NEXTGEN HEALTHCARE INPATIENT CLINICALS 2.6
BY PAUL ATHILINGAM, CONSTANCE PHILLIPS, KRISTINA LABBE
It‘s Time to move on
After thorough analysis, we have determined the Athens/Cerner EHR no
longer meets the needs of the institution
The Search is on
A comprehensive search was conducted of other available EHR systems
to replace our failing and ailing Athens/Cerner EHR.
Allscripts Sunrise Acute Care 6.2
NextGen Healthcare Inpatient Clinicals 2.6
Allscripts Sunrise Acute Care 6.2
Currently support 180,000 physicians in 50,000 practices, 1,500
hospitals including 100% of US News & World Report‘s ―Honor Roll‖
hospitals and 10,000 post-acute care organizations.
The varying scale of their client base enables Allscripts to connect
providers and patients wherever care is delivered.
We thought interconnectivity in the hospital, in the clinic, in postacute care facilities, or in the patient‘s own home was a great
NextGen Healthcare Inpatient
Boasts that they understand the evolving healthcare market and
the importance of quality collaborative care and patient-centered,
Claim expertise with fee-for-service, ACO fee-for-performance,
HIPAA, Meaningful Use 2 and beyond, 5010 and ICD-10.
Can support varying practice sizes and hospitals and promote the
convergence of healthcare systems and communities.
Experts in helping convert from paper to shared electronic health
records that can allow patients to connect from home.
Questions we had to answer before
making a choice
ONC or CCHIT certified?
What requirements are you looking for in terms of design and
We need a functional yet scalable solution
Can the EHR support the services does your facility provide?
Both front runners are ONC certified
The solution we choose needs to support all our ancillary areas or be able to
interface with silo departmental systems such as billing is an all in one
solution is not feasible
Will the system meet the meaningful use criteria needed to
demonstrate improvements in patient care and other requirements?
Both solutions are capable of achieving and proving meaningful use to
capture EHR incentives
Another deciding Factor
When reviewing Allscripts, we felt we were getting the ‗sales pitch‘
and not any ‗value‘ in what we were being presented with.
Allscripts bringing up their large install base for example, although
great, doesn‘t really explain to us or answer any specific questions
about what Allscripts does.
NextGen however, provided real details on where they excel and
how they can help an institution.
Listing their expertise in HIPAA, meaningful use and ICD-10 were
major deciding factors for us.
Is it better than what we already
have?: A Comparison
Web based or traditional deployment;
Web Based – easy to setup with
No direct pay option to outpatients
Direct pay to outpatients
Not HIPAA compliant out of the box
HIPAA compliant out of the box
No email or text messaging integration Email and text messaging integration
Custom user interface with
No customizable fields; may seem like
a negative but this ensures consistent
information is being collected and
Is it better than what we already
have?: A Comparison
Support for mobile access and
Mobile access but no support for
Limited decision support tools
Decision Support Tools
No inventory tools
Integrated inventory system
Limited reporting tools
Robust Reporting built in
Breakdown of clinical applications
Computer Physician Order Entry (CPOE)
Pharmacy Information System
Laboratory Information System
Clinical Data Repository (CDR)
Clinical & Physician Documentation
Computer Physician Order Entry
CPOE enables caregivers to automate order entry effortlessly from
wherever the physician is. Physicians are able to quickly and easily
select appropriate medications, labs, radiology, nursing orders,
therapies, and diets from pre-defined order sets or formularies, and
subsequently review an order history.
CPOE empowers doctors with evidence-based medicine toolsets to
find trends across medications and diagnoses and to view other
medications linked with treating an illness.
Pharmacy Information System:
NextGen Healthcare has integrated its Rx management software
solutions with the CPOE and Medication Administration products to
create truly closed loop medication safety.
From inventory management to bar-coded medication
administration, the entire medication process is handled.
Real-time checks against the First Data Bank drug and allergy
datasets make it all safe.
Laboratory Information System:
The Lab Information System uses the latest technologies to deliver a
comprehensive laboratory information system developed for
hospitals, reference labs, multi-site laboratories and physician
The Lab Information System combines a strong feature set along
with elegant and scalable architecture to deliver a solution that
improves patient outcomes and laboratory efficiency.
As a mission-critical application, the architecture of the Lab
Information System combines outstanding flexibility, performance
and stability in an intuitive Client/Server graphical user interface.
Real-time work-center monitors alert the staff to pending work while
also keeping them abreast of critical turnaround thresholds.
Contributes to efficient department operation with online
examination order processing from requisition through results
Examination schedules allow staff to plan resource requirements
ensuring that facilities and staff are utilized efficiently.
The integrated nature of these sub-systems allows the caregiver to
get maximum leverage from already entered data.
Respiratory, physical, occupational, speech, and dietary therapy
work lists can be automatically generated while care plans are
automatically populated with the results of the latest assessments.
A caregiver always has access to the best and most current
information while needing very few clicks to assess a patient.
Mobility provides Smart Phone access on the iPhone, Blackberry,
Palm, Google, or Windows phone using a browser that works with
several of its key applications, including: CPOE, Physician Portal, and
Clinical Data Repository (CDR):
Allows for the reposing of all clinical data in one centralized
database, subsequently providing easy access – in electronic or
printed form— to the entire clinical history of any patient seen over
their lifetime as recorded for that facility/facilities.
The CDR promotes interoperability as envisioned by the ARRA.
Enables the immediate retrieval of real-time patient information
critical to timely diagnosis and treatment.
A physician dashboard, which can be customized to the particular
physician‘s preferences, makes using this tool effortless.
The portal also features a rich results display, and the ability to
customize report formats to fit the facility‘s needs—and it‘s all
available from anywhere and on any device that supports a
browser and Internet access.
In addition, the provider will benefit from heightened privacy and
security with the program‘s unique auditing features, including
applications designed to help the facility achieve HIPAA
A comprehensive browser-based application that effectively
manages the flow of interdepartmental communication, including:
orders, results, charges, work orders, e-mail, patient education, and
This bar-code, bedside enabled system tracks and documents the
safe use of medication at the point of care, promoting the "five
rights" of medication administration.
Medication Administration also facilitates pre- and postadministration charting of vitals, plus waste and witness
It can run via browser on mobile tablets and mobile cart computers.
Clinical & Physician
Facilitates full electronic charting at the point of care that minimizes
problems with legibility – and helps to meet accreditation
requirements (i.e. Joint Commission) and core measures.
Flexible design promotes interdisciplinary communication and can
aid in improving patient outcomes through regular charting of
patient conditions and suggested Care Plans.
Disease-based Physician Documentation utilizes best practices and
provides links to Knowledge-Based Medicine.
The choice is clear
NextGen Healthcare Inpatient Clinicals 2.6 will bring us to the next
generation of healthcare.
NextGen is the best EHR solution to align with the mission and vision
of the organization and our long term goals.
NextGen is cost-effective, robust yet easy to implement and support
and is scalable for future growth and development.
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