Why physician practices find it difficult to upgrade their computers to Windows 7

Originally published in HCPLive.com

by Jonathan Bertman, MD

I recently talked about Microsoft’s newest desktop operating system, Windows 7, and outlined several reasons why you might want to purchase it when it comes out this year. Windows 7 will include some really cool features—like multi-touch technology and usability improvements—that can benefit medical practitioners and their office staff.

Why physician practices find it difficult to upgrade their computers to Windows 7Because it is in Microsoft’s best interest to make the process of upgrading to Windows 7 simple and straightforward, you would think the software giant would put great effort into streamlining the experience. Unfortunately, it seems to me that Microsoft is hell-bent on driving its customers straight into the arms of its chief competitor, Apple, Inc. Microsoft engineers do this by making the software upgrade process excessively complex and difficult for the average non-techie user.

Even if you decide to purchase a new computer that comes with Windows 7 pre-installed, you’ll still have to select which version of Windows 7 to get. Once again, Microsoft makes this overly complicated by selling a multitude of editions. There are six flavors of Windows 7. One is for emerging-market countries, so unless you practice in Bulgaria or Uganda, that one is probably a bad choice. Another version is for people who work in large corporations, again a bad choice for most doctors. There is a stripped-down version called Starter that is available only on new machines. That version will likely be too minimal for the needs of most MDNG readers and their office staff.

Most tech-savvy physicians will choose either Windows 7 Home Premium, which has all the important Windows 7 features, or Professional, which adds special networking capabilities and the capacity to run some older, specialized programs. Windows 7 Professional enables you to connect remotely to a network using a system called “domain joining,” which I doubt would be used by many practices with fewer than 100 physicians. But the ability to run older programs is important for those of us who haven’t yet upgraded our legacy practice management software. One last version, called Windows 7 Ultimate, combines all the features of the other versions.

There is one more complication. There are 32-bit and 64- bit editions of each of the three main consumer versions of Windows 7 (ie, Home Premium, Professional, and Ultimate). The 32-bit editions are for computers with standard 32-bit processors, typically found in most medical offices. The 32- bit versions cannot recognize more than three gigabytes of RAM memory, which should be more than enough for the average user. The 64-bit editions for PCs with souped-up 64-bit processors can use much more memory, making the machine run faster when multiple applications are open or when doing CPU-intensive tasks like hi-def video playback.

For those who want to upgrade existing machines to Windows 7, there is good news and bad, depending on what operating system you use today. Vista users face a relatively easy, direct upgrade process that preserves personal files, settings, and programs, although there are some restrictions on which versions of Vista can be upgraded to which versions of Windows 7. For the most part, you can only directly upgrade comparable versions of Vista and Windows 7—Vista Home Premium to Windows 7 Home Premium, Vista Business to Windows 7 Professional, etc. There are exceptions, and you can go to Microsoft’s website to learn more.

For Windows XP users, the news is far worse. You will have to upgrade manually, which means that you have to reinstall and reconfigure all of your applications, settings, and personal files, assuming you kept and can find the original discs, download files, and software keys. I recently read about a third-party utility from Laplink Software that can handle the manual process of moving from Windows XP to Windows 7. A new version of its popular PCmover utility will be able to perform automated, in-place upgrades to Windows 7 on an existing Windows XP machine and preserve existing programs. I have not used the software and cannot attest to its efficacy, but the fact that Microsoft consistently produces complicated and difficult-to-adopt software remains great news for those companies that build user-friendly utilities that are designed to remedy these headaches.

Jonathan Bertman is Physician Editor-in-Chief of MDNG: Primary Care/Cardiology Edition.

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  • ninguem

    Dr. Bertman, when are you going to make an Apple version of Amazing Charts?

    The day you do, I switch my office system to Mac.

  • Mike

    I know this is easier said than done, but:

    Computers are here to stay. If you’re not comfortable spending half a day Installing a fresh copy of windows, then reconfiguring your programs the way you like them, then I suggest you get comfortable with it very fast. Get someone to show you the basics. It’s not that difficult, and you certainly don’t need to pay for a “service”.

    Every single person with a computer should own some type of external storage device, as this makes the process of moving files around infinitely easier. When it’s time to upgrade, you simply move your important files over to the external hard drive, wipe your computer clean, and install the new version of Windows. With prices as cheap as they are, an external drive of sufficient size can be had for well under $100. Even a $10 USB key will work for most people, if you don’t need to back up some huge music library or something.

    Everyone should learn to install drivers, and be able to download them from the internet (on a working computer, obviously). You should make a list of the programs you will want to install (easiest to do before you erase your old copy of Windows) and then go download the new versions of these as soon as you get Windows back up and running. It’s usually not hard. Follow the instructions. To install Windows, you put a CD in, and click “OK” a bunch of times. To download programs you google “program name”+download, then click “download”, then click on the downloaded file.

    I have no computer training, other than what I’ve taught myself over the years. Trial and error. Doctors can understand the human body, I think we’re capable of understanding some simple computer tasks. Just take a weekend and learn it. You’ll thank yourself later.

  • http://brainposts.blogspot.com Bill Yates

    I’m glad I’m not spending any time with the Windows 7 upgrade mess. I migrated to all Mac hardware/software five years ago. That decision was prompted by a service pack 2 update in Microsoft Windows XP that killed my IBM laptop.

    I’m not responsible for the EMR at work. But I would advise physicians to strongly consider a web-based EMR product. Then you are not locked into a specific operating system.