Epic Cadence is the company's medical scheduling module.
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WellSky Personal Care
Score 8.0 out of 10
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WellSky Personal Care (formerly ClearCare) is an online home healthcare business administration platform. It includes features for scheduling in-home care visits, messaging between patients and caregivers, and marketing caregiving services.
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.
ClearCare/WellSky is not a software I would go out of my way to endorse. The coding bugs are numerous and fixing those bugs is not at all a priority. Unfortunately, it is still the most robust platform of it's kind - reporting, customization, integrations, automation capabilities, mobile app for caregivers - and with it becoming part of WellSky I am hopeful they will now have the resources to allocate for bug squishing
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.
Managing the scheduling process form the employee and client standpoint. In one screen we can see exactly what is going on with a client. Who's there, when they arrived, when they will be leaving, etc. Plus we can manage up to the minute changes in the care plan, in real time.
Payment processing allows us to bill and initiate client payments with a few clicks. It automatically reconciles accounts receivable. It handles both credit card and ACH payments. Saves a bunch of time.
Background checks are fast and easy because they are integrated into the platform. When a potential employee applies it starts the system begins all the steps in the hiring process. Once they get to orientation and have completed all of the other hiring process steps, with one click we initiate a customized background check that meets our licensing requirements.
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.
ClearCare does experience times when the system glitches. You cannot add or edit shifts, see client or caregiver details, nothing. They don't have anything in place that reassures you that they are aware of the problem and are working to fix it. It doesn't usually happen more than a few times a year, but we rely so heavily on this software for the daily operation of our business that even 15 minutes down can prove to be catastrophic.
You can call tech support, but overall I have found them rather unhelpful. I don't usually stay on hold long enough to get a live person, preferring to send an email if it's not an urgent need. I have been disappointed with the time it takes to resolve issues; the longest I went without a fix was about 8 months. They are pretty slow to change when it's something that has been suggested by the network publically. Moreover, sometimes the changes they implement make things more difficult for us or require features or functionality that we would prefer not to use. For example, they are rolling out a new feature that will allow the caregivers to enter their own availability in the system. We require them to contact the office to change their availability or request time off and plan to do everything we can to keep it that way.
The mobile version of the administrative site is essentially the desktop version, but tiny. When we are out and about after hours, inevitably we use our cell phones to utilize the software. Any shift adjustments are tedious, as the pop-up box moves around whenever you edit a field. To be fair, I'm not sure that the time and energy it would take to redesign the mobile site would be worth it when we still get all the functionality of the full site, even if it is harder to maneuver.
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.
I have used ClearCare for about a year now and have only experienced positive outcomes with the system. It has everything you need from simple note reminders to detailed medial information regarding your client. If anyone in the health field takes the time to view this software, they would be hooked.
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
They are reasonably responsive with simple questions, but when it comes to the software not functioning as expected, resolution is very slow. I had a situation where I would click "cancel" in a scheduling window and it would go ahead and make the change (i.e. I didn't realize a caregiver wasn't actually available or that it would create over time, so I would cancel out of that window to go reevaluate, but when it closed that window, the change would be made regardless). That took 8 months for them to resolve, during which time they released a number of relatively useless updates. Currently, I am waiting for them to fix Safe Mode, which is supposed to give us basic access to personnel and scheduling. A select few clients/caregivers actually show up in this system, rendering it largely useless. I have been waiting since late August without an update or resolution, it is currently mid-February. For software that touts safe mode, I would think they would make sure it's actually functional for all users. They have to advertise it in the network because the software goes down with some frequency, at least every few months.
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.
This is a similar system that was created for organizational purposes for health businesses. Ortho2 is not as user friendly and takes much longer to learn the different ins and outs of the software system. I used it for over six years and still did not use all of the features in the system
POSITIVE IMPACT: We can access almost any metric related to the business and build reports that allow us to set goals, identify potential issues, maintain oversight, and automate workflows with the report scheduling
NEGATIVE IMPACT: We've been dealing with the same software bugs for over 5 years now, they slow productivity, create room for user error, require workarounds to be created, you name it, just a lot of work to make the platform's shortcomings better since they refuse to do it for us
