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

21 Reviews of NextGen

Showing 1-20 of 21

 

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

Ease-of-use

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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.

 

from Hunterdon medical center
Specialty: Oncology / hematology
Size of portfolio:  Portfolio size: 

Nextgen review

Ease-of-use

Functionality

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Likes Best

I like that you can see notes from other physicians that each patient has seen.

Likes Least

It is hard to navigate and to find items you are looking for on this program.

Recommendations

I do not have any recommendations for others evaluating.

 

from student
Specialty: Family medicine
Size of portfolio:  Portfolio size: 

NextGen as a Patient User

Ease-of-use

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Likes Best

It is a simple, easy to use format to contact physician and staff concerning scripts, appts and other admin services, which allow more time for clinical practice.

Likes Least

Admin needs to take time to complete requests and email messages can be lengthy from px. Subjects need to be more detailed also date sensitive needs to be flagged.

Recommendations

Excellent software for midsize to large practices.

 

from Center City
Specialty: Mental & behavioral health
Size of portfolio:  Portfolio size: 

Consultant

Ease-of-use

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Likes Best

They are efficient and extremely well priced with excellent customer service.

Likes Least

They don't do a ton of follow up and sometimes take awhile to respond to my calls.

Recommendations

I think the most important process is to get competitive pricing on a variety of different software.

 

from Vetech Dental Labs. Ltd.
Specialty: Dentistry
Size of portfolio:  Portfolio size: 

AllOfItMine

Ease-of-use

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Likes Best

Works well for me and my laboratory. It's very easy to use.

Likes Least

There does not seem to be anything that I find that is bad about this product.

Recommendations

It is easy to learn to use so I would say just jump in.

 

from Gerstein Eye Institute
Specialty: Ophthalmology
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

NextGen Review

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Likes Best

The program covers all requirements required by law for EMRs.

Likes Least

I do not believe this product is efficient enough to be conducive with an ophthalmology practice where time management and a sense of urgency are necessary.

Recommendations

Make sure the product fits your practice's needs to run smoothly before selecting.

 

from EANW
Specialty: Ophthalmology
Size of portfolio: 101 or more users Portfolio size: 101 or more users

4 Years of NextGen experience, utilization, and modification

Ease-of-use

Functionality

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Likes Best

The product is all-encompassing. There are many EMR products on the market that only do one thing, such as keep a chart. NextGen not only does that, but they have an image control system and a check-in segment of their software. Each of these can be configured to communicate with one another.

Likes Least

I do not like it when you find an honest issue with the software. You've worked and worked, and you run into a system issue that should be easily fixable. Sometimes, this is a non-issue; just open a ticket (call tech support), someone will walk through it with you, usually via a WebEx, and your problem will be solved. The issue stems from when they are unable to solve your problem and they link your ticket number to a "Problem ID number," basically meaning, "We know and acknowledge that there is an issue here; we will update you when a future release fixes your issue". At this point, you are dead in the water waiting.

Recommendations

As a recommendation, I see a ton of reviews on this website probably stemming from doctors who are unable to cope with the fact that clicks and usability really depend on how proficient you are with a computer in general. These kinds of complaints are a pretty standard response to any computer-based program. You can't exactly blame the fridge when you put your glass under the water dispenser and get ice because you didn't press the button to change the output.

 

from Gerstein eye institute
Specialty: Ophthalmology
Size of portfolio: 6 to 10 users Portfolio size: 6 to 10 users

Very good easy to use

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Likes Best

It is user-friendly.

Likes Least

Sometimes it is slow, but overall, it's a good product that makes my job easier.

Recommendations

It is a good product that is easy to use and easy to understand.

 

from Gerstein Eye Institute
Specialty: Optometry
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

Use NextGen every day for work

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Functionality

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Likes Best

The software runs efficiently with few bugs

Likes Least

The software is difficult to navigate and includes many steps

Recommendations

Make sure the software fits in with your daily activities

 

from Gerstein Eye Institute
Specialty: Ophthalmology
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

Office manager ophthalmology

Ease-of-use

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Likes Best

It's an easy transition from EPM to EHR.

Likes Least

Everything else is awful. Templates are busy and slow. Customer service is slow and frustrating.

Recommendations

Test out the software before purchasing. Interact with workflow to ensure it will meet the needs of your practice.

 

from Georgia Ophthalmologists
Specialty: Ophthalmology
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

I wish NextGen was more user-friendly

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Functionality

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Likes Best

I like that it has many options. I also like the detail that you have to put into everything you do (i.e. from making an appointment to putting a note in the chart).

Likes Least

I wish that we were trained more one on one with a NextGen employee, not just sent on our own to do training.

Recommendations

Make sure you get more one on one training for employees.

 

from Georgia Ophthalmologists
Specialty: Ophthalmology
Size of portfolio: 21 to 50 users Portfolio size: 21 to 50 users

Not good at all

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Likes Best

My project manager has been wonderful. However, no matter how good she may be, she still has to go by the company's policies and procedures.

Likes Least

Customer service. The communication from the beginning with the salesperson wasn't good. I felt deceived by the way he sole me the product, but he later apologized for "misinforming" me. His mistake cost me a lot of money and many hours of work. Support is good at times, but other times, it takes weeks to hear back. Their accounts payable department has been horrendous! In the last year and a half, I've left at least ten messages for supervisors, and not one has ever called me back. Their invoices are always a month late, and then I receive it with a Past Due notice. It takes this department up to three months to reply to a simple invoice question, and it seems like nobody is in charge or cares.

Recommendations

If you are looking for a system that you feel the company helps you with at every step without charging training time every time you ask a question, Nextgen is not for you. If you do decide to go with them, make sure you are very persistent about what was supposed to be taught during the paid training time. I had issues where they didn't explain everything during the paid training time, and they wanted to charge me to answer a question because it required training. I told them their trainer should've discussed it during the eight hours they were training.

 

from GPCH
Specialty: Ob Gyn / women's health
Size of portfolio: 11 to 20 users Portfolio size: 11 to 20 users

Frustrating GUI.

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Likes Best

I unfortunately have nothing good to say about this software.

Likes Least

The Physician side of the software is very poorly designed. It requires too many clicks and is not intuitive. I have used other outpatient and inpatient EMRs; by far, this is the worse one. My previous practice used Allscripts in outpatient and Eclypsis for inpatient. Both communicated with each other when it came to labs, etc. WIth NextGen, labs from inpatient will not enter outpatient. The order sets and templates are very busy. Furthermore, their tech support is extremely slow to respond and usually does not return with a solution in time. My staff hates dealing with them.

Recommendations

It is not worth the money. It is in no way a cheap option, and the amount of time you and your staff will spend using this software will result in money lost.

 

from Retina
Specialty: Ophthalmology
Size of portfolio: 6 to 10 users Portfolio size: 6 to 10 users

NextGen Review

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Likes Best

The billing staff tell me that the practice management module performs reasonably well.

Likes Least

It's counterintuitive, click intensive, and very slow. I'm in a busy ophthalmology clinic, and the software is the rate limiting step. Entering exam data is cumbersome. The notes that the system generates read very unprofessionally. Font changes and blocks of text which randomly go missing are par for the course. The simple process of adding a new diagnosis to a patient chart requires that I click three separate tabs, each of which says "add". I honestly hate this system. Stay away.

Recommendations

Talk to a physician who has used it. Don't be fooled by the positive reviews left by office managers, billers, or other non physicians. You'll be in the trenches with this monstrosity. It behooves you to talk to someone who's been there and done that. I've been there and it is a bad place.

 

from Great Falls
Specialty: Family medicine
Size of portfolio: 101 or more users Portfolio size: 101 or more users

NextGen Review

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Functionality

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Likes Best

My experience is as a user of this system, which was chosen by hospital administration. I can't think of anything I like about it as a user but can't really address the vendor side other than to say our administration was disappointed in the lack of support. I guess I can also say that I was on call the first weekend after implementation, and that was my first experience with the system after training. The vendor had finished up during the week, and no one was available to help me on that first weekend as I struggled to take care of patients. I considered this product a real risk to the care of my patients then and still do now, even though I know it somewhat better.

Likes Least

This system is completely non-intuitive and the most user-unfriendly software I've ever seen (and I used to be an engineer).

Recommendations

Have users evaluate the system before buying it, not just administrators.

 

from Family Practice Associates

Ease-of-use

Ease-of-use

 
Functionality

Functionality

 
Product Quality

Product Quality

 
Customer Support

Customer Support

 

I am a nurse in a family practice, and using NextGen is my first experience in EHR. I was hired about a year after the system was installed, and replaced a nurse who retired because she just couldn't get used to the new EHR way of documenting. The other staff has told me that start up went fairly smoothly and that staff was available onsite for questions the first few days they were up and running, which was very helpful.

I do not feel that NextGen is hard to navigate. I was able to use the program on my own with very little help after only a weeks training, although there are many features that I am still discovering after 2.5 years of working with NextGen. My main complaint is its organizational layouts. The retrieval of information is my biggest challenge. I find it very difficult to find specific consult notes form specialists. Instead of notes categorized by specialty and date, they are only organized by date. I must sift through too many notes to find the one I am looking for, especially if the patient does not remember the time frame in which they were seen.

The same is true for labs and x-ray reports. The e-prescribing feature has many default dosing and instructional settings that are either incorrect or not often used. The process to change directions for a prescription is cumbersome and time consuming. We experience too much down time, with little explanation or time frame of when we will be up and running again. We are essentially crippled when the system goes down. We are unable to access any information which makes it nearly impossible to continue to see patients. Without the ability to review labs, immunizations, previous vitals,etc we cannot provide quality care. We have never been down for more than half the day, although that is still a lot of time, money and frustration wasted.

The IMO search diagnostic code search is supreme. I am able to find codes by providing symptoms, partial diagnoses, and partial codes. It has been a valuable tool. Our parent company has been researching new software, and some of the systems seem to be overly complicated compared to NextGen.

 

from Covenant

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Customer Support

 

I have worked with several different EMR systems but this one is the worst. It is completely inefficient and cumbersome to maneuver within the system. You have to memorize and remember all the millions of clicks to get anywhere. The templates that supposedly help "build your history" string along "sentences" that are non-sensical. There is a delay of 5-6 seconds between every screen and there are way too many screens. You cannot save a whole template. You must save every little piece as in "HPI" is one screen, "ROS" is another which becomes extremely tiresome and exhausting.

We were told that we would be up to full volume in 2 wks, but we are one month in (I'm actually 3 months) and nobody is even close to their full volume. The customer support is lacking a great deal in my experience as my "tap and go" has never worked and I've complained to multiple people, multiple times and nothing has been done to fix it.

The meaningful use instructions do not have anything to do with the diagnosis, so you have to go in and change each one and save it but it doesn't save the instructions for anything other than that diagnosis only. Example; if you pick dx 250.00 and write instructions, save them to your list and then pick dx 250.02 later, the system doesn't recognize that you have saved instructions for diabetes.

It takes forever to check labs and send results just because of the way it is set up so you have to scan through each little part individually and then go back to a different screen to write the results to the patient. If you forget any of it, you have to start over which becomes very frustrating quickly. The PAQ often sends the wrong results to the wrong doctor and it takes forever to first figure it out and then where to send it is complicated.