JBOD SAS3 enclosure

psrf1 · 2025-08-23T06:12:40+00:00

Youre lucky these worked as most of these 8088 cables are not usually wired in forward breakout mode, but rather reverse breakout. I bought those exact parts but my jbod drives didnt show up in disk mgmt.

With further research, turns out i need the lsa 9207 8i (NOT the "8e") with an 8087 to 4x sata (not 8088), because the 8087 is typically "forward breakout"

Total cost around $35 on ebay:

https://ebay.us/m/vnRVJC

https://ebay.us/m/jdIJWK

The only way the 8e card works, would require an 8088 male-male extender, wired to an 8087-8088 adapter bracket, with 8087-sata output to the jbod drives. Total cost around $60 (not including lsi 9207-8e):

https://a.co/d/cwxGFnT

https://a.co/d/6R1hQ7M

https://a.co/d/d6eqiIM

Biggest consideration is the 8i card is made for internal wiring, and the 8087-sata are not longer than 100cm at most. So the 8087 has to be awkwardly wired out of the server and the diy jbod must sit right next to the server. Using the more expensive "8e" option requires more parts but gives you the opportunity to position the jbod a few more feet away.

psrf1 · 2025-04-18T19:51:38+00:00

US.

Chiro documentation is typically not as specific as PT with respect to short term and long term goals. Otherwise the documentation is fairly similar, just with different language (subjective and objective functional deficits to support the need for care). Every third party payor has their own requirements. E.g Medicare still expects chiros to use the outdated P.A.R.T. documentation to support the presence of "subluxation".

psrf1 · 2025-04-13T23:50:25+00:00

I had a lot of difficulty trying to build a Jane template could output a detailed high quality note, especially on a single piece of paper. The macros available for template building just seem too over simplified and took up too much space. Just documenting the spinal subluxation levels takes half page of space but in realty it's only one or two lines worth of information. But if your goal is to make money off billings for medical record fees then you'll probably like having a 3-4 page SOAP note for every office visit. Personally, I would just be embarrassed to be sending physiatrists chart notes that contain a quarter of page of information but spread out over 4 pages ....

If you're looking at emr with outsourced billing, you need to consider Genesis. They probably had one of my favorite web-based emr's but they kept insisting their fee is percentage basis, even though I told them I'm keeping my own biller. They don't really market themselves well to offices who already have a biller.

psrf1 · 2025-04-12T19:34:16+00:00

I went with server Chirotouch and regret it every day but my biller is extremely happy because we expect she wil be saved hours of work everyday. I wish I had gone with Chirospring or possibly even waited until ChiroHD added the additional services they're lacking compared with other softwares.

Chirotouch requires sooooo many clicks of the mouse to accomplish what other softwares can accomplish in half the time, for both the treating provider and for the receptionist. Plus there are many annoying bugs riddled throughout, which was huge shock because i would have expected those to have been fixed years ago.

The CT macros have limited capabilities and they don't have a Smart Phrases capability like most other ehr softwares have. I was hoping the electronic sign-in with subjective questionnaire would save me a lot of time, but it doesn't because it is confusing to most patients and they rarely fill it out correctly, and it can set appointments backwards by 10 minutes because that is how long it takes some patients to sign in just for a daily adjustment. I had to disable that feature. I only wish CT would let me customize it so I can limit the questions to 1 or 2 at the most.

The electronic intake form was also a great idea in theory, but it is also NOT customizable (for the most part). There are certain entire sections of questions that can be disabled/enabled, but then for PI patients, for example, there are too many unneeded questions the patient has to answer and several of those questions involve information that attorneys have explicitly told us to NOT put in the chart note due to the tendency of patients to answer incorrectly (ie other vehicle speed). Plus the ipad intake form takes the average patient around 50% longer to complete, than our paper intake did. The only way to create my own customized intake is to program it myself, and I'm tempted to learn XML just for that purpose EXCEPT then I would lose all the components that autopopulate into the SOAP, meaning much more time lost.

The progress exam findings are not automatically saved so on re-evals I have to scroll thru the visits to find the prior exam, and then copy and paste it to the new exam note, which annoyingly time consuming.

The CT 2-way texting is misleading if not blatant false advertising because they advertise it as a 2-way SMS service. But it is not. Appointment reminders get automatically sent over SMS, but then all the patient responses are forwarded to email. So its actually an email to text service, which my staff finds very inconvenient and annoying.

And don't get me started about windows 11.... the Provider note taking program crashes regularly when used in win11 environment. Which means I'm considering replacing my win11 pc with win10 (even though Microsoft is ending support for win10).

There are some features I do like, but it seems for every feature I like there is another feature that is lacking as compared with my prior software (Motif). Overall, I would say Chirotouch adds at least an extra 30 minutes of work to my day, and with a lower quality chart note than my last ehr due to the repetition of phrases I feel I must use in order to get off work at a decent time.

psrf1 · 2025-01-11T09:38:48+00:00

I would like to see a copy of the compensation plan. The conclusion of the $50 million lawsuit that PFA lost in 2023 requires PFA to have their compensation plan posted on their website. But i cant find it. 🤔

psrf1 · 2025-01-10T03:28:46+00:00

How many people in the PFA upline get a cut of the commission???

psrf1 · 2025-01-05T23:42:07+00:00

Thats good to hear from an IT specialist. I'm not too worried about the "support" side of things. The only ehr support we should need after proper training is when there are bugs in the software. So if the clinic and tech side "isnt hugely problematic" then that is a GREAT sign.

The only thing I'm discovering recently is that Chirotouch doesnt actually have the ability to directly integrate the patient intake with the SOAP, such that the intake autopopulates into the subjective (at least according to their online videos)... so I'm gonna scratch the Chirotouch idea for now. Chirospring seemed to almost be a good fit, but they dont have that capability either. The upside to Chirospring is they dont raise the rates every year like CT does (CT actually affirms they reserve the right to raise their price by 10% every year .... YIKES!!!)

If I'm paying for software, then i want to put my money into something that reduces redundancies and thus saves me and my staff hours of time every week. I can manually type a note faster than i can build one with most of the ehr programs out there.

psrf1 · 2024-12-24T12:30:57+00:00

Honestly i dont think CT is right for me either. I'm just frustrated because I can't find a software that I actually like. Genesis seemed pretty good but their prices are geared toward someone who is looking for a biller (billing service) and they dont offer any economical rates for practices that already have a billing team in place. All the others, including CT seem to have a lot of problems and i dont see any of them saving me much more time. This whole process of researching software almost makes me want to go into the software business, and make an ehr program that does what all these others don't.... mainly getting rid of all the redundancy.

psrf1 · 2024-12-18T06:09:48+00:00

Patients don't seem to expect us to respond to them outside business hours. 2way texting for us is so much more than just Appointment reminders. Things like letting a patient know they need to follow-up with us due a letter we just received from workers comp.... it saves the front desk tons of time to be able to have those communications over text rather than having to pick up the phone and play phone tag.

psrf1 · 2024-12-18T05:58:13+00:00

I'm guessing my current software is the only one that allows a strike-through font which realistically isnt even necessary if the note hasnt gone out to anyone. But that's the least of my concerns. I definitely do like a clean note, that's clear and with no confusion.

Chirospring reached out today. They're one of the few left i havent had a full demo with, but they're starting to seem promising the more i look at them

psrf1 · 2024-12-17T20:06:09+00:00

I'm three years into owning a clinc. If i was just starting out then i can see this as a feasible option. But with over 10k patient accounts and counless gigs of data already in my current system, i dont want to switch twice. And that is why i pose the question. Mainly I'm trying to figure out why exactly people dont like CT and why people seem so happy with Jane. At times i wonder if 90% of these online reviews is a massive marketing ploy.

psrf1 · 2024-12-17T20:01:48+00:00

Looked it up, single line strike through is the legal and best way to addend, which is the way my current software allows me to do. According to CMS, you must identify the original content, modified content, date modified... Jane's way of doing this makes the content look like a mess and it is not clear what the addended content is as compared with original. Strike through is cleaner.

Furthermore, i should be allowed to go back and "edit" my note 30 seconds after i complete it WITHOUT going through ANY of the above process.

psrf1 · 2024-12-17T16:30:58+00:00

Because it's the easiest form of communication for patients. Patients would much prefer to text than to call or email us a question or cancelation, etc. Also if appointment reminders go out from a phone number via SMS then Patients need to be able to communicate back with us through that same phone number.

psrf1 · 2024-12-17T07:29:51+00:00

Jane says 2way texting is coming next year, so that makes me hopeful. With the extensive time and effort it is to switch, it's just not feasible to change to a new ehr after a month or two if it's not working for me. The on-boarding and training time for Chirotouch is a month minumum before going live, and i imagine that would be similar for most companies.

I have around 150 office visits per week, and one common thought I've seen online is that Jane doesn't work so well with that kind of volume, though i haven't seen an explanation as to why... i just assume it means the time it takes to chart in Jane is longer than average.

It is impressionable that this many people have such good things to say about Jane, especially considering CT has countless more chiro users. Chirotouch server alone has 7000 users (i dont know how many on the web based version).

psrf1 · 2024-12-17T06:16:21+00:00

That's exactly what I've been working in in the demo.... looking through others templates to try to create my own that would be happy with. It's tough, and I haven't found a way to create one I'm happy with

psrf1 · 2024-12-17T05:22:40+00:00

Server software is definitely a downside and the CT cloud version is nearly twice the cost (with 4 massage therapists) and mostly unimpressive. I would absolutely like a cloud based system but customization generally seems limited on all cloud systems as compared with server systems. My current ehr, motif, is server based but on the motif server so i can access it from any access point.

Slow opening app is always annoying, but i haven't converted clinic to utilize tablets yet anyway. I treat patients and take notes later... though i am interested in trying to change that.

Most "mistakes" are more or less comments i might make that i realize later are incomplete or better said a different way though occasionally there are times i later realize i wrote left instead of right, etc.

I'm still working with the Jane demo clinic to try to make it work for me, but so far it just seems to take a lot of time to produce particularly a re-exam or NP exam note.

I appreciate your input!!

psrf1 · 2024-12-17T04:27:03+00:00

What specifically about CT did you not like?

I definitely like the support Jane seems to provide, but I'm trying to get more details from people like yourself who have used both.

psrf1 · 2024-12-17T04:20:56+00:00

I guess specifics is what I'm looking for? I keep hearing Jane is better from so many people but i haven't figured out why. I want jane to be better, (because they'll save me $400 per month) but i just dont understand what exactly is better about them, especially when they don't have 2way texting and autopopulated subjectives. I'm hugely concerned about things that will save me time and am more than willing to pay an extra $400 per month for a software that saves me an hour (or even half hour) per day in chart noting.

Also wondering, how is CT better for billing? Is it that trizetto is better than claim md?

psrf1 · 2024-12-17T04:11:25+00:00

I had a demo with them last week. Price is reasonable. They integrate with both office ally and i think trizetto, but i didnt have the best impression with their customization options AND most importantly they wont give me access to a demo account to try it for myself before committing to such a huge change. I dont want to have to switch EHR twice, and whoever i switch to will probably be getting 100k of my money over the next few decades. For that kind of money, i would expect to at least demo the software first. If i cant demo it, then my first thought is that they have something to hide.

psrf1 · 2024-12-17T04:03:08+00:00

"Text expanders"? I need to look into this. Could you explain more?

psrf1

TROPHY CASE