Commentaires :We are a 3 person Internal Medicine group in a New Jersey suburb of Philadelphia. We had looked at several systems and chose Greenway partly on the recommendation of a consultant. The demo made it look fairly easy to use. We had no illusions that the transition from paper to an electronic health record would be easy but we had no idea what a hardship it it be. We blame most of this on Greenway. Implementation was a disaster. Our supposed project manager seemed to only manage to be able to delegate questions and problems to others. When the day for training and implementation came we did not have a functional system. Our trainer could not log us on to the system and we were missing needed hardware amongst other things. These are issues that should have been known about or dealt with prior to trying to train us but there was no one to take responsibility. Thus, after 4 days of training we were essentially nowhere. To Greenway's credit, they did give us three days more of training at no charge. However, they did charge us for the extra time it took to sort out the problems with the initial implementation - well over the estimate when we signed the contract. The software is very cumbersome to use for the number of diagnoses we have to deal with. It can take a long time to find and enter problems and history. There may be easier ways of doing what we need to do but because of the poor quality of the initial training and implementation we are learning on the fly. Support is fair - you can wait a long time on hold or get a reply by e-mail in a few days.The e-prescribing is cumbersome and time consuming, again, this may be a training issue as it was barely touched on because of all the other problems. We also found out, but we should have been aware, that there seems to be a charge for everything - Quest Lab (our major lab) monthly per provider charge, integrate an EKG -up front fee and monthly charge, etc.We have been using the system for about 3 months now. Though I can see some good may come of it down the road, because of the problems we have had I can see little good about the system. They need to improve the e-prescribing and make it simpler for an internist to use before I would recommend it to anyone. I also hope for their sake that our implementation was an aberration.

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