Intergy EHR vs. Practice Fusion vs. Veradigm EHR

How well is the product customizable for workflow modifications for my clinic? Does the result flow easily for the provider or are there many chunky clicks required? (i.e. one modification to a workflow between the nurse and provider requires 27 clicks.. ok this accomplished the workflow that was needed but at what cost?) Can your system produce customized reports on the fly, is the data real time or lagging? Can the system be tuned in terms of document/note templates and the Graphic User Interface forms so a particular practice/provider/speciality needs can be taken into account?

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The best scenario is a small non-profit clinic who needs a great EMR but cannot afford one like EPIC. I might also recommend this to colleagues who are starting a small business because I think PF would be a good, easy, and more affordable to get up and running. I think this EMR makes less sense in the setting of large academic institutions who need lots of easily manipulable data and a huge amount of support.

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Some of the key questions include functionality of the EHR in today's electronic marketplace. Also customer support ratings are important due to many ongoing difficulties previously experienced with older EHRs. Allscripts is well suited to the outpatient setting where many preformed templates provide a comprehensive overview of patients. Additionally, Allscripts' link with the imaging portal PACS is second to none.

• Health Reminders- for different patient needs or preventive care/screenings. For example patients who have a diagnosis of Diabetes- their health reminders will show if they need an A1c, foot exam, eye exam, etc. and when it was last performed
• Orders Tracking- This helps nursing staff make notes on referrals or orders and they are able to look at the order tracking section for all patients and filter it by provider, order type, status, etc. to know what needs to be followed up on or what has been completed and so forth...
• Tasks- This is a nice feature that has many different options for use. It can be used internally to send a quick message to another user, a phone message, billing message, and any task gives you the option to make it "patient related" if necessary. It can be used by the providers when they make an order they can then send it to the nurse to complete. Lots of different ways for Tasks to be used

• Document storage- You can upload documents and attach them to specific patients. As well as flag documents that need to be signed, and assign them to specific doctors.
• Charting- Very detailed integration for charting.
• Reporting- We really enjoy the reports we can pull from within the software.

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• Intuitive with documenting office visits
• Easy to navigate around the screens when researching patient information
• Able to customize lots of things throughout the program to work with requested workflows

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• Sometimes, Intergy tends to crash on occasion, which is understandable.
• Also, when checking for insurance eligibility, sometimes Intergy will not accept a specific insurance card and I have to call up the insurance to make sure the patient is eligible for coverage. It would be nice if more types of insurances could be added.
• When creating recalls for patients to remind them to visit, sometimes the system does not cooperate properly.

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• Have Physician Assistant as a provider status.
• Make the notes section of each patients account displays towards the top of page and not the bottom.

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• Allscripts could use improvement with stability. Once in awhile, the software would freeze upon loading images saved from radiology or lab reports. It frequently had trouble with login credentials.
• Improve the clarity of scanned images in patient's EHR.
• Conversability with other platforms, like Cerner, Epic, and McKesson.
• Improve the way InterQual loads review platform as well as emailing hospital case manager feature.

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Very user friendly and efficient

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In my opinion and experience, they have a lack of customization so you have to constantly create hacks to make their system work for your practice.

Usually they are very helpful. I would prefer they do some of the actual changes I am requesting instead of having me do the work. I feel that they could walk you through it, instead of letting you figure out the desired results on your own.

We always get a return call within the time stated. There are many available topics on the forum and it is often easy to find the issue you are seeking more information on. When we have tried the live chat feature we have been satisfied with the timeliness and response.

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Track all hours and don't sign off on anything if you are not 100% happy.

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We moved from Intergy to athenaCollector and athenaClinicals. Athena is cloud-based, meaning we can access it from any location that has internet. My staff misses the ease of scheduling in Intergy, but the accountability of users' productivity is amazing. We had more control over document classification with Intergy, but sometimes that's a double-edged sword. When some people label a document "MRI-Lumbar spine" and others call it "Lumbar Spine MRI," there is some redundancy and sometimes important documents get missed.

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NextGen is hard to use as far as medical records. Practice Fusion is user friendly. There is a great knowledge base for questions asked. Practice Fusion takes all the guess work out of the day.

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It was already in use when I was hired. I have mostly figured it out just messing around with it in my earlier spare time.

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• Intergy has had a positive ROI. The financial tracking and tools have been easy to use and helped recover additional monies for practices.
• Claim Tracker allows practices to have a real time view of all unpaid claims.
• The E&M calculator helps providers choose the appropriate code for billing compliance.

• PRO -- I know now what I need in an EMR/EHR
• CONS -- They have overcharged me and it has cost me money
• CONS-- They have disregarded my legal rights which makes me unsure of keeping confidential info in their systems and it will cost me money to switch
• CONS--They have cost me money with the time I've wasted to follow up on my own tickets that they refuse to follow up with

• I was not a part of decision making, so I have no idea about this.

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