CentralReach, headquartered in Ft. Lauderdale, is a provider of electronic medical record (EMR), practice management, and clinical solutions that enable Applied Behavior Analysis (ABA) and related behavioral health practices to deliver quality autism care for superior outcomes. The company supports ABA space with solutions including precision teaching, clinical data collection, scheduling, billing and learning management. Boasting users among more than 100,000 clinicians and educators,…
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Epic Cadence
Score 9.0 out of 10
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Epic Cadence is the company's medical scheduling module.
For an organization providing ABA service, there really is nobody else that even provides a remotely comparable service. It does have limitations and areas of the system that take more training or are less intuitive than one might hope, but their customer support representatives are generally really helpful and they are pretty quick to make updates to better serve their clients. They are incredible at finding efficient ways to reduce workflow, and while the product can be quite pricey, we have found that it has saved us at least 2 FT admin positions through the efficiency it has created and further frees up our clinicians so that they can focus in more on client outcomes. It's instrumental in our ability to scale our operations across locations. Even with its limitations, it's proven to be in a class of its own in the ABA world.
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.
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.
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.
The user functionality is intuitive. The customer service is beyond other products which allows you to be more efficient and effective at using the system. Also, entering programming which is the primary use is very easy and also intuitive. Many parts of the system are connected which auto populate reports for our therapist. On the business side, the scheduling to billing is very effective.
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.
CR allows us to streamline across locations, share admin staff across locations and automate multiple processes that previously took administrative and clinical time.
CR actively seeks to continue to expand and refine their practices and products, and acquire related specialty services - a critical quality in a field that is evolving as quickly as ours is.
Using templates through CR and their scheduling and timesheet features ensures that we have an audit-proof system and that all sessions that we provide are in compliance with regulatory agencies for reimbursement.
