Epic Cadence is the company's medical scheduling module.
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Laserfiche
Score 8.7 out of 10
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Laserfiche has two main editions: Rio and Avante: Laserfiche Rio is designed to meet the needs of large organizations that have more than 100 users. It combines content management functionality with business process management (BPM), security and auditing, unlimited servers and a thin-client interface. Add-ons include records management functionality, public Web portals and production-level document capture and processing.
Laserfiche Avante is an ECM suite for small to medium organizations with…
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.
Laserfiche is well suited to the submission of simple routine reports to create a record repository. We use it for routine transport reports, audit reports, and anonymous citizen complaints. It creates a simple chronological record of routine events that can be reviewed and easily stored and recalled. Because the reports are in PDF format, it is not well suited to anything that needs to be imported into a common database or amended after submission.
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.
While Laserfiche has some powerful development tools, it is difficult to manage configurations while promoting code across environments. For example, SQL connections and other environment specific resources have to be manually configured in each environment.
Laserfiche forms are a newer addition to the product family and could use some product maturity. While easy to use for simple forms, once your forms become more complex, you need to accomplish tasks by heavy JavaScript coding.
We plan on renewing Laserfiche for the coming year but also have been considering a scanning and document management solution that can be purchased from our new accounting system company, we are implementing the accounting system this year. It will be a couple years before we make a decision to stay with Laserfiche or change.
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.
It has an intuitive design that feels very natural to any user that has ever used Outlook or Windows Explorer. There are multiple ways to perform every action in order to help users with various software experiences find the shortcuts and actions they seek quickly and effectively.
I am very satisfied with Laserfiche. I have found that certain larger jobs may are slow. This may also be related to our infrastructure environment. We have been able to tune Laserfiche to increase performance on larger jobs.
Performance, of course, is largely dependent on the underlying environment. Laserfiche does its part with multi-threading, taking advantage of multi-core servers on scanning, workflows, and bots. A SQL-Server back-end is suitable for small to medium-sized company, but may not scale to large, where Oracle would be the better choice. Workflows can be poorly written and perform recursive work slowing down the system. It's better to run batch type workflows at night when possible.
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 have never had to wait for help from Laserfiche. If I cannot find the answer online, I can easily send an email to a customer support representative. I have always been helped the same day and my questions have always been resolved. The Empower conference is always a great learning opportunity and the online resources and webinars are top-notch.
Easily accessible 24/7 so am able to complete courseware whenever time allows: Commute to work; waiting for friends or family; at night while relaxing [with a delicious glass of wine!]; whenever and wherever time and circumstances permit. Courseware is well written and presented in an easy to follow and understand format.
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.
The core infrastructure of Laserfiche, and the end user experience, is vastly superior. OnBase has a TERRIBLE UI and administration console by comparison. The core architecture of OnBase is also more scattered, while all Laserfiche processes go through a single service. Overall, the Laserfiche product is easier and more intuitive to install, maintain, and use.
Laserfiche has increased the efficiency of our sales reps by giving making all of the historical sales deal information very simple and fast to retrieve.
Laserfiche has increased our efficiency with our AP department and gave department heads the ability to approve invoices where ever they are.
I would say the biggest ROI came with the transparency of the order process for new deals. Before there would be numerous phone calls made daily to find out where an order was within the process, and now you can simply look at all deals at any time.
