have access to this folder, access error messages will appear if another user tries to use Client Access.

To solve this problem, you’ll need to move and edit a few files.  I’ll talk about this on the next post titled “Windows 7 – Client Access vs Windows 7, The Sequel.”

0 comments on “Windows 7 – Administering the Administrator”

Windows 7 – Administering the Administrator

As people cling to Windows XP like it was the last donut in a room full of policemen, Windows 7 is quickly becoming more noticeable. Like every other version of Windows, Windows 7 is an improvement over it’s previous flavors. It’s not without its quirkiness, however, and one of the most notable is the configuration of the local Administrator account!

Though it was not so important in XP, major installations (Client Access, anti-virus, etc.) should be installed using the Administrator account. Win7 takes the role of Administrator seriously. So seriously, in fact, that the Administrator account is not even enabled by default. When you start to configure a new Win7 PC, a good place to start is by enabling the Administrator account.

To enable it, simply log on to the first user account you create. Click on the start menu, click on All Programs, and then click on the Accessories folder. Right click on the Command Prompt icon and choose “Run as administrator.” At the prompt, type in the command “net user administrator /active:yes” without the quotes. Hit the enter key and you should get a message stating that the operation was successful. Remember to open the command prompt by right clicking and running as the administrator. This is important because simply opening the command prompt and running this command will lead to error messages and possible balding, though the latter is still unconfirmed.

The Administrator account does not have a password when you enable it so log off the current user and you’ll see the Administrator icon on the Welcome screen. Click it and, after the desktop loads (which might take a little longer the first time) click the Start Menu and go to the Control Panel. The default view for the control panel is supposed to be user friendly, but, like swimming with lead flippers, I find it a bit cumbersome.

Near the upper right corner you’ll see a link labeled “View by.” Click on the word “Category” and choose “Large Icons” from the drop down menu. Scroll down to the bottom of the screen and you’ll see an entry for user accounts…so….click it. In the middle of the window there will be several links for different tasks. Choose the link that enables you to create a password and follow the on-screen prompts. When you’re done, close everything out and you’re ready to use the Administrator account.

0 comments on “Razor Insights, Feb. 22nd in Clinton”

Razor Insights, Feb. 22nd in Clinton

DSM will be hosting Razor Insights at it’s Clinton office on February 22nd.   Razor is certified, has a shared risk model and has the slickest software we have seen yet.  DSM will also be taking the opportunity to show off our new insurance programs which are ready and for which we are now accepting contracts (clearinghouse and scrubber).   Please come and meet our newest addition to the DSM staff, Usula Mercer, who is dedicated to the new product.   As DSM’s insurance consultant, she will be providing the essential training necessary to effectively use the new software. Certified by the ARHPC as a professional medical coder, Ursula has sixteen years of experience in medical office management.  In her words “It is my pleasure to work with your administrative and billing staff to produce a better understanding of how our product can work for you.”

Contact Glen or Pam if you are interested in attending, 601 925-6270.

0 comments on “See you later, PIX!”

See you later, PIX!

Unless you talk to your IT people frequently, you may not be aware of the equipment that keeps your network up and running.  One of the most important pieces of network hardware is the firewall.  Through the years I’ve noticed that quite a few DSM customers use the Cisco PIX 501 firewall.  They’re small and work well, but they’re reaching their end of life.

Cisco has stopped selling them years ago, and if you didn’t have an existing service contract for the PIX as of July 28, 2009, then you can no longer purchase coverage for support, maintenance, or replacement.  The PIX has been around for a while and it might be time to consider an upgrade to a Cisco ASA.

While I would love to go on about the “neat stuff this” and “cool stuff that”, the ASA’s performance and reliability over the the PIX can be summed up by saying…it has faster performance and better reliability.  What does this mean to your average user?  Well…not much, really.  But to the facility administrator, switching to an ASA means up-to-date Cisco support, greater reliability and security for vendors connecting to your network, faster throughput, and enhanced technology such as the ability to use SSL VPNs for remote access to your network.

Generally speaking, it’s better to modify your network before it crashes.  A proactive move to an ASA is a good way to ensure that your hospital or clinic has access to important Web sites, vendors, and our rabidly dedicated support staff here at DSM!

Call me or email me with any questions you might have about switching from the PIX firewall to the ASA

601-925-6279
treynolds@dsmhospital.com

0 comments on “ONE EHR we like, from Razor Insights”

ONE EHR we like, from Razor Insights

On December 15, I reviewed the ONE Electronic Health Record produced by Razor Insights of Kennesaw, Georgia. No pun intended, but it is “one” sight to see.  This unique, patient-centric EHR offers CPOE, Nursing Documentation and Pharmacy Management on the Adobe Flex platform. The product was clearly developed by clinicians with real-world experience.  The company is managed by a talented team who have actually led and performed installations, upgrades and rollouts of CPOE, nursing documentation and pharmacy management systems to hospitals.  From the first look, it is obvious the level of detail this system offers its users.  CPOE leverages the OrderView product from First DataBank that provides comprehensive predefined order sentences to speed medication ordering.  Additionally, the system allows for fast conversion of existing paper based order sets into an electronic format, and this is completely integrated with the CPOE functionality.  The pharmacy system integrates seamlessly with CPOE and allows for tight formulary control, but accommodates handwritten orders faxed to it as well.  Nursing documentation is exceptionally well designed accommodating nursing orders, care plans and assessments.

With healthcare driving to one set of standards and interoperability, the company has created a truly unique product to meet this demand.  The system comes preloaded with industry standards such as NANDA, LOINC, SNOMED-CT, DICOM and offers functionality such as medication reconciliation, clinical decision support and reporting. These areas not modules or components, but are part of the system.  In fact, the ONE Electronic Health Record is a non-modular system that breaks down the traditional walls of departmental hospital systems. With an exciting user interface that is easy to understand and a 90-day implementation cycle, this product can change achieving meaningful use into a pleasurable and economical endeavor.

0 comments on “Insurance Forum Re-cap”

Insurance Forum Re-cap

The insurance forum last week was well attended.  We appreciate everyone’s attendance and input on our new insurance system, slated for general availability (GA) in January 2011.  The food, catered by Magnolias Catering and Fine Foods was delicious as usual.   We must apologize for not providing photos here in the post, we were too busy enjoying seeing everybody and conducting the forum that we just didn’t think about taking photos until after the fact.  One great photo would have been our classroom packed with insurance billers from customer hospitals liking what they were seeing on the screen.  The billers had plenty of opportunity to suggest additional enhancements.  A follow-up post will include a summary.  Some of the suggestions were for improvements to the legacy programs and I can say that one particular request  has been completed and will be downloaded on customer servers soon.  The request was for detail information by payor.  Our resolution was to add the ability to include notes and payments on the “Pay Performance Report”. 

Those familiar with the “Pay Performance Report” will recognize the following screen:

By responding to “Print Totals Only” with a blank or “N”, the following screen will appear providing the user the option to choose to print notes and/or payments.

Program updates will be scheduled and sent out in December.  If anyone wants this particular update sooner, please call Pam Cleveland at extension 6270 to make your request.

0 comments on “DSM Partner HCS Achieves COMPLETE”

DSM Partner HCS Achieves COMPLETE

Longtime pharmacy partner of DSM, Health Care Systems of Montgomery Alabama has achieved COMPLETE certification on their EMR product.  Many of you have the HCS pharmacy already, thought you might be interested.  HCS has a unique approach to implementation as well, utilizing their Medication Reconciliation product to facilitate the CPOE.  Anyway, the cert is new and still shows as “modular” on the ONC website, it will be updated in a few days on the ONC site, but until then, HCS has provided the ONC cert number which is CC-1112-107740-2. ONC-ATCB 2011/2012.

I don’t want to steal any thunder, so read the following press release for the news straight from HCS:

http://www.prnewswire.com/news-releases/health-care-systems-incs-hcs-emr-receives-onc-atcb-20112012-certification-108423429.html

0 comments on “Financial Server Upgrade”

Financial Server Upgrade

As customers make EMR decisions, they should not forget that the decision to upgrade the financial server has probably been on hold for, well, way too long.  The good news is there are plenty of reasons to upgrade.  Price is the actually the best one, but certainly not the only one:

Encrypted disk –  The Hitech act imposes onerous reporting and notification responsibilities on any security breach when the disk is not encrypted.  We have installed encrypted disk for our customers, and basically you cannot tell the difference in operation, there is no noticeable difference, it just means that if someone stole any data and tried to put it on another server, they would not be able to read it.

Encrypted tape – Do you mail a tape for off-site backup? Do you take a tape home or offsite.  These are all security risks.  The new systems can provide encrypted tape backup which will allow these scenarios without a potential security breach.

Elimination of interactive “governor” – “in Birmingham they love the guv’na”(Lynyrd Skynyrd), but nobody with an IBM i-series ever loved the interactive job governor.  The governor is gone in the new Power I machines, and good riddance because you can tell it.   Not only does the new Power I have an enormous amount of power over the old servers, it doesn’t have the “guv’na”.

More ways…

  • Big tape – in Seinfeld you had the “Big salad” episode, on the new Power I you can get the “big tape”.  The LTO is a terrific tape drive capable of 800Gb of backup per tape, making it possible to do an ENTIRE system save in under 30 minutes. That has been our experience on our most recent installs. 

And more ways….

  • New and improved RAID – “RAID!” Remember the commercials with insects scrambling for cover, well it’s not that kind of RAID and you already have it on your server. RAID-5 protects the system in the event of a disk failure, keyword “a” disk failure. If two drives fail it means reloading the system, big trouble. With the new Power I, you have the option for RAID-6 which protects your system for up to two disk failures at one time.  Sleep good at night, don’t let the bedbugs bite.
  • V6 Release upgrade – in 7x24x365 operations our customer hospitals normally cannot spare the time for a full system upgrade, but many customers are running on older IBM operating system releases which are no longer supported.  If IBM software maint has expired and you have not renewed, which many of our customers have chosen to not renew, the software maint and penalty is expensive. A new system will come pre-configured with the latest operating system upgrade, saving a huge headache of having to upgrade in place and the money for that software maint mentioned previously can be saved.

Large disk capacity – Remember the recent DSH audits for years past?  With the big disks you can take the past WITH you.   In college we used to talk about “some day computers will have a terabyte of disk”, well that day is here. How many do you want?  We wouldn’t sell it without at least one!

Gigabit Ethernet – what kind of bandwidth do you have now? And after EMR implementation?  Say goodbye to the 100MB adapter, Power I is Gigabit, with several ports for redundancy.

And last but not least…

  • Windows 7 Support!    Only “supported” with V6 or greater

POWER 7 and Release 7:   The incredible new Power7 processors are out along with Release 7 of the operating system.  More information will be coming on these announcements.

0 comments on “Thinkpoint spyware!”

Thinkpoint spyware!

Like there’s not enough out there to worry about…..

There’s a type of spyware that’s been going around for a few years known as “rogue spyware”.  Basically they look legitimate with their Windows-style popups warning you of some impending doom if you don’t immediately scan your computer.  If you choose to scan, then the spyware takes over your system, finds some bogus infections, and offers to fix the problem (for a fee, of course).

To the untrained eye, trying to discern whether the infection warning is real or fake is like trying to find the difference between whether it’s live or Memorex!  If you get an infection warning on your PC, and the hairs on your neck stand up, and you get that sinking feeling in the pit of your stomach, and an unexplainable anxiety washes over you, and you’re not in a campy horror movie, then call me.  I’ll take a quick look at the message and find out if it’s legitimate or bogus.

The latest rogue spyware I’ve encountered is Thinkpoint.  Normally, this type of spyware feeds you a steady diet of annoying popups, but doesn’t actually stop you from using your computer.  Not Thinkpoint.  Oh no!  Thinkpoint starts up when Windows boots, hijacks your computer, and keeps you from getting to your desktop.

If you see this screen when you turn your computer on, then it's time to whip out the Lorazepam.

If you see this screen then, sadly, it’s too late.  The fix is pretty simple, but it involves deleting and changing some critical registry entries that, if done incorrectly, could turn your PC into an attractive and rather ineffective paperweight.

Thinkpoint is an extreme case, but that’s not to say that you can’t catch some other malware infection.  There are several common sense things you can do to minimize your chances of getting infected.

1. Don’t install unauthorized software on your PC.  I know that new Fabio screen saver is irresistible, but do you really know where it’s coming from?  Think about it…if a stranger stopped you on the street and offered you a brownie, would you eat it?  Same principle!

2. If you do get infected, don’t ignore it.  Like running from the cops, it will usually turn out badly.  Talk to your IT people or call me if your PC gets infected.

3. Keep your anti-virus running and updated.  This one’s pretty straight-forward, so there’s nothing cute to say about it, but if I think of something later I’ll silently pretend you thought it was funny.

4. Keep Windows updated.  This one’s pretty straight-forward, too. so…there’s nothing cute yada yada yada…..

Catching some sort of funky malware is a part of using Windows, it seems.  So if you find yourself in this position, give me a call at 601-925-6279 and I’ll solve the problem.

(I’ll keep the Fabio thing between us)