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Aprima Medical Software, Inc.

  • Head Office

    3330 Keller Springs, Suite 201, Carrollton, TX 75006

    • Toll Free:

      1(866) 960 6890

    • Main Phone:

      (214) 466 8000

    • Website:
Product Profile
Product name Aprima EHR
EHR Certification CCHIT Child Health
Meaningful Use – Stage 1 (ONC-ATCB Certified 2011/2012)
CCHIT 2011 (Pre-Market or Fully Certified)
History of development and product ownership Yes, Aprima developed its own software.
Was the product known by any other names in the past three years? No
Year that a fully functional version of this EHR product was first implemented in a medical practice in the US 2002
Number of full time equivalent (FTE) staff fully dedicated to this product
Product development: 20
Sales: 25
Implementation: 15
Support and maintenance: 20
Typical size of practice in which this EHR has been implemented
1–3 physicians
4–10 physicians
11–25 physicians
>25 physicians
Typical setting in which this EHR system is used
Academic Medical Center (AMC)/Medical School
Community Health Center/Clinic
Multispecialty Clinic
Nursing Home
Private Ambulatory Care Office
Private Community Hospital (excluding AMC)
What specialties does this EHR support?
Addiction Medicine
Adolescent Medicine
Allergy and Immunology
Cardiology - Invasive/Interventional
Cardiology - Non Invasive
General Internal Medicine
General Practice/Family Medicine
Hospice and Palliative Medicine
Infectious Disease
OB/Gyn & Women's Health
Orthopaedic Surgery
Osteopathic Medicine
Pain Management
Physical/Rehabilitation Medicine
Plastic Surgery and Aesthetic Medicine
Public/Community Health
Pulmonary Medicine
Sleep Medicine
Sports Medicine
Surgery - Cardiothoracic
Surgery - General
Surgery - Other
Surgery - Vascular
Clinical - Other
Areas of the United States in which this EHR product is sold North East
Mid Alantic
South West
Hardware / Network
Operating system platform(s) supported
Client (Desktop) - Windows 7, Windows Vista, Windows XP
Server - Windows Server
Does the company resell any hardware? Yes - we resell scanners manufactured by Fujitsu and Inuvio.
Preferred list of 3rd party hardware suppliers We work with our resellers (VARs) based throughout the country. Depending on their capabilities, we may also identify local IT shops to provide hardware.
Preferred list of 3rd party IT Support vendors? Some of our resellers (VARs) handle the IT for their clients, some do not. When a practice works with us directly rather than through one of our VARs, we may send the hardware sale to the VAR or to another IT supplier with whom we have had good experiences in prior installations.
Does the product work over a wireless (WIFI) network? Yes
We support all current WIFI network. We also support working offline regardless of WIFI connectivity.
VARs - Value Added Resellers
Do you use value added resellers to sell and distribute this EHR? Yes
We have dozens across the entire US.
Can customers purchase your product directly from your company or only from your VAR’s Yes
Customers can purchase Aprima directly or from one of our VARs. Aprima imposes no account size limits on VARs.
Can customers who have purchased your product through a VAR contact your company for support? Yes
Customers who purchase through a VAR are supported by the VAR.
Application Service Provider
Do you offer an ASP version of your EHR product? Yes
Can you use Dragon or MS voice tools on your ASP solution? Yes
Company policy regarding data ownership for the ASP EHR The practice owns the patient's data.
Location of data hosting centers Allen, TX and Dallas, TX
Software & Database
What programming language were used to develop the application? C#.NET
Do you provide a test version of your EHR product for training and quality assurance(QA) purposes as well as the full production environment that is installed in the clinic? (The test version is a segmented area where users can make changes to templates or forms without it affecting the live environment) Yes
Aprima provides a test version of our EHR product for training and quality assurance(QA) purposes as well as the full production environment that can be installed in the clinic. There is no additional cost.
Are 3rd party applications required to use your EHR? No
Third party applications are not required to use our EHR. However, customers augment our EHR with many third party products. Those plug-ins are configured during the consultative review of the practice's needs and are configured during the product installation process prior to the go-live date.
Do you use standard terminologies, e.g., SNOMED-CT, LOINC, ICD9, ICD10 in your program? LOINC: Lab Results ICD-9: Problems/Diagnoses CPT: Procedures UNII: Food Allergies RxNorm: Drug Allergies CVX: Immunizations
Expected date to be in compliance with ICD10 coding We will be ready prior to the deadline required for vendors. Currently estimated to be 2014.
Expected date to be in compliance with SNOMED-CT We currently cross-reference to SNOMED-CT through our partner, Intelligent Medical Objects.
Interfaces / Interoperability
Does this product have existing lab interfaces with Quest? If Yes, please explain whether the interfaces are uni or bi-directional. Yes
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain. No
Quest is responsible for working with the practice to determine if there are any additional costs.
If the lab company picks up the costs, will the practice be charged maintenance and support fees? If Yes, please explain. Yes
Does this product have existing lab interfaces with Labcorp? If Yes, Yes
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain.
If the lab company picks up the costs, will the practice be charged maintenance and support fees? If Yes, please explain. Yes
Does the company offer an integrated EHR/PM system? (i.e. a combined EHR/PM system) Yes
[If yes to the previous question] Does your system used a single shared database (not interfaced) for the EHR/PM system? Yes
Can your product be interfaced with a different PM system if the practice chooses to do so? Yes
List of Practice Management systems with which you have existing interfaces We interface with dozens of PM systems and the list is dynamic. Please contact Aprima for a current list or questions regarding your PM system.
If you do not have an interface with a particular PM system, are you willing to develop a custom interface? Yes
If an interfaced PM system is used, does your EHR product transfer billing and coding data captured during the encounter to the PM system? If yes, is this a one-step or multi-step process? Yes
This is a seamless, fully automated HL7 messaging interface. There are no extra steps required of the end user once the interface tasks have been configured.
Does the EHR use an interface engine? Yes
Implementation and training
Tools and/or services offered to clients in order to achieve meaningful use of their EHR? We offer real-time MU dashboard reporting. Aprima EHR is ONC-ATCB certified for Meaningful Use. Hundreds of Aprima users have already qualified for Meaningful Use and obtained their stimulus checks.

Tools and/or services offered to clients for current workflow analysis and redesign when using an EHR? Aprima offers both an on-site workflow analysis, mapping and consultation AND a workbook workflow analysis tool. Fees apply to the on-site workflow analysis. Both options are in cooperation with an Aprima Project Manager.
Do you recommend a graduated implementation or a big-bang implementation (all live at the same time) for your EHR? The decision is cooperatively made with the practice leaders and include inputs such as locations and logistics, specialties, workflow, patient load, physician buy-in, schedules, etc.
What training mechanisms are used by the EHR Vendor? On Site
At Corporate Facility
Web Based
Web Based interactive
Is there a minimum amount of training required by your company in order to satisfy the support and maintenance contract that we would sign with you? Yes
Customized for each practice.
Do you provide any guarantees regarding the ability of a practice to meet meaningful use requirements? Yes
Aprima EHR is ONC-ATCB compliant.
Does your company provide any guarantees that your EHR product will comply with Stage 2 and Stage 3 meaningful use requirements? Yes
Aprima has a strong track record of compliance with meeting MU requirements.
Is there a minimum amount of training required by your company in order for our practice to satisfy compliance with meaningful use guarantees?
Practices need to learn how to use the product in order to meet the attestation requirements.
What services do you offer for post-implementation optimization of the system with respect to training and system customization? Online training includes hosted web sessions, consultative services and content customization (should the practice choose to not do so itself). On-site training is also available.
Does your product support ePrescribing? Is there an additional charge for this service or is it included in the overall cost? Yes
Included in the overall cost
Which formulary does your product use? We use Surescripts. We also support other external formularies.
Does the system allow users to add drugs that may not be in the original database? Yes
Users can add custom drugs to the database for use within the applications.
How are drug allergies and adverse reactions recorded and integrated into the prescribing module? While prescribing medications and on demand, drug/allergy alerts will display with interaction checking.
When prescribing multiple medications, am I presented with an ability to separately acknowledge or document individual alerts? Yes
Is there an ability for the physician or practice to modify preset alerts? (e.g. Severe vs. mild or moderate) Yes
Practices can customize alerts at a system-wide or provider level.
Is there an ability for the physician to filter the display of alerts? Yes
Users can determine the types of alerts to be presented for the practice and/or for individual providers.
How are episodic and long-term medications tracked in the patient’s record? Each medication type can be filtered and sorted in various ways based on provider preference.
Does the system allow users to switch drug interaction checking on or off? Yes
With appropriate security, users can determine the level of alerts to display and can uncheck the option for drug/drug interaction to display.
In the medication list, is a user able to sort medications by multiple parameters including date prescribed, diagnostic code, active or discontinued? Yes
Users can create filters for their medication list display. These preset filters can determine the order and grouping of medications.
What pre-defined templates do you provide?

Definition: A template is a pre-defined structured capability to rapidly record content including information on clinical conditions or vital signs through mechanisms such as menus, predefined fields or checklis
Aprima EHR does not require the use of templates to document visits, rather we allow providers to document multiple complaints individually. However, providers can select Common Problem Pallets for clinical documentation, order sets, performance/quality measures, etc.

What makes Aprima EHR unique is its ability to adapt to a physician's protocols and learn based on their historical assessments.
Do you charge additional fees for any of templates? No
Can clients customize existing templates? Yes
Practice can customize the clinical knowledge base.
Can clients use tools provided through the system to develop their own templates? Yes
Providers can save any note on the fly as their own template.
Will your company build custom custom templates to the practices specifications? Yes
Aprima can provide custom content based on the provider's preference.
If a doctor has created a custom template in their EHR, will the templates and custom rules be maintained when new full releases and patches are installed?
Support & Maintenance
What is the process for managing questions and service requests? Customers can submit questions and receive answers the way they prefer:

* Customer Portal
* Phone calls
* E-mails
* Instant messaging chats

We acknowledge all support requests and confirm all questions with an assigned case number. Cases are tracked daily and worked in order of priority. We regularly update customers on the progress of their case.
Are different tiers of support offered (including pricing information)? Yes
Priority 1 cases (e.g. server is down) - goal is to respond within 30 minutes. Priority 2 cases (a part of the application may not be functioning correctly, but the overall system is working) - goal is to resolve in less than 24 hours. Priority 3 cases (non-urgent requests and product enhancements) - handled in a timely manner.
What are the options for a client to contact your company for support? Customers can submit questions and receive answers the way they prefer:

* Customer Portal
* Phone calls
* E-mails
* Instant messaging chats
What level and type(s) of support are provided during go-live? On-site support is provided along with access to remote support.
Is a formal users' group, online community forum or other form of social networking community available? We host bi-monthly physician advisory meetings. Customers may vote on product enhancement and make enhancement requests through Aprima's customer portal. We also host an annual national user conference.
What are the standard hours of operation during which support is provided? 7AM to 7PM Central Time
What are the steps for a client to escalate a support request? They can escalate via phone, email or web. Once escalated, it is reviewed by a manager and senior technician.
Do you use off-shore technical support? No
All support is handled in the US.
Are software upgrades provided as part of the software maintenance contract? Yes
How are customer requests for enhancements and customizations handled? Multiple channels: physician advisory panel; customer portal; annual user conference; dialog with support or sales.
How are drug interaction tools updated in your system? Drug interaction tools are updated from the latest files provided on our support site. These files are updated monthly from our 3rd party vendor. This service is included in the product support cost.
How are patient education materials updated in your system? Patient education materials are updated quarterly from our 3rd party vendor. This service is included in the product support cost.
How are requests from clients handle for customizations of their system post “go-live”? Aprima has built-in tools that allow practices to customize many aspects of the system easily on their own.

New enhancement requests go through our Ideas portal where users can vote on suggestions.
Is remote monitoring available with the ability to alert clients about system problems? Yes
This is an optional service.
What is your recommended backup strategy? We recommend our customers back up their systems daily.
Do you offer remote backup for a client's system? Yes
This is an optional service.
When an interface goes down, how is that information recovered? The information is stored on disk or in our interface engine and reprocessed once the interface is back up. Messages sent from our system are queued until the receiving system is back.
Reporting Tools
Does your system provide a reporting tool with pre-formatted reports? Yes
Preformatted reports are part of Aprima.
Is your reporting tool able to create the following reports?

1.Generate a list of all patients with a chronic condition (e.g. Diabetes, COPD)
2.Generate a list of all patients with a specific condition who have not been seen within a defined period
3.Generate a list of all patients with a specific condition and lab result who have not been seen within a defined period. (e.g. diabetic patients with a HbA1c=9 not seen in the last 4 months)
4.Generate a list of all patients on a specific drug with an active medical problem
Are these reporting tools bundled with the EHR system or provided as add-ons? Yes
This tool is bundled with the system.
Does your system support PQRI (Physician Quality Reporting Initiative) reporting? Yes
Order Management Tools
Does your program provide any order management tools? Yes
The product provides CPOE along with an order management module that tracks orders along with their status for each patient.
Does your program provide any document management tools? Yes
Documents can be linked/uploaded to patient records using the document management feature. This allows the documents to be attached to the patient record.
Does your program provide any other workflow management tools? Yes
We have many different workflow management configuration tools throughout the application. Each is specific to the task. Customers can define their own workflow.
Patient Health Record (Portal)
Do you offer a Patient Health Record that integrates into your system? Yes
Patients can review their records online via the patient portal.
Data Conversion
Do you offer data conversion services from other products to your product? Yes
Data conversion is available for: Demographic data
Clinical data
What are the data conversion and transfer costs? There is an additional cost for data conversion. The cost is based the types of data to be converted.
ONC Certified Health IT Developer Transparency
Transparency Attestation Supports
Public Product Disclosure(s)