Hi Shopkins,
I'm in health care as well. My work around for this was to add the shortcuts into my Active Directory Group Preferences.
User Preferences -> Windows Settings -> Shortcuts.
Adding my Shortcuts through there and use Item targeting based on user security groups to push certain shortcuts to certain users. This worked on both win7 and win XP.
Another possible workaround is to create the shortcuts on a shared drive on a server, then use Desktop Central to copy the shortcut file from the shared folder to the Current User's Desktop folder.
Carl