Epic Cadence is the company's medical scheduling module.
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Veradigm EHR
Score 7.3 out of 10
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Veradigm EHR (formerly Allscripts Professional EHR) is a solution for small to mid-size physician practices that want to provide safer patient care, streamline operations and improve revenue. Professional works in ACOs, Patient-Centered Medical Homes and Federally Qualified Health Centers. According to the vendor, Professional is the industry’s first fully-certified 2015 edition technology enabling clinicians to meet the requirements of government initiatives such as Meaningful Use and…
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.
Some of the key questions include functionality of the EHR in today's electronic marketplace. Also customer support ratings are important due to many ongoing difficulties previously experienced with older EHRs. Allscripts is well suited to the outpatient setting where many preformed templates provide a comprehensive overview of patients. Additionally, Allscripts' link with the imaging portal PACS is second to none.
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.
Allscripts could use improvement with stability. Once in awhile, the software would freeze upon loading images saved from radiology or lab reports. It frequently had trouble with login credentials.
Improve the clarity of scanned images in patient's EHR.
Conversability with other platforms, like Cerner, Epic, and McKesson.
Improve the way InterQual loads review platform as well as emailing hospital case manager feature.
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.
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
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.
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.
