NextGen Software


 

NextGen is one of the nation's largest providers of medical software and is used by over 60,000 providers. They offer several different products to help practices and hospitals manage the financial, administrative, and clinical components of their businesses. NextGen has won many awards since their start in 1973, including repeated rankings on Forbes and BusinessWeek "top companies" lists. For example, in 2010 they were ranked #22 on Forbes Best 200 Small Companies in America.

NextGen Ambulatory EHR has received 2011/2012 CCHIT certification, as well as the important ONC-ATCB certification. This is required for physicians that want to receive Meaningful Use incentives outlined in the American Recovery and Reinvestment Act (ARRA). EHR software companies must meet a long list of feature and functional requirements to receive these certifications. So, pardon the jargon, but NextGen's Ambulatory EHR is a feature-rich system. It provides coding optimization and compliance (i.e. E&M coding advice), ePrescribing, lab integration, image management, and more.

NextGen Practice Management helps providers manage the financial and administrative aspects of their offices. It helps practices manage patient appointments, submit claims to payers and clearinghouses, verify patient eligibility, and more.

NextGen is designed for medium and large practices with 2 or more physicians, and is ideal for a few specialties, namely cardiology, ophthalmology and community health centers. In addition to their EHR and practice management system, NextGen offers revenue cycle management, health information exchange, and patient portal applications. They also provide EDI services and offer off-site data protection.

 

NextGen - Cardio Cat
 
  • NextGen - Cardio Cat
    Cardio Cat
  • NextGen - Clinical Dashboard
    Clinical Dashboard
  • NextGen - Financial Dashboard
    Financial Dashboard
  • NextGen - Health Maint v8
    Health Maint v8
  • NextGen - Orders 6
    Orders 6
  • NextGen - Final Note
    Final Note
Supported Operating System(s):
Windows 7, Windows Vista, Windows XP, Windows 2000

37 Reviews of NextGen

Showing 1-20 of 37

 

from Accume
Specialty: Family medicine
Size of portfolio: 51 to 100 users Portfolio size: 51 to 100 users

No Encryption

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Likes Best

During my review of NextGen at my client's site (in preparation for HITRUST), I discovered that the database is not encrypted.
The HIPAA/HITRUST requires data at rest to be secured / encrypted. My contact with NextGen resulted in zero. Please let me know if there is a future release with encrypted data.

Likes Least

No encryption - violation of HIPAA/HITRUST. I am surprised that NextGen has not addressed this issue.

Recommendations

Wait for encryption. With "Ransomware" exploding, healthcare cannot have software that is not encrypting the database.

 

from USAF
Specialty: Other specialty
Size of portfolio: Single user Portfolio size: Single user

Great Information When the Portal Works.

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Likes Best

Ability to communicate with my provider when needed, view and download lab results on-line, order refills.

Likes Least

There are many issues with the functionality of the system and there is no helpdesk or support for system to report problems with the system.

Recommendations

Look for a product that comes with a helpdesk. This is an essential activity for a service type product.

 

from Ralph A Swetlow LTD
Specialty: Optometry
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

Comprehensive with lots of pop ups

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Likes Best

Everything you need to use is in this system for medical care of the eyes, optical, insurance billing, patient portal, Rx's emailed.

Likes Least

Often have to enter the same info multiple times in either different templates or different parts of the same template to get "credit" for meaningful use, CQM and HQM. Why can't one answer populate ALL of the appropriate places????

Recommendations

Go talk to the administrators of the practice, the check in people, the insurance billers. These are the people who can tell you how functional this is. Most of the time the docs are oblivious.

 

from CMI
Specialty: Cardiology
Size of portfolio: 101 or more users Portfolio size: 101 or more users

Customize to your workflow

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Likes Best

NextGen gives us the ability to customize templates, documents and reports to fit our clinic workflow. We primarily use the Cardiology templates which has a brief synopsis of all the Cardiac History and Cardiac Procedures. Our providers can review these 2 areas within minutes and have a complete overview of the patient's significant history. We have not seen this feature in other EMR's. NextGen also includes their clients in weekly focus group meetings to help determine future development of their products. It's great to have input into future design.

Likes Least

Sometimes the anticipated date for release of an upgrade gets delayed. NextGen has started to look at releasing fixes without doing a complete upgrade which is very helpful.

Recommendations

Make sure the software can be customized for your workflow in your office.

 

from Chico Eye Center
Specialty: Ophthalmology
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

NextGen Practice Management Fan

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Likes Best

Practice management automated tools and reporting. Incredible flexibility when it comes to tracking information, auto tasking based on numerous factors and generating any number & variety of reports.

Likes Least

EHR ... just not super intuitive yet. The main complaint I hear is that EHR has too many pop-ups and it's not easy to move through the templates.

Recommendations

Understand the nature of the beast. I often hear users complain about the difficulty in learning. Yes, from the management, development perspective there is a steep learning curve however, if you want to enjoy the benefits of all of the tools you must first understand the tools available so that you can then utilize them in meaningful (yes .. meaningful) ways in YOUR practice. If you want to robust features you must learn how they work and how to use them; it's that simple.

 

from Tallahassee ENT Head & Neck Surgery PA
Specialty: Otolaryngology (ENT)
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

20 Years with the same Electonic Medical Record - NextGen

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Likes Best

We initially started with NextGen back in the Ice Age, long before mandates and incentives were in place to have computerized medical records. The flexibility of the system was the initial drawing card. The physicians wanted to continue to practice as they chose to do so and the templates allowed this ability. We have had to adapt to Meaningful Use regulation and use the knowledge base model that NextGen provided and this took some getting used to, but I am happy that I had the experience that I had back in 1996 to try and fit a more structured, but good system into our practice world in Otolaryngology.

Likes Least

My schedule does not always work with the NextGen support schedule for getting help. I am a nurse practitioner and see my own patients and have limited administration time to work with support. This is more of a problem for me and not NextGen. I have to send in support tickets when I will be at my desk for a period of time to work on the problem.

Recommendations

Get the providers involved in trying to look at their workflow and make sure any EMR system can meet their needs and practice medicine and provide their patients with the best care possible. There are so many alerts in place in a good EMR to bring patient care issues to your attention. Make sure any system has this feature.

 

from The University of Toledo Medical Center
Specialty: Other specialty
Size of portfolio: 101 or more users Portfolio size: 101 or more users

Mirth Connect Review - UTMC -

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Likes Best

With Mirth Connect you can create new Interfaces very quickly if you have the proper HL7 background and training. At UTMC we can usually create a new interface in about an hours time. The tools on Mirth Connect allow for quick development. We also like the ability to create SFTP jobs were quickly to automate processes that are done manually.

We also have the ability to cluster more than one Mirth Appliance (Server) and the auto fail-over insures we never have any downtimes that affect our hospital from delivering real-time clinical data 24 hours a day.

Likes Least

I have to say , I really like the product. NextGen and Mirth are great vendors . The support staff is available to troubleshoot and help with any problems that we might have.

Recommendations

I would compare the cost of ownership with all the other major Interface Engine vendors. Mirth does not charge extra for licenses or for interface development once you reach a certain threshold (like Cloverleaf does). We converted over 350 interfaces in about 6 months of development time using Mirth Connect. The Mirth Connect and Appliance products have the ability to handle large amounts of processing . The other great benefit is the auto fail over of the Mirth Appliances that create peace of mind knowing that the Engine is up 100 percent of the time (365X24X7).

 

from Hunterdon Healthcare
Specialty: Multi-specialty
Size of portfolio: 101 or more users Portfolio size: 101 or more users

NextGen EHR is worth the investment

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Likes Best

We are able to work with the vendor and with the software to configure it to suit our enterprise needs. We are able to participate with many ACO organizations and easily achieve Meaningful Use, and many other certifications.

Likes Least

While we find the ability to customize very useful and can utilize it to our advantage, it can be a drawback for smaller clients.

Recommendations

Look at all your workflows, and make sure this software suits all of them. It is very customizable, but you need personnel to be able to do this and maintain this.

 

from Central Nebraska Rehabilitation Services LLC
Specialty: Physical therapy / rehab
Size of portfolio: 51 to 100 users Portfolio size: 51 to 100 users

Practice Management ROCKS

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Likes Best

The reports are quick and easy, plus you can report on nearly everything and anything you might want!

Likes Least

The EHR, because we are a specialty clinic, but they are putting resources to this to improve it.

Recommendations

ask about clinics/companies similar to yours if you are a specialty or have quirks w/ your current processes.

 

from NWDC
Specialty: Multi-specialty
Size of portfolio: 101 or more users Portfolio size: 101 or more users

Review of NG

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Likes Best

Familiarity. EPM is very easy to use and get around in and figure out. EHR is somewhat easty to use depending on the person.

Likes Least

Patient Portal - needs a lot of improvement. Some modules are hard coded wish they weren't so we could make it easier for the docs to use/navigate or at the very lease accommodate their requests.

Recommendations

Get a good project manager and a good sales rep - it makes all the difference in the world when you are going through an implementation and even after having a go to person.

 

from Dermatology Associates of San Antonio
Specialty: Dermatology
Size of portfolio: 101 or more users Portfolio size: 101 or more users

proven results with a certified, professional vendor

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Likes Best

product - ease of use by specialty, fully integrated, report capability
vendor - stays on top of growing trends, ease of communication with sales rep

Likes Least

product - upgrades are a headache - usually one thing fixes and another gets broken
vendor - invoicing is not updated in a timely manner

Recommendations

be sure and have a full demo evaluating every position in practice - full workflow in PM and EHR

 

from Northwest Eye Specialists, dba Fishkind, Bakewell, and Maltzman
Specialty: Ophthalmology
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

NextGen EPM and EHR Software

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Likes Best

The EPM component of NextGen provides excellent scheduling and reporting features. It is dependable and has provided many efficiencies to our practice. NextGen is a solid company with many resources at its disposal.

Likes Least

The EHR product was not originally built for specialties and so there are the occasional problems that occur in a specialist practice when using the software. However, NextGen has been diligent about ramping up its services to specialties and listening to the clients.

Recommendations

Ask for a site visit to a similar practice so that you can see both the EPM and EHR software in action. Take into account the requirements needed for Meaningful Use and other quality reporting measures. This may influence how you choose to use the software. Do not plan on customizing everything you see to fit your practice. It makes future upgrades very tedious. Be happy with what you choose without needing to change it more than 15%.

 

from Major Affiliates
Specialty: Multi-specialty
Size of portfolio: 101 or more users Portfolio size: 101 or more users

Director, NextGen Information System

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Likes Best

Comprehensive KBM with respectable integrations with the Practice Management system.

Likes Least

The product is vast which makes it difficult to master with limited staff. I like NextGen, in general, however it's expensive software. I understand why it's expensive and wish the patient-base also understood how this technology adds to the cost of their healthcare.

Recommendations

Understand the use-case and workflow for each specialty. Do your work in advance of the purchase. Define exactly what the EHR is expected to do for the practice. Do not recreate the paper workflow; rather, work diligently with the vendor to define the best-case workflows using the technology for key areas like communication/telephone call, scheduling, vitals, immunizations, orders/results, office procedures, and provider encounter. Then have the vendor demonstrate how the software performs for each of these workflows.

Understand the hardware and network requirements needed to make the software run F A S T ! My doctors have clicked the stopwatch to make a point re: the duration of the spinning wheel. Bottom-line, if the practice doesn't have the infrastructure then either get it in place BEFORE firing up NextGen, expect and plan for "slowness", or don't buy the software.

 

from Valley-Wide Health Systems, Inc.
Specialty: Family medicine
Size of portfolio: 101 or more users Portfolio size: 101 or more users

NextGen EHR Review

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Likes Best

The ability to create custom content/templates for special projects.

Likes Least

Some updates released seem to not have been QA tested as rigorously as others.

Recommendations

You need to understand the entire scope of what you want to accomplish with your EHR. NextGen's flexibility can also be a drawback, depending on how it is used.

 

from Heart Center PC
Specialty: Cardiology
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

NextGen's EHR and EPM: Both providers and the patients in good hands.

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Likes Best

On time responding to requirements from CMS with easy to use tools. responsiveness to Meaningful use is a good example.

Likes Least

Being in a hosted arrangement I have experienced some delays on technical issues.

Recommendations

Explore its functionality and reporting capabilities.

 

from Dupont Circle Physicians Gorup
Specialty: Internal medicine
Size of portfolio: 6 to 10 users Portfolio size: 6 to 10 users

Shockingly bad.

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I cannot think of anything positive to say about this.

Likes Least

We have been waiting for updates for months, lots of excuses and vague explanations. Current version is slow switching between screens watching the hour glass and staring at sections blink on and off, slow setting up a note ("hold on a second, I'm still waiting...") slow clicking "save yes or no" after you've just saved. I'm horrified to think of other doctors receiving these notes: a H&P is 3 pages long with huge boxes for vitals, and huge blocks of widely spaced ROS, but the actual plan part is in teeny font and lighter typeface. The most important thing another doctor would care about is the assessment and plan, and there is it hidden near the bottom. (Did any practicing physician have any input into this. Doubtful.) This is our second EMR (two years), which was a slight improvement over our first (DocAssist:six years.) We are ditching this one after pouring $$ down their drain. I feel that eight years of experience with EMRs gives me some credibility assessing this program, and I can safely say you will spend more time and more frustration with your daily activities. Avoid.

Recommendations

Find a real doctor using this and ask what they really think.

 

from Promise Health
Specialty: Family medicine
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

I must be missing something....

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Likes Best

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.

Likes Least

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....

Recommendations

JUST DON'T DO IT. It's cumbersome and I promise that any upside it has is WAY outdone by the plethora of downsides and the headache (also FYI, any time they have to do an update, Nextgen is down for the whole weekend so not only can I not possibly get my charting done during my work day without cutting A LOT of corners, NOW you can't even do updates overnight so I can work during the day????)

 

from David Raines Community Health Center
Specialty: Multi-specialty
Size of portfolio: 101 or more users Portfolio size: 101 or more users

After several different EMR's nothing compares to NextGen

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Likes Best

NextGen grows with you and is always at the top with the newest leading edge and groundbreaking additions to keep your practice moving forward. The ease of use for the end-user is unlike any other EMR I have ever worked with. The back-end configuration simply makes sense. As the standards change you are not sitting waiting for them to keep up, rather they are always a step ahead.

Likes Least

I wish the dental portion, the EDR, were a little more integrated into the rest of their software.

Recommendations

Over 15 years of working with several different EMR platforms at several different health care facilities I have learned that nothing beats using NextGen for performance, reporting, compliance, and simple to learn end user ease of use.

 

from MAPS Pain Clinic
Specialty: Pain management
Size of portfolio: 101 or more users Portfolio size: 101 or more users

Used a lot of EMRs and this is the worst

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N/A

Likes Best

Ordering medications is not painful, but the ability to free text unusual medications is painful.

Likes Least

I have used hospital and clinic based EMR systems from Cerner, Epic, McKesson, and the VA EMR, and this is the worst.
1. They bunch too many things on one screen and it is laid out inefficiently.
2. When opening a phone message from a patient you cannot look at other part of the chart unless you close the phone encounter
3. The annoying Pop-Ups every time you change views. Hit YES or NO. It is not relevant in 90% of the cases.
4. Slow, slow, slow
5. I want to see simple trends in patient medication use, vital signs, and compliance issues.
6. The templates make no sense. Little radial buttons hidden all over
7. If you don't scroll the screen down on every page you miss areas. Then when you scroll the top navigation is not available. Going back one screen is time consuming.
8. No Voice Dictation and they make it impossible to use Dragon Medical in their free text note taking areas
9. Etc, Etc.

Recommendations

Please shop around and make sure you have a good easy to use system because this is not it. Someone with English as a second language developed this as you can tell by the wording and templates.

 

from Helena Eye Clinic
Specialty: Optometry
Size of portfolio:  Portfolio size: 

Opticians views

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Likes Best

Scheduling and doctor notes for easy access to information for patients.

Likes Least

Scanning color photos was too slow and time consuming.

Recommendations

Faster scanning abilities and more integrated doctor notes in one glance.