Hi Julia,
I understand what you are saying regarding the user dictionary. It usually takes the same amount of time for a user to become visible in other areas. However, the user never showed up in the Copy Access Dictionaries or the Nurse Dictionary in NUR when I was trying to set up the user. Our Patient Accounting manager filed the Medical Necessity Requirements dictionary twice that day.once that morning and once during the afternoon. It was the middle of the afternoon before I set up a new user. I also never saw the new user in the other routines mentioned before I left work last Friday. When I came back on Monday, the user was available in those routines. I should also mention that the caretaker messages I mentioned continued until about 8:30 Friday night. That is probably when the user was available in the other routines. Our Patient Accounting manager figured if it had not caused any system response delays when she accidentally filed the day before, then she was safe to make edits to the dictionary! Please let me know if you have any other thoughts on this, and as always, thanks! Jay _____ From: Julia Carter [mailto:[EMAIL PROTECTED] Sent: Tuesday, June 19, 2007 11:53 AM To: Jay Gilmore; MEDITECH-L Subject: RE: [MEDITECH-L] Medical Necessity Requirements Dictionary Hi, Jay, When I updated the Medical Necessity requirements dictionary at Colquitt, I did it during my regular work day. Yes, the filing took a while, but we never encountered any of the issues that you mention. Unrelated to the Medical Necessity dictionary, though, we (Colquitt) did notice slowness in MIS to populate and I have experienced that in other sites, too, especially when creating a new user or editing an existing one. It can sometimes take 1-3 minutes for a menu change or new user to become visible in other areas. Julia Julia Carter, CPAR Consultant Consultant People 396 W Main Street Lewisville, TX 75057-3866 * 469.948.4000 Ext 308 * [EMAIL PROTECTED] e http://www.cpeople.org <http://www.cpeople.org/> _____ From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of Jay Gilmore Sent: Tuesday, June 19, 2007 10:06 AM To: MEDITECH-L Subject: [MEDITECH-L] Medical Necessity Requirements Dictionary I am curious if anyone else has problems when during and after the filing of the MIS Medical Necessity Requirements dictionary. Our Patient Accounting manager is the one in charge of this dictionary. She usually updates this dictionary in the middle of the night from home, because it appears to have such an impact on system functionality. There used to be a major decrease in response time throughout the system when this dictionary was filed. This does not appear to be an issue anymore, as the Patient Accounting manager accidentally filed this dictionary one day last week. However, it seems that the other MIS dictionaries when the Medical Necessity Requirements dictionary is filed. I was setting up a user, and then went to Copy Access Dictionaries, and the new user I set up was not available in the lookup. I also went to the Nurse Dictionary in NUR to initialize this user there, and the user was not available in that lookup either. The Patient Accounting manager also noticed that she had entered a new insurance into the MIS Insurance dictionary, but was unable to see it in the lookup in one of her BAR dictionaries. Not only did these things happen, but the filing of the Medical Necessity Requirements dictionary generated errors on the caretaker: BACKGROUND JOB A * IST NOT FUNCTIONING PROPERLY There were also messages for Job B and D as well. MEDITECH said that everything was fine. "The CPT dictionary is being updated causing the IST's to run a bit slower but they are moving. Once this completed the IST's will go back to idling." Does anyone else have problems with this besides us? Has anyone found a solution to this problem, or does anyone know of a DTS that could possibly correct this issue? Any responses are greatly appreciated. Thanks, Jay Gilmore Systems Analyst Crisp Regional Hospital (229) 276-3173 [EMAIL PROTECTED]
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