Epic Cadence Enterprise Scheduling vs. Oracle BPM Suite

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.

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Oracle BPM is well suited to organizations and environments that have a good understanding of their business processes and organizational structures. Trying to introduce a tool such as Oracle BPM into the organization without a good grasp on how the business operates is a recipe for disaster as the implementation will uncover all of the dirty secrets of an organizations business processes and bring them to light. BPM is not to be utilized for smaller service orchestrations or technical service implementations, these should be handled by the Oracle SOA Suite using the BPEL process manager, leaving BPM to handle the organizational business processes, referring to and including lower level services and BPEL processes as needed.

• 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.

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• Oracle BPM [Suite] can support unlimited number of cases. No limitations in cases raised.
• Oracle Weblogic can handle multiple traffic. [It] can handle lots of heavy load[s].
• Oracle BPM has extensive integration with database[s]. Huge number[s] of customization can be created.

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• 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.

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• Oracle BPM is left behind by other tools more modern in terms of user experience, usability and ability to integrate with everything else.
• To really harvest the potential of Oracle BPM you need to do it in JDeveloper and with ADF. This restricts its usage to very technical people.
• The administration of the Oracle BPM tools has really put a burden on our team. It is running on Weblogic and we experience issues very often either with performance or with a bad configuration of the system.
• As with all Oracle products, the price can be an issue for smaller shops.

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In many scenarios it should have provided more features. It took a lot of effort while debugging, making it difficult to maintain.

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.

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Not easy to debug errors.

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

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EPI webinars are most informative and not a long drawn out presentation. It also offer screen shots and practice tools.

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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.

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Overall satisfactory

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.

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We evaluated Bonita and found that it might fit a smaller-sized company better; we found that Oracle BPM Suite scaled much more evenly. We almost went with one of the competitors, but in the end chose Oracle BPM Suite after we factored in the cost of VMware licensing. There are literally tons of analytics on the back end which are great for upper management, but not so much for average users, but this fits our business model quite well.

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• You'll most certainly need a deep dive and extensive training before your users can even think of using the product and they are very expensive.
• Lack of documentation makes it very difficult to manage the application if any error is encountered which will result in you ending up hiring a dedicated person to look into the application once it's deployed.
• For a very large org., if properly implemented and used, it can help identify the cost-intensive and inefficient processes.

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