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.

PRAXIS GIVES ME GREAT DOCUMENTATION IN LESS TIME!

Exceptional! Customer service is priority. Staff are extremely responsive. During implementation, the person working with you tells you the next person you meet. Contact is made almost immediately. You are never left wondering if you are forgotten. With customer support, if they can't fix the problem, a ticket is sent to IT to assist. The problem gets resolved within 24 hours . I then receive an email. [SENSITIVE CONTENT HIDDEN] is the usual person I get on customer chat. Her follow up has been timely, complete, and exactly what I requested. A trainer is assigned at implementation to teach the system. My trainer, [SENSITIVE CONTENT HIDDEN], is available to me, even after initial training is complete. His availability is posted online for obtaining extra 1:1 help. He has email and text available for quick issues. He usually responds within the hour. If written communication instructions are not understood, a session invitation is extended to me. He has always been very patient, kind, and understanding. He ensures I understand the training and can reproduce processes without him. The [SENSITIVE CONTENT HIDDEN], is very involved with Praxis. He continues to improve Praxis by contacting providers for ways to make it better. He is always open, friendly, relaxed, and communicative. Before having this system, I never spoke with anybody outside customer support. [SENSITIVE CONTENT HIDDEN] is always asking Praxis users about ways to improve his product and make it better for the end users, providers!

Pros

Praxis has so many great features that confining them to a small space is difficult. The ability to document thoroughly is at the top on the list. Praxis remembers what is written from one note to the next, so you build upon what is written from note to note. Comparison is simple because it is already there. The time saved from not having to continuously document the same thing repeatedly, frees up so much time that a complex note can be completed in less than 10 minutes. The history of the note can be pulled over from prior notes easily without multiple steps. With just 1 click, its there. Codes are saved within Praxis, so a simple click recalls them. They are always saved and available at the click of a button from note to note. This feature saves so much time that documentation is shortened by not having to continuously look for the correct code. Once its there, it never goes away. The last great thing about Praxis is virtually no down time with the system. I dont think I have ever had the system go down since I have been using the system. If the system shuts itself down for security reasons or you close it by mistake, Praxis automatically saves your note so nothing is lost. This is a priceless feature, having had other systems boot me out, losing everything in the note. I am usually at the end and must start the note all over again. With Praxis it is saved automatically and you pick up where you left off.

Cons

The worst thing about Praxis is that I didnt find it early enough in my search for an EMR to not have to go through two other systems that were disappointing and didnt meet my needs. I have spent innumerable hours that I can never get back doing endless documentation when I could have been having time with family, friends, or a myriad of other pleasurable things instead of EMR work. I dont feel there are any other cons of using Praxis except those associated with not finding this system sooner. Praxis gets faster and more intuitive the more you use it. this makes all the difference in the world when there is so much documentation required for reimbursement now.

Best in the industry!

No more lost charts, messaging and prescriptions are a breeze. The price is affordable even for a solo practitioner like myself. Made the investment of having them come out to help me set up my system which was a game changer. I was up and running full speed within just a few days. Praxis support has always been quick to any issue that arises. I migrated to the cloud version which allows me to easily access charts from my phone, tablet or computer from anywhere I have a connection. It

Pros

I have used several EMRs in my medical career and nothing comes close to allowing me to practice medicine in an efficient way like Praxis does. I am in command of my charts much like a paper chart but with the practicality of EMR. My templates can be updated and changed with ease even from a current patient visit. No more calling tech support to change something that is not quite right about an encounter template, I can adjust it easily in real time. When we do have tech issues, they are quickly on the case to resolve any issues. I use the cloud version so I can access from any location. It is so fast to use that I am done with charting when the patient leaves the room. It is obvious that it was created by a practitioner, who knows what functions we need to practice more efficiently. They continue to make improvements to Praxis and use customer feedback to enhance version updates. Cannot say enough about Praxis!

Cons

none - It's so robust I am still learning all the functionality

review of Praxis

Pros

Both customer support and training are excellent. The ability to design and modify my own office visit templates and lab panels is great. I use a lot of botanicals and compounded meds in my practice, and the program is flexible to handle those. E-prescribing log is very helpful to see what has been sent.

Cons

Some of my patients have had trouble navigating the patient portal, but Praxis is addressing that issue on several fronts: releasing a new version in very near future, new video for patients on how to use the portal, and personal support when occasionally necessary.

Praxis

Praxis is my 4th EMR over last 25 years of my practice and so far the best EMR that I have used, wish I had known about it years ago. In my opinion, physician can customize Praxis with little to no effort and personalize it to fit your need and satisfaction. Starting from implementation and training to go live, Praxis team was totally dedicated with one goal in mind...success of my practice. I have been using Praxis for last three months and have seen great benefit with improvement in quality care that I provide to my patients and reasons for this being true are: Less chances of making mistakes... Information available, when I need it and where I need it... Praxis learns from you, and teaching Praxis is very easy, so far Praxis has behaved as the best student... It is entirely possible that I will see financial gain over next one year by being more efficient, utilizing certain covered services now with great ease with Praxis which would not have been possible in past... Most important thing, I am enjoying myself and feel like, I got my life back...

Pros

Praxis has allowed me to be the doctor that I always wanted to be.....provide the best possible care to my patients

Cons

Sorry, so far, do not have anything negative to say about this GREAT EMR