NextGen Office reviews

A Perfect NextGen Solution for Small Independent Practices

Opmerkingen: It is a great addition for our small independent polyclinic and we are quite happy with how it has increased our productivity.

Pluspunten:

What is most prominent is a User friendly design focused on registering the patient and updating his status.Hassle free alert system with analytics designed for all types of procedures.Support for the program is strictly within the US and they offer hands on authentic support.

Minpunten:

It was overwhelming the redundant amount of features they have available which may take a while to sift through and fully adapt.It is not very customizable and felt a little flimsy in that department.

family physician review

Opmerkingen: I'm overall happy. Every EHR system has its pros and cons, but I believe Nextgen Office has a very good combination of ease of use and overall cost.

Pluspunten:

It is very easy to complete my notes at the time of examination of the patients

Minpunten:

whenever an upgrade or maintenance is completed over a weekend, many times we run into problems coming back to work on that Monday. For examples, slowness, screen freezes up, etc. The latest incident was this past weekend. It was eventually corrected on the Monday, but it slows us down.

NextGen Office, still a leader in patient/physician communication!

Opmerkingen: I am generally pleased with NextGen Office. Like any EHR system, it has its advantages and disadvantages, but I find that NextGen Office strikes a good balance between user-friendliness and cost-effectiveness.

Pluspunten:

One of its strong points is the ease with which I can complete patient notes during examinations.

Minpunten:

The only downside I've encountered is related to system upgrades or maintenance performed over weekends. This sometimes leads to issues like slowness and screen freezes when we return to work on Mondays. The most recent incident occurred this past weekend but was eventually resolved on Monday, albeit causing some delays.

Shady ethical practices

Opmerkingen: In order to get my auto bill pay to stop I had to change my credit card number. NextGen would not stop extracting monthly payment from autopay that I had established years before. This company made a great deal of money from me for the years and the parting thanks was an exit gouge for all the money they could get. I spent many hours in discussion and in correspondence with the company to resolve this issue. Each person with whom I spot expressed understanding but said they didn't have authority to made the decision of turning off the automatic billing, even though I wasn't using the product. They acknowledged that I did notify the company but I notified the "wrong" department.

Pluspunten:

It was accessible in the cloud. I was able to free text fairly easily.

Minpunten:

I had to nag my regional representative to get a response. He acted like he just didn't have time to help with issues. I needed to archive my records because I was retiring. My rep and the technical backup team from NextGen did not speak with a different department (billing). The billing department felt that I should given earlier notification in order not to fulfill a yearly billing cycle. It became apparent to me that the various departments don't communicate with each other. The billing department could have honored my telephonic and email communications that I had with two of their other departments and simply closed my account in a month or two. They chose to stiff me for a complete year of billing.

NextGen is a great option for your medical billing needs.

Opmerkingen: Overall, I had a great experience with NextGen. The report features were nice in that you can save and share the reports amongst other users.

Pluspunten:

The software is user friendly. I liked the reporting function and the ease of creating and sharing reports.

Minpunten:

Some of the data could be misconstrued based on the various date options within NextGen. For example, there were transaction dates, dates of service and dates of entry.

Disappointed

Opmerkingen: Overall I'm disappointed and it seems overpriced. I like the custom forms, knowledge database, and templates. I am comfortable with technology and know with a little work the software could be better but I don't think anyone cares. Tech support is slow and you must log into a web site to post issues so you need to log back in to find a response. If it weren't so difficult to change, I would but don't want to go through it again.

Pluspunten:

Support/Training Access. Almost anything you might have questions about is available in the knowledge database. The interactive training videos are very helpful.Custom Forms. Adding custom forms is easy.Visit Templates. It allows one to save common visit notes.

Minpunten:

Inaccurate error messages. For example, if a patient's address is not entered and you try to send a prescription, it gives an error message about the sig. It took forever for me to realize why this happened. Reported but support did not correct or seem to care.Tech support. To request a new feature/additional service, you must contact the sales rep. I wanted 4 months for a response to adding a second lab.Radiology orders. To order tests I must go into the admin area and add the test with the CPT code the first time. The tests aren't built in during setup so ordering a test you haven't ordered before is time consuming. The longer you use it the better it is but these should be built into the system.New patient. When adding a new patient, if they have a family member already registered with the same insurance, it forces you to use the existing profile and this doesn't always work so you are forced to start over. Claims. The process is time consuming. Inconsistent fields. For example, the date field on one form allows one to type in the date and automatically advances to the next field but on other forms one needs to tab from month to date, on anther a form pops up and you must click the month, day and year.

Pros and Cons

Opmerkingen: The only thing that it really solved is my doctor can dictate his note into the system the way he wanted to. But as far as the PM side, I would not choose this software again. It's not streamlined or user friendly as the demo's show and through training.

Pluspunten:

I purchased this software a little over a year ago and I still struggle with it from the PM side. The EHR side I do not work with a lot personally but my staff and doctors seem to like it pretty good. The scheduler is easy to read. Billing has a lot ways to track denials, rejections etc.

Minpunten:

There are a lot of things that could be improved with the billing side. So many steps to make any corrections with payment postings. Constantly have to go from keyboard to clicking with the mouse instead of just clicking the "enter" key. May seem trivial but it does interrupt the stream of things.

One of the best EHR Vendors around

Opmerkingen: I have had a wonderful experience with this software and it's auxiliary products. Even when things don't go as expected their customer support has been on top of it.

Pluspunten:

I like the immediate transition of the company since the new [SENSITIVE CONTENT HIDDEN] has taken over. Their commitment to customer success with new edge technologies has been a great shift and kept me as a customer.

Minpunten:

I dislike the fact that they don't have a bigger stack in the hospital industry of healthcare. I think this needs to change particularly with their api and interoperability stack.

The latest features in Office 2019

Pluspunten:

Lots of great new features, smoothness, ease of use. All this will make it difficult for you not to upgrade your Office package to the 2019 version

Minpunten:

Purchase a copy of the program via the official Microsoft Office website, but if you want to download Office 2019 for free and activated for life, you must

NextGen

Pluspunten:

It was easy to use and easy to learn and adapt

Minpunten:

I did not really dislike anything about it

I must be missing something....

Pluspunten:

It does have medical diagnostic tools like the Vanderbilt already included as well as an Asthma action plan/Asthma control test and several other questionnaires that are rather necessary in primary care as well as collates the information (i.e you can compare today's Vanderbilt score with their last Vanderbilt score without having to hunt down that note). However, true to NextGen's form, the things that worked really, really well (like having the school physical form be automatically populated with the vaccines), they have somehow succeeded in completely screwing up, making the very, very few good things about NextGen a rapidly diminishing anomaly.

Minpunten:

Where do I start??? Having to input data several different locations, it is SLOW and every single thing you want to do has to open a new window (read between the lines and understand that in an already slow program, every page you open has to load) and with all of the windows you open, there's no way to minimize them to go to another screen i.e you can't minimize the medications so that you can review the patient's last lipid panel, TSH, blood pressure, etc. You would have to close the medication module, open the orders module to review the lab then go back to the medication module and open it to make any medication changes. And if you want to make any medication changes or do any documentation at all, you have to have an open encounter and none of the encounters are labelled in any sort of orderly fashion so you have to open each encounter to find out where you put anything (again, think of each page having to load/open and taking 5-10 sec each). Medications: you have to associate a diagnosis with every single medication if you are a provider which is an awesome idea except that if you haven't previously entered that diagnosis, you can't actually save your medication and go back to it, you have to close out of the medication module, enter the diagnosis into the assessment and then go back into the medication module and re-enter all the same information again. Labs: there is no way to save quick phrases or phrases you use frequently so that conveying test results is, on a great day, a lengthy and painful process. Also, if you want to know how your current lab value compares with the previous ones, you have to open up the patient's chart and go into the order module. Entering orders: again, if the proper diagnosis isn't there, you can't save your work and open something quick to pop the diagnosis in, you have to lose all of your orders, "X" out of that screen, open up the assessment screen then go back to whichever area you were in (another lovely thing: everything is separated so putting in lab orders is separate from putting in diagnostic studies which is in a different tab than putting in referrals which is in a different tab than any clinic orders (like toradol, PPD, u/a, etc). Also, if you are ordering any sort of medication to be given in the clinic (like Toradol), if you forget to add that it's a medication, it deletes the order and you have to start all over. Various names depending on the section: sometimes it's filed under Pulmonary, sometimes it's filed under Lung, sometimes it's filed under Respiratory...and the sections aren't in any kind of order either. The routine way physicians document an exam is starting with constitutional and working your way down. Nope. Not in Nextgen. The main page of the physical exam has One Page Exam, then constitutional, then diabetic foot exam, then ears, (separate from) nose/mouth/throat then neck/thyroid then breast (huh????) on down. However, if you open up a quick-note [great concept if it worked but the software doesn't actually recognize anything is in any particular field (i.e. HPI, Physical exam) and ROS doesn't even save...so if you try to calculate the code it always comes up as a 99212)] and you want to modify the exam at all (because if you go into the one page exam and enter anything, because it doesn't actually recognize there is data there, it deletes everything except what you've just entered) you go into the "Additional" tab where the headings are (I kid you not) Neck/Thyroid then Breast then Psych then Ears then Constitutional then Respiratory then Nose/Mouth/Throat then Musculoskeletal then One Page Exam then Cardiovascular then GU then Abdomen the Skin/Hair then Head/Face then Eyes then Lymphatic then Vascular then Extremities then Rectal then Back/Spine then Neurological and on... The ROS starts with Cardiovascular and marches on down to end with Respiratory and then Vascular and one might think it was alphabetical except Reproductive is sandwiched between Immunologic and Metabolic/Endocrine. ROS: Since I brought up the review of systems, let's stop there for a moment. There are not things listed that a patient would say; they start out strong but then in Respiratory they include things like "Known TB exposure" (not really ROS but rather PMH or even HPI) and under Cardiovascular they include "Claudication" (not likely something a patient is going to complain about) and my personal favorite, under the female ROS is "Abnormal Pap smear." While there is the ability to pick "Other," most often the drop down menu that is supplied is a restatement of the things in the first menu so you have to hit escape and just type in your own words (or the patient's words). And on top of all of this, it has the audacity to be glitchy. One of the things it does for me is, even when I've entered an assessment, sometimes it doesn't recognize that it's there and then tells me to enter an assessment...news flash: because of the way the software is set up, you can't enter a plan without an assessment there, so if I got to the screen where I could enter a plan...clearly there's an assessment there...however, you can't argue with a computer... I titled this "I must be missing something" because if you go to their web page, they've got all these awards that they've won, etc and I just don't see how anyone could award them for anything. This software is abysmal at best and, if I leave my current place of employment it will be because of THIS. Not my boss, not the patients, not the money, the EHR. And this was adapted because the Illinois Primary Health Care Group that is over all of the FQHCs thought that this was the best option for Health centers that are taking care of a challenging population who needs things to be easier for them not more challenging. And with this software, I am more likely to miss things that need to be done because EVERYTHING is on a separate page and with 15 minute visits, who has time to do all that with a slow EHR??? Funny thing is, there's an update that may have fixed several of these issues but you can't task anymore so we can't upgrade. That would mean that every time you needed your nurse to do something, you couldn't send it to her, every time you wanted the front desk to schedule something you couldn't send it to them, every time you needed a follow up lab or test ordered, you couldn't send it to anyone to call the patient and do it. So either I'm missing something HUGE or the people who are evaluating NextGen and give it anything better than "Epic FAIL" are either working for the company or involved with someone who works for the company. My new analogy has become: if I did my job as well as they did theirs, I would be in prison for Manslaughter....

Difficult EMR to use, even more difficult to get rid of - Poor customer service, poor tech support

Opmerkingen: Do your research before purchasing this EMR, because once you sign up with them, it is very difficult to get rid of it. They make it very difficult to sever the ties with them, and costly to obtain your patients' records and will continue to charge you if you have authorized them to withdraw the monthly subscription from your credit card, which might be related to the lack of communication between their different departments, but nevertheless amounts to harassment and lots of time wasted disputing those withdrawals with your bank.
I also got charged twice in 1 month last year, and still waiting for a response from their accounting department to get a refund for the overcharge (despite multiple emails)
If you use their efax service, make sure you get a list of efaxes you have received to verify the overage fees they charge you (so far they have not sent me the list of efaxes and continue to charge me for overage each month despite the fact I have canceled my services)

Pluspunten:

My biller felt the practice management/billing side of meditouch/NextGen office was about average but the issues with the EMR made this product impossible and ended up switching EMR

Minpunten:

I started my subscription with meditouch/Health fusion, later changed name to NextGen office. The software is a billing platform with an EMR tacked on to it. I had used various EMRs during residency and in a group practice and this is the absolute worst product, most rigid software with lots of clicks and not user-friendly. Just reviewing a lab result is a hassle, needing to go in and out of the chart note, with numerous clicks in between. On several occasions, I noticed Meditouch glitching and chart associated with the labs belonged to another patient, therefore had to double check all the time, an issue that I had never encountered with any other EMR (EPIC, Cerner ambulatory, Praxis, even NextGen Enterprise etc.) Once the sales-person had sold the subscription to me he would not return my phone calls, and customer service was practically non-existent. Eventually got assigned a new contact person who was a lot more responsive but unable to solve any of the product related, customer service related or billing related issues. Eventually, I switched EMR, and canceled my subscription with NextGen and received a confirmation that my services were discontinued, but their billing department continued to charge my credit card on file. Make sure not to sign any authorization for the billing department to charge your credit card. In order to export my patients' data to my new EMR, NextGen wanted $ 5000. My new EMR (Praxis) transferred the data for a fraction of the price.

Just as bad or worse than any other EHR

Pluspunten:

communicates with my billing company, but I could just fax a superbill just as easily. does insurance eligibility checks, does eRx (but is often difficult to find the pharmacy unless you know the exact zip code, sometimes doesn't find the pharmacy at all, like Safeway's)

Minpunten:

Wow, there is so much not to like... Word searching for ICD10 codes, past medical history and problem lists returns hundreds of search items that have absolutely nothing to do with the words being searched. Also, if you enter the words out of the order in which they would appear, you will never find them. Social History is much more than whether a person drinks alcohol or smokes. There is no way to put in valuable details of a patient's social history and automatically include it in your notes. A lot gets lost by having to adhere to some stupid engineer's formatting. Same with past medical/surgical/obstetric histories-you cant add any valuable details to anything (like which knee was replaced and what happened after their concussion, etc). The charting is so useless that I have given up and gone back to paper charting. I start an encounter just to put my billing through. Health Maintenance: I can't enter that a patient refuses to do a colonoscopy or mammogram. All I can do is "disable" that patient from being counted for meaningful use. Poor formatting: while they tout being iPad friendly, each page has lots of unused space, so there is a lot of scrolling just to enter data or get to the save button (and if you don't press save, you lost it). More poor formatting: entering vitals->information is so spread out that it takes two screens to enter. AND peak flow is on the first screen while height and weight are on the second "additional information" screen. Which is more important? Also watch out for the backspace button, sometimes it works like you would expect, and other places you will get logged out and lose all of what you were doing.

9 Years with NextGen

Opmerkingen: NextGen is a robust EHR that seems to offers solutions for all aspects of medical documentation including Practice Management for patient scheduling and billing. They are excellent with keeping up to date with the Regulatory, Prescribing, and Meaningful Use aspects that are required. There are calls and news letters to keep the clients informed of any upcoming changes or updates. No EHR is perfect. All have pro's and con's. We have had the opportunity to change software in the past but after consideration we decided to stay with NextGen for many reasons including cost and meeting our needs. I would recommend this software to others!

Pluspunten:

We have been using this product for several years now. After looking at several other EMR's NextGen seems to be more user friendly than others I have seen. There is a lot of "clicking" and navigation to be done to complete a chart but it seems to be the same with all EHR's. NextGen offers recorded trainings, WebEx and onsite trainings to get the most out of the product. Support is quick to return calls when a ticket is opened for technical assistance or if you just need help with a workflow issue. We have integration/interfaces with several other products and all work really well together.

Minpunten:

Providers would like to see "more intuitive" templates. There are some templates that you cannot print from that would be of help, for instance the Vital Sign Graph.

Great experience

Opmerkingen: This software is excellent in general, it has freed a lot of my time since I have customized it.

Pluspunten:

Once you customize documents, questionnaires, custom forms, physical exam information - it simplifies your work and you can be more efficient. Easy to customize once you learn how - my previous software took me long hours for several months to fix and even then it was not so easy, I had to keep typing additional data for my office notes. Saves time creating paper super-bills ( with my previous software I had to do it manually for every patient, then give it to the biller to post it), here once you close your note, the claim is actually ready to post... faster payments. The chief complaint has many set up questionnaires that are easy to use by staff and helps the health provider to quickly review the concerns, facilitates the interview, simplify the provider's work. Billing - has many ways to see the claims. Recall list for follow ups, blood tests, etc - once you order a test that is a follow up or in your note you document the follow up... automatically show in the recall list. Nice appearance of the finalized progress notes, many of the areas are automatically saving and you do not have to worry about losing your data. At the end of the day, you can review open encounters to make sure you finalized all your notes. Interfaces with labs and vaccine registries are available and work very well. Labs show automatically - there are icons on top of the page that make easy to find labs, tasks, messages, prescription requests, etc.

Minpunten:

Unable to see several tabs or pages at once, you need to save and close what you are doing to go some other part of the chart or if you need to open other patient's chart at the same time you are with one patient in the room - same applies for the PM portion and it is time consuming because you can not multitask.

Not what we were hoping for

Opmerkingen: We have about eight months into this software and are still struggling with very basic issues such as claims not making it to the carrier and reports not functioning to our (or our clients') level of expectation. I cannot report on many fields in the system and despite being told in the beginning that their reporting tool was being enhanced and we could report on individual fields, and spend additional money to export data so we could create our own reports.
Clients are increasingly frustrated with inability to get eligibility checks on many of their common carriers and to get anything much beyond just confirmation of coverage (not outline of actual benefits, etc.) Collections module is clunky and we have not found it to be effective.
On the upside, claims entry is fairly simple, and auto posting is a breeze, as is data entry of patient information.

Pluspunten:

Autoposting is fantastic. We find it does it correctly close to 100% of the time. When the system cannot effectively autopost, it "flags" the RA so that you can address it individually. When we initially converted, we found that importing patient demographics was refreshingly simple and something we could do on our own without additional costs. Patient demographics are easy to enter and maintain.

Minpunten:

Reporting is completely ineffective. Canned reports don't balance against each other, and it's hard to quantify values. Not much assistance from Customer Service, although they do try to be helpful. EDI process has been nothing short of challenging. From enrollment issues in the beginning to claims submission and follow-up issues, we are finding as we work AR several months later we're still having issues with some of our claims from early on which can't seem to arrive at the payer, despite acceptance confirmation from Healthfusion/ENS. It's costing us hours of time on the phone and lost productivity. We also cannot actually see the acceptance reports and are told we can't have access to those because they're in larger batches, which again creates additional phone calls and work on our part.

I love MediTouch PM Software

Pluspunten:

I love the A/R features. I love how fast I get paid by commercial vendors. I love how intuitive it is on helping avoid claim issues. I did not have any issues with implementation. I have had nothing but good experience with support. We have had this EMR for over a year (and I have dealt with a few) and this is by far the best I've used. We have not had any issues with it going down. We have called when we have thought the system was down and they have guided use through issues with browsers, internet speed etc. So we were always glad we called, problems solved when we thought it was on their end. Yes, claim eligibility check is only on some providers but if you get to know how to use it more in depth it can be VERY helpful in further info not just for eligibility but for knowing primary care provider etc. I have had ZERO issues with auto post and yes, I have double checked. I also really like their statement service, I review each statement before I "send" them to them to send for me but no more issues with bad addresses etc and well worth the money. Their "help" section is great. The help sheets are AWESOME. I email support more than I've ever called them and they send me helpsheets when I can't find them.

Minpunten:

I would like a better way to weed out the non paid lines with auto post instead of dumping them all to the appeal bucket. I would like to be able to attach a claim to the billing comments and be able to send them to another employee to review. I wish that I could upload our own forms to save in the system- I do not like the forms library at all, pretty well worthless to us, I would like it if I could upload, name our files and use it that way.

Opmerkingen: I am a Pulmonologist in a busy private subspecialty practice. I have experience using several diffeent electronic health records. Our practice has been using the NextGen product for more than 7 years--so I can speak as a battle tested user of this product. There are certainly some advantages to using any decent electronic health record including access to outpatient records across campus, handling of phone calls, archiving of information, etc. However, the NexGen product has a long, long way to go to catch up. For communication with other physicians the product is atrocious. Computer generated notes are laden with typographical errors, grammatical errors, truncated sentences, and at times gross inaccuracies. For instance, our current template for physical examination puts no output into the office note for the pulmonary exam (and this is for a busy pulmonary practice!). Here is a recent example of text from a COPD follow up note template: Reason(s) for Visit:
1. COPD - routine follow-up -The patient is seen in follow-up for COPD. The COPD - routine follow-up began since the last office visit. The COPD - routine follow-up has worsened. It occurs daily. The patient rates the severity of the symptoms as mildly severe. Symptom is aggravated by moderate activity. Symptoms relieved by resting and sitting. .... On top of this there are nonsensical changes of font size and style in midsentence that make office documents look like ransom notes. I care about the quality of my written work, so I literally spend hours each, most of our template improvements are wiped out. In my view, NextGen was clearly built first as a billing instrument, not as robust tool to promote all aspects of physician practice. The awards are certainly not for the quality of office notes or layout of screens for the enduser. Labs do not import into notes. Micro reports are difficult to read and necessitate scrolling through multiple windows. Data trending graphs are clunky, improperly scaled and often misplotted. As a practice group, we have tried to work with the NexGen programmers and have been very dissatisfied over 7 years with their lack of responsiveness and seeming inability to fix identified problems. Often when one problem is solved many more are created. As a result, our practice has invested a large amount of funding to support a local programmer to try to correct many of basic flaws in the software that should be part of the package out of the box. Unfortunately, with major system upgrades most of our template improvements have been wiped out.

All hat no cattle

Opmerkingen: Support is, for the most part, responsive and diligent. But the reason NextGen was chosen was because it was customizable. As time goes on, NG is moving away from that and toward hard-coded standardization. This makes it much less appealing as its pros begin to be outweighed by the cons.

Pluspunten:

The practice management end of NextGen is great. This means consistently good checkin, billing, collections, and AR processes.

Minpunten:

EHR tends to become more of a mess as time goes on. Instead of fixing glitches and even critical known issues, with each release comes new features that we didn't ask for.

Nextgen pros and cons

Opmerkingen: Overall the software is very good for daily charge entry, payment posting, and account managing. We use it daily and it is user friendly, even for brand new people just training. The providers are generally happy with the EHR side and its many features including searching patient training items on the spot.

Pluspunten:

It is user friendly when processing charges and posting payments. The auto flow works wonderfully and can be customized to your needs based on our processes in our office. It has a lot of features that makes charge entry easier like rearranging your codes right in the charge screen and accepting the copay at the same time.

Minpunten:

My biggest complaint has been and will be the reporting. The process to create a report is fairly simple but all of the options aren't as available as I'd like and tweaking them is next to impossible. There are some reports we just haven't been able to create.

In Need of a Little Help

Opmerkingen: I believe Oklahoma Foot and Ankle is NextGen's first podiatry practice. Having been with Next Gen almost 5 years, we have come to realize areas (such as the one's mentioned above) where improvement could be made and perhaps additional feedback from us could help you attract other podiatry practices. On-site training should be part of the cost of our monthly service fee. You offer webinars, but some staff would greatly benefit from hands on training.

Pluspunten:

I like the ease of transition between Practice Management and EHR.

Minpunten:

With the ease of transition, there are some features that are totally different between the two features. Specifically, scanning in EHR doesn't give you the option to select a provider. Instead, the provider defaults to the first provider in alphabetical order in our practice. I've addressed this problem with support and they seemed to be unable to fix the problem. Also, the templates are difficult to create in EHR. Podiatry specific templates would be nice.

Clinically Useless. Lost Productivity. Cryptic data entry/retrieval

Pluspunten:

The product support was horribly useless. The techs and their supervisors knew very little about the product. The Nextgen system itself is the real problem though. It takes so many clicks to perform the very simplest retrieval of information or data entry. The windows to see information or enter are tiny, 1 cm in height and cannot be adjusted. After a full year, our office of 4 MDs and 3 NPs (all tech competent) were still only able to see 10 patients per 8 hour day, and still spend time after hours to document. Awful. In all honesty, I cannot find one redeeming quality to this EMR, compared to any of the others I've used extensively or on its own.

Minpunten:

The answer to the problems were always: "It's being addressed in the next version roll out". This is a half-baked EMR. It's use is a danger to patient care and a real liability. We abandoned it. The system is intended to have the clinician enter all HPI, IMP and Plan by point and click check-boxes. If these are not used, then it does not collect meaningful use data. However, the clinical utility of the text it generates is so generic, so hard to generate, and so cryptic that it is of no use to retrieve the facts of the the case. The only way to enter your thoughts, history or plan is to free text it (in addition to the mandatory point and clicks), doubling your work. It doesn't even have a way to carry over information from past notes HPI or plan, so that it can be easily adjusted.

Opmerkingen: I started using the MediTouch EHR system in the latter part of 2011. I changed over to solo practice of Obstetrics and Gynecology from a group practice and was not eager to have an initial high investment cost to begin a new system. MediTouch was affordable, but also, to my immense pleasure, transferring over from a system that was not only cumbersome but also more costly, I found working with the MediTouch software a delight. (Even more so because it was softer on the pocketbook. The software is really a quality product. Not only that, there are so many continual improvements that it is hard to keep up. Just recently, I discovered the E&M coding tool. Now I can code office visits with confidence knowing that I have all necessary component for the proper code. I was amazed at how often I would think the visit was one code, such as a 99213, only to find that it was actually a higher code. Most often, what I though should be coded as 99213 was actually 99214. And sometimes, it is only a matter of legitimately documenting something that I had reviewed, but had not put in my note (for example, as smoking history or review of sexual history). My staff had a harder time with the change than I did, but now, they too prefer this system. There are some functions that need to flow better from the HealthFusion practice management side to the EHR system, for example, follow up appointment intervals, which cannot be seen on the practice management side, but we have managed fine as it is. When those changes come, I know this system will be unbeatable. I do not think that changing from a paper chart to an EHR system is ever easy. I just finished taking a medical records course, and after learning about chart audits and what are considered deficiencies, I feel confident that with this system, going through such a process would be much less painful. In fact, I think I could approach it with confidence with the MediTouch software. Changing from paper to an electronic charting system is never easy, but with MediTouch, it was well worth it. Since everyone is different, I think everyone will have to find how this software works best for them. For me, I find my charting is now more thorough and complete than ever. And believe it or not, I spend less time charting than I did before!

Intuitive healthcare emr

Opmerkingen: Scheduling and appointment information works well. Coding is sufficient also

Pluspunten:

I like that next fen is intuitive and easy to use for new users. There are multiple tabs and ways of doing things depending on user preferences. Many ophthalmalmic clinics have success with this system

Minpunten:

Integration of glasses rx and optical sales would be a nice addition so all patient charting is in one emr system. Currently we use a separate system and it’s not efficient or concise leaving much room for mischarting

Nextgen has improved on the Meditouch EHR

Opmerkingen: Gradually improving. We have decided to hold off on changing our EHR for now because of these improvements. Hopefully, the trend will continue.

Pluspunten:

Uses Google Chrome. Very fast, especially when using "wired" vs WiFi. Mac-friendly. E-Rx of Controlled Substances works well.

Minpunten:

Support is much better with Nextgen than with HealthFusion, but still rather slow Occasionally, their server goes down and we are dead in the water. Thankfully, this has improved, but still should NEVER happen in this day and age. With that in mind, they should allow for a Read-Only in-office server so that we could at least access the most recent office visit and the patient's meds when their server is down, but there is no accomodation for this. Rather difficult to make changes in the templates if you are not VERY good at this sort of thing. The listing of meds and problems requires closing the office notes to view. These should open in separate windows. Also, you should be able to view more than 1 office visit at a time, but instead, you must close 1 OV to look at a previous OV. Initial training from HealthFusion was virtually non-existent. We were just referred to online videos. Maybe there is now an option for on-site instruction, but we never received it.