Epic Cadence is the company's medical scheduling module.
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Alfresco
Score 7.7 out of 10
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The Alfresco platform, from Hyland, delivers comprehensive cloud-native content services. It is used to intelligently activate processes and content to accelerate the flow of business.
Cadence Enterprise Scheduling is particularly useful in a multiple provider, multiple location scenario. It is also quite useful in situations where there are multiple rooms or pieces of equipment that need to be scheduled.
Easy integration with the external APIs Workflows can be invoked via REST call Wonderful swagger documentation for process REST APIs REST, MULE, CAMEL, Google Drive, and Box features are available with Alfresco Process Services The micro-service version deployment should be well documented and needs improvement
The system is simple to use it helps schedulers create appointments and, avoids placing patients in situations where they are scheduled at the same time in different facilities.
It has many reports that can help managers maintain a smooth operation and shows what areas need to improve.
It has a one place for all scheduling information for schedulers to see patient's appointments, especially when patients do not recall where or when their next appointments will be.
The system can be created in such a way that you can control who can make appointments and who can't.
They system when built provides warnings to schedulers helping to minimize many scheduling errors like overbooking.
Questionnaires: EPIC seems to be very stringent on questionnaires and how may can be attached (only 1) on a Cadence level causing us to be quite inventive on how to get questioned answered on only certain visit types. One big stumbling block was the Ebola questionnaire. Currently we have a particular questionnaire for new Phy. Therapy patients which prevents us from adding the Ebola questionnaire to NEW patients. We are still struggling with this.
Patient Itinerates used for multiple appointments: Not very professional looking regardless of how you set up (OP visits, instructions etc: Most practices will not use the itinerary therefore adding dollars to having printing cards with the practice name on them. (the old fashioned way)
Building new DEP records: Wish there was a way to copy entire builds from one DEP to another.
Security": EPIC security is a nightmare to develop for multi faced users. RN that schedule appointments. Many of our practices are small practices that only have 2-3 people (the doc, the RN and the scheduler/biller . This creates the need for everyone to do everything from a scheduling perspective and building this security can become very cumbersome from practice to practice as each is unique.
Alfresco Process Services and Alfresco Application Development Framework integration makes for best functionality/application of ECM.
Use case alignment - Marketing content and documentation of specific business requirements and user stories being available as reference material/documentation.
As per the current market and the line of products that are available for content and document management system, Alfresco is a very good option compared to other systems in terms of features and cost. Plus the community support is great. Also since the product is open source, it can be extended or understood in a better way.
As stated earlier, it seems to be the best out there, from a built perspective as well as a user application. While some practices feel it to be time consuming (Cadence/Prelude) together others who see the whole integration thru the Epicare and Resolute systems love it. From an IT perspective, while sometimes cumbersome to build, the end results are pleasing and satisfying. We can usually accomplish what we set out to do with the practice vision in mind.
Alfresco Content Services' UI has never been its strength from the beginning. Therefore, rating it from a usability standpoint, I will not rank it high. However, Alfresco Content Services can easily be integrated with any application and leveraged as a backend CMS or DM system. With the new Angular-based UI approach, it's very much possible to create custom UI on top of it as required.
EPIC has been great in their support and communication at all hours. They also openly communicate when an application TS (Technical Support) will be away and who is covering for that person. During standard non working hours - you always know what number and who to call to get resolution to issues that arise at those times
I am not big fan of Alfresco Content Services' support; it works on its own speed and sometimes it becomes challenging to achieve business needs. However, I appreciate regular delivery of security patches and updates
Use implementation team from EPIC but know what you want and make sure that it=s what you get. You can be easily swayed by lack of knowledge on the application and therefore decisions are made that are not correct and then have to be redone. EPIC including Cadence needs a great understanding of the workflows you currently have and how they will be impacted by your build. We had a great understanding of the existing workflows in the offices, however lack of knowledge on the Cadence IT side, had a large impact on what was delivered as our implementers believed that a standard EPIC workflow would suffice and did not.
Process was relatively smooth and overall, downtime minimal. MSI was very responsive to our needs and made the transition easier than it otherwise might have been.
Centricity was limited in ability to scale and customize compared to Cadence for our environment. Also the regular updates for Cadence vs. Centricity is where Cadence really shines. Vendor support is also much better with Cadence over Centricity. We also like the robust capability of the reporting module in Cadence over other vendors.
All software has some pros and some cons. Alfresco has some good pluses, and suits our environment very well. It fit perfectly in the place that we are working on. That is why we decided to go with this software. Overall, the kind of content management that needs to be done in an organization is what would determine which software to use.
