Oracle Ambulatory EHR

Vorteile

I have been working with cerner powerchart since 2016 and it has been very helpful with managing patient orders specially with regards to clinical laboratory test orders. It is very organized and all clinical orders are separated by classification. It has decreased the patient waiting time and processing time for the lab where I am working. Overall its very helpful to medical professionals like me.

Nachteile

There is really no cons for this software. Occassional downtime, updates and server problems but those were just minor technical difficulties. And are always adressed by the support team efficiently.

Vorteile

it has really easy navigation and it’s very user friendly.

Nachteile

I really liked cerner, i have nothing bad to say about it.

Vorteile

Nothing not one single good thing that I can say about Cerner products or the corporation. It seems that there are a lot of reviews from people who have never actually used the product or are required to use the product daily. I feel like these review are useless because they allow a clerk to front desk person to comment and that comment holds just as much weight as the provider/physian responsible for documenting, ordering, etc. that actually has a license on the line.

Nachteile

Everything:
The power chart templates are useless, the labs are horrible on interoperability(getting outside labs to pull into results review), workflows lack vision on what is needed and how to view it in a timely manner, the powerforms/powernotes are just as useless. The system is lightyears behind less expensive products. Our current system is has been updated 3 times and still doesn't even have ICD 10 codes correctly entered making my job 10 times harder, ICD 10 codes went into affect >5 years ago and we are still dealing with extensive problems. Its just horrible that Cerner doesnt have one actual physician on staff to guide them in what is needed in daily charting on a patient. The orders fall off after 1 yr from the MAR to where pharmacy can't bill requiring providers to have to cancel and reorder every 6 months to prevent reimbursement problems. This becomes a safety issue and if anyone was actually regulating these EMR's they would be shut down immediately for concerns of patient safety.

Vorteile

I like that Cerner is transparent enough so that nothing is too hard to figure out. I am able to find patients easily, write clinic notes easily, and view past records easily.

Nachteile

You can only see up to 500 records before things start to disappear. I do not like this. Additionally, it can be hard to find certain records, perhaps a search bar within the records would make things easier.

Vorteile

Ease of use. Very easy program to use and navigate.

Nachteile

Not having the ability to override some actions. When scheduling emergency C-section surgery would be easier if there was a way to override directly to surgery scheduling.

Vorteile

I would say the only real benefit is that we have all our facilities on the same system and everything is there when we go to different departments

Nachteile

It is supposed to be easy to use, but it really isn't. As a patient i found my Stress test that was ordered was not ordered. As an IT person not being able to resolve issues myself and relying on a poor tier support system was onerous. 5 days to add a new printer after one failed. WHY?

Vorteile

I understand where everything is located, and the multi-patient task list makes things easy to find in the course of my day.

Nachteile

I find that this software is not oriented towards the physical therapist, and it is very tough to integrate information between departments in the hospital. I do not like that my patients will "fall off" My list if they are off the unit or floor, which makes it very easy to miss people. I do not like that you can't see the orders for the patient right away and you need to click on each chart to get more detail which makes it cumbersome to schedule. I wish that you were able to use smart phrases similarly to Epic In order to make documenting more efficient. I also dislike the amount of clicks and grids that a physical therapy note requires. It takes a lot of time to document.

Vorteile

Interface capability with inpatient setting and how you can access a patient record from the hospitalization within same system. Patient portal access

Nachteile

Not as smooth of transition from one “flowsheet” to the next and requires lots of upfront learning. D

Vorteile

I liked that it was easy to schedule appointments.

Nachteile

The thing that I liked least is there was no way to look at other parts of the chart without stopping what you was in the middle of and going to another part of the patients chart to get information

Vorteile

Secured , easy to use and retrieve for future reference

Nachteile

None, everything was covered by the software

Vorteile

The Pro's about this software include that it can be customized to make changes throughout every department within the hospital system that uses it. This makes the software versatile. I have seldom had a tired day without running through the routine of charting on patients but Cerner allows for the quick access lists of options in my charting that can be expanded when I need it to jog my memory for the descriptor needed in my charting.

Unlike other charting systems I have used in the past, a default collapsed list of charting options in Cerner is very helpful. Additionally, Cerner has a lot of built in quick access options for charting that my fellow coworkers asked me to teach them. The ability to chart without the use of a mouse makes everything fly by. This is especially important when the mouse at a charting station doesn't work well.

The best part of the customized organization on any specific hospital unit is that this organization of information follows you when you float to other units. This means that if you need to help your buddy unit out the charting time will not slow down due to being in a foreign environment. Very Very Very helpful!

Nachteile

There is not a built in auto save feature in the charting. The ability to alter charting during my shift is important but there should be a time limit or window within which change to the charting can be counted as initial documentation. If you currently save every so often to ensure your work is not lost and realize information documented was inaccurate then there is a flag on whatever information you change showing that a mistake has been made. This is an unfortunate drawback which points to the lack of autosave features.

One other big con to the system is that when outside information is integrated, such as education material from a subscription database online, the patient chart only reflects information documented when added through specific links within Cerner. As an example if you add documentation that you printed off a handout for the patient you cannot link the handout to the patient chart after the fact. This means that prior to printing anything you HAVE to enter the database from a specific designated page in Cerner and attach it to the chart. Only one way in and one way out.
Poor organization in the add-ons in Cerner.

Vorteile

When you 1st start off with Cerner they send you their A team but after that you should expect almost no support as that team in Bangalore has minimal training and seems to be stretched so thin that they only respond on one day a week, then they pass your ticket from one team to another. If you complain they seem to slow the process more

Nachteile

Non existent support. Example: opened a ticket for the addition of the new COVID boosters. We had the product but for them to add the product to the system they need to wait for their drug data suppler (MULTUM) to add it to their dictionary. That happened last month. I had to prod them since I could wee the product on the hospital side. Now I needed the careset to be created (an order set that takes care of the documentation and billing). I’m still waiting more 2 months since we got the vaccine

Vorteile

Implementing Cerner has been nothing but a positive experience and we have continued to find ways to improve our program to benefit each department within our clinic. Patients have also experienced the increased efficiency since implementing Cerner - This has been our biggest win!

Nachteile

Currently our program does not interface with all pharmacy scripting programs and Dragon dictation software that many providers like to utilize. We are working with other programs & have workaround workflows in place to address this but will be working more closely with representatives from Cerner to ensure this is not an issue with necessary interfaces going forward.

Vorteile

This software is functional but time consuming to get the hang of.

Nachteile

This software takes forever to learn and even after having used it for a year and a half I still think, where did I chart that one tiny detail that one time? It's just not as intuitive as other software I've used. In others I felt like it prompted me to fill out and chart on a patient using a checklist. This one you just have to hope you remembered you charted everything and am commonly triple checking before leaving for the day.

Vorteile

Has most features that one expects from a EMR; has features like electronic order; laboratory view, Xrays

Nachteile

Cannot handle a huge load of patients. Very difficult to use cerner for research purposes especially when one has to extract data

Vorteile

Compared to other medical management systems, I believe this one is the most simple ones. Less tabs, information populates accurately, and little to no system errors.

Nachteile

Some functions like the time frame. When a specimen is drawn and collected, results will collect at the time frame the lab was sent out and not the time the lab results were actually populated. Also, it would be nice if certain document notes when created would populate as a New notification.

Vorteile

The software is really nice in the fact that it stores a lot of data and is very specific as to how it stores it. For example medical records being linked together so you can gather a whole medical history without calling a million other doctors.

Nachteile

It’s very busy and can be hard to navigate.

Vorteile

I can save multiple precompleted templates and diagnosis, making it so is to use and it really save time. However this possibility is not available on all Cerner products. Cerner millennium is the best so far. Cerner medconnect allows to tag and paste from previous note

Nachteile

Cerner Medconnect is the worst product, not user friendly at all! One can not save a pre completed template! There is a possibility of entering smart text, however this is time consuming. “Tag” functioned can take a couple of minutes! It’s really a waste of time

Vorteile

I have used many ehr systems like epic, nex gen and cerner. Like all emr system it’s pretty user friendly, less clicking than EPIC. In terms of searching records within cerner you are able to search keywords and identify all the documents related to the key word which is really nice. Patient registration etc, is comparable to epic.

Nachteile

I have a bias towards epic, in terms of features and information exchange. However Cerner is just as good and has a few features that make it an exceptional ehr system.

Vorteile

All areas are basically the same so using this product for ambulatory as well as hospital and emergency provides ease of use. Many other facilities use this product so that is helpful in sharing of information.

Nachteile

It is expensive. There were some issues with our build and the billing does not work as well as we had hoped.

Vorteile

I have been using Cerner Powerchart for over four years and still consider it the best medical software. I find the layout to be easy to navigate and extremely user friendly. Unlike so many other software, you dont have to click through tons of boxes to complete a simple task

Nachteile

I really love this software and struggle to find cons. Occasionally when I click on the software icon the software doesn't load and occasionally when I'm using the software it freezes and I have to close it and reopen.

Vorteile

The best software I've used for tracking patient's history and orders. It helps me accurately organize and make sure all radiology orders performed for selected patients are attached to their specific radiologist reading tests.

Nachteile

The only difficulty that I came across with at the beginning was finding reports and documents for patients when they were requested. With some training this task becomes pretty easy making this software absolutely useful!

Vorteile

Ease of use, easy to navigate a patients chart, easy to make customizations. Very user friendly and makes documenting and placing orders on patients very easy

Nachteile

Integration with some third parties is hard but it is doable.

Vorteile

I’m a believer of you get what you pay for. However in a world of limited options this could be better for the cost

Nachteile

Very clunky and hard to use. Not many other options for EMR vendors. We are moving to Meditech next year

Vorteile

Aesthetically pleasing. The ability to send in surgery orders is convenient. It is certainly an upgrade from previous software.

Nachteile

The layout is the opposite of user friendly. There is so much information placed in odd places throughout a patient's chart. The ability to print outside of the software is nearly impossible.

Vorteile

Pretty basic but has simple features that help with both keeping records safe and easy to schedule appts.

Nachteile

Sometimes there are too many clicks to do what you have to do.

Vorteile

Easy to use and functionality were very user friendly when we first purchased produce.

Nachteile

No customer service at all. Takes months for them to respond. They constantly update the software weekly and it changes setting and moves things around make your work flow more cumbersome. When you request for setting to be changed there is always an additional charge or fee associated with it and it takes months to make the changes if at all.

Vorteile

Cerner Cerner can be very detailed and specific

Nachteile

There are too many different ways to complete a task. And there are too many buttons to complete one task

Vorteile

use of books to schedule appts. and registration section easy use

Nachteile

patient search still makes a lot of errors with searching for a patient. You can easily duplicate.

Vorteile

I work in the healthcare industry and use this tool on a daily basis. The software contains a variety of tools that allow healthcare workers to document patient's visits very easily and it is very user friendly. Moreover, it is an extremely well developed software where you are able to navigate through patient's chart, test results, patient's scheduled visits and many other tools that healthcare providers use to get acquaintance with the personal history of the patient. In regards to my position, the Oncology flowchart provides me with information about the cancer staging, treatment name and dates, BMI and lab results. It is a highly functional tool with multi faceted use.

Nachteile

In order for the software to function correctly, massive amount of updates need to happen monthly from the IT team in my organization. It can be very glitchy sometimes or freeze when there are large amount of information, for example, the MAR section freezes a lot. But other than that, it is highly functional and well developed software.

Vorteile

I like Cerner PowerChart because it has features that allow me to compete my patient orders, including e-prescribing, note writing, lab reviewing, patient search, all in my fingertips

Nachteile

Some versions of Cerner PowerChart don't have all features and capabilities activated, so different hospitals' versions have limitations, for example in searching for medications in an concise and efficient manner

Vorteile

It is easy to use once you get to know where things are located, but it has more of a windows software feel than a mac software. It is more utilitarian in that it is not colored and the font is small, which is good for efficiency in documenting once you know where things go and are located. Does not have hangups that EPIC has when company wide documenting is required for certain areas that sometimes do not apply to particular patient such as was the case on a pediatric floor where I was using this system and I appreciated not having EPIC.

Nachteile

Hard to get used to. I was coming from using EPIC mostly, which seems easier and more intuitive to learn. I found the smaller black boxes and hidden tabs harder to get used to when trying to document daily things. As a nurse the med administration tab wasn't as easy to use as it is in EPIC and wasn't as intuitive and I sometimes messed up at first in documenting med administration especially when trying to add something that wasn't scanning from the pharmacy and I had to do an override.

Vorteile

Cerner PowerChart provides a comprehensive location for all medical information. Information display can be customized to fit user needs and provides quick access to pertinent info with continued use. Home screens are customized for each particular practitioners credentials and needs making many commonly used tasks always right at hand. Accessing information from other visits is also easily performed regardless of which encounter the patient was initially pulled up. One of my favorites is the results callback functionality that allows easy review of discharged patients culture results.

Nachteile

While Cerner is not difficulty to use, not all features are entirely intuitive. Many functions require repeated use and lots of clicking to access and perform relatively simple tasks. While there is a quick link for Meds Manager access for pharmacists, the link does not pull up the current patient profile opened, necessitating re-entering of the patient encounter number which is a bit tedious. Additionally, the disjunction between FirstNet and PowerChart is inconvenient and would be nice if charts opened through FirstNet opened PowerChart rather than a separate entity of FirstNet given the difference in functionality between the two programs.

Vorteile

Cerner Ambulatory EHR is one the well known and popularly used EHR systems in the US. It has most of the functions that are needed for outpatient care, computerized order entry system, and data data entry for meaningful use. The consultants from Cerner are hard-working, knowledgable, and deal with issues in a prompt manner.

Nachteile

Although it is a production system, it used to be so slow and physicians complain about ordering time takes up to 10 seconds. Citrix based desktop is slow. User interface and layout of components in Physician workflow is not intuitive and hard to learn. Overall it results in longer data entry time and takes physicians' time to talk to patients.

Vorteile

I use this software at work to access patients charts, send messages to other healthcare team members, and to document. Charting is very easy, software flows well. There are lots of shortcuts that make work faster. Pages can be customized to make everyone’s work more efficient and personalized. Search buttons within patients charts are also very useful when learning more about their medical and medication history. This software makes patients’ chart very well organized, easy to find all the necessary information, easy to look up and updated patients’ information such as pharmacy, medications, allergies.

Nachteile

Frequent software updates are often times less useful and more confusing than previous version, takes some time to learn and get used to it. In some cases support team needs to be contacted to reverse or modify new updates for software to be more user friendly. Occasionally there are problems with the serve, errors when logging in, which are addressed by support team in a timely matter.

Vorteile

I feel like overall this EHR is fairly user friendly. I picked up on how to use it fairly quickly with no prior experience with it when I started my first PA job. I really like the feature of being able to have your pre-completed notes and pre-determined phrases that can be put into a note. It's also easy to search for medications and lab orders to place.

Nachteile

There are a few little things that drive me crazy with using this database. It's not always easy using the search feature to look up patients, for example. There are also a few simple things that should only take a click or two, but they take a lot longer to do than they should. Our database recently got updated, which made a few of the features better, and a few worse. For example, when looking up a patient's past bloodwork results, I now have to expand the dates of what I want to see further in the past in every single patient's chart, instead of just setting it once and having it remember it.

Vorteile

Easier to write progress notes.

Nachteile

What I wrote about e-prescribe.

Vorteile

I liked the ease of use and how it allowed for enough tabs for all my patient's charts during any shift. IT allows for most of the required charting to be done just with clicks via the mouse and not too much typing which saves time. It would help generate scores for certain diagnostics which also aids time management.

Nachteile

A lot of it was repetitive and sometimes the options for a certain part of an assessment didn't quite exactly meet what was assessed. It also times out after a while, which was unfortunate for those days when charting seems to take forever and you leave your desk by a patient or coworker and if not promptly resumed you lose what you were working on, had it not been saved. Makes you really want to get friendly with the save button.

Vorteile

Everyone could use it to serve the patient the best, from in house staff registering and obtain images of id's or insurance information, to providers to document patient's care and keep reports, to billing departments for insurance verification or printing medical reports. It was a 1 stop shop for medical purposes.

Nachteile

Training was non me, i learned everything on my own. But that could of been a company decision and not a software issue.

Vorteile

THe amount of detail available to input and view. All caregivers use the same system and so that information is visible in the same system. I love seeing when PT has walked my patients and how they did if I can't track done the PT, or how a respiratory treatment has gone. This is so helpful in keeping up to date on how all caregivers are viewing the patient, when a one on one visit is not feasible.

Nachteile

IT takes a while to pick up all the skills needed to use it and adjust to the format, but only because it has so much functionality. So that's natural.

Vorteile

This program, for the most part is easy to navigate. The layout is fairly simple to follow. I am usually able to accomplish what I need in a days work without worrying about the system booting me out or freezing up.

Nachteile

I don't like that there are several different ways to do one task. This can make training new hires very difficult and easily confused.

Vorteile

This software allows user to easily switch between patient types in the electronic health record and carries over information from other softwares easily.

Nachteile

The functionality of this software experiences downtime occasionally.

Vorteile

I like that I can easily find the information I am looking for in the system.

Nachteile

I do not care for the several different logins to get into the system. Unless you are at the facility, you have to go through a 3-4 step login process.

Vorteile

Cerner has uses for every teams dicipline and it certainly does it's job for patients electronic medical chart.

Nachteile

Cerner's interface is clunky and things seem to be scattered about everywhere. Getting use to utilizing Cerner takes a while, and finding where information is put can take some time.

Vorteile

PowerChart is a comprehensive electronic medical record powered through Cerner. Results and notes can be seen immediately after being posted and is available to all caregivers that have legitimate access.

Nachteile

It is sometimes difficult to navigate the software. I think the tabs and notes can be better organized for ease of use.

Vorteile

My hospital switched to Cerner over a year ago from an old EHR system. At first, it was a little confusing because it was different, but everyone ended up liking Cerner. They had staffs on-site for over a month who provided the staff with useful information. The layout is simplistic and the documentations are easy to find. Cener also has the capability to be linked up with the glucometers so the result will be imported into the system automatically, which we had to enter manually before Cerner

Nachteile

For the purpose of my job, I don't really have any problems with Cerner. While I do not find it hard to use at all, I had older nurse colleagues who struggled with it initally.

Vorteile

I liked how user friendly this software was. At the time i worked with people who ranged from all ages and everyone seemed to be able to work this fairly easy.

Nachteile

At times it could be pretty glitchy. And the updates drove us kind of crazy in the pharmacy. But that comes with the territory.

Vorteile

Much better than paper charting; ability for interdisciplinary communication

Nachteile

Not as user-friendly or functional as other EMR products out there. Chart reviews take much longer and documentation feels so dependent on flowsheets that it's difficult to find important information or to communicate effectively.

Vorteile

Cerner is a good EMR program with the basic features of patient appointments, documentation, outside records, lab results, etc.

Nachteile

Cerner is not as user-friendly as EPIC's EMR. It takes about a month of daily use to get the hang of where different files and information are located in the patient chart. I wish its search feature could search more in-depth within the patient chart like EPIC does.

Vorteile

I like that it’s now easier to chart. We’re able to chart vitals, admitting notes, doctors and nursing notes, ADL’s and vitals in one swoop. Things aren’t really hard to find either. Once you’re directed where to go and with some practice( which in a hospital of clinic setting you HAVE to use this everyday) it becomes just like texting. Easy and smooth

Nachteile

There IS a lot of clicking. You basically click maybe twice to get to different options but that is overlooked pretty easily.