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EMR Recommendations

Discussion in 'Podiatric Residents & Physicians' started by apollofx, Apr 27, 2018.

  1. apollofx

    10+ Year Member

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    As the title suggests I am looking for some recommendations regarding an EMR for a two physician practice possibly in conjunction with a billing service. I am interested in PracticeFusion but understand they are now switching to a subscription model and I have some experience with TrakNet but have never really been impressed. I like the idea of a cloud based system with remote access, limited hardware needs and lower startup cost.
     
  2. ldsrmdude

    ldsrmdude Back in the saddle again
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    I don’t have experience with PracticeFusion, but I used TrakNet for almost 2 years and nearly cried tears of joy when I stopped having to use it.
    There are some good discussions of EMR options in the practicing physicians forum if you want to check it out
     
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  3. NatCh

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    The cloud-based system is really nice since you don't have to pay directly for updates and maintenance. One drawback though is that when your internet goes down so does your access to your notes. I've been able to access my charts through my iPhone using cellular connection in a pinch.

    Practice Fusion is mostly compatible with Dragon voice recognition if you want to go that route but there's a weird glitch that causes the cursor to jump, messing up your formatting. If you don't catch it while you're dictating then your note will be off by a letter.
     
  4. Superlarson5

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    PracticeFusion is no longer free. The ones I like are NoshEMR and Solismed.
     
  5. dtrack22

    Podiatrist 10+ Year Member

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    Isn’t practicefusion only like $100 per month? Anything that is free is going to end up costing you at some point. No EHR that can keep up with ICD changes, MIPS crap, etc. will be free forever. Eventually they have to charge you.

    Modernizing Medicine has an EHR that has been customized for a few different specialties. Started with and is very big in Derm I believe. There’s a poster here who can probably tell you more about it if he reads this.

    https://www.modmed.com/orthopedics-ehr/
     
  6. spo01

    spo01 Member
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    Just curious what did you not like about TrakNet? This is what I use in the office now.


    OP, I use Traknet for office work and officeally for housecalls but have switched from many other EMR. I am surprised at how much I like office ally. It's cheap/free and fairly easy to navigate but I have a very low volume for the house calls. This is probably not your best option for large offices but I can't say for sure. My biggest complaint by far with officeally is that it only allows a certain amount of characters when you do your note and it separates all the components of the SOAP note. I have generic templates saved in a word document. If I have a new patient I have the S.O.A.P. and ROS etc all in that one template so I normally would simply highlight all of it and paste it as one giant note. Office ally does not allow me to do this. It automatically separates all those sections. You can't just create your own template in the system and paste it but you can't because there is a 2000 character limit! So I have to copy my HPI, ROS, PE, plan, etc one by one from my word document to officeally. It's time consuming when you have a lot of new patients. My objective and plan are both over 2000 characters, so again I have to divide my template into 2-3 parts to copy and paste it.

    Traknet is decent and I've grown to like it. My biggest complaint by far is the loading b/w each section, the frames would come up one by one by one. I am a tech junkie and man of speed with my notes and it was very frustrating clicking from the visit note to the diagnosis to the invoice. The other doctors here like it and this didn't bother them. We have had other glitches but they are not too often. Other than that it's pretty good.

    I used Epic during residency and it was epic. Loved it. The smart phrases/dot phases alone made it worth it. Problem is it is ridiculously expensive and used mainly for large groups and hospitals.

    I don't know the exact details but we quit using Athena as it screwed up our payments BIG TIME and put us in a horrible financial situation. I got a text 3 months later from my friend in another state writing "avoid Athena like the plague". That same guy switched to meditouch by healthfusion and said it's better than Athena, but not necessarily enough to make him recommended it to friends.

    Advancedmd was ok but apparently the owner felt it was too slow for reimbursements so we switched.
     
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  7. ldsrmdude

    ldsrmdude Back in the saddle again
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    Looking back, some of it is not really TrakNets fault. There was definitely some hostility towards the job being reflected in my dislike of the EMR. :laugh:

    I used Epic for the last 1 1/2 years during residency and I think some of my frustration was that TrakNet isn't as easy to use as Epic, specifically with the smart phrases and dot phrases. I got really good at those because we used Epic in clinic as well. TrakNet didn't have those phrases and to me, seemed just like you opened a blank Word document with each patient. I did make templates and they helped, but it still looked just like typing your note in Microsoft Word. TrakNet also had ads every time I logged on, trying to get me to buy additional services they offer. I thought having ads on your homepage of your EMR was pretty low class. Coming from Epic, it just had a cheaper and less up to date feel. We only used it for the EMR and didn't do billing/coding with it. I also thought it was expensive for what you got. I can't remember what it cost (maybe $300 per month per provider?) but I didn't think it was worth it. We constantly seemed to have technical difficulties with it.

    All in all, it worked I guess. And like I said, some of the dislike of my job certainly tainted my opinion of the EMR. I currently use Cerner Powerchart in clinic and Epic depending on which hospital I'm at. We'll be switching to Epic in clinic sometime in the year or two and all of the surrounding hospitals are switching to, or have already switched to Epic.
     
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  8. DYK343

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    It's seriously the worst.... I think it actually is the plague.
     
  9. Scrantonicity

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    Switched to Athena a little over a year ago---I really like it a lot. Just like everything, takes a little time to get set up and get your templates just right, but I think it's the most user-friendly cloud based system I've seen. I can do about 40-50 notes an hour if I'm behind and catching up, if that gives you an idea :) I've been teaching our girls at the office how to scribe with it (so I don't get behind), and they are picking it up quickly.
     
  10. Carbon13

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    As comparison, what other EMR have you used ?
    I've only used TrakNet / Epic / Cerner.
     
  11. Scrantonicity

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    I've used Practice Fusion, Greenway (Success EHS), Meditouch, and I've messed with Traknet some.

    As for the people above posting about avoiding Athena like the plague, I haven't had any of those issues up to this point (knock on wood). Their customer service is excellent. We hired a billing specialist that helps to make sure all of our claims get through, so maybe that's key.
     
  12. DYK343

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    You must be an athena rep. Because it is seriously the absolute worst system there is.
     
  13. Scrantonicity

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    Haha! No, I'm a podiatrist who has tried other crappier software before. Are you a rep for a different EMR??? You haven't said one reason why it's the worst system. Maybe you didn't make good templates? I dunno, man. Please elaborate, and I can see if I am missing something.
     
  14. DYK343

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    One size fits all templates. Billing nightmares. Constant errors with reporting labs and data. Athena sends me randon exams for patients Ive never treated or seen. I send it back to them saying they are not my patient and I did not order this exam/I do not treat this problem only to have them resend the CT abdomen back to me with basically a message telling me to figure it out. Complaints can go on and on and on......

    Stay clear of Athena. It's the worst.
     
  15. toomanytoes

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    Practice EHR - not a big fan, they don't give 100% control over your note since certain things are pre populated and you can't change it. Customer service is ok. When you ask for help, they give generic answers. I have had issues where multiple patients' information from notes carried over to some other patients' note when you try to switch in between patients. Gets slower during the day, I have to log in multiple times to bring it back to normal speed.

    Epic was great during residency but expensive for small practice.

    I used this for more reviews for other emr. The Top 20 Most Popular EMR Software Solutions | Capterra
     

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