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Upgrade from v9.5 to v10 or wait for v11?

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CPS, C-EMR, PM

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Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

I know, I know. Late last year we delayed indefinitely upgrading from 9.5 to 10 due to all the buz about the problems with 10. We were doing it primarily for billing reasons, not because there was a new feature we could not live without, technical or clinical.

Now we are trying to decide if at this point it would not be better to wait for v11 rather than journey through two upgrades with our users in the same year potentially.

Has anyone had a clinician advocate the change to 10 for some feature or process they just had to have? We haven't, but then we do not want to fall too far behind either.

We'd especially like to hear from FQHC clinics, but inputs from all sides are most welcome. Upgrading CPS is a "big deal" for everyone and sharing these thoughts is a healthy exercise.

Many thanks in advance.

Brent Wilcox

IT Director

Columbia Basin Health Association

Othello, WA

Posted : May 21, 2012 10:48 am

ErnieT

(@erniet)

Posts: 479

Honorable Member

Brent,

We are in the same position. We were originally supposed to upgrade to CPS10 before we went live with EMR, but due to some of the billing issues, we postponed it. Now we are about to go live with 9.5 next month and continue our role out through august.

We are debating on whether to hold off till 11 also, just depending on when it comes out.

Posted : May 21, 2012 9:41 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

If I understand correctly, we can't upgrade at the moment, because we're on EMR 9.5/CPS 10, and GE doesn't have that migration path set up yet. Anyone out there hear differently? I'm really looking forward to getting on CPS so we don't have to query two different systems to get some of our numbers (Let's hear it for OpenQuery()).

Posted : May 21, 2012 11:42 pm

DanaH

(@dhamildog)

Posts: 61

Estimable Member

Run, don't walk, from CPSv10.

We cannot prescribe, change, or remove meds during an office visit. Approximately 5-10 charts lock up and cause the system to crash on a daily basis. Faxing scripts rarely acutally gets to the destination. It's always a guess which printer a script wil actually print to ...every now and then, its actually to a printer in the same building. (Those are the good days.)

The cursor disappears and makes providers crazy. Sometimes imports completely arrive into the chart, but frequently must be "helped" along the way. I keep a running number of trouble tickets open, but cannot seem to get anything resolved that affects the approx 40% loss of productivity we have experienced. It's been a steady decline since moving from the Oracle EMR to the SQL CPS. I am looking forward to the day I can tell you we have turned the corner. Frown

Posted : May 23, 2012 1:30 pm

ErnieT

(@erniet)

Posts: 479

Honorable Member

Dana,

I have worked with both CPS and EMR and the standalone EMR has always been faster. GE really did not think out CPS very well in my opinion. It never works well when you take an oracle db and try to shove it into a SQL db. Biggest issue I have seen is the fact that they did not build in any of the Primary Keys in the chart tables so that sql can find the information in the fast possible way.

I am hoping that with CPS 11 they have done some work on the DB structure of CPS to make it run faster.

Posted : May 23, 2012 10:47 pm

DanaH

(@dhamildog)

Posts: 61

Estimable Member

We are actually batting around being an early adopter to CPSv11. Our question is, "How much worse can it get?" Confused

Posted : May 23, 2012 11:56 pm

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

A whole lot worse. I know of a v10 early adopter. They closed their clinic for a full day so GE could come in and find out what was wrong.

That's bad.

I'm almost hoping they go back to an Oracle DB.

Posted : May 24, 2012 12:51 am

DanaH

(@dhamildog)

Posts: 61

Estimable Member

Our latest GE developer engineer has suggested we ignore the GE request to be an early adopter for CPSv11. He suggested that our productivity would drop even more, as it is too far away to help us. With the extraordinary loss we already have (40%), he suggested the early adoption would be a clinic closer! Wow, how is that for going from bad to worse?

SP1 for v10.1 does seem to have addressed some of the issues we have experienced with v10: we seem to have less locked-up charts per day, and more providers now can actually prescribe during an office visit without having to open a separate encounter. Additionally, we were able to go back to AD security without issue, and I don't have to restart the DTS as often. (Makes my life much easier!) I am trying to get a detailed list of actual fixes, as none of these seems to be on the list in the release notes.

A new issue, though, has come up: the refill history is disappearing on the medications list. This appears to be a random, intermittent issue. Confused

Posted : June 2, 2012 5:53 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

We were early adopters of CPS 10 last summer and it was a terrible experience. I wouldn't recommend anyone do this for v11 if you value your sanity (and possibly your job).

Posted : June 6, 2012 6:14 am

jdibiasio

(@jdibiasio)

Posts: 66

Trusted Member

Doing a test upgrade from 9.5 -> 10 by months end. I'll let you know how it goes! Supposedly if you patch version 10 most of the big bugs/errors were resolved. Service pack 1 to 10.1 is the new source of pains and aches, so I'm avoiding that one for now.

Posted : June 7, 2012 12:16 am

joshua.tilson

(@joshua-tilson)

Posts: 130

Estimable Member

As an FQHC, as I understand it, the only reason we had to upgrade to v10 was for ICD codes, and meeting some sort of compliance. However we were able to avoid this upgrade due to our FQHC plugin vendor's solution to this problem.

We have been invited to early adopters for CPS 11, but we will most likely wait until it has gone stable and skip v10 all together.

Posted : June 15, 2012 3:08 am

mscianni

(@mscianni)

Posts: 10

Active Member

We went live with CPS 9.5 PM in Feb of 2011 first. We work getting workflow established to go live with ERM for 7 to 8 months and went live in October of 2011 and upgraded to CPS 10.0 in March of this year. We're running DTS as a service but it still needs a restart now and againg. Printing is going well via Citrix and fat client. We have a Biscom fax server running and outgoing faxes work fine. We also have an eScriptMessenger server setup and we are having minimal issuses there. We run everything in a virtual environment except for the vCenter server/backup server.

We are a Residency program and we have approximately 50 concurrent users. We upgraded from 9.5 to 10 to meet some of the Meaningful use guidelines specifcally the 5010 electronic billing guidelines.

We haven't installed SP1 for 10.1 yet. I would also like to see a detailed list of fixes.

Posted : June 22, 2012 6:36 am

acantu

(@acantu)

Posts: 722

Prominent Member

Here is the info ::: http://centricitypractice.gehe.....readme.pdf

mscianni said:

We went live with CPS 9.5 PM in Feb of 2011 first. We work getting workflow established to go live with ERM for 7 to 8 months and went live in October of 2011 and upgraded to CPS 10.0 in March of this year. We're running DTS as a service but it still needs a restart now and againg. Printing is going well via Citrix and fat client. We have a Biscom fax server running and outgoing faxes work fine. We also have an eScriptMessenger server setup and we are having minimal issuses there. We run everything in a virtual environment except for the vCenter server/backup server.

We are a Residency program and we have approximately 50 concurrent users. We upgraded from 9.5 to 10 to meet some of the Meaningful use guidelines specifcally the 5010 electronic billing guidelines.

We haven't installed SP1 for 10.1 yet. I would also like to see a detailed list of fixes.

Posted : June 26, 2012 1:36 am

Tessa

(@tessa)

Posts: 52

Trusted Member

DanaH said:

A new issue, though, has come up: the refill history is disappearing on the medications list. This appears to be a random, intermittent issue.

We had the same problem with the refill history, it finally was discovered to be related to the drug interactions. Once we set it back to default (I had changed it to lower to try to mitigate the constant provider complaints), the meds stopped duplicating themselves and erasing their histories. Of course, I had 4000 patient charts at that point that needed to be fixed.

Posted : October 24, 2012 8:29 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

DanaH said:

Run, don't walk, from CPSv10.

^ This.

We have been on the oracle EMR for over a decade and its an awesome, soild as a rock product.

We recently migrated our PM from an old SCO UNIX Medical Manager system to CPS 10 and its been nothing but freezes, lockups and headaches.

Feature wise its an awesome product, its just not tuned and stable enuff for customers yet.

I would wait until there is a flavor of CPS 10+ out that gets a general thumbs up from CHUG users.

Posted : October 31, 2012 8:47 am

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