NexTech EMR & PMhttp://www.ehrcompare.com/media/reviews/photos/thumbnail/300x300s/be/58/c9/NexTech-EMR-PMTM-25-1375815013.jpg
- PC Tablet Optimized
Practice Management Features
Eye Care-Specific Features
I regret purchasing this software
I would not recommend this product to any specialty but especially ophthalmology. I work at two different practices and have used 5 EMR systems over my last 10 years of practice. This one is the second from the worst, however the worst program cost 10% of what this software program costs.
2. The EMR is not at all "intelligent" you will need enter your exam findings in the drop down menu area, draw it, then add it to the assessment and plan. It will not help you find coding after entering the examination
3. The drawing program for ophthalmology is terrible. It is not at all linked with any diagnosis coding and you find the buttons fairly useless so you end up placing a text box over something that you draw with your mouse to label it. It is extremely time consuming and non functional.
4. The assessment and plan part of the template is inflexible. You are unable to clear only part of it from the previous exam so you end up clicking and deleting anything that was copied from the previous exam but you have to clear 5 items separately for one diagnosis point. The plan is also not built when you are completing your exam at all. This a redundant and time consuming.
5. The billing templates are clunky at best
6. IF you have problems and they already have your signed contract and money, the company as a whole is extremely unresponsive. I have tried over the last two weeks to reach someone for a quote (with questions) and have sent no less than 20 emails/text/phone calls. My responses have been piecemeal and inadequate for answering my questions.
7. The tech support when you call in often cannot solve your problem. The trainers are well informed but the phone support has been underwhelming.
8. The online portal is one of the weakest points of this software. Rather than saving your front desk time in check in, it has increased the number of phone calls and staff time required. The portal will often kick the patient (user) off the system as soon as they create their login. Then they try to use the code given to them again, and it will not allow them to register. The interface looks unprofessional and is not intuitive. I have many patients who work in the high tech industry and I have watched them try to navigate the portal. The VP of Microsoft struggled to use it.
9. The time tracking for the number of training hours you have used is faulty. You are allocated a certain number of days of training. They then count the number of hours you have credit for every time you call in with an issue for tech support, which you are also paying a monthly fee for. This is essentially double dipping from both your training and phone support.
10. The "remote login" is essentially remote desktop which is slow and not a true remote login.
11. In order to sign and close a chart there are 6 mouse clicks!
12. The online webinar training is extremely long, redundant and unprofessionally done. Each webinar shows you 5 ways of doing the same task (which is not useful when you are trying to train a new staff member) and take an average of 30-45 minutes. If you want to truly learn the software you need to sit through around 15 hours of webinars to watch them all. The physician oriented ones are not really tailored at all to a physician.
Expensive system with terrible tech support
NexTech will not be the cheapest system you can purchase but the system is solid and the service is top notch.
The first year was very difficult which is to be expected. I am now back to my normal level of patients. Many of my friends using other systems still have not reached there daily patient load they were used to seeing on paper even after three years on their EHR systems that they chose. This tells me that we made the right decision for our practice. We have five OMDs and one OD in our group with two offices. The oldest doctor is in his early sixties and he has adjusted much better than expected considering he is not very computer savvy. We have him using Dragon to dictate his Assessment and Plan into each chart. All doctors do use a writer to enter data which is no different than when we were using paper. We are currently testing the iPad version of NexTech. The dictation program NexTech is using on the iPad has worked well so far for our oldest doctor. He feels that it is very comparable to Dragon on his laptop. I expect the writer will use the desktop we have in each room and then this doc will use the iPad to dictate with.
My only other complaint is reviewing old charts, whether they are paper charts scanned in or electronic ones from previous visits while using the EHR, does take more time than flipping through a paper chart. This is the way all of the systems I've looked at and used seem to be to me. NexTech does have an EMR Summary button that you can customize and use it to look through previous exams. I have ours set up to show acutiy, IOP, Assessment & Plan for each visit.
I have a punch list of desired features that I want NexTech to add. I know that they are working on them because they have already added on of the big ones I wanted.