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Our Meditech connects through a Citrix server, and kicks us off, freezes up, doesn't allow log on

Posted By: sm on 2006-08-06
In Reply to: Meditech - What's it like to use? - Me

If the system has a lot of users on, then it lags. You hit the keys but the letters don't appear right away. Try doing the backspace key with that. It does not have a word Expander and only certain ones will work with it. ShortHand does but some of the others do not.  It has archaic functions. The patient demographics are entered separately from the body of the report, so you don't get paid for those lines. It takes multiple key strokes to make font changes, etc.


But other than that, it is fine                         LOL




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Just pray they don't use a Citrix server. MAJOR problems have come from Meditech+Citrix.
x
Meditech/Citrix
Meditech and Citrix "hate" each other for some reason. I have a radiology account where we all went through the same problems - losing reports, sluggish performance, getting kicked off, documents freezing up etc. The I.S. Departmet at the hospital I work for got so sick of hearing from us transcription gals, they finally set us all up with VPN connections and ALL problems were resolved. It is a tad bit slower with the VPN connection typing and saving documents, but to avoid all of the B.S using the Citrix platform, it is well worth it!
Meditech/Citrix
I am also having trouble with this and I also have Comcast digital ISP...but I am having trouble getting any website. I have worked in MediTech/Citrix for 2 years and it does tend to bog down when very many people are on it, plus I have had trouble off and on the whole 2 years doing exactly what you said.
Meditech Expander on Citrix
Hi all, I have searched the forums and can't find an answer. My hospital recently went to Meditech and I am typing on Meditech through a website on Citrix. None of my Expanders work with the Citrix website.

Any ideas? I have tried Shortcut, Flashtype and As You Type and nothing works. I am ready to pull my hair out. Hope someone can help.
Meditech Expander on Citrix
I have ShortHand 9X and when I press the spacebar for the expansion, I get the Meditech message, just like I pressed F12, asking me if I want to save the text. It doesn't expand.
? for Meditech/Citrix users

Okay, aggravation.  Still have dail-up.  Had appt. to have cable hooked up tomorrow morining they just discovered today they don't run cable where I live, which incidentally is only about 3 miles out of the nearest town!


Typing in Meditech via Citrix metaframe.  Due to current with delay from dail up I am typing body of report in Word and pasting into Meditech which has speeded things up a great deal.


I was planning to have satellite hooked up next week.  Before I chunk out that money, I know satellite is very slow with a VPN and that the Citrix metaframe may work similarly. 


Anyone out there working in Meditech via Citrix Metaframe ON SATELLITE without problems.  I read that it can slow it down 50-75%?


They can't figure out if its Citrix or Meditech but regardess
we are still stuck with the problem until they can find a fix. If they are even actually looking for one. You know how it is-- if it works for billing, filing, nursing, accounting, who cares if it works for transcription... Perhaps other Meditech users can comment?
Are there any other Meditech/Citrix users that are having trouble?
we are having terrible difficulties. System kicking us off, sluggish performance, losing reports. Any one else on Meditech accounts (accessed through Citrix)dealing with this?
Do you think it's more from the Meditech software or the server? (sm)
Thanks for the information! I went to the Meditech website, and of course they act like it's the quickest thing since greased lightening.

By archiac functions, do you mean it doesn't use a mouse? May I ask what company you are using it with? I'd be happy using ShortHand, but I would also want to load other programs unless it is already loaded up with everything. I may return to acute care, and if I do I'll want speed and tools, so I don't want to jump aboard the wrong ship.

Cumbersome is a good word here to describe Meditech. The designer obviously doesn't type.
cc
Same here, inside of nose freezes when breathing.nm
x
DELL XPS - it kicks A - - ! (nm)
:)
TransTech FedExs the first few checks until your DD kicks in. I was included in the
s
Bayscribe kicks ExText's booty, imho. SM
I have worked on both. Bayscribe only has the 1 page on which you enter information. There are dropdown lists of providers (no additional lists or documents), you can easily change templates at any point in the report, and the only shortcoming to Bayscribe that I have found is the spellchecker, which works okay but could use some updating.

ExText, on the other hand, had multiple pages per report, no way to easily access provider information, changing a template required a bunch of steps, etc. etc. I never did make much progress with ExText, although I know that some of my friends love it.

It may be what you're used to, although I think it would have been a lot easier to start with ExText and move to Bayscribe than it was for me to start with Bayscribe and then move to ExText. Bayscribe is also fast to load and fast to work in-- no VPN.

Hope this helps.
my router has nothing to do with running windows, it connects me to the internet ( nm)
maybe I did not get your question.
Foot pedal connects to the back of the computer, not outlet
needed. 
Citrix/Speech Q
The hospital I work for just went live with the radiology platform Speech Q last week.  I can access via Citrix from home but cannot get the foot pedal to work.  Any ideas...........?  Thanks!
Cerner/Citrix and Shortand
I am fairly new to this hospital which uses Cerner with something called Citrix.  We type in Word within their program so can use Autocorrect and Autotext. I have asked around to a manager and a couple employee and it seems no one is aware of a word Expander program other than those with Word, that can be used without problems.  Apparently the hospital transcription department has tried Smarttype but that did not work right.  I'm wondering if anyone has had success with ShortHand for Windows and this program.  It seems to be a program that works with most systems.  Has anyone had any success with Cerner and shorthand?  Thanks. 
When I used this combo, we had this problem. IT had to replace Citrix with something else.
They had to do a lot of tweaking, and they were somewhat resistant. They had trouble understanding that letters need to appear immediately ... or sooner.


I am suspicious it is the Citrix because I remember it slowed down a hospital program I used to use
IT had to change from Citrix to something else to get it to speed up and work better. I don't know what Citrix is, but it must be bad, LOL.
No, it just freezes and I get an error box that says "printer error". nm
.
A wave pedal is a foot pedal that connects to either
serial port, game port, or USB depending on the software needed with it.   You have to download the work via the internet and most companies still require high-speed internet, though some allow dial-up or satellite.   A pedal costs about $70, though can find on e-bay cheaper.  You can download ExpressScribe for free to use with the foot pedal unless the company requires a different software program. 
FTP Server

Can anyone tell me what FTP Server is, and how I can find out what type I have.


 


Thanks


FTP Server
Does anyone know who might rent space on an FTP server?
FTP server
I have been using an FTP server since 2001. There was absolutely no cost (as I said above I found the software on a free site as it was new). The FTP server software is located on my computer so a webpage is not needed. They upload to that computer from their office by plugging the recorder in. Once plugged in, it automatically connects to my server and uploads. Not difficult at all.
You are most likely on their server.

either your ISP is not working or MQ server is down.
Call tech support.  They may need to reset your ID.  Right now I'm on DQS.
My expansions on MQ's server
Conditions at my local MQ ofc have deteriorated to the point where I am ready to throw in the towel and look elsewhere.  My question:  I am using my own computer.  Is it possible to retrieve/print out my Expanders and shortcuts that I made up myself before I leave.  I've only worked for MQ, and imagine I've accumulated over 2000 of these shortcuts.   I know they are on my hard drive, but I have no program that will enable me to access them.  Does anyone know of any such animal?  Secondarily, has anyone ever left one MQ ofc for another, or just plain asked to be switched to other accounts.  TIA
server issues
I work for a large national and we have servers down, programs down, instand messager down pretty often.  And, no we get paid nothing for downtime even when it's the company's fault.  Really sucks! 
Server problems
We have the same issue on our hospital lines using Citrix.  Too many people on and it gets really slow, locks up, and kicks us off.  Every time they work on Cerner or Citrix I have problems. 
Silly me. It is the server. Still would like
asdf
I don't believe this is a secure server.

Having said that, if you encrypt any files BEFORE uploading to their server, you should be OK. There is a webpage where you can ask specific questions--the link is below.


Call in server
We are looking for a call in system for a couple of doctors. Does anyone know of a place that will rent space on one? or any suggestions?
No coffee yet this morning. You said it was on the server.
On the one hand, if it's on the server and not on your computer, perhaps your supervisor only has it installed to make sure nobody is hacking the system.  Maybe your supervisor doesn't even know it's there, but I doubt that.  I'd want to be sure it didn't get on my computer, but you sound savvy since you're already running anti-spyware software.  How would I feel knowing my supervisor was spying on me?  Well, I have nothing to hide.  I would never do anything I shouldn't be doing on her server.  Then again, I'm not some infant hacker that needs to be monitored.  (I'm not a hacker at all, for that matter!  LOL  Oy....Where's the java?)  Most of my former employers used to monitor what we did with our computers with regard to email and the Internet.  I have nothing to hide, but if they can't trust me, they can bite me.
Curious about a server as our office is getting one

Is the main reason to get a server to monitor employees on the internet? I know there are bound to be other reasons, but our boss is getting a server for our office and says that is the reason. He's a real jerk, by the way. He didn't even want any of us to have email. He really doesn't want us working in the 21st Century mode and he is a computerophobic! I'm curious as to all the advantages of a company having their own server. He tried to take the internet off my computer because "you are the only one doing transcription (PHI) on the computer" which was bull in itself, but he's afraid of "someone getting into our info" even though we have protection.


 


They are stored on both the local server you..
work from as well as on the hard drive in your PC.  You "should" be able to access it when you sign in with your ExText UserID on another PC...however, I have seen it happen to people before..either in the process of switching PCs and/or even just a glitch in the local server that causes a loss on their end of the file, it is always best to save a copy of your entire .esp file to a disc.  If you use it regularly it probably has a ton of entries and you would be very sorry to lose them all, takes forever and a day it seems to re-enter everything.  (Been there, done that)
Deleting files from FTP server

The company I work for uses an FTP server.  I am supposed to delete the files I pull after I upload them so another MT wont do them.  No matter what I try I cannot get the files to delete. When I right click on them, there is no option to delete in the drop-down.  I have also tried highlighting the file(s) and pressing delete on my computer.  Neither one of these works.  These are the 2 ways my QA said to do it, but it just wont work.  Any suggestions?


Thanks :)


There is a difference between SOFTWARE and SERVER.

Software is the computer program which interfaces between your computer and the off-site computer that "holds" the voice files and documents. The off-site is called a server and secure space is not usually free--you will have to pay some sort of usage fee for uploads/downloads, usually based on the either the space or bandwidth used.


There are other free sites like www.xdrive.com or www.box.net but they do not require the use of FTP software to upload/download. Box allows 1GB but does not appear to be secure; Xdrive allows 5GB and claims to use 128-bit encryption.


Hope you find this helpful.


P.S. If you've never connected to this server before sm
there is a lot of info you will need...your MTSO will have to supply that.
It may just be the server...I have been running slow
for the past week or so and it is the server located at the hospital. I try to work when the traffic is not as heavy with dictators and transcribers.....Lots faster then.

Do I need both a client and a server for this to work?
I am a little confused. I get how FTP works, but not sure what I need to do to make it work...if that makes any sense.
they can set how fast/slow the server is s/m

I talked to someone in tech support one night and told him that the server had to be clogged or something and asked if they could reset the server or something.  I was only making 70 lph.  He said well I can turn your speed up.  I was like ?what?  He said we turn everyone's down so they dont clog up the server to keep everyone running smoothly.  I had to call every night for them to change it and I eventually just quit. 


I thought that was just wrong.  I never could get past my expected production.


Server issue question
Do those of you who work for MTSOs have much trouble with connection loss or other technical issues?  Just wondering how common it is.
Why are YOU attacking HER? Just because she doesn't want kids, doesn't mean she needs a psychi
xx
Any MTSOs out there use a server for their transcription workflow?
I am thinking about going internet with my service.  Currently on a call in system and thinking about getting a computer company to set me up on a server and interface the call in system so I can have the transcriptionists work over the internet.  If any MTSO currently uses this method, I would love to know if you find it efficient/easy to work with manage, etc.  Is it worth investing money in? Thanks in advance.
Are you wanting an FTP server or just user software?
nm
Please post the name of the free server that you're using.
It would be helpful to both this poster and other who may be looking. Is it some kind of a secret that you can't share or what?
There is a cost involved to have FTP server space.
If you have your own webpage, there is FTP space available to you, although it may be limited. Additional space can be had for an additional cost.

My experience has been that the doc's office doesn't want to/care to understand or work with FTP so I found an easier solution using a secure web site.

Bottom line, make it as easy and user-friendly as possible so that you can "sell" this doc (and possibly other accounts) on using this method.

As an aside, the digital quality is superior to the tape quality.
You would have to leave the emails on the server and dl them to both computers.
thats easy.
That happens sometimes..probably temporary problem with your mail server (NM)
x
Not a problem if working on secure server
My company uploads/downloads work from a secure server, not an open Internet connection (as in web browser). Work does not travel over Internet, but directly from me to server to client and vice versa. Records are not kept on my computer, but the server. If that is the case with your setup, I'd think it would not matter if you are typing in New York or Timbuktu.