CPSI System

Overall it is effective and good for our clinic.

Pros

Ease of use, very easy to navigate through this system. I have used many other systems and find this to be my favorite so far.

Cons

I have not found anything that I dislike about CPSI. I find it a great product for the needs of our company.

CPSI

I love being able to audit charts just by going into one screen

Pros

If you know where the information is located it is easily found and accessible. Also it is very easy to keep a running record.

Cons

It is difficult to produce a new form. Lots of steps and a lot of going back and forth between charts.

The system that does not communicate with any other of the most popular hospital platform software systems.

Pros

The same eforms can be used in IP and OP settings. The system will allow for faxing straight from the system but the forms have to be set up as such to have the patient's name and demographics on each page and we haven't figured out how to do this yet.

Cons

The system is a nursing platform and does not keep up with the requirements of Medicare. It does not track therapy cap, number of visits before g-code update, does not check charges and time related to them before sending on to billing. The eforms are customizable to a point but do not allow for a flow of information without having to build them in step by step. There are no templates available that you can make your own with changes. They have to be built one step at a time with little latitude about what actions you can use.

Evident - Not the easiest to use but it gets the job done.

Pros

Evident was easy to use and is one of the better EHR systems out there.

Cons

-Front end that everyone sees looks old, unlike competitors who have updated. -Some options and settings seem like they were just placed where ever because it doesn't make sense. -Small bugs that haven't been fixed in years. For instance, checking a box doesn't work when full screen. You need to take it out of full screen check the box then maximize it again.

Avoid at all Costs

I've used this on both the inpatient and outpatient sides. Avoid it like the plague. On the outpatient side, it either lacks common features like online scheduling or a kiosk/tablet mode, or you have to pay extra for them (electronic prescribing, ob templates--even the module to meat meaningful use reporting costs extra!). The scheduling display works on the heisenberg principle-- you can tell what room your patient is in, or how long they've been there, but not both (in fact, it doesn't even tell you what time they checked in, just how long they've been there). The interface is clunky (it takes 8-12 clicks just to refill a med, which is bad because refill requests are BY MED, not patient, so if a patient has several meds, they're on your list several times. Oh, and you can't change the order of most displayed stuff like patients), and doesn't intrinsically support things like macro templates ("dot phrases"), but their built in templates are horrible. Granted, the company customer service is good and will "customize" things, but I would hope that by default an EHR would include things like procedure code entry without having to "customize" it, but it doesnt (on billing, you can't even add modifiers by default!). Likewise, there's no crosswalk for adequate icd-10 specificity coding, or to help capture HCC modifications. If it's in use at a facility where it also serves as inpatient EHR, anything you do in one location will affect the other. So, if the ER starts a patient's med rec fresh (as they should) it will (literally) erase the clinic medication list, so you have to re-match meds when refill requests come in. It is also incredibly buggy. We've had entire days go by where we couldn't complete charts. Their customer service is usually good, and things usually get fixed quickly, but bugs pop up so frequently that we've just gotten used to them, or having to reboot in the middle of charting. If this thing were a medical device, no reasonable person would let it around patients. I think the thing that best represents this software to me is the search icon. Spyglass icon-- click to search, right? Nope. You have to click on a tiny spot to the upper right of the icon, not the icon itself, to get it to work. It has been like that literally FOR YEARS and the fact that it hasn't been fixed makes the developers seem lazy. Oh, and although customer service is usually good, training was abysmal-- the trainer we got could tell us where buttons were, but not how to do a workflow (she didn't even know what a workflow was) or how "other" clinics got around problems. Also, be aware that at some times, the company has "demo'ed" software or features that AREN'T available yet. I'm sure most customers get it "because it's cheap," but that's just not true. Excluding even losses due to decreased efficiency or extra personnel time, there are TONS of better EMRs (at least on the clinic side) that are cheaper than their initial and licensing costs, and by the time you pay more for those features (like meaningful use reporting modules!) that are necessary or expected, you're paying MORE for a system that everyone hates. DO NOT buy this just because it's cheap or you're used to their other products. Do a proper head to head vetting against other options and you'll likely see that you are probably better served getting something else.

Pros

Customer service is great. Which is good, because you'll be using them a lot based on how buggy it is

Cons

Slow and unreliable. Lacks a lot of features, or you have to pay extra. Built on "episodes," not an intuitive narrative, so it's hard to see the whole of a patient's history without clicking through multiple layers of interface

Simplistic but functional

I would recommend this software for smaller hospitals that don't have access to the financing requirements of a better product. It will get the job done.

Pros

This software gets the job done. It doesn't have a lot of frills and there are several processes that are drawn out and convoluted. But it gets the job done for a fraction of the price.

Cons

It's slow. And pulling data out the back end is long and drawn out. But again, it gets the job done for a fraction of the price.

Could be better...

Pros

It is affordable, and once you're used to it, it is relatively easy to use.

Cons

The screens are a bit clumsy to use, with too many choices on one screen....not simple enough.

Stay away from this EMR if you want your patients to stay alive

Having been working in different hospitals with EMR's which worked average to good this system is just SHOCKING. A 5 y/o child could develop a better EMR. Almost everything works counterintuitively; there's no overview at all; interactions are not given appropriately. The system was so terrible to use that in the end more than 90% of my colleagues decided to revert back to the old paper file. Even paper files are better than this system. In the sake of patient safety, I would never buy this software.

Pros

It's an electronic system.. But by far the worst EMR I've ever experienced.

Cons

Having been working in different hospitals with EMR's which worked average to good this system is just SHOCKING. A 5 y/o child could develop a better EMR. Almost everything works counterintuitively; there's no overview at all; interactions are not given appropriately. The system was so terrible to use that, in the end, more than 90% of my colleagues decided to revert back to the old paper file. Even paper files are better than this system.

The worst EHR I have ever used

I am an Emergency physician with 33 years experience and have used double digits of different EHRs, I refuse to work facilities that use it and I know double digits of other physicians who also refuse. I also know several facilities that have been forced to install a different EHR for the ED when the inpatient uses CPSI : they were unable to staff the ED until that change was made.

Pros

There are NONE. This system is designed for billing and does not assist doctors or any other staff to document things actually CLINICALLY relevant.

Cons

Very cumbersome, cannot document pertinent negatives, exceptionally time consuming, the "search " function is only a spelling matching function, you cannot find something if you do not already know what name CPSI uses, in which case no search is needed.

CPSI DOES NOT WORK

WE ARE LOOKING AT REPLACING CPSI

Pros

THERE ARE NO PROS FOR CPSI. NOTHING. IT DOES NOT WORK MOST OF THE TIME. IT IS NOT A FUNCTIONING PRODUCT

Cons

UNABLE TO WORK IN REAL TIME, ONLY HAVE NURSING NOTES, NO OTHER DISCIPLINES. NO WAY TO RUN REPORTS THAT ARE PERTINENT TO MY JOB. NO BILLING OPTION

very time consuming

I would not buy this system again

Pros

not many..it covers the inpatient hospital patients and the clinic patients but it is very hard to maneuver, takes multiple clicks of the mouse just to get basic flow through he record but it will eventually get you there

Cons

lots it takes way too many clicks to navigate through a patient visit. very time consuming and limits the number of patients I can see in a day to just about half of what I used to see when we wrote or dictated notes.

Antiquated EMR Software

I "inherited" this system for outpatient use when I was hired by my local hospital in 2013 and it has been 3+ years of dealing with one headache after another. Here are just a few examples of its limitations: you can only view one record at a time, limited space when typing, scanning in a patient's record takes too much time, you cannot remove accidentally entered diagnoses from the narrative, the medications do not have defaults with them so you have to choose everything (form, route, frequency, etc), and best of all, it crashes often. I could say more, but I hope what I given is enough to make you look elsewhere. By the way, I saw the latest offering from Evident that is replacing CPSI. It's called Thrive. It solved a few issues, but ultimately, is still not much better. My thought is if you choose it, It'll force you to "thrive" on the patience you'll build up as you use it over time! FWIW, my hospital finally bit the bullet and is replacing it. Also, the hospital learned in the process that four other locations had done the same.

accesibility

Pros

I like the fact that if you forget to add a vital in, it prompts you if you try to close out document

Cons

you cannot add your own documents to the system. you can only use what they have. We switch up documents to make things better so we have to order paper documents

Worst system I've used so far

No good don't buy it. I have used multiple different systems as an agency nurse. This is, by far, THE WORST.

Pros

It keeps me employed? I'm an ICU contract nurse. This terrible charting system would make me quit my job if I had to use it all the time.

Cons

Nothing makes sense. Fifty screens to click through to access information. No prompts to remember ANYTHING. It's like charting on an excel spreadsheet and then putting the printed files into the trash to sort through later.

Give this a try if you want to indulge in self-abuse.

Limitation after limitation... can only open one chart at a time, can't go straight to med list without going through a patient visit, anybody can open your note and change it, limited amount of characters per field, is not mistake friendly when you add a diagnosis that shouldn't be there, to add labs, radiology workup, etc is tedious. I could go on and on. Look elsewhere!

CPSI Software

Pros

Nothing there is absolutely nothing good I can say about CPSI software.

Cons

difficulty to use, not user friendly, requires too much time to document, TOO outdated, cannot get updates to hit 21st century demands

CPSI EHR Review

Pros

CPSI EHR is a decent product...provides specific functionality however its integration capability with third party product is limited.

Cons

Does not integrate well with third party applications

CPSI is Ok at best

Used it every once and a while when I had to but did not like the product. Had another product that did something similar and so I used it more

Cons

Poorly designed and not user friendly. Much easier to use another product that we had access to.