“I will let you know that Greenway has been an huge and costly disappointment. We purchased the EMR for our office and ASC Endoscopy Center. The sales person made several promises and assured us that the product would work like our current one and that we would be able to continue taking pictures during our procedures. He also assured us that we could go completely paperless along with several other promises.

I don’t even know where to begin. At our go live the pictures didn’t work and we were unable to take pictures. The templates which they stated were in their library were not even close to being adequate and they had us build them, when they were supposed to be training us on the system.  Greenway sent trainers that had very little experience with the company, in fact one had only been with them for 4 weeks! Two of our Physicians worked 40+ hours on templates and the nurses had to completely build our templates, because they had none for the procedure room nursing notes. The Medication system uses the non approved abbreviations that have been in effect for years, so we would have to change every one of them. Then they did not send the paperwork for the third party billing and we received no payment for 45 day and finally we went back to our old system until we get this resolved. No one has called us and we had to have our lawyers send a letter. We finally received a copy of contract, which they never sent back signed by their President, with items underlined such as “use the Greenway library at your own risk”. I would hope if they were first in KLAS they would make sure the customer who is making a huge investment would be better taken care of. Communication is bad and the service is worse.

Talk about hidden costs. They charge for emails, phone conversations and some of the training staff stayed at reasonable hotels, while others stayed at very expensive hotels and ate like kings and we are the one footing the bill. We did get it in writing that they would have pictures by go live, but it seems they write their contracts, so that they have several outs. They have 30 days to fix all the items and I hope they do, but at this point it looks like they have taken us for a ride. Get everything in writing that they promise before signing.”

Again, please let everyone know of a similar or different experience regarding this or other EMR/EHR vendors.  We are trying to compile reviews, both Good and Bad, to produce a compilation that will be available for download.  Our goal is to equip everyone with the information to make an informed decision before jumping on the EMR/EHR bandwagon.

I think the thing that bothers me most about most of the EMR companies out there is that the EMR/PM sales reps are complete idiots when it comes to practice application and work flow issues.  It is really pathetic when you sit through a demo with a PCP practice and the EMR company is showing you how great the program works to schedule surgeries.  Or how about, sitting through a presentation in an ASC with a sales rep who is showing you how the great the program works in a hospital setting.  These “minor” issues just go to show, in my opinion, how little most of these EMR reps really know about the work-flow differences between specialties and facilities.

I have experience working with them on the billing and practice management side but have not heard rave reviews of their EMR product.  I have seen a few successful implementations and have heard horror stories from others.  I have also noticed on the billing and practice management side that they are slow to release the promised upgrades like E-prescribe.  I hope to find out more about potential work flow issues, support characteristics, and overall product capabilities.   I would say as with all EMR programs, that you should be very diligent in the application of a well thought out selection and implementation strategy.

If anyone has any wisdom or insight to share, it would be greatly appreciated.

Please share by posting a comment below.

We will not go live until December, but I am curious if anyone can post a comment on their experience with Intuitive Medical’s Urochart EMR. I am helping with the transition to EMR for the practice and would like to know if there is anything specifically that we need to be aware of.  You can also use the rating system to rate your overall experience with the program.

Thanks in advance for your help.

He felt that this was an affordable solution for his new primary care office.  He told me that he was quoted over 100k from Nextgen, so the 1k lease option sounded like a really good deal.  I do not like to single out systems to  dissuade someone from purchasing, but 1k per month is not a good deal in my opinion. Oh, I almost forgot, that does not include training which is another 5k.   Am I alone in thinking this is crazy? 1k per month in my world will cover the total cost for 4 physicians including licensing,  hosting , clearing house fees, and support with one of the best ASP Practice Management/EMR & billing systems currently available.  Usability and cost are the most important factors when considering an EMR/PM solution and I am curious if anyone else feels that 1k per month doesn’t pass a simple cost-benefit analysis.

If you are a user of Eclinical Works, can you please use this post to rate your experience with EclinicalWorks. I have demoed the software and was not too impressed with their level of support or response time to my interoperability and work flow management questions.  I (and my client) are curious as to how some current or past users feel about the software.

Practice Fusion is the fastest growing Electronic Health Record community in the US. Founded in 2005, we’re rapidly expanding and adding new users. Over 18,000 physicians and practice managers in 50 states currently use Practice Fusion’s Electronic Health Record.

The free EMR software is provided in exchange for advertising on the tablet, in the form of a banner ad on the side or at the bottom.  The banner ad is not overwhelming by any means but it is noticeable.  Typical advertisers will be pharmaceutical companies, CVS, wal mart, and companies from related industries.  There is the option for Practice Fusion to use the patient data(without identifying information) for clinical studies.

Practice Fusion has a billing service that can be performed in conjunction with the free software and charges 6.5% of collections which is within the range of normal for billing services.  They also now have the ability to integrate with other billing programs thus eliminating the necessity of using their billing service. Scheduling is a component of the EMR but at the time of writing this post, Practice Fusion does not have the E-prescription capability.  The screen and workflow seem very user friendly and easy to navigate.  The scheduling component is functional and will get the job done for large or small offices.

Practice Fusion announced last week that SalesForce.com has invested in their product which should continue to keep the technology and software utilized by Practice Fusion

Video on Practice Fusion