Aprima EHR is part of the complete Aprima system, including Practice Management and Revenue Cycle Management solutions.
Aprima EHR’s Intelligent Navigation presents clinically relevant findings based on presenting symptoms, diagnosis code, and preferred treatments. Built on a single database, the Aprima EHR and PM systems are fully integrated. It features unique, patent-pending Replication technology to let users work anywhere, anytime, with or without an Internet connection. It was specifically designed to take advantage of mobile hardware including the Aprima Mobile smartphone app, allowing users to make the most of tablets, touchscreens, and smart phones.
It includes a built-in and expandable knowledge base covering over fifty specialties and is one of the first EHRs to achieve complete Certification for Meaningful Use Stage 2 in 2013.
Aprima EHR allows users to choose the deployment option to suit the unique needs of their particular practice – either web-based or on-premise. Aprima Financing offers users one-stop shopping for the software, support and technology financing needs of medical practices of many sizes in a wide range of specialties.
Donald from Kennebec Internal Medicine Associates
Specialty: Internal medicine
Portfolio size: 6 to 10 users
It is easy to put in templates (but then, it was easy to template dictated notes when I was simply using microsoft word)
Not even slightly intuitive. Requires a trained expert to demonstrate all the most very basic functions. Bills itself as being easy to customize, but that has certainly not been my experience. The entire program seems to me to have been designed to keep the IT department in business.
Make sure you are happy with how all of the basic functions work right out of the box, because it is unlikely he will be able to make any significant changes to the way the program flows.
Joanne from Rocky Mountain Spine Clinic
Portfolio size: 11 to 20 users
It is user friendly. Easy to move around in after setting templates up for scheduling, with the correct training ( we had to pay additional for).
The customer support is the worst of any company we have ever used.
Also your pretty much on your own to learn the system, they don't train and never help.
Choose another EHR...............run fast!!! This could be an EHR that practices could use but with no training and no support it rates one of the worst. Also they charge you for every thing you do or add.
Cristen from Lakeshore Surgical
Portfolio size: 6 to 10 users
Nothing yet. The system is very cumbersome. It does help calculate the level of service, which is helpful.
Nearly everything. Everything takes a millions clicks, and then the text that comes out is horrible. It looks and feels like a point and click system. The history has no flow when reading it. I am currently finishing my training with Aprima. My partner has used it for several years, and I really had no other options in this practice for my EMR. So far I find it cumbersome and fairly difficult to customize. I just found out that for the simplest task (to modify a medication for a patient), it actually cannot be done. If the sig is entered incorrectly, you actually have to delete it then re-enter it. I have never heard of something so ridiculous in all my life. It requires being perfect with data entry, which is just not humanly possible. Not recommended.
Keep looking. I have looked at several systems and wished that the practice had chosen Praxis instead.
Marc from Avenel- Iselin Medical Group
Portfolio size: 21 to 50 users
Aprima is very flexible. The fact that it is chief complaint driven allows easy documentation in primary care.
Honestly, any issues we've had over the years have been addressed and corrected by the support staff via hot fixes or upgrades.
Get 5-6 vendors to give you presentations. Then narrow it down to 2-3. and go to a practice that is using the product to see it in real time use.
Ira from IRA A SCHWARTZ, MD, PC
Ease in finding notes once entered into the EHR display is nice.
Not intuitive, very difficult to customize, limited help menus and teaching.
Don't just do a demo of it, try to set up customizations including templates for P.E., ROS, letters, referrals and scanning.
Janet from Mount Dora Podiatry
Portfolio size: 2 to 5 users
I have learned to use the software despite having to adopt it to my specialty. My front office likes the software.
The offsite server is extremely slow most of the time, and I am unable to wait for it to finish my note between patients. Recently, the server has been down for hours preventing us from finishing our work. It's very frustrating. Of course, Aprima always says it is our fault. We have upgraded all computers and internet without much improvement.
How do you really know about this type of software until you are actually using it? Aprima boasts about the speed of their server and makes us feel like we are the only ones experiencing this problem. Right now, I have the internet, but Aprima says I've lost the connection. We are trying to attest, but these interruptions are preventing us from filing in timely fashion. I would think twice about this EMR.
Brenda from Huntsville Family Medicine
Specialty: Family medicine
Portfolio size: 2 to 5 users
We were an Allscripts MyWay user. After 18 months on the product Allscripts decided to discontinue support for MyWay and offered us a "free" upgrade to their very busy Professional product. After putting a pencil to it the "free" upgrade was going to cost us considerably. Aprima to the rescue!
Because they wrote the MyWay product, their EHR was exactly what my physicians were used to using so the transition for them was seamless. The product is user friendly and not too busy. The PM product is wonderful! The applications are also user-friendly and easy to maneuver. We are getting paid within days of filing claims. We are very pleased with both aspects of this product and learning more each day as we use it. Also, the support is wonderful. You actually get an English-speaking American. That is worth its weight in gold to me.
Sometimes the turnaround time on logged cases is not as quick as I'd like.
For the EMR, if you have providers who are not too tech-savvy, this product is for you. However, my tech-savvy physicians are very pleased as well. The product is very user-friendly. Everyone will have that initial 2-3 months of chaos, but after the transition is done, you will find this product beneficial to your practice. The PM product is better than I imagined, and I look forward to seeing what all this thing can do for my practice.
Jack from Associates in Medicine, P.A.
Date: November 2013
We have used Aprima since 2011. We moved from paper to electronic format using a staged process that I spearheaded as project manager. In November 2011, we implemented the PM system. In February 2012, we moved. I became Aprima PRM 2011 certified and began training physicians in May for a July and August implementation. I met with each of the physicians who were participating in the first of the three waves of go-lives beginning in May and started exposing them to the product. I began meeting with the second wave physicians in June. By July, three physicians were already using Aprima, even though their official Go Live date hadn't arrived. Five physicians were using it by the end of July. We ran a part-electronic/part-paper schedule, which we ramped up as the physicians felt comfortable. It took six months before all of our physicians were 100% electronic.
While the process of converting was difficult, we had almost no loss of patient volume. We did not cancel appointments or block off vast swaths of the schedule due to the implementation. The software was relatively easy to pick up for our physicians once it was configured administratively and once the physicians and staff became accustomed to the program's layout. Customer support has been pretty good and has only gotten better since we began with them. There were a lot of crashes early on, but those have been 99% fixed. We have submitted dozens of tickets and almost all of them were completely resolved within 24-48 business hours. Any emergencies were handled within a couple hours. If you do have a more complex issue that has to be passed on to a developer, though, you may be waiting.
We've actually seen an improvement in our patient flow and our ability to measure the practice's performance has vastly improved. We now have a number of fixed quantitative measures that we can follow for clinical, financial, and operational performance such as no show %, revenue per procedure, E&M coding averages, lab/task/phone message completion rates, etc. which we can map by provider, site, CPT, date, or whatever other dimension we wish. It's really crazy how flexible reporting can be with 3rd party software. I estimated the number of linear inches for a file rack for our existing chart storage before we moved them to their new home in the new medical records suite by retrieving the first letter of the last name of each patient that was seen since Aprima began and dividing it by the total number of patients, then multiplying it by the number of available inches to get the amount that should be allocated to the A's, B's, C's, etc.
We were able to reduce the medical records department from 4.6 FTE employees to 3.25 FTE employees. Our clinic is now distributed in separate offices. We were able to move our business office outside of the clinic into another suite in the building and our medical records department was moved out as well. This was not possible without Aprima. This made room for an additional physician who we onboarded just two months ago, and it positions us to expand even more. Our no-show rate has reduced from 4.5% in May 2012 to 0.9% in October 2013 due to appointment confirmation e-mails, calls, and text messages that were not possible before our conversion. We are saving thousands on paper, folders, inserts, envelopes, postage, and other materials. We have begun tapering off our off-site storage, which is a $1,000/month expense that will be reducing by $200/month every year for the next 5 years. Patients love being able to log on to our patient portal to look at their lab results, which has saved our staff from having to call or mail results when patient labs are normal.
Our physicians are seeing more patients per day on average than they ever have before. We are on our way to our highest-ever year when judged by total revenue. The physicians love being able to go home and remote into the office to do work. Our physicians are generally happier and more relaxed than they were when we were using paper. Staff are happier and more relaxed. The administrator and HR manager is able to focus on side projects because there are fewer conflicts.
All-in-all, Aprima has been a huge success, although it could use a number of improvements to speed and the overall design of the product.