Epic is very good on the medical side and continues improving mental health and dental care. Having integrated telehealth via Zoom was a game-changer. During COVID, it was vital to have telehealth options and to ensure it was completely HIPAA Compliant and easy to document inside their health record.
Cadence Enterprise Scheduling is well suited when an organization would like to have one EMR system. It is not appropriate when implementing only one application.
My organization has been using the Epic platform for 10 years and counting! Epic has continuously improved and updated the system to align with current best practices and meet the needs of members and their patients. As an FQHC, we provide medical, dental, and mental health services, and it is essential to have access to all the patients' health information in one place. Integrating Care Everywhere and Telehealth options embedded directly in the EHR has greatly improved our ability to take the best care of each patient who walks through our doors.
As stated earlier, it seems to be the best out there, from a built perspective as well as a user application. While some practices feel it to be time consuming (Cadence/Prelude) together others who see the whole integration thru the Epicare and Resolute systems love it. From an IT perspective, while sometimes cumbersome to build, the end results are pleasing and satisfying. We can usually accomplish what we set out to do with the practice vision in mind.
A dedicated support staff for each module/area is provided by Epic. This is beneficial for points of contact, however, not all support staff are created equal, and there seems to be high turnover in these roles(staff seems to turn over every 1-2 years). This can make it challenging for continuity and quick support resolution as new staff are not as familiar with organization-specific needs, environments, and/or questions.
EPIC has been great in their support and communication at all hours. They also openly communicate when an application TS (Technical Support) will be away and who is covering for that person. During standard non working hours - you always know what number and who to call to get resolution to issues that arise at those times
Use implementation team from EPIC but know what you want and make sure that it=s what you get. You can be easily swayed by lack of knowledge on the application and therefore decisions are made that are not correct and then have to be redone. EPIC including Cadence needs a great understanding of the workflows you currently have and how they will be impacted by your build. We had a great understanding of the existing workflows in the offices, however lack of knowledge on the Cadence IT side, had a large impact on what was delivered as our implementers believed that a standard EPIC workflow would suffice and did not.
Epic has more features and seems to be used by most hospital systems, which means information can be shared between systems. It is not compatible with Cerner, McKesson, or any other of the less commonly used products and we cannot view information from such facilities. I believe Epic has the most features. It automatically saves entries, unlike Quadrimed, for example, which does not save and if you accidentally get logged out you lose your information.
From an enterprise level I would put Cadence at the top of the pack. Compared to many smaller scheduling systems there are less pages to jump through. Scheduling is straightforward and much easier to accomplish.
Improved Customer Satisfaction: After the initial implementation phase, I have seen increases in patient satisfaction. This is due to the increased transparency regarding their care as well as an increase in paid claims.
Increased Revenue: In some cases I have seen Medicare denial rates drop from high 80's and 90's down to single digits. I have seen incredible jumps in the time payment is received from an approved claim.
