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

51 Reviews of NextGen

Showing 1-20 of 51

 

from TSSH
Specialty: Neurology / neurosurgery
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

EHR review for small hospital

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Likes Best

Very little but the sales team make it sound fantastic.

Likes Least

Support was sold as a full service solution yet after they changed companies they tend to push support off to a knowledge base type solution.

Recommendations

Ask for proof of concepts with real live customer references

 

from PPGNHI
Specialty: Ob Gyn / women's health
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

NextGen is a pretty robust amulatory care PM/EHR

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Likes Best

They have recently really improved their customer support. Willing to work with you to create functionality that you need. A lot of configurability. They have really helped us meet Meaningful Use.

Likes Least

Everything is modular and you have to purchase separately, such as RTS, Population health , HIE, patient portal. Not only is their an initial cost but then there are added monthly fees making it very expensive to maintain. there is a bit of a disconnect between the PM and the EHR and this sometimes causes double documentation or needing to flip back and forth between the two.

Recommendations

Make sure you are clear on your requirements and have clarity in your contract.

 

from Arroyo Vista
Specialty: Multi-specialty
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

If willing to invest resources can be an EHR that will meet needs

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Likes Best

The flexibility to customize system from templates design to functionability

Likes Least

The amount of resources for supporting system. Support is not as responsive with limited hours for pacific time users. Programming language built on is not asp model so not ready for full cloud deployment

Recommendations

As cloud as service becomes mature systems that are built on older programming language will have difficulty surviving next wave of integration. Nextgen is not ready for the next 5-10 years of where healthcare is going

 

from Gerstein Eye Institute
Specialty: Ophthalmology
Number of employees: 11 to 20 employees Employees number: 11 to 20 employees

Ophthalmology Practice Chgo

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Likes Best

I like that the vendor offers online support and training. Unfortunately, you will have to pay for some of it. The product if good in that it offers a lot of customization, but this could lead to problems when upgrades are required. They are always abreast of changes in the industry and plan accordingly... albeit sometimes right at the deadline.

Likes Least

Support, products and maintenance is costly, Especially for a small practice. With so much customization and catering to many different specialties, a lot of it is overkill and many glitches- which don't seems to be worked out during beta testing. Add-ons are costly as well.

Recommendations

Investigate your workflow and what you requirements are. BE sure you have a great IT team to help you with upgrades, report building and template modifications.

 

from Augusta Health, Inc
Specialty: Gastroenterology
Number of employees: More than 1,001 employees Employees number: More than 1,001 employees

Clinically Useless. Lost Productivity. Cryptic data entry/retrieval

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Likes Best

The product support was horribly useless. The techs and their supervisors knew very little about the product. The Nextgen system itself is the real problem though. It takes so many clicks to perform the very simplest retrieval of information or data entry. The windows to see information or enter are tiny, 1 cm in height and cannot be adjusted. After a full year, our office of 4 MDs and 3 NPs (all tech competent) were still only able to see 10 patients per 8 hour day, and still spend time after hours to document. Awful.

In all honesty, I cannot find one redeeming quality to this EMR, compared to any of the others I've used extensively or on its own.

Likes Least

The answer to the problems were always: "It's being addressed in the next version roll out". This is a half-baked EMR. It's use is a danger to patient care and a real liability. We abandoned it.
The system is intended to have the clinician enter all HPI, IMP and Plan by point and click check-boxes. If these are not used, then it does not collect meaningful use data. However, the clinical utility of the text it generates is so generic, so hard to generate, and so cryptic that it is of no use to retrieve the facts of the the case. The only way to enter your thoughts, history or plan is to free text it (in addition to the mandatory point and clicks), doubling your work.
It doesn't even have a way to carry over information from past notes HPI or plan, so that it can be easily adjusted.

Recommendations

Avoid this like product. I have used EPIC, Meditech, Allscripts/Touchworks, VAMC systems in recent clinical practice. All are better than this. For me, it is an unsafe EMR.

 

from Arch Health Partners
Specialty: Family medicine
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

AVOID! Drains Resources at all levels

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N/A

Likes Best

None, not even HCC codes is updated. It does not do what it supposed to do.

Likes Least

Too buggy, too many pop ups and too many clicks to do anything. This is an outdated system based on local server. Every specialty has a different user interface. This is like using windows 8. The vendor failed to realize that 1 second wasted on nextgen is equivalent of losing close to 1 minutes of productivity since we have 50 providers. The system should have been cloud based. It is not encrypted so you have to log in through VPN. Any other browser would reject log in due to lack of security.

Recommendations

Avoid like a plaque. Look into cloud based software so all the updates is done at the vendor level. The whole world is moving to cloud (ie. Mint.com vs Quicken).

 

from Esperanza Health Centers
Specialty: Pediatrics
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

So much room to improve

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Likes Best

It has a lot of potential, you could do a lot within the EMR if only it would work.

Likes Least

It would frequently freeze and loose all our data. Costumer services is terrible. We would have to place a ticket for any given problem and it would take months to be fixed sometimes, or sometimes wouldn't even be fixed until the next upgrade would come.
All users throughout the different clinics/hospitals have the same software but everyone have different versions or updates. So if you have a problem and no one else has it you may have to wait down the line until they take care of your problem.

Recommendations

At least as of now I wouldn't recommend. We have already switched to a different EMR.

 

from Lovelace
Specialty: Family medicine
Number of employees: 501 to 1,000 employees Employees number: 501 to 1,000 employees

AVOID THIS INEFFICIENT, BUGGY EHR LIKE THE PLAGUE!

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Likes Best

There is not much to love here. See below.
This is literally the worst EHR on the market.
A better name would "1990's-Gen". NextGen definitely is a misnomer.

Likes Least

-Inefficient. Requires multiple clicks (4-5) more than competing software to complete the same tasks.
-Glitchy. Often an RN will take a message and task to me, and the message will simply disappear. I had a patient run out of anti-seizures meds because of this.
-Slow. Often freezes/lags in the middle of a chart, requiring you to wait for a minute or two. This is with a dedicated fiber optic connection and quad-core computers.
-EXTREMELY POOR CUSTOMER SUPPORT. Once the product is sold, no one gives a shit about you anymore.

Recommendations

Stay away from this.
eClinical works, All Scripts, or Epic are all better choices.

 

from Women's Wellness Center
Specialty: Ob Gyn / women's health
Number of employees: 21 to 50 employees Employees number: 21 to 50 employees

NextGen and WWC

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Likes Best

Local NextGen support is great - the folks that are not local are not helpful. I like the adhoc reporting and how quickly my support team can work these reports up for me.

Likes Least

It is not very modern. A web based system would be much more modern and would flow better

Recommendations

Shop around - be sure you find the right product for your clinic/specialty.

 

from Revere Health
Specialty: Family medicine
Number of employees: 6 to 10 employees Employees number: 6 to 10 employees

Way too Complex For a Little Clinic

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Likes Best

This system thinks of everything. There is something for everything.

Likes Least

The problem is that it takes the brain of a computer whiz to use. Many small town nurses, doctors, and receptionists would be completely lost!

Recommendations

I would say that only larger practices utilize this program. It would be nice to afford someone who could be on staff all the time to help teach us the glitches instead of leaving everyone to waste time trying to figure it out.

 

from Community Health Centers of Southern Iowa
Specialty: Family medicine
Number of employees: 51 to 100 employees Employees number: 51 to 100 employees

I train all staff to use NextGen and collect the data for PCMH & MU.

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Likes Best

It's an extremely smart program that is able to capture data if properly placed.

Likes Least

That it is also very complex and sometimes we feel like you have to be a program to use the system for general use and reports. We are medical, behavioral, and dental clinic. This system mainly focuses on medical.

Recommendations

Make sure you have a staff member delegated to learning the system and be on call for staff members using it and have an IT person on staff.

 

from Center For Medical Weight Loss of East Texas
Specialty: Other specialty
Number of employees: 2 to 5 employees Employees number: 2 to 5 employees

Clerical/EPM

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N/A

Likes Best

Easy to use and Learn. Easy to read Accounting and Billing.

Likes Least

Speed. Not able to create or customize SOAP without Submitting Tickets with Nextgen IT or personal IT.

Recommendations

Determine if your practice is large enough for this type of software. Recommend Large Practice only. Cash Pay only clinics, do not recommend

 

from Community Health of East Tennessee
Specialty: Family medicine
Number of employees: 51 to 100 employees Employees number: 51 to 100 employees

Good System

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Likes Best

The support staff are very helpful and responds quickly when a ticket is opened. They will also take the time to follow up with you.

Likes Least

There are a few templates that could use some improvement. for example it would be very nice if you did not have to close the telephone call template when you are using it to see other parts of the chart. You need to be able to just minimize it.

Recommendations

NextGen is a great EHR but I would recommend to anyone to contact or speak with another office that is similar to your office just to make sure it fits your needs.

 

from Family Medicine Specialists, PC
Specialty: Family medicine
Number of employees: 21 to 50 employees Employees number: 21 to 50 employees

I have been working on Nextgen PM/EHR for 4 years

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Likes Best

I like that it is user friendly and the favorites are easy to set up. Setting up users is fairly simple also.

Likes Least

I would say what I like least is the reporting aspect and changing the Templetes. Has a lot of clicking.

Recommendations

Make sure you can visit a few offices that have it so you can see the product for yourself and make sure it will work well for your physicians.

 

from Accume
Specialty: Family medicine
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

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
Number of employees: More than 1,001 employees Employees number: More than 1,001 employees

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
Number of employees: 11 to 20 employees Employees number: 11 to 20 employees

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
Number of employees: 101 to 500 employees Employees number: 101 to 500 employees

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
Number of employees: 21 to 50 employees Employees number: 21 to 50 employees

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)
Number of employees: 21 to 50 employees Employees number: 21 to 50 employees

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.

 
 
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