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EHR Systems for Specialists

EHR Systems for Specialists
Credit: S_L/Shutterstock

If you're looking for an electronic health record (EHR) system for your practice, cost and ease of use are the top priorities. You should also be concerned about the implementation process – how long will it take, are there additional fees, will the company train your staff? These considerations impact every practice, regardless of its specialty or focus.

As a specialist, though, you have an added challenge to consider: How well will a system adapt to your unique needs? A dermatologist might want to consult specific templates for their specialty, while a psychiatrist might have specific concerns around free-text applications, to track personal details of each patient they engage with. Beyond that, each practice will have its own culture and workflows; how well an EHR can adapt to these needs is an important barometer to determine how well it will fit.

Interested in an electronic health records system for a small medical practice? See our 2017 recommendations for the best EHR systems for small practices.

While factors that are important for any practice, like a system's usability, are still high priorities, adaptability and customization are key for a specialist's EHR system.

Editor's Note: Looking for an electronic health records system for your medical practice? If you're looking for information to help you choose the one that's right for you, use the questionnaire below to have our sister site, BuyerZone, provide you with information from a variety of vendors for free: 

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Here are three recommended systems that focus on tailoring their EHRs to specialists. To learn more about how we chose these, see our methodology section below.

  1. Modernizing Medicine: Known as the Electronic Medical Assistant (EMA), Modernizing Medicine's EHR is intended to be customized for the end user, no matter what the specialty. With costs ranging from $500 to $750 per month per provider, EMA is a relatively affordable system. Moreover, physicians who have used it have overwhelmingly positive things to say about its ease of use and the vendor's support. The system is easy and intuitive to use, and it supports a vast array of specialties and sub-specialties. The biggest strength of ModMed's EMA is that it delivers a clear, anatomical model that can help specialists clearly identify patient problems and pain points.
  2. AdvancedMD, Inc.: A pricier option, but one that is characterized by usability, specification and responsive support. The AdvancedEHR was quoted to us at an upfront cost of $6,000, though we were told that fee could be largely waived by signing a one-year contract. Beyond the startup cost, the estimated cost of AdvancedEHR was $729 per month per provider for the integrated practice management and cloud-hosted EHR system, and the company says they're happy to design the system in a practice-specific manner. The standalone EHR begins at as little as $169 per user per month, but the above pricing reflects fees and integrated module costs.
  3. NueMD: NueMD's EHR solution features more than 100 preset specialties, which is by far the most we've come across among the EHRs we've considered. Starting at $200 per user per month after startup costs, the system is relatively affordable. Moreover, it is highly customizable in terms of templates and workflows, meaning that even if your needs aren't met by the wide array of presets, you can still incorporate the system into your practice culture. The company will work with your practice during implementation to remove the modules you won't need, ensuring that you only pay for what you will use. Strong interoperability accompanies a versatile system to make NueMD's EHR one of our best picks for specialists.

Our Methodology

To determine our best picks for electronic health records (EHR) systems, we consulted three surveys of physicians found on Medical EconomicsMedscape and American EHR. We also looked at other software advice websites and user reviews. Ultimately, we ended up with a list of 38 candidates.

We then interviewed physicians about what they are looking for in an EHR system and used their input to narrow down our pool based on three factors: ease of use, vendor/customer support and how an EHR might impact the quality of care.

Using this criteria, we chose the following final candidates to review further: Epic, MEDENT, Practice Fusion, athenahealth, eClinical Works, Amazing Charts, eMDs, SOAPware, AdvancedMD Inc., Modernizing Medicine, Care360, PraxisEMR and NueMD.

We evaluated our finalists on the following criteria:

  • Estimated cost
  • Ease of use
  • Practice management integrations
  • Patient portal
  • Interoperability
  • Implementation support
  • ICD-10 ready
  • Meaningful Use Stage II certified
  • Customer service
  • Free trial/demo experience
  • Qualitative physician responses

To gather information and assess the quality of each company's customer service, we called each company and identified ourselves as working for a small medical practice that would soon open. 

In order to estimate the cost of each system – which varies widely depending on what is included, what optional features are available, and the size of a practice – we consistently stated to sales representatives that we would opt for cloud hosting, integrated practice management, and our practice consisted of five providers. We based our price estimates on pricing we were given for those parameters.

To further conduct research, we conducted several interviews with physicians who have firsthand experience with the EHR systems on our final list. We considered their qualitative responses in our final recommendations as well. 

Following our research, we selected several systems to recommend for small practices and specialists. Because we were unable to use the systems in a clinical setting – and because every physician's wants and needs are unique – we refrained from picking a single "best" system and instead recommended several systems that scored positively in each of our criteria and received favorable physician reviews.

Vendor List

Here is a comprehensive list of EHR vendors. This alphabetical list also includes the recommendations mentioned above. 

Acrendo Software, Inc.  Acrendo's EHR system is available in client-server or cloud-based options, is certified for Meaningful Use Stage II, and is ICD-10 ready. Acrendo also offers integrated practice management and revenue-cycle management software. Product demonstrations are available at Acrendo.com

Advanced Data Systems  MedicsDocAssistant is certified for Meaningful Use Stage II and is ICD-10 ready. The system includes options for integrated practice management, billing and revenue cycle management. Live demonstrations are available through Adsc.com

AdvancedMD, Inc. – The AdvancedEHR is integrated with scheduling and billing software, and includes a cloud-based option. AdvancedMD also offers an iOS mobile application. It is Meaningful Use Stage II certified and ICD-10 ready. More information can be found at Advancedmd.com

Allscripts – Allscripts Professional EHR is designed for small and mid-sized practices and offers strong interoperability with labs and pharmacies, Meaningful Use Stage II certification, and ICD-10 preparedness. Request product demonstrations at Allscripts.com

Amazing Charts – Amazing Charts is designed by a doctor for usability and affordability. It is Meaningful Use Stage II certified, ICD-10 ready and offers integrated practice management. Free trial and demonstration videos are available at Amazingcharts.com

athenahealth – athenahealth's cloud-based system offers integrated practice management and billing software and Meaningful Use Stage II certification, as well as ICD-10 preparedness. Request a live demonstration or view a product demonstration video at athenahealth.com

Cerner – Cerner's EHR system is certified for Meaningful Use Stage II and is ICD-10 ready. It offers integrated practice management and billing systems, and aims to maximize engagement between physicians and patients. More information is available at Cerner.com

CompuGroup Medical, Inc. – CompuGroup's EHR includes an integrated practice management system and is available in a web-based version. Video demonstrations are available at CGM.com

eClinical Works – eClinical Works' 10e EHR includes electronic referrals, hospital interoperability and data reporting on health care records. Other features and live demonstrations are available at eClinicalWorks.com

eMDs – Both Meaningful Use Stage II certified and ICD-10 ready, e-MDs focuses on usability and capturing clinical and billing data. eMDs also offers cloud-based hosting. Free trial available at e-MDs.com

Epic – EpicCare EHR offers an integrated practice management system, Meaningful Use Stage II certification and ICD-10 preparedness. Epic touts its interoperability across the continuum of care as a hallmark of the system. More information available at Epic.com

Evident – The Thrive EHR application is built for rural communities, hospitals and practices. The system offers integrated practice management, billing and financial management software. Find out more about Thrive at CPSI

General Electric – GE Centricity EHR is "an electronic medical record designed to interface with practice management systems in larger physician practices." Customizable to individual workflows, the system promises seamless interoperability, Meaningful Use Stage II certification and is ICD-10 ready. Webinars and more information available at GEHealthcare.com

Greenway – Greenway Health's Prime Suite is ICD-10 ready and Meaningful Use Stage II certified. It offers an integrated EHR/practice management system that it calls usable and flexible. More information and video demonstrations are available at GreenwayHealth.com

Healthfusion – The MediTouch EHR system is a cloud-based EHR and PM focused on hospitals and billing services. Both ICD-10 ready and MU Stage II certified, MediTouch EHR offers a customizable experience. Find out more at Healthfusion.com

Healthland – Healthland's Ambulatory EHR offers a Windows-based, customizable user interface. It includes referral management software, an integrated task manager and eprescribing. More information is available at Healthland.com

Kareo – Kareo is a free, cloud-based EHR that is Meaningful Use Stage II certified and ICD-10 ready. It offers secure messaging, an integrated patient portal and a comprehensive dashboard. More information and video demonstrations are available at Kareo.com

LeonardoMD – A web-based EHR with an integrated billing and practice management system, LeonardoMD offers customizable workflows, tutorials and one-on-one implementation consultants. Request a live demonstration at LeonardoMD.com

McKesson – McKesson's EHR hosts an integrated practice management system, is certified for Meaningful Use Stage II, and comes ICD-10 ready. Both client-server and cloud-based, McKesson aims to tailor their system to the size of the practice using it. Video demonstrations available at McKesson.com

MEDENT – MEDENT's EHR offers mobile access, billing and practice management software. It is Meaningful Use Stage II certified and ICD-10 ready and can be configured for client-server or cloud hosting. Find out more at MEDENT.com

MEDHOST – The EDIS EHR system is designed to eliminate drop-down menus and unnecessary screens for simplicity and usability. MEDHOST boasts strong interoperability with hospital systems, labs and pharmacies. EDIS is able to operate through an iPad application. Schedule a demonstration at MEDHOST.com

Meditech – Meditech's EHR system focuses on the ability to share data and interoperability. It is Meaningful Use Stage II certified and ICD-10 ready. Meditech offers a web-based option and is mobile friendly. More information is available at Meditech.com

Modernizing Medicine – Built "from the ground up" by a doctor, Modernizing Medicine is an iPad native EHR tailored for the specific needs of various specialists. The EMA is certified for Meaningful Use Stage II and comes ICD-10 ready. Live demonstrations are available for scheduling at ModMed.com

NextGen – NextGen's Ambulatory EHR is focused on ease of use, integration with practice management and billing systems, and interoperability. It is certified for Meaningful Use Stage II and is ICD-10 ready. Video demonstrations are available at NextGen.com

NueMD – Nuesoft's NueMD EHR system supports more than 100 specialties, which makes it one of the most versatile solutions we reviewed. It is ICD-10 ready, highly interoperable, and Meaningful Use II certified. Find out more at NueMD.com

Practice Fusion – Practice Fusion is a free, cloud-based EHR that organizes every feature into one local dashboard. It operates across all devices, is Meaningful Use Stage II certified and ICD-10 ready. Video demonstration and downloads are available at PracticeFusion.com

Praxis – PraxisEMR is one of our best picks for small practices. The system utilizes AI and machine-learning algorithms to save physicians time in predictable situations. It also eschews traditional templates in favor of cause/effect triggers known as agents. Find out more at PraxisEMR.com

Quest Diagnostics – The Care360 EHR includes eprescribing, secure messaging and multisystem interoperability. It is certified for Meaningful Use Stage II and is ICD-10 ready as well as available on mobile platforms. Request a demonstration at QuestDiagnostics.com

ReLiMed – ReLiMed EHR received high satisfaction in user reviews; users praised its excellent interfacing and interoperability as well as its selection of specialties. Customers also reported excellent support and technical training from the company. Find out more at ReLiMed.com

Sevocity – At $359 after startup costs, Sevocity is an affordable EHR solution that promises a customized experience, specialty-specific features and a patient portal. Sevocity is Meaningful Use Stage II certified. Find out more information at Sevocity.com

SOAPware – SOAPware aims for usability and an intuitive interface. The system includes an integrated practice management and billing option as well as cloud-hosting. It is Meaningful Use Stage II certified and ICD-10 ready. More information is available at SOAPware.com

WEBeDoctor, Inc. – WEBeDoctor's EHR prides itself on adaptability to individual workflows. It offers an integrated practice management and billing system as well as connectivity between your devices through the cloud. It is Meaningful Use Stage II certified and ICD-10 ready. More information is available at WEBeDoctor.com

World VistA – The official EHR of the U.S. Department of Veterans Affairs, VA-CPRS is available for demonstration download and trial at worldvista.org

WRS Health – This extremely interoperable EHR features several of the most used interface engines, meaning you can all but guarantee it will communicate with other members of the healthcare ecosystem. Starting at $299 per user per month, WRS Health is a reasonably affordable EHR system with highly customizable workflows and templates. Find out more at WRSHealth.com.

Are you a EHR vendor who would like to be added to this list and possibly considered for our next round of reviews? Please feel free to contact Adam C. Uzialko at auzialko@purch.com.

Editor's Note: Looking for an electronic health records system for your medical practice? If you're looking for information to help you choose the one that's right for you, use the questionnaire below to have our sister site, BuyerZone, provide you with information from a variety of vendors for free: 

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Adam C. Uzialko

Adam received his Bachelor's degree in Political Science and Journalism & Media Studies at Rutgers University. He worked for a local newspaper and freelanced for several publications after graduating college. He can be reached by email, or follow him on Twitter.