NDoc

Pros

Compared with the four other EMRs I have worked with, the customer support from Thornberry/Ndoc has been the best by far. Their team is top-notch, quick to respond and the help desk ticket process is simple to submit. The system also includes a lot of clinical information and they seem genuinely receptive to feedback and suggestions for improvements. Getting clinicians up and running can take a little time but once they settle in, they generally say the system is fairly easy to work with overall.

Cons

Billing has been the hardest part of using the system. A lot of the problems are very detailed and take several steps to fix and the guide that's supposed to help with those issues isn't very clear. At times information doesn't carry over from clinical to billing and there doesn't seem to be any consistent reason for it. The last few releases have also had some problems that ended up needing weekend patches. The team clearly knows the system well and can walk through it but it often takes a lot of back and forth before things get sorted out. I understand they're planning to roll out a new system this year because the current setup still has quite a few shortcomings. Integration with outside systems or certain referral file types is limited as well.

Pros

From beginning to end the admission process flows well. Each screen asks for the specific details needed before moving to the next step so the progression makes sense. The required information lines up with CMS regulations and the overall format is logical and simple.

Cons

One frustrating part is when a patient is assessed but not admitted so we mark them as SNA for seen not admitted. If they decide the very next day that they do want admission, everything has to be entered again because the same chart cannot be updated and converted into an admission.

Pros

Handling documents is very easy and sending as well as receiving orders and plans of care feels almost automatic.

Cons

The menus are overwhelming. There are simply too many of them and the way reports are organized doesn't seem to follow any real logic. Even basic alphabetizing would help. Clinicians can easily get lost in the visit menu and sometimes end up completing another clinician's work when that person's visit is on hold. The sync system also isn't anywhere near foolproof and its glitches can cause delays in continuity of care.