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Epic Cadence is the company's medical scheduling module.https://media.trustradius.com/product-logos/BD/Mg/PO4UEKE0JTE3.pngAnalyzing Cadence ApplicationI work for a consulting company that brought me in a healthcare organization that is in the process of implementing many of the Epic Applications. Cadence is the application I am competent with. This application will replace the current scheduling systems the organization have GE Centrecity and Sorian. The people that will be using these will be all the ambulatory departments connected to the healthcare facility and all the outpatient departments of the hospital facility the organization own.,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.,I may not call it a weakness, but previously getting certification for the application was difficult. Things have become better in providing analyst information on how the system should be built. In my early experience, I had to learn things myself seeking assistance from the technical support from Epic. Upgrades usually comes every two years, keeping up with the things they have upgraded takes learning. Sometimes they tend to change many functionalities for the better, but sometimes better is not good.,10,Because I have implemented this application in more than 8 facilities, the reports I get is that it has provided a strong ROI for the organization. In the first phase of implementation ROI cannot be expected because of the learning curve of the users. Physician offices usually minimize their number of patients during the initial phases of using the system. Many of the use of Epic applications have a very strong positive impact on the organization, ROI each year increases as the organization users gets acclimated and becomes efficient in using the system. Because of the many reporting capabilities of the application, manager's have a better grasp on how well or how bad the department is going. It provides them information on where areas of improvement can be managed.,,Community health center / FQHC,More than 250 practitioners,,6,Vendor implemented,10,10,10Cadence at PeaceHealth quickie reviewCadence is being used by all clinical departments at PeaceHealth to schedule appointments for their entire patient poplation across all their hospitals. It was the replacement for GE Centricity.,Visual interface (GUI) that is better than most of the competition out there. Integration with all other Epic modules, allowing for the entire Patient Access flow to be contained within one system. More power and administrative roles are given to the users rather than the IT staff, providing easier maintenance of the product.,Better reports. Better ability to customize the schedules.,8,Practices take a hit short term, but the long term productivity increases usually result in a 10-20% boost to revenue if not more.,Centricity EMR,Other specialty,More than 250 practitionersCommunication is KeyCadence is used to track and identify our patient population. It is used organization wide. As part of the quality department we use it to help validate our measure to make sure that Epic is capturing our patients' care to the best of its ability and to be able to go back and review what was done as well as what the patient will need in the future.,Identifies patient popualtion Tracks referral, orders, etc. Tracks Meaningful Use measures.,Providing specific details about what certain measures mean. Its layout could be clearer. Organization of topics,8,It has helped us track Meaningful Use very well and allows us to attest for over 400 providers and hitting a 97% passing success rate. Allowed to make improvement it tracking our preventative health measures, such as cancer screenings. We are now able to build specific patient registies in order to do be outreach and reacall to our patients.,,Other specialty,More than 250 practitionersCadence Superiority over Centricity at BCMWe had an archaic scheduling system that had no GUI so the schedulers did appreciate having a GUI. Initially, when we switched over, there was a learning curve as well as a hurdle for users going from 100% keyboard based scheduling system to one that required the use of a mouse+keyboard combination. It also took some time to integrate electronic signature recognition at the time but was later resolved.,Graphical User Interface (GUI). Easy to program and propagate across different specialties integration with Onbase ECM system.,Faster for users with keyboard only access if preferred. Overall faster performance of system interface access. Web-based application with full features.,8,Initial two quarters of productivity was lower but ramped up quicker than expected. Billing process workflow improved in the first quarter of implementation. Training material assistance from vendor to end users would be great.,Centricity EMR,Centricity EMR, eClinicalWorks,Family medicine,More than 250 practitionersEPIC- Great system for hospital based practicesWe use it to schedule patients for our medical practice and all of front desk staff utilize the system.,Visually the schedule is very easy to see and you can get a great snap shot of the entire day regardless of how many providers you are scheduling for. They also have easy to use templates for scheduling productivity.,Other systems offer a bit more support - such as easy to see patient confirmations on the schedule, calls to patients in need of follow-up appointments, saving your staff valuable time, and quick and easy reports added to your dashboard of insurances that need further authorization.,8,Easy to utilize system for large practices for streamlined scheduling.,Multi-specialty,More than 250 practitionersCadence: A smarter way to scheduleIt is currently used throughout the organization to schedule patients. Cadence can be used in both simple scheduling situations or advanced situations requiring scheduling in the office and hospital. It addresses many of the concerns of making sure all the correct paperwork is attached to the patient.,Cadence is particularly good at scheduling. It is a simple interface that allows a provider to have a diverse schedule while making sure that patients are seen at the appropriate times. Mistakes are minimized through a series of schedule locks and customizations. Cadence really shines in complex scheduling scenarios allowing a user to schedule a patient with multiple providers while making sure those providers are available.,I would like to see the process streamlined. Currently there are about 3 screens for the full scheduling process. I think this could be cut to one. I would also like to see a user customizable scheduling screen for different types of appointments.,9,I see the most positive impact in customer service. Once the software is implemented patients do not have to fill out nearly as much paperwork making the the appointment process much more seamless and painless.,Allscripts and Cerner,,Other specialty,More than 250 practitioners,2The Power Of SchedulingCadence is being used at various levels throughout our organization. We are currently using Cadence in our affiliate private practices, our hospital based clinics with a third party ADT system, our privately owned private practices as well as integrating with Optesia for some scheduling (i.e. Pre Surgical Testing in Cadence with linking to the OR scheduling for billing purposes. Cadence security has posed an issue at our organization due to the different levels at which we utilize the application. (affiliates are limited to certain workflows and reports as well as overall appointment visibility outside of their practice whereas clinics and owned practices are customized to the needs of these practices). Many templates have been developed for the different "flavors" being used at the organization creating some maintenance issues.Providers, schedulers, billers and practice administrators like the systems as it is simple to use as a user, while sometimes complicated to build. The practices and clinics utilizing Cadence own their own templates so they can schedule their patients when the provider is present and available to see patients. EPIC 2014, has made template building easier for the end user now. Patients, at a glance through My Chart and scheduling can view their appointments made in Cadence easily, saving practices the time to confirm or print out itineraries. Confirmation work lists makes it easy for a practice to confirm appointments with the patients (customized to who they want to confirm - i.e. some practices only confirm NEW patients as these are longer appointments and sometimes made further out into the future). Confirming appointments have lowered the no show rate as well. DAR's are so easily customized and saved (most of our practices have access to customized and save as private only, whereas IT can customize based on practice needs and make public). The reason for this is the number of practices utilizing Cadence currently (over 400 departments currently), with an anticipated rollout to continue through 2017.,Templates are much easier to build now in EPIC 2014. In some of our practices, Prior to Cadence, one of our largest practices (averaging 250-300 pts per day) would build out templates in their old systems and only publish one month in advance since their templates were so hard to change. With Cadence they now publish 1 year in advance because template changes are the fly are so easy to do . Patient satisfaction has grown tremendously as well since now patients are given "real" appointments not told to call back next month when the schedules open up Recalls: Recalls have been a tremendous asset to many of our practices. Our Cardiology practice utilizes recalls and we have built out a custom access data base that is accessed the first day of each month which prints out patient labels based on month of recall to put on postcards that are mailed to patients. Postcards state that your 6,9, 12 month recall is due, Please call the practice to schedule. Patients love it. Access to schedule Appointments thru My Chart" For some practices we have built time slots in Cadence for self scheduling. This is mostly in our Primary Care departments for physicals. DAR ( Department Appointment Report ) - everyone absolutely loves customized DARS. We have been able to add so many "at a glance" things to the DAR. We recently pulled in an abstract icon to the DAR to alert new practices as they come up, that charts have been abstracted prior to the appointments, saving time for the Med. Assistance doing this from scratch with the patients there. This saves the patient so much time as well as the practice. On time performance has improved. Two days prior to a scheduled appts, the DAR is accessed and at a glance, anyone without that icon, will need to have a paper chart pulled, and abstracted prior to the patients arrival. Auto Confirmation: We have contracted with a EPIC recommended service, to auto confirm appointments set on a standard criteria for some large practices saving staff time and monies.,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.,9,Confirmation - Lower no show rates - increase productivity, less down time , increased revenue Benefit Engine - insurance validation, copays built in to visit types, add to collection of dollars when patients are reminded to bring in copays and are not scheduled to providers that do not accept the insurance listed in benefit engine. More practices being brought live - increases practice viability for each practice live as there is open communication with the EPIC system (Cadence as well) for following a patient non clinical history. Scanning - scanning documents has had tremendous financial impact - so that billing can see insurance cards, licenses etc when there are potential issues with claims then issuing a rebill. While we do not utilize EPIC RTE, we are using another vendor interfaced to Cadence. This has led to increased revenue since validation of insurances is batched and processed two nights before patients appointment's. Any issues are reported back to the practice who follow up with corrective action (inc possible cancelling of appointments if necessary) therefore dealing with issues before the scheduled time. This leads to more productive time for the practice .,,Other specialty,Not available,1000,5,Overall scheduling (obviously) Referrals (huge for authorizations and counting down authorized visits) Statistical reporting of visits, arrived, no show, cancellations etc. Auditing,Scheduling provider time outside the practice Scheduling surgeries as a visit type created by an order and flowing that workflow though to billing. Utilizing the referral module for countdown of visits authorized by companies in our physical therapy areas as well as our Behavioral Health Clinics Building a patient intake questionnaire for our PT areas, prior to scheduling on order to ascertain of eligible and begin the intake from a non clinical perspective.,More open scheduling thru Cadence and My Chart Expanding the communication between Cadence and Optesia.,Yes,Product Features Vendor Reputation Existing Relationship with the Vendor Analyst Reports,I was not involved in the initial selection process so cannot comment on this.,Implemented in-house,Yes,Change management was a major issue with the implementation,Not having the knowledge to know what should be added or not. We took EPIC word on this and were sorry that we did. We redid many of our decisions as our own knowledge grew Not implementing the referrals module until way after the fact and even then only built it out gradually. It is a constant catch up to publish the new pieces of the referral. We should have done a big bang implementation when we were ready.,4,7,Yes,8,No,We recently had a practice where we needed to customized our Cadence/Prelude workflows more so than any other time. During the course of adding screens, removing screens, moving fields around etc, we needed guidance from the EPIC TS. After all was said and done, when the analyst data courier the new build into the production environments for that department only, something got crossed and every Cadence/prelude department was affected throwing off normal business functionality. Out TS was right on the spot, assessed the situation and had us back up in running within 2 hours. This was truly amazing.,Recalls DAR Practice scheduling Cancels and reschedules,Questionnaires. Printing multiple appointment (patient Itineraries). While the end results are wonderful - recurring accounts are cumbersome to set up the criteria. While a wonderful tool - Referrals is a tough one.,Yes, but I don't use it,9an "Epic" review of CadenceThe Epic Cadence application is very user friendly, and offers many solutions for patient scheduling needs. If you're looking to utilize its full functionality, however, you should implement the entire Epic suite. Implementation in new clinics has been relatively smooth. Typical issues revolved around verifying/updating user security, and effective communication with regard to exisiting schedule templates. From an analyst perspective, working with Epic's technical services to meet organizational requests is an easy process, and assistance is usually offered in a timely manner.,Continuity of Care Reliability Efficiency Simplicity,Easier appointment conversion for newly acquired facilities,9,Seems to have made our organization's scheduling more efficient.,Multi-specialty,More than 250 practitionersFair integration with clinical documentation productsEpic scheduling sofware is used by our front office and back office users to register patients and schedule them for outpatient office visits. It allows us to integrate scheduling with the rest of our medical records software and helps us see the schedule and availability of providers to allow for efficient scheduling.,Integration with other medical records products. Easy, intuitive registration process for end users. Only one day of training required.,Currently not integrated with patient self-scheduling at our organization. Difficulty of accessing registration information from the patient medical chart. Complicated payment process.,7,Ensures patient copay is given at time of appointment when possible Helps us track arrival and wait times to provide more efficient care Saves staff time with registration and scheduling,Family medicine,101-250 practitioners
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Epic Cadence Enterprise Scheduling
14 Ratings
Score 7.1 out of 101
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Epic Cadence Reviews

Epic Cadence
14 Ratings
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Score 7.1 out of 101

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Christie Tolentino-Chango RN MSN, MBA, HC profile photo
November 11, 2015

Analyzing Cadence Application

Score 10 out of 10
Vetted Review
Verified User
Review Source
  • 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.
  • I may not call it a weakness, but previously getting certification for the application was difficult.
  • Things have become better in providing analyst information on how the system should be built. In my early experience, I had to learn things myself seeking assistance from the technical support from Epic.
  • Upgrades usually comes every two years, keeping up with the things they have upgraded takes learning.
  • Sometimes they tend to change many functionalities for the better, but sometimes better is not good.
Cadence Enterprise Scheduling is well suited when an organization would like to have one EMR system. It is not appropriate when implementing only one application.
Read Christie Tolentino-Chango RN MSN, MBA, HC's full review
Maxim Galkin profile photo
February 16, 2015

Cadence at PeaceHealth quickie review

Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Visual interface (GUI) that is better than most of the competition out there.
  • Integration with all other Epic modules, allowing for the entire Patient Access flow to be contained within one system.
  • More power and administrative roles are given to the users rather than the IT staff, providing easier maintenance of the product.
  • Better reports.
  • Better ability to customize the schedules.
How big is your practice? Are your schedulers centralized? What are the role definitions of users at the practice site?
Read Maxim Galkin's full review
Jesus Elizalde-Lindgren profile photo
February 10, 2015

Communication is Key

Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Identifies patient popualtion
  • Tracks referral, orders, etc.
  • Tracks Meaningful Use measures.
  • Providing specific details about what certain measures mean.
  • Its layout could be clearer.
  • Organization of topics
The program is great and it really helps my job to be easier; the fact that it has a quick search option makes the layout less of a problem. It is quite accurate. If you will be using this program think about what you need it to do for you and who will need to use it and for what.
Read Jesus Elizalde-Lindgren's full review
No photo available
April 12, 2017

Cadence Superiority over Centricity at BCM

Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Graphical User Interface (GUI).
  • Easy to program and propagate across different specialties
  • integration with Onbase ECM system.
  • Faster for users with keyboard only access if preferred.
  • Overall faster performance of system interface access.
  • Web-based application with full features.
This is for large medical care facilities with 100 or more providers and multiple specialties. The cost of entry is high for mid-size.
Read this authenticated review
No photo available
April 04, 2017

EPIC- Great system for hospital based practices

Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Visually the schedule is very easy to see and you can get a great snap shot of the entire day regardless of how many providers you are scheduling for.
  • They also have easy to use templates for scheduling productivity.
  • Other systems offer a bit more support - such as easy to see patient confirmations on the schedule, calls to patients in need of follow-up appointments, saving your staff valuable time, and quick and easy reports added to your dashboard of insurances that need further authorization.
It's a great system that streamlines medical practice to hospital's systems for a more robust medical record. I would say it still needs improving for office based systems.. Epic is very robust for hospital systems but needs to understand the complexities of an office.
Read this authenticated review
No photo available
September 30, 2015

Cadence: A smarter way to schedule

Score 9 out of 10
Vetted Review
Verified User
Review Source
  • Cadence is particularly good at scheduling. It is a simple interface that allows a provider to have a diverse schedule while making sure that patients are seen at the appropriate times.
  • Mistakes are minimized through a series of schedule locks and customizations.
  • Cadence really shines in complex scheduling scenarios allowing a user to schedule a patient with multiple providers while making sure those providers are available.
  • I would like to see the process streamlined. Currently there are about 3 screens for the full scheduling process. I think this could be cut to one.
  • I would also like to see a user customizable scheduling screen for different types of appointments.
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.
Read this authenticated review
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March 18, 2015

The Power Of Scheduling

Score 9 out of 10
Vetted Review
Verified User
Review Source
  • Templates are much easier to build now in EPIC 2014. In some of our practices, Prior to Cadence, one of our largest practices (averaging 250-300 pts per day) would build out templates in their old systems and only publish one month in advance since their templates were so hard to change. With Cadence they now publish 1 year in advance because template changes are the fly are so easy to do . Patient satisfaction has grown tremendously as well since now patients are given "real" appointments not told to call back next month when the schedules open up
  • Recalls: Recalls have been a tremendous asset to many of our practices. Our Cardiology practice utilizes recalls and we have built out a custom access data base that is accessed the first day of each month which prints out patient labels based on month of recall to put on postcards that are mailed to patients. Postcards state that your 6,9, 12 month recall is due, Please call the practice to schedule. Patients love it.
  • Access to schedule Appointments thru My Chart" For some practices we have built time slots in Cadence for self scheduling. This is mostly in our Primary Care departments for physicals.
  • DAR ( Department Appointment Report ) - everyone absolutely loves customized DARS. We have been able to add so many "at a glance" things to the DAR. We recently pulled in an abstract icon to the DAR to alert new practices as they come up, that charts have been abstracted prior to the appointments, saving time for the Med. Assistance doing this from scratch with the patients there. This saves the patient so much time as well as the practice. On time performance has improved. Two days prior to a scheduled appts, the DAR is accessed and at a glance, anyone without that icon, will need to have a paper chart pulled, and abstracted prior to the patients arrival.
  • Auto Confirmation: We have contracted with a EPIC recommended service, to auto confirm appointments set on a standard criteria for some large practices saving staff time and monies.
  • 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.

I find Cadence to be an extremely useful tool and an asset for any practice (large, small or hospital based department).

I do not believe there are any arenas that it would not be suitable for considering that it can be tailored to the needs of the practice or department. AS stated, we have practices with various sizes (employees and patient loads) . We have customized Cadence to fit each need (limiting visit types, questions, etc) to fit the needs of each

In all the avenues where we have installed Cadence, the feedback is "the gift that keeps on giving".

Read this authenticated review
No photo available
February 11, 2015

Fair integration with clinical documentation products

Score 7 out of 10
Vetted Review
Verified User
Review Source
  • Integration with other medical records products.
  • Easy, intuitive registration process for end users.
  • Only one day of training required.
  • Currently not integrated with patient self-scheduling at our organization.
  • Difficulty of accessing registration information from the patient medical chart.
  • Complicated payment process.
I think Cadence Enterprise Scheduling is well suited for integration with other Epic products. It provides a scheduling process that is outside of the patient chart but is also connected and communicates with the patient chart. I do not know how it performs for other types of scheduling (inpatient, procedures, etc) as I largely work in an outpatient setting.
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About Epic Cadence

Epic Cadence is the company's medical scheduling module.
Categories:  Medical Scheduling

Epic Cadence Technical Details

Operating Systems: Unspecified
Mobile Application:No