Praxis EMR Software

4.96 / 5 (132) FrontRunners®

About Praxis EMR


Praxis is an electronic health record (EHR) platform that offers both web-based and on-premise deployment.

The Praxis EHR system is template-free, instead utilizing artificial intelligence (AI) that learns the way each physician operates and adapts to a user’s individual needs. As it is used, the AI learns more, getting faster and smarter. Everything within the system is presented in the doctor's own words and preferred order.

Software features include e-prescribing, lab integration, procedure workflows, narrative reports, practice advisories and a patient portal, and the software is ONC-ATCB certified.

Praxis serves small and mid-sized practices in all specialties of medicine, including family practice, internal medicine, pain management, urology, integrated medicine, endocrinology and more.



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Supported Operating System(s):

Mac OS, Web browser (OS agnostic), Windows 8

132 Reviews of Praxis EMR

Average User Ratings

Overall

4.96 / 5 stars

Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

Ratings Snapshot

5 stars

(125)

4 stars

(6)

3 stars

(1)

2 stars

(0)

1 stars

(0)

Likelihood to Recommend

Not likely

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Showing 1-20 of 132 reviews

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June 2019

J. Stuart from J Stuart McCracken, M.D., P.A.

Company Size: 2-10 employees

Review Source: Capterra


Ease-of-use

4.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

June 2019

Excellence and adaptability for the long haul.

In order to attest to the MIPS/MACRA requirements, the national registry for ophthalmology, IRIS, is able to map data fields with Praxis in order to do the necessary reporting. Praxis is also on top of this reporting for specialties that don't have a national registry.

Pros

I've used Praxis since 2000, after figuring that I couldn't write my own software package. It arrived with no pre-loaded phrases or templates, and everything -all descriptions, phrases, etc- are my words, my descriptions. I've edited and changed many over the years and this flexibility is a major plus. Also, my finished notes are usually 1.5 pages long...compare to any other EHR, especially Epic. I am forced to use Epic where I do my outpatient surgery, and its clumsiness and lack of intuitive-ness makes Praxis look neater each time I return to the office. Even though it was originally designed for Family Practice, I have easily adapted it to Ophthalmology, and haven't seen an ophthalmology-designed EHR that is anywhere as flexible. The effort of building and writing one's own records software is well worth it. Support and the company's interest in adaptability is superb. Although I'm in solo practice, a group practice would have each MD develop their own collection of descriptive phrases, or share others', as they wished.

Cons

For practitioners who don't want to spend the time creating their own customized notes, or who just want to use anyone else's pull-down menus, or templates, this software is not for you. If you are particular enough to want your notes to be 'your distinct voice' this software will allow you to do that, but it will take time to populate your recurring cases. But who wouldn't want software that works with you, rather than boxing your descriptions into someone else's ? (However, there are ways to import existing Praxis users' body of phrases/etc. if needed)

October 2018

Mark from Harth Place Family Medicine

Company Size: 2-10 employees

Review Source


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

October 2018

Thanks PRAXIS for an excellent product

The most important step with starting out with PRAXIS is to realize that you will come with baggage, bad habits and workarounds from using your prior EMR and it is best to spend some time in identifying them and do not carry them into your implementation of PRAXIS.

Pros

A clean interface that allows me to do what I want without having to look thru multiple panels of non relevant information, poke thru menu lists or buttons. This really reduces operator fatigue , frustration leaving me fresh for the rest of the day.
All list boxes have a superb and fast search input line at the top a couple of keystrokes and I have what I want, no need to scroll thru endless lists.
I had been using another EMR and had developed habits that were causing me to duplicate work while writing a note. On starting with PRAXIS I had to look at what I was doing and ask myself " What is the essence of this encounter, what defines it" This was the hardest step because it involved changes in my behavior, and once this was done, and it did not take long to get up and running. I had been using templates before and they were huge structures that fit no encounter, they had to be modified, whittled into shape on the fly. PRAXIS solves the problem by having smaller elements of a note which are rapidly assembled into the structure without any editing because each element is the essence. I can get a note for a diabetic exam including a foot exam before seeing the next patient.
PRAXIS has a tremendous amount of automation, that diabetic patient will get an automatic recall for labs in x months.
Support is excellent, there is an online portal where questions are answered. I have used this on many occasions and response is quick and interactive. Someone , is replying to your questions within a minute and since it is a two way conversation you do not get a "canned" answer.
I have PRAXIS on my in house server, apparently 80% of users prefer the on line hosted version. I have used both and can find no difference in speed or utility. I will eventually migrate to hosted online version. This involves overnighting the drive to PRAXIS and you are up and running.

Cons

Nothing, it has been a great improvement over my last EMR. I can get notes completed within a few minutes of seeing a patient with diagnoses that carry appropriate RAF scores for the patients problems.

January 2018

David from Mesa Family Physicians

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

January 2018

I initially purchased Praxis as a DOS user in the 1990s and have seen it from the beginning.

I believe I am much better able to do a good job caring for my patients and keeping complex histories and conditions better organized. I am better able to meet the increasing government requirements of reporting and tracking without that interfering as much with the doctor patient relationship. Praxis allows me see what I want to see each time I see a patient for a given condition. Because of the use of discreet data, and the freedom for me to easily select what I want to see without having to hire a programmer to do it for me. Example: for my patients with hypertension, I have trained praxis to print the last 3 Blood pressures recorded on the note. For the diabetics, I list their last several A1c results, their urine for microalbumen and EGFR For patients on meds for hyperlipidemia, I have it extract the last 3 lipid profiles, For thyroid patients, I pull the last several TSH values, and for Obese patients, I can show the last weights. If I want to see what medications I have tried for treating their depression, everything is listed since I started using the program, and a quick click on a box takes me to the encounter for that date. Each physician or provider has their own unique way of doing things, so instead of having to agree on the templates that we want to use or have written for us, each of has our own and yet we can share what we have done with others, and if they want to use what we saved, they can easily import it, or just look and decide to do it their way. The program has recently complied with new regulations so we have just received our own secure email so we can receive or send information to other providers with other platforms once those programs catch up to Praxis. The assessments are so easy to create, that when I have a patient with unique needs, that I know I will need to create the same unusual lab order in the future, I can easily create a lab order that will be saved as "KNOWLEDGE" that could be specific for that patient to recall it in the future. I can name these assessments whatever I want to since the assessment names are for my eyes only. I do vasectomies, and the initial consultation complete with handouts is all part of one assessment, and the assessment for the actual procedure, creates the note, which is there for me to change anything but can also include any post op medications and instructions all as part of that assessment. It would be painful for me to go to a template EMR

Pros

Unlike other EMR programs that require you to create templates and spend a lot of time clicking, praxis works on a unit of though concept. Anything you want to do repetitively you can easily "save with knowledge" while working with a live patient and that information will be there for you to use in the future. This can be as simple as saving an order for compression hose for a patient to use the next time I need to use it, or as complex as having the program query my lab database to present the last several labs that apply to each of their chronic conditions .
Praxis also sorts your "units of though" you have saved by frequency of use, and it can help you find what you are looking for quickly in an unusual way for an EMR. If you start with a prescription, it will show you all of the "assessments (units of thought) that you have every used that prescription for.
It also helps you remember the things that you might otherwise forget in an incidental visit. Any items such as have they had their flu shot? Did they get their pneumonia vaccine? Did you do the things you decided are best for the patient?
Also when you combine several assessments on the same visit for the patient, they all appear in the same note and are not hidden on some other page or drop down menu, or in a sub note like many EMRs.
Their support is quite remarkable. Anyone in the office can open a chat, and praxis is there within seconds to address the issue and record it to send to t

Cons

Since praxis has been developed over decades with input from the physician users, rather than a team of programmers from a venture capital firm, it doesn't plug you into someone else's thought process. I could use the analogy of a word processing program. Anyone can open up "Word" and just type, but it can do so much more, that actually requires you to put a little effort into it. That can be annoying in word, but when you learn it, your horizons open up and you can do so much more.

As I mentioned above, I purchased the program decades ago which included the upgrades over time. I had partners who didn't want to put the effort into using an EMR, so our office purchase another EMR. After just a short time the severe limitations of that program became apparent so they decided to subscribe to the EMR that our billing software company promoted and has bundled with an excellent accounts receivable program. That program also had severe limitations on what one could do. The training was very limited and I soon learned about template medicine. My partners finally realized that what they had in the Praxis program that they had not tried was far superior to these two programs. They discovered with a few hours of one on one training they already had a far superior program with Praxis. Praxis allows you to do your own queries if you are interested, or you can use the many already supplied, including those that are needed for reporting.

January 2018

Keyvan from Shiraz Medical Group

Company Size: 11-50 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

January 2018

Praxis EMR has made my office more efficient, allowed me to document better and faster than my peers

It has made my office extremily efficient. It allowed me to document better, faster and provide better care for my patients. It has allowed my office to keep up with the regulations and the documentations necessary with the changes in the medicare payment model. It allowed my billing company to efficiently receive billing information electronically and start the billing process the same day the patient seen. It allowed me to be almost paperless by interfacing with imaging centers and laboratotries. I cannot say enought about this EMR, I dont know how we did without it in the past.

Pros

The use of Praxis is limited by your imagination. There is nothing that this EMR cannot do to make my practice easier. It has allowed me to provide better care to my patients, document better and keep up with the difficult regulations that are imposed on us. Support and training has been wonderfull and the team that administers this Praxis EMR company is caring and provide personal assitance.
With every upgrade, the system gets better, faster and it is truely better than all the EMRs that my colleagues have. I always finish the notes when I am done seeing the patients and I have access to my notes anywhere as long as I have internet access. Many of my peers who do not have Praxis EMR are not able to finish their charting due to the inefficiency of their EMR system. With Praxis EMR, the more I use it, the faster and more efficient it becomes for me to see patients.
With its setup, it has allowed me to keep up with all the regulations and documentation necessary for all the insurance companies. Even my billing is faster and more efficient. I can go on and on about how wondefull this EMR is......

July 2017

Steve from VMC

Company Size: 2-10 employees


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

July 2017

Fantastic EMR

I couldn't even think of using an EMR that is a template based system. I've heard from doctors that use them, "then you can type in your own words on top of the templated documentation", and I say, "exactly, but why would I want to have to do that each and every time", with Praxis, you teach it once then it remembers it for ever, for example how I document a left medial knee steroid injection is learned by Praxis and I never have to enter the exam followed by the consent documentation followed by the procedure documentation followed by the followup instruction, again with Praxis "you teach it once and it remembers it forever". But beyond this (and this by it's self makes Praxis by far better than most EMR's, ) you can teach Praxis to remember specifics about the individual patient..."the cholecystectomy scar in Jim's right upper abdominal quadrant is well approximated and healed well"... and "Jim's left mid forearm shows a red and black sailors tattoo faded but still visible" ect ect. But to go even further, and this is where Praxis is far and above any other EMR out there is Praxis's "concept processor" ability to shine with the new Pay for Performance requirements. With Praxis, you teach it once and it remembers for ever in this case with "Datum +". With Medicare now requiring us to provide patient data for the Pay for Performance, it becomes easy to mine for any and all requirments. For example, Praxis can easily provide "all the Diabetics with A1c's 7.0 or less who are also on an ACE Inhibitor and have a LDL of 75 or less" and include the patients names, dob and any other data. This is all done automatically, without any extra work (or buttons to push).

Pros

It's not template, it learns from me and from my documentation (can you imagine what the Lawyers could say if my notes were simply a template and that everyone's progress note says the same, I wouldn't have a leg to stand on)

Cons

It takes some time to build up your progress notes, after that, documentation becomes a breeze and easy.

March 2017

Ed from Medical Sleep Solutions

Company Size: 11-50 employees


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

March 2017

Best of all the EMRs we have looked at

Any EMR, and we looked at many of them, will take a few months to adapt to. That will be the same with Praxis. As much as that was a stress and slowed us down for a few weeks, we would never go back to paper nor have we ever seen a system that would be better for us than Praxis. One thing that impressed us was that Dr. Low, founder of the company, got involved personally when we were trying to make some adaptations to make Praxis better fit our practice. He is very much hands on and will do whatever is necessary to be sure you have a positive experience and a system that will work for you and your patients. Look at as many EMRs as you can and carefully chose the one that best fits you and your practice style. Don't make that choice lightly.

Pros

The system produces a document that reads very much like one you would dictate. It is very easy to customize and alter the "template" as often as necessary. Each clinician can have their own "template". The sentences show up grayed out and you simply click on the ones you want to include in the note. No drop down boxes to navigate. Chart review is easy, although it will be nice when you can open multiple windows at once side by side to compare visits or labs. The system has not slowed us down significantly compared to dictating. You can set up different physical exam templates so that follow up visits have a different set of choices than new patient visits. Our specialty is sleep medicine so we have not used the system to pull in labs, send out prescriptions or order tests, make follow up appointments, etc. One very nice feature is that you can set up the "templates" so that you can have an MA go in and basically read through the history "template" and click on the relevant bits. The clinician can come in, review it with the patient, and the history is complete and documented. All the clinician needs to do is click through the exam, click on an assessment and the plan and you are done. This allows you to complete the chart while you are there with the patient and go on to the next one. Praxis also makes it easy to review the charts of the mid-level providers (NPs and PAs) and sign off on them as their supervisor.

Cons

Not much in the way of Cons, just things to consider in looking at Praxis. A great deal of time will be necessary to put the "templates" together and modify them to your liking. It is time well spent to get it set up as close to perfect as possible. The process is simple. We just dictated our normal history and assessments into a Word doc, cut and pasted into the Praxis "template" and modified them a bit as time went along. It is time consuming but simple. The trainers are very good and can walk you through that. If you have a practice where the history and PE are fairly different and nuanced from one patient to another, neurology would be an example, this process will be somewhat more complex. You can dictate into the history section if you prefer to do that. The downside of doing that is that you cannot complete the chart in the room.

January 2018

Joshua from West Fork Family Medicine, PC

Company Size: 2-10 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

January 2018

I don't have to do any progress notes when I go home after work

I finish my work quickly and I don't to work at home any more with this system. I don't ever want to give up using Praxis. I had to change from a pure template system where I could never finish my notes until I got home. Soapware was my old system.

Pros

This is an assessment-based EMR that works for the physician who needs to document the encounter. I built up my assessments and at this point, I finish my notes very rapidly and the notes are of very high quality. The system is easy to add orders and can be customized easily. I use the "agent" function to send orders and messages throughout our work flow. This system interfaces with my local lab so my office staff are never manually scanning in paper copies of lab work. I was thrilled to note how fast my remote connection functions with Praxis, even though I don't have the fastest internet. This is not a template system, which is great. Prescribing drugs through the e-prescribe function works well and is easy to use.

Cons

I don't have a lot to say from a negative perspective.

My server is housed off-site, for cyper-security reasons. We did have irregular internet problem for a period of time, which meant that we did not have access to our records. I simply had my IT team get a firewall that could handle two internet sources. I have two internet suppliers and I always have access to my remote server and Praxis. Easy solution.

June 2019

Amor from Amor Mehta MD - Neurology Center for Epilepsy and Seizures, LLC

Company Size: 2-10 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

June 2019

Non-Template Based EMR that is customizable just for my needs

I was in a group practice for 5 years until I resigned last September. During the 5 years in my former group, I was burdened by using E-clinical works - a template based EMR that I absolutely loathed. As an epileptologist, many of my cases have complicated neurological histories that do not necessary fit with a template based EMR documatation. In addition, many of my orders are the same for each patient yet, with E clinical works, I would have to click on the same orders over and over again - wasting time that would accrue over the busy day. Some of the layout of my notes was confusing with a lot of extraneous information added to notes automatically - that had no bearing on the patient care. When I started my new practice, I absolutely did not want to h