I am a Nextgen Certified Professional that has been implementing Nextgen in many different specialties for the past 4 years. I've also implemented many other EMR's throughout the years. I very much agree with all the comments on this page(I read every single one). Nextgen EHR is absolutely horribly designed, each piece is built by different people that do not work together, not tested by Nextgen staff before release, and always promised that the problems will be fixed in the next release. Nextgen sells you on a "solution that can be used out of the box" but it is far from that. I have found so many blatant design flaws that completely turn your electronic patient chart into a document of unreadable text and false information. I honestly don't know how this company has not been shut down due to patient safety concerns and lawsuits. ICS, Nextgen's scanning solution, is less than stable. I spend half my day hunting down documents that got filed in someone else's chart due to system errors. EPM, Nextgen's scheduling and billing software, seems to be much better than any of their other products. You can tell this is where the company started. Although, the EPM application is riddled with problems itself. In conclusion, if you have a dedicated group of very experienced template developers to custom create templates the way you want, this product could really be amazing. The application has great "bones" but the programming is shoddy. Keep in mind that if you customize templates and then take an upgrade, you may be re-creating all your custom work again due to incompatibility issues. If I can leave you with 1 piece of useful information, it would be this: If you are currently using Nextgen EHR or starting an implementation, do your physicians a favor and purchase the 3rd party application called IMO. This is the single best thing we have ever implemented to make the system usable and functional. IMO is basically an integrated template that calls out to a webpage and replaced the diagnosis lookup within Nextgen (the absolute most horrible part of using the application). I literally had at least 10 physicians hug me (this is not a joke) the day we implemented it. Enjoy.