Best EHR?

[Darlene]

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Which EHR is your program using or thinking of switching too?

 

[impact2d]

I'm not a doc yet, but before med school programming, testing, and selecting EHRs was a big part of my job. I installed different systems in different settings and trained staff, surveyed them on happiness so I may have some insight depending on the type of practice.

Are you talking for small group pp or hospital based?

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I might have misread, you're not looking for one to use but what different programs use. I apologize.

 

[gutonc]

It blows my mind that there are still hospitals with residency programs that don't have EMRs.

The "best" EHR is something you'll never find. The "good enoughest" EHR is something you'll just have to hope for wherever you wind up.

Medscape did a survey of physicians (21K respondents) about their EHR experience and reported it here.

I've used Epic, CPRS, Cerner Powerchart and Centricity. They all have their ups and downs. I use Epic in 3 of the 4 hospital systems I currently work in and Powerchart in the other. I'm a fan of Epic's dot-phrases to cut down on the work I have to do. I generally only type about 1/4 - 1/3 of my note, the rest is dot-phrases (never mind the stuff like meds, labs, vitals) that are pulled in automatically.

 

[ResidentMD]

It blows my mind that there are still hospitals with residency programs that don't have EMRs.

The "best" EHR is something you'll never find. The "good enoughest" EHR is something you'll just have to hope for wherever you wind up.

Medscape did a survey of physicians (21K respondents) about their EHR experience and reported it here.

I've used Epic, CPRS, Cerner Powerchart and Centricity. They all have their ups and downs. I use Epic in 3 of the 4 hospital systems I currently work in and Powerchart in the other. I'm a fan of Epic's dot-phrases to cut down on the work I have to do. I generally only type about 1/4 - 1/3 of my note, the rest is dot-phrases (never mind the stuff like meds, labs, vitals) that are pulled in automatically.

You can get the dot phrases with Powerchart and CPRS too. CPRS, while appearing like a EMR from the 1990's, is possibly the only one currently that integrates data nationally (from all VA's) which is often useful for patients who keep moving.

 

[gutonc]

You can get the dot phrases with Powerchart and CPRS too. CPRS, while appearing like a EMR from the 1990's, is possibly the only one currently that integrates data nationally (from all VA's) which is often useful for patients who keep moving.

CPRS doesn't (or at least didn't last time I used it) have true dot-phrases. But it did have excellent and easily modified templates. I actually found the remote data to be a total nightmare in CPRS though.

I don't use PowerChart enough to care but I'm not surprised it has a similar functionality.

Epic is the most commonly used EHR, especially among large hospital systems, and they recently introduced something called "Care Everywhere" which connects all Epic-based systems to give you a "Read-Only" version of pretty much any chart somebody has in Epic, anywhere. It's a little clunky but pretty cool. Since all but 3 hospitals in my area use Epic (and I don't see patients from 2 of them), it's a pretty cool deal. CPRS is the only other system that has anything like that.

 

[littlealex]

I've tried EPIC, CPRS, and Sunrise/Eclipse. I prefer EPIC because it's less laggy, quick dot-phrases, well integrated imaging systems, and fast remote access. It's also the most comprehensive and internally integrated program I've used. You can auto-populate many things and discharging patient is a breeze on EPIC.

CPRS I think it's fundamentally flawed in its programming language which is probably why it is so laggy and difficult to use. It has its benefits but EPIC is simply more comprehensive.

Sunrise is just a terrible piece of software. It's slow, doesn't support images well, and doesn't deserve to be in this conversation.

 

[icaruswalks]

Out of all the EMR/EHRs I've worked with, I've liked Epic, CPRS, and Centricity.