Nextech EMR vs. NextGen Healthcare EHR

I have and will continue to recommend MDI (a Nextech EMR system) to other ophthalmology/retina practices through the AAOE etalk. MDI was developed by an ophthalmologist specific for ophthalmologists and the specific needs they have which makes it very easy to use. Uploading the images is easy. We are also able to share information with other practices on the system.

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For Primary Care and Behavioral Health Providers in the outpatient setting, NextGen Healthcare EHR is the leading solution because of its ease of use, setup, and workflow customization. It has additonal software like Dental and Population modules that are great tie ins to the EHR that make hand offs and other specialties workflows work seamlessly.

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• Integration with our PM system was done in 2009 and they built the bridge between the two companies.
• Drawings and testing images are uploaded easily.
• The ability to keep track of reporting for CMS is very helpful.

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• it is easy to create an appointment for a patient. The system is easy to use. It can easily show you when the next appoint is and also has pop up system alerts that the staff can view as to any special things that may need to be done before that appointment is created
• Adding charges from an encounter is effortless, creates the claim and is sent to the clearing house and onto the payer. This process is all documented
• one of the best features I like is that in the background is that NextGen documents every user's actions as to what is being done to the patient's chart. As a manager I can view what has happen over time with the patient's chart and easily repair what's needed

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• I would like to be able to close charts correctly for staff who are no longer with us as an administrator

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• NextGen completely misses the mark for ASCs, especially multispecialty.
• NextGen EHR constantly struggles with UDS reporting based on the EHR documentation.
• NextGen EHR struggles to compete because of automation. Most practices want to be dexterous, but it's not sustainable as we look to AI and automation.

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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.

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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

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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

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CUSTOMER SERVICE is above par where NexGen had what we called no-customer service. Ease of use without having the make our own templates constantly. Upgrades are seamless and no added cost.

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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.

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• Being able to fax notes immediately to referring doctors and PCPs is very important. It saves on time and paper/toner not having to print out and then fax.
• Not having to develop and/or print out the pictures/FAs and having them upload immediately so doctor can treat at the same visit.

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• While in some cases, NextGen Healthcare EHR improves efficiency, most practices are not able to reduce staff, they usually have to actually have .5-1 more employees per physician or midlevel provider. These employee roles change and shift throughout the implementation and into the adaptation process. Those staff generally slowly transition to where they are needed next.

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