NextGen Healthcare provides ambulatory practices of all size solutions along with dedicated support and professional services. NextGen® Enterprise EHR offers practices configurable clinical content, workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, providers’ smartphones become an extension of the EHR, saving time. NextGen has its own fully integrated solutions that provide dictation, speech-to-text, direct to desktop and Ambient…
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Therap
Score 9.0 out of 10
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Therap Electronic Health Records allow users to track different types of health data and create reports for Individuals, from Therap Services Waterbury.
NextGen is very easy to navigate and simple to learn. The patient scheduling and calendars are very clear and the flexibility to customize the calendars is very helpful. When we are making patient appointments it is clear what times are available for each doctor and office which helps avoid mistakes since we have multiple doctors and offices.
Therap is best used by persons who primarily work on a computer. This would include administrative work and supervisors or direct care staff who work in a group environment and enter documentation on the computer. While there is minimal room to adjust any of the forms to reflect agency specific documentation, the form templates themselves offer flexibility within the template. The exception being that whatever standard one uses for measurement must be carried out throughout the form to which the measurement standard is attached. Much of the documentation entered into the system must occur in the browser making access through a mobile devise cumbersome. The daily documentation (ISP Programs, T-logs and MARS) are available on the mobile app itself and is pretty straight forward. In this regard persons who work in the field including any supervisory staff in the field can enter documentation easily on this app. There are significant limitations though in that there is no ability to save a return to a form and the default time out is 30 minutes.
Pros: EVV, all inclusive EHR including plans, documentation, forms, MAR and more, excellent reports to capture data across all documents, Ability to export reports by PDF and Excel, provides good training, feedback, and communicates disruptions to the system as well as a walk through of updates made to the system.
Cons: browser access is not mobile friendly, scheduling is cumbersome, inability to save as you go, inability to create plans for the same service year for multiple services, no time out warning on the mobile app.
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
Therap has some very nice reports to track billing, documentation, end user activities, and much more!
Therap did not disappoint in a smooth EVV process.
Therap's billing is program works quite well.
The alerting system works very well particularly for alerting T-log entries (we use this for our incident reporting)
To be fair, they have a number of documentation tools that are very helpful (seizure logs, food diary, medical appointments and so much more) on the browser version of the program.
We provide a number of services to the same individual. VA requires a separate plan (ISP) for each service. Therap only allows one plan that covers a specific date and will not permit overlap.
Because we provide supplemental services, most of our employees are field workers and rely on a table to access the record and enter documentation. the mobile app is very limited in what the user can document (T-Logs, MARs, and ISP Data). The browser version is far to cumbersome to use on a tablet and only the browser version contains some of the other useful documentation tools.
Employees cannot save and return to data that has been entered. It must be completed in one setting before timing out.
The mobile app times out in 30 minutes without warning creating issues with documentation not being saved.
Scheduling is a nightmare. It is cumbersome and difficult to navigate. It does not seamlessly roll schedules over. It is also impossible for management to adjust schedules when away from a computer as the browser version (required to change schedules) is not mobile friendly and difficult to navigate on a phone or tablet.
There is no measure available to prevent 'clocking out" before documentation is entered. This can create a logistical and time consuming processes to reconcile the billing and pay.
I gave this rating because it is truly a system that flows data extremely well within the NextGen ecosystem. Many times you will find systems that do not want to talk to each other from a data perspective, let alone from a capabilities lens. NextGen Healthcare EHR delivers on this data flow without aggregation to where you are deciding on what not to bring into the chart rather than worrying if it is in available.
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
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
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.
The products that we have researched and used int he past are not listed as available options.
Lauris Online - completely customizable EHR system based on templates the agency uses. The process is cumbersome though in that each form has to be submitted to production with a wait time to go live up to 6 weeks. This can be challenging to business who have the ability to work on the fly and correct forms as they see fit. The reports are also challenging.
MITC - Capriccio Elite, LLC currently uses this program to supplement the pieces of Therap that do not work for us. This include a robust workforce management program (times sheet, clock in and out, documentation with ability to save, a number of alerts letting management know of no shows or late arrivals, completely mobile friendly, prohibits clocking out until documentation is complete, ease of use for administrators to make changes on a computer or mobile device.
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.
The cost of the program is fantastic and doable for start up business to large operations
Because of the price, it is easy to ignore Therap's deficits so long as there are other options available to fill in the gaps
ROI on the time (= money) it takes to reenter information due to unannounced time outs creates dissatisfaction with the workforce and additional administrative time to walk through it
ROI on time (= money) it takes to assure there is a match between clocking in and out and time entered on the billable documentation is pretty substantial. An agency can easily find itself under billing or over paying staff.
