CareTracker Electronic Health Record (EHR) Setting Up Your Computers for CareTracker EHR

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1 CareTracker Electronic Health Record (EHR) Setting Up Your Computers for CareTracker EHR V 7.1

2 Purpose of this Document Important This document guides you or your IT staff through setting up your computers to use with CareTracker EHR. To ensure that all computers in your practice are operating according to the Network Readiness Form you completed during your Practice Management implementation. To ensure that all computers installed or upgraded in your practice are operating with the same application versions and set up information to have consistent functionality that supports CareTracker EHR. Ingenix, Inc. 2

3 Session Topics Computer Requirements Setup Hardware Internet Explorer Software Computer Recommendations Hardware Internet Explorer Toolbars Dragon Voice Recognition Other Things to Think About Additional Printer Types Dymo Printer Ingenix, Inc. 3

4 Computer Requirements - Setup Redundant Internet Connection All practices must have a redundant (secondary, backup) internet connection in addition to the primary internet service provider (ISP) Example: T1 and DSL or DSL and Cable CareTracker is web based, so if your primary service provider line fails, your redundant internet connection can provide access to the internet and CareTracker which allows you to continue working and still have the ability to access the patient s electronic health records. Note: An Air Card is not considered a secondary or redundant internet connection because more than one computer, such as laptop and desktop computers in the practice may need to connect to the internet. Ingenix, Inc. 4

5 Computer Requirements - Setup Set your screen resolution to 1024x768 Right click on your desktop and choose Properties Click on the Settings tab to update Ingenix, Inc. 5

6 Computer Requirements - Setup Speakers: You need a computer with speakers to listen to CareTracker s recorded and live WebEx training sessions Microphones: Microphones are only necessary on computers if you intend to use voice recognition or directly dictate into CareTracker Ingenix, Inc. 6

7 Computer Requirements - Hardware Desktop, Laptop & Tablet Computers Operating System: Windows 2000/XP/Vista/ Windows 7 (with all current service packs & updates) CPU Processor: Pentium 4, 1 GHz or greater Physical Memory: Windows 2000 & XP: 1 GB Vista: 1.5 GB Windows 7: 1.5 GB Ingenix, Inc. 7

8 Computer Requirements - Hardware Bandwidth Requirements Does your office currently meet the Bandwidth requirements for the number of computers in your practice? # of PCs Required Bandwidth 768 k download or greater 1.5 mb download or greater 3.0 download or greater Requires a professional assessment Ingenix, Inc. 8

9 Computer Requirements - Internet Explorer Internet Explorer Versions 7 and 8 IE 7and IE 8 are the supported versions to use with CareTracker Use the following settings for CareTracker Under Internet Options navigate to the Security Tab and click on Custom Check all items displayed to the right Ingenix, Inc. 9

10 Computer Requirements Internet Explorer Computer Requirements Internet Explorer 7 Page Setup These settings will ensure that your printed documents appear appropriately File Page Setup Margins - Remove all margins; internet explorer sets the minimum (.16) Header & Footer - Remove all text Click OK Ingenix, Inc. 10

11 Computer Requirements Internet Explorer Internet Explorer 7 Tab Settings Open your browser and click on Settings: Select the settings on each computer to match the settings in this diagram Tools Internet Options Tabs Tabs across the top - Allows you to easily view multiple patient charts in CareTracker Assists you to see items as Pop Ups such as ToDo s and patient results Ingenix, Inc. 11

12 Computer Requirements - Internet Explorer Internet Explorer 7 Pop Up Blocker Enable Pop Ups in CareTracker Open Internet Explorer 7 browser window Select Tools Pop-up Blocker Turn Off Pop-up Blocker from the browser menu Ingenix, Inc. 12

13 Computer Requirements - Internet Explorer Internet Explorer 7 Pop Up Blocker When the yellow bar appears, click the bar to turn from yellow to blue; a new drop down will appear. Click the option, Always Allow Pop-Ups from this site Ingenix, Inc. 13

14 Computer Requirements - Internet Explorer Internet Explorer 7 Temporary Internet Files (Cache) Routinely clear your cache Cache is a local copy of certain temporary data and forms stored on your computer to make some screens load faster. Yet too much cache can actually slow your computer down CareTracker Best Practice is to clear temporary internet files regularly: Recommended at least weekly, but as often as daily, and before each CareTracker new software version Ingenix, Inc. 14

15 Computer Requirements Internet Explorer Internet Explorer 8 Page Setup Go to File Page Setup Set all header and footer fields to Empty Ingenix, Inc. 15

16 Computer Requirements Internet Explorer Internet Explorer 8 Tab Settings Open your browser and click Settings: Select the settings on each computer to match the settings in this diagram Tools Internet Options Tabs Tabs across the top - Allows you to easily view multiple patient charts Assists you to see items as Pop Ups such as ToDo s and patient results Ingenix, Inc. 16

17 Computer Requirements - Internet Explorer Internet Explorer 8 Pop Up Blocker Enable Pop Ups in CareTracker Click Tools Pop-Up Blocker Settings Always allow pop-ups in CareTracker Ingenix, Inc. 17

18 Computer Requirements - Internet Explorer Internet Explorer 8 Temporary Internet Files (Cache) Clearing cache in IE 8 is similar to IE7, but the settings look a little different Uncheck the first option CareTracker s Best Practice is to clear temporary internet files regularly: Recommended at least weekly, but as often as daily, and before each CareTracker new software version Ingenix, Inc. 18

19 Computer Requirements - Internet Explorer Internet Explorer 8 Compatibility View Change your settings to include Compatibility View if using IE8 Click on the Tools drop down to select Ingenix, Inc. 19

20 Computer Requirements - Internet Explorer Internet Explorer 8 Compatibility View Compatibility View must be turned on to display pages in CareTracker correctly You may experience any of the following symptoms in Internet Explorer 8 if not using the compatibility view Menus, images, or text are in the wrong positions on some Web sites Some Web site features do not work You receive script error messages on some Web sites Internet Explorer stops working or crashes on some Web sites Ingenix, Inc. 20

21 Computer Requirements - Internet Explorer Internet Explorer 8 Compatibility View A message confirming Compatibility View is turned on in IE 8 Ingenix, Inc. 21

22 Computer Requirements - Software Active X CareTracker is a web based application and uses Active X controls as part of its web functionality Update internet settings to allow for Active X When prompted by the information bar, install Active X Ingenix, Inc. 22

23 Computer Requirements - Software Adobe Reader CareTracker uses Adobe Reader to view and print prescriptions, orders, and some on screen reports Once installed, the report appears in PDF format for printing or saving If you do not install Adobe Reader, you cannot view or print these documents Note: Navigate to Adobe.com to download/install the latest version of Adobe Reader Ingenix, Inc. 23

24 Computer Requirements - Software Internet Explorer Settings &Trusted Sites Add CareTracker as a Trusted Site This stops some pop-up blockers Select Tools Internet Options Security Tab Sites Ingenix, Inc. 24

25 Computer Requirements - Software Ingenix, Inc. 25

26 Computer Recommendations - Hardware Printers Consider the number of printers and placement of printers in your practice. Will each room have a printer? Will the printer be in a centralized area? Will you need to share printers? Label the printers to help your staff select the correct printer Ingenix, Inc. 26

27 Computer Recommendations - Hardware Is a separate printer needed to print lab or radiology orders? Is a separate printer needed to print prescriptions for controlled substances using secure Rx paper? If using the same printers for various functions then establish which paper drawer of the printer is used for... plain paper that prints lab orders or other documents secure Rx paper that prints controlled substances Ingenix, Inc. 27

28 Computer Recommendations Internet Explorer Toolbars Un-Install Extra Toolbars Toolbars such as Google, Yahoo, AOL, Norton takes space on your internet viewing screen and will interfere with CareTracker functionality. It is recommended you remove extra tool bars and change them to Favorites in Internet Explorer to maximize screen viewing in CareTracker Right click on Toolbar to un-check links for the toolbar Click Lock the Toolbar when complete Ingenix, Inc. 28

29 Computer Recommendations Dragon Voice Recognition Dragon, version 10.1 Medically Speaking is recommended Once installed, set options for web based use as shown here Set up Dragon to learn your speaking style Practice! Note: CareTracker does not provide training or support for Dragon Voice Recognition Ingenix, Inc. 29

30 Other Things to Think About Additional Accessories Have extra batteries and power cords in exam rooms if using laptop or tablet computers Have extra stylus pens for tablets Ingenix, Inc. 30

31 Other Things to Think About Security Dedicate a secure area to charge laptops or tablet computers each night Secure your computer: when not in use during the day if accessible to patients if accessible to other members outside your practice Secure your web browser by using Ctrl-ALT-Del or use other ways of securing your web browser How will you move your computers from room to room? Ingenix, Inc. 31

32 Other Things to Think About Sharing Computers and CareTracker Will each provider carry their own laptop or tablet from room to room? Will providers share computers or tablets and use a cart with wheels to push from room to room? CareTracker recommends using multiple user logins on a shared computer; check if your network supports this set up This allows each user to log into a shared computer using their own password Ingenix, Inc. 32

33 Other Things to Think About If you have a single Windows login, then each operator must log into Windows and open their own CareTracker session; Remember to log off Windows before leaving the computer unattended A new user must log into Windows and CareTracker with their own username and password Warning: If you open a second Internet Explorer Browser under the same Windows log in you run the risk of entering data under someone else s username by selecting their CareTracker session instead of yours Always view top right corner of your CareTracker session to confirm operator logged in is the actual user Ingenix, Inc. 33

34 Additional Printer Types - Dymo Printers Need to Print Specimen Labels? If your practice writes out specimen labels, consider using a Dymo Label printer Computers hardwired to the Dymo printer: Adjust print settings Use the drop down for printer selections to display all printer types Select the appropriate printer for the Dymo printer Ingenix, Inc. 34

35 Additional Printer Types - Dymo Printers Two setup options when using the Dymo Printer Option 1 Change the Paper Size to Shipping Confirm your specimen label size, which may be different than the example above Set Orientation to landscape Update Margins to zero margins will auto reset to.166 Click Printer to chose your Dymo printer Ingenix, Inc. 35

36 Additional Printer Types - Dymo Printers Option 2 1. Control panel 2. Printers 3. Click on Dymo & Preferences Ingenix, Inc. 36

37 Additional Printer Types - Dymo Printers Setting up for the Dymo Printer Go to Start Programs Dymo Productivity Software Ingenix, Inc. 37

38 Questions? Additional Questions Contact CareTracker option 8 Log a ToDo in CareTracker to Support Center or contact your Implementation Specialist Ingenix, Inc. 38

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