The Power Of Scheduling
- Cadence, prelude, Resolute Professional Billing, Eppicare Ambulatory, Optesia, Stork, ClinDoc, Radiant
Overall Satisfaction with Cadence Enterprise Scheduling
Cadence 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.
- 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 .
Our old legacy system was another vendor system interfaced to the current AD system. If was strictly a scheduling system, it did not pass information other than an account number to the ADT system for registration purposes so was very limited in what it could do beyond scheduled. It was a very easy system to work with (IT wise and user wise) due to it simplicity.
Once thing that this system had over Cadence was its ability to develop questionnaires (multiple) based on visit type, patient type, class of visit etc. it could build 1 or many and attach it to the department,
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".
Epic Cadence Feature Ratings
Using Cadence Enterprise Scheduling
IT managers, analysts, corporate Operations department
Office managers, Practice administrators, clerical personnel, physicians, medical assistance, technicians and technologists.
Billing staff, financial investigators, third party ADT systems analysts, and vendor
Patients utilize self scheduling as well. Report writers utilize data to build Clarity Reports for practice usage
Statisticians utilize reports from Cadence for projections on staff utilization,
- Overall scheduling (obviously)
- Referrals (huge for authorizations and counting down authorized visits)
- Statistical reporting of visits, arrived, no show, cancellations etc.
- 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.
Evaluating Cadence Enterprise Scheduling and Competitors
A McKesson vendor scheduling system from an overall IT supported perspective.
However in practices Cadence as replaced, PaceArt, ADS, and Centricity as well as many other various scheduling suystms.
- Product Features
- Vendor Reputation
- Existing Relationship with the Vendor
- Analyst Reports
We have purchased EPIC and all its applications therefore Cadence came along with the package. the initial decision was not to utilize Cadence in our hospitals but rather private practice only.
It soon became apparent that Epicare without Cadence was not a good flavor, so it was decided to implemented Cadence in all areas that were utilizing Epicare. especially since our third partyADT system does not like Epicare messages without Cadence intervention with dates etc.
Cadence Enterprise Scheduling Implementation
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.
straight scheduling, then referrals 6 months later (piece by piece), the Resolute professional Billing.
This was done for the first 15-20 practices and then it was implemented together but is every changing.
At first, EPIC assisted with the change control process since the analysts had no idea what INI or DEP records would impact something else. Everything went through change control. As our knowledge of the systems increased, we were ale to (wtith EPIC help) reduce the amount of change controls for certain Master files.
these have been identified, reviewed by our entire IT organization, reviewed by EPIC and finalized. We have a great process for change control now. (compliant as we00) but it was a long process.
- 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.
Cadence Enterprise Scheduling Training
Cadence Enterprise Scheduling Support
Problems get solved
Immediate help available
Support understands my problem
Support cares about my success
Quick Initial Response
Using Cadence Enterprise Scheduling
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.
Like to use
Easy to use
Technical support not required
Quick to learn
Feel confident using
- 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.