Epic Cadence is the company's medical scheduling module.
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NextGen Healthcare EHR
Score 7.9 out of 10
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NextGen® EHR solutions meet the needs of ambulatory practices of all sizes by helping users coordinate patient care, while complying with healthcare reform demands such as the Merit-based Incentive Payment System (MIPS), population health, and other value-based care requirements. NextGen® Enterprise EHR built for large practices delivers a fully integrated, scalable system that helps clients achieve interoperability, patient engagement, regulatory compliance, and value-based…
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.
I would recommend NextGen Healthcare EHR 9 times out of 10 for a mid-sized multi-specialty practice, internal medicine, family practice, peds, and behavioral health (for CHCs, FQHCs, and private practice), but beyond that, I don't believe that NextGen Healthcare EHR is the best solution most times. Consider having all staff at all levels read "Raving Fans" and employ the model. Do what you do well, don't do what you can't do well. You'll be far more successful.
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.
NextGen has always stayed on top of the many changes every year and remained certified. I have seen many EHR companies go out of business or seen users have to change EHR systems in order to remain compliant for reporting.
With NextGen, I am able to make a few customizations that my providers ask for to make their documentation easier. Not all EHR's are customizable. While it is not best practice to do a lot of customizations, sometimes it is worth the extra work to keep your providers happy!
I love going to the NextGen User Group Meeting they have every year. I always learn things I didn't know and learn more about the things I do. They offer classes for everyone no matter what you do that pertains to NextGen. Even Government updates for healthcare.
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.
EHR and Practice Management are two completely different interfaces within the same program and are not easily navigated.
Only super users can perform all tasks, making it so all staff needs to become a super user.
Credit Card processing is difficult to set up and change-- we moved offices but need to process CC payments through our old office.
When patients prefill their registration information online, we are unable to confirm their insurance information due to small glitches with the program.
There are multiple ways to view the daily schedule, and none of them are easy to use.
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.
The usability of the product is great. The difficulty that we have is in the background with the speed of servers or of things loading. If there are any issues with the remote server, things can really slow down drastically.
Pages load quickly and reports are uploaded quickly. It just takes far too many clicks to get anything complete in this program. If a patient wants to pay for something after we have checked them out of their appointment, or wants to make an appointment it is not efficient. In a busy practice like ours efficiency is key and we need to keep the flow going
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
Tier 1 support is useless. They gather details we've already provided and have no idea how to help us. Techs just call rather than scheduling an appointment which means we are in the middle of something else and our internal IT is unavailable to provide appropriate connection. Webex details aren't provided in advance of the call so it's difficult to get connected timely to have a conversation in real time during the support session. Many issues drag on for months and tickets get closed without resolution. It's a "known issue" is the most unhelpful response to a recurring problem. UGM Learning Lab is perfect because the issues based experts are there! It would be ideal to always be connected like that in real time
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.
NG is like no other software I have ever used. I thought if you used one software they are all alike. Not this software, it is totally different but let me tell you very thorough and it also can track anything that anyone has done in a work day. Good auditing system.
