ChiroTouch

Vantagens

the intuitive nature of all basic functions, ease of use and organization

Desvantagens

One thing only - the patient statements are too complicated when trying to do a 'mass' monthly production.

Vantagens

The version I have is hosted at the office. I know that EHR is going to an online platform and that is the "in thing" right now. But, with the hosted version, I own the licence and once paid off, I don't have to make that 400$ a month payment to use it.

Desvantagens

They do not guide you on how to use the software in real life practice. Yes, they teach you what the buttons do. But knowing what the dials on an airplane mean is not the same thing as flying an airplane. They only give you access to the manual for the program if you buy their maintenance package. But, the manual is very lacking on any detailed information that makes it extremely useful. It is a very cumbersome software package to start using. Also, they do not integrate with QuickBooks. I wished that I could get the finances from this program to talk with QuickBooks.

Vantagens

The customization of my records has been great. I am able to document quickly and completely due to the robust nature of the program. The interface with the Scheduling / EHR / and billing has been a god-send, errors that used to occur have vanished since using CT.

Desvantagens

Because the system is so loaded with features, it may be a little overwhelming for new users. Once you get on a few training calls, all those worries go away.

Vantagens

ChiroTouch is quick can make a note in a very short time. The staff members are nice. The Front Office portion is very good. The touch screen processing is very nice.

Desvantagens

1. The charting takes a significant number of clicks to create a really compliant note. The daily notes take a good bit of work to make them show a difference from one visit to the next. Easy for a cash patient, not so much for an insurance patient that has to meet standards of someone looking over your shoulder to meet compliance.
2. The staff is unable to do any input into the chart as a staff member. They are force to use the logon credentials to do something as simple as putting in PHI or ROS (and if the doctor is creating a note while they are using the doctor's credentials to add this clerical info, the note being done by one of the users will not be saved)
3. The outcome assessment info is not integrated into the chart note; it must be imported to create a graphical reference but is independent from the note itself. My preference is that the data would actually be in the chart note itself. If this was done, the program could be used to create meaningful goals based on the outcome assessment instead of just collecting data for reporting.
4. Vitals for the EHR component when put in for meaningful use are not integrated into the chart, which causes double entry.
5. The CT sign-in is cumbersome and really aggravating. The patients often click "no symptoms" just because it is the easiest choice. They cannot have any realistic options to show radiating pain; it just makes them chose pain at each site. (For instance, neck pain with radiating arm pain would end up being reported as neck pain, shoulder pain, and elbow pain. It does not show any connection that the extremity pain is coming from the neck.

There is a form that allows for radiating pain, but it allows the patient to say things that do not make sense, like neck pain that radiates to the foot (in the same sentence they can say it does not refer) and that it radiates into the right arm. Many times, it takes 3-5 mins to fix a subjective that the patient has put in.

It also does not allow for doing documents that are attached to a daily note, like a doctor's note, digitally. They have some of these in the program, but they are not directly integrated and just add another step instead of making it a simple process.

Vantagens

Once you have things set up, there are a lot of "automatic" features to use. As a physician, charting is a large part of my interaction with an EHR software. It took a long time to get things how I wanted them, but once you get all of your macros set up, charting can be as easy as clicking the right buttons.

Desvantagens

Many of the features that we were sold on at the beginning of the process with ChiroTouch were add-on services with additional cost. Also, to get even base-level technical support, you have to pay a monthly or annual subscription fee. The user interface is stuck in the early 2000s and not customizable to look any better than it does. We purchased computers specifically for ChiroTouch work stations, as recommended to us by ChiroTouch. These were already outdated and unable to support software updates within the first two years of using the software.