Product Profile
Product name
NextGen Ambulatory EHR
EHR Certification
CCHIT Child Health
CCHIT Cardiovascular Medicine
CCHIT Cardiovascular Medicine with Advanced Reporting
Meaningful Use – Stage 1 (ONC-ATCB Certified 2011/2012)
CCHIT 2008
CCHIT 2011 (Pre-Market or Fully Certified)
History of development and product ownership
Developed by the company
Was the product known by any other names in the past three years?
Yes
NextGen EHR
Year that a fully functional version of this EHR product was first implemented in a medical practice in the US
1995
Number of full time equivalent (FTE) staff fully dedicated to this product
Product development: 226
Sales: 170
Implementation: 171
Support and maintenance: 104
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
Federal Government Hospital
Multispecialty Clinic
Private Ambulatory Care Office
Private Community Hospital (excluding AMC)
State or Local Government Hospital
What specialties does this EHR support?
Allergy and Immunology
Cardiology - Invasive/Interventional
Cardiology - Non Invasive
Dermatology
Endocrinology/Diabetes/Metabolism
Gastroenterology
General Internal Medicine
General Practice/Family Practice
Nephrology
Neurology
Neurosurgery
OB/Gyn & Women's Health
Oncology
Ophthalmology
Orthopaedic Surgery
Osteopathic Medicine
Otolaryngology
Pain Management
Pediatrics
Physical/Rehabilitation Medicine
Public/Community Health
Pulmonary Medicine
Rheumatology
Surgery - General
Surgery - Oral & Maxillofacial
Urology
Clinical - Other
Areas of the United States in which this EHR product is sold
North East
Mid Alantic
South
Midwest
South West
West
Hardware / Network
Operating system platform(s) supported
Client Desktop - Windows XPServer - Windows Server
Does the company resell any hardware?
Servers, server components, PCs, workstations, monitors, tablets, scanners. We honor all manufacturers warranty and any extended warranties purchased by clients.
Preferred list of 3rd party hardware suppliers
IBM, Fujitsu, Motion
Preferred list of 3rd party IT Support vendors?
N/A
Does the product work over a wireless (WIFI) network?
Yes
VARs - Value Added Resellers
Do you use value added resellers to sell and distribute this EHR?
Yes
Can customers purchase your product directly from your company or only from your VAR’s
Yes
Customers can purchase our product directly or through a VAR. VARs are free to sell into practices of all sizes.
Can customers who have purchased your product through a VAR contact your company for support?
No
Some of our VARs provide all support for their customers, other VARs only first line support, other VARs have NextGen handle all support. Thus, it would depend on which VAR they purchased from.
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
NextGen Healthcare does not own the data.
Location of data hosting centers
New Jersey and California
Software & Database
What programming language were used to develop the application?
Visual Basic Microsoft .NetVisual C++
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
Are 3rd party applications required to use your EHR?
Yes
Do you use standard terminologies, e.g., SNOMED-CT, LOINC, ICD9, ICD10 in your program?
ICD-9, CPT-4, NDC, SNOMED-CT, NCPDP
Expected date to be in compliance with ICD10 coding
In development now
Expected date to be in compliance with SNOMED-CT
SNOMED-CT is currently supported.
Interfaces / Interoperability
Does this product have existing lab interfaces with Quest? If Yes, please explain whether the interfaces are uni or bi-directional.
Yes
Lab orders and results. Uni and bi-directional.
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.
Does this product have existing lab interfaces with Labcorp? If Yes,
Yes
Lab orders and results. Uni and bi-directional.
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.
Does the company offer an integrated EHR/PM system? (i.e. a combined EHR/PM system)
Yes
NextGen's EHR and Practice Management system share the same database and as such are fully integrated with each other.
[If yes to the previous question] Does your system used a single shared database (not interfaced) for the EHR/PM system?
Yes
Yes, NextGen's EHR and Practice Management use a single, common database.
Can your product be interfaced with a different PM system if the practice chooses to do so?
Yes
We also market the NextGen Practice Management system which resides on the same database as the EHR.
List of Practice Management systems with which you have existing interfaces
NextGen Practice Management and NextGen EHR are completely integrated and operate using a single database.
NextGen Healthcare Consulting Services division offers custom interface development. Below is a sample listing of companies with practice management systems with whom NextGen has interfaced:
ACS
ADS
Athena
A4
CC System
Compulink
IDX
Misys
Medical Manager
Medisys
Millbrook
PCIS
PCN
Quality Systems
Siemens
and more.
If you do not have an interface with a particular PM system, are you willing to develop a custom interface?
Yes
We do and will develop custom interfaces.
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?
No
We transfer the billing and depending on the system we can transfer the coding. The number of steps depends on the system to which we’re interfacing.
Does the EHR use an interface engine?
Yes
Rosetta, which is maintained in accordance with HL7 specifications to facilitate data exchange with third-party systems—allowing NextGen EHR, NextGen practice management and external systems to operate as a single system.
Implementation and training
Tools and/or services offered to clients in order to achieve meaningful use of their EHR?
We have a matrix on our website - Path to Meaningful Use - that explains what NextGen products and releases are required and what are only recommended, not required. The includes a list of templates and reports required to meet items specified by the Final Rule. We offer a two day training class that covers the requirements and their implementation. Users can also purchase additional support hours for assistance with setup of the system to meet the Meaningful Use requirements.
Tools and/or services offered to clients for current workflow analysis and redesign when using an EHR?
Each implementation team is led by a project manager or coordinator (depending on the scope of the project) who will utilize a variety of project management methodologies including: site analysis and preparation, development of an implementation plan and coordination of the relevant elements.
To develop the implementation plan, the project manager reviews the practice’s readiness assessment, schedules an on-site pre-implementation meeting, and determines unique needs and preferences.
Do you recommend a graduated implementation or a big-bang implementation (all live at the same time) for your EHR?
Graduated Implementation.
What training mechanisms are used by the EHR Vendor?
On Site
At Corporate Facility
Web Based
Web Based interactive
Other
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
As a key component of the training process, at least one member of a practice trains to be a NextGen® Certified Professional (NCP). The NCP typically is the most knowledgeable member of the practice about the NextGen product and provides.
Do you provide any guarantees regarding the ability of a practice to meet meaningful use requirements?
Yes
NextGen Healthcare wants you to be happy with your decision to license the NextGen® Software, so here’s our promise to you: The Software will work properly. See:
http://www.nextgen.com/offers/guarantee.aspx We will train you to productively use the Software. We will stand behind our Software with top quality support. The Software is and will stay interoperable. The Software will remain robust and flexible to allow you to participate in federal health incentive programs.
Does your company provide any guarantees that your EHR product will comply with Stage 2 and Stage 3 meaningful use requirements?
Yes
Is there a minimum amount of training required by your company in order for our practice to satisfy compliance with meaningful use guarantees?
Yes
We will train you to productively use the Software.
What services do you offer for post-implementation optimization of the system with respect to training and system customization?
We offer training and system customization services.
Prescribing
Does your product support ePrescribing? Is there an additional charge for this service or is it included in the overall cost?
Yes
Included in cost of EHR.
Which formulary does your product use?
Surescripts.
Does the system allow users to add drugs that may not be in the original database?
Yes
User defined meds can be added but cannot be e-prescribed.
How are drug allergies and adverse reactions recorded and integrated into the prescribing module?
Drug Utilization is set up initially and will identify allergy
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
Is there an ability for the physician to filter the display of alerts?
No
How are episodic and long-term medications tracked in the patient’s record?
Episodic and long-term medications stay active in the medication module until the provider deactivates.
Does the system allow users to switch drug interaction checking on or off?
No
Duplicates can be switched off, but not interactions.
In the medication list, is a user able to sort medications by multiple parameters including date prescribed, diagnostic code, active or discontinued?
Yes
Templates
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
We have templates for over 25 different specialties.
Do you charge additional fees for any of templates?
No
Can clients customize existing templates?
Yes
Clients are taught how to modify templates to meet their unique needs.
Can clients use tools provided through the system to develop their own templates?
Yes
Through the use of the NextGen Template Editor.
Will your company build custom custom templates to the practices specifications?
No
While NextGen Healthcare could potentially build custom templates at an additional cost, the NextGen Template Editor allows authorized users to create templates.
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?
Yes
The unparalleled flexibility of the NextGen Template Editor allows our customers to easily customize existing templates or create new ones to meet their unique needs—and still maintain the ability to upgrade.
Support & Maintenance
What is the process for managing questions and service requests?
Support, updates, documentation and maintenance are covered under an annual maintenance agreement. After hours emergency support is also available for additional cost. Support issues can also be reported via our Client Support Center.
Are different tiers of support offered (including pricing information)?
No
All support requests are responded to within 2 hrs by a support analyst who remains the customer's single point of contact until the incident is resolved. Support incidents are closed only with customer permission, to ensure complete satisfaction.
What are the options for a client to contact your company for support?
Support issues can be reported via our Client Support Center.
What level and type(s) of support are provided during go-live?
A Project Manager or Project Coordinator is the primary point of contact within NextGen Healthcare throughout an implementation. Account will be turned over to Customer Care approximately 60 days post “go live.” Customer Care is a no charge service that helps clients transition from go-live to full production. After approximately 6-9 months, accounts are then turned over to Support Services.
Is a formal users' group, online community forum or other form of social networking community available?
Yes an annual Users Group Meeting (UGM) is held every year in November. In 2010, UGM will be held in Orland, Florida and approximately 3500 clients will attend.
What are the standard hours of operation during which support is provided?
Support: Monday to Friday 8:30 am to 5:30 pm client local time (8:30 am to 8:30 pm ET), with exception of holidays unless otherwise specified in the contract. After hours emergency support is also available for an additional cost. Support issues can be reported via NextGen's Client Support Center.
What are the steps for a client to escalate a support request?
NextGen Healthcare is committed to customer satisfaction. If desired, customers can escalate their request for assistance to a supervisor or manager. Escalation levels include: Level 1 – Team or Group Lead; Level 2 – Support Supervisors; and Level 3 – Director of Support.
Do you use off-shore technical support?
No
Are software upgrades provided as part of the software maintenance contract?
Yes
Support, updates, documentation and maintenance are covered under the annual maintenance agreement.
How are customer requests for enhancements and customizations handled?
NextGen Healthcare hosts an Annual Users’ Group Meeting. These meetings serve as a forum for education on new and existing NextGen functionality as well as a breeding ground for creativity and new ideas.
How are drug interaction tools updated in your system?
The medication data available in the NextGen EHR is provided by First Databank, Inc. We provide regular medication updates available for download from the NextGen Healthcare website. Users must ensure that their medication drug database is up to date.
How are patient education materials updated in your system?
The Patient Education Module is provided by a third party and is optional. It is purchased in addition to the application.
How are requests from clients handle for customizations of their system post “go-live”?
A Project Manager or Project Coordinator will be the primary point of contact throughout an implementation. The account is moved to Customer Care approx. 60 days post “go live.” Customer Care is a service provided at no charge. After 6-9 months, accounts are transitioned to Support Services.
Is remote monitoring available with the ability to alert clients about system problems?
Yes
Through the Wellcare Server program under the annual maintenance agreement, NextGen Healthcare supports remote monitoring of daily backup jobs, SQL event log, disk space, CPU utilization, security and service pack levels.
What is your recommended backup strategy?
NextGen Healthcare recommends that customers purchase a third-party data backup application, Veritas Backup Exec. Veritas Backup Exec writes the backup onto a DAT tape according to a user-defined schedule. NextGen also offers an offsite backup solution, NextGuard.
Do you offer remote backup for a client's system?
Yes
NextGen® NextGuard® Data Protection Services provide an off-site, data archiving, restoration, and disaster recovery preparedness solution for practices to protect their clinical and financial data.
When an interface goes down, how is that information recovered?
If a transaction that is queued for export was not successfully sent, the status on the transaction remains as ‘unprocessed’ and the interface will try to resend the message again.
Reporting Tools
Does your system provide a reporting tool with pre-formatted reports?
Yes
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
1.Yes
2.Yes
3.Yes
4.Yes
Are these reporting tools bundled with the EHR system or provided as add-ons?
Yes
NextGen EHR is delivered with an integrated ad-hoc report writer as well as Crystal Reports for advanced reporting.
Does your system support PQRI (Physician Quality Reporting Initiative) reporting?
Yes
Order Management Tools
Does your program provide any order management tools?
Yes
With NextGen EHR’s orders templates, providers can easily order lab tests. Using Rosetta, our proprietary HL7 interface engine, orders are electronically routed to third-party lab systems and then prioritized and tracked.
Does your program provide any document management tools?
Yes
NextGen ICS is a proprietary image storage and retrieval solution that provides single sign-on with NextGen Patient Management and NextGen EHR. Using NextGen ICS, you can scan all of your clinical and administrative documents.
Does your program provide any other workflow management tools?
Yes
To improve practice communication and efficiency, NextGen EHR simplifies daily workflow for every user with the exclusive Workflow Module, which features appointments, task management and e-mail—all on a single screen.
Patient Health Record (Portal)
Do you offer a Patient Health Record that integrates into your system?
Yes
NextGen Patient Portal is an optional online patient portal featuring secure patient-provider messaging, pre-registration, appointment management, prescription refill requests, lab results review and more.
Data Conversion
Do you offer data conversion services from other products to your product?
Yes
Data conversion is available for:
Billing data
Demographic data
Clinical data
Metadata
What are the data conversion and transfer costs?
Contact your sales representative for further details