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NextGen Health Information Systems is a wholly owned subsidiary of Quality Systems, Inc, one of the leading developers and providers of computer-based practice management and electronic health records systems for medical and dental group practices. It is an American software company headquartered in Horsham, Pennsylvania, USA.[1]

NextGen EMR by NextGen Health Information Systems is a versatile, multi-module system that can be used to automate a practice's workflow no matter what size or specialty. This system gives you all the tools in one application to maintain your practice's patient information and streamlines workflow by offering 24 specialty templates which come pre-loaded with detailed options for documenting the patient's histories, procedures and assessments. NextGen EMR gives you all the applications needed to run the daily operations of your facility from scheduling to billing. [3]. Since 2004 NextGen EHR is used by many small-large sized practices and hospitals, community health mainly Government and non-profit sector.


NextGen’s genealogy can be traced to the early 1970’s where we find the company’s roots in Quality Systems, Inc. Founder Sheldon (Shelly) Razin initially developed the software for dental practices and was successful enough to take the company public in 1980. [2]. In 1994, Clinitec was formed by Pat Cline and Bryan Rosenberger to sell software for converting paper medical records into electronic medical records. Clinitec was purchased by QSI in 1996. In 1997, QSI merged with Micromed, which provided front- and back-office practice management software. In 2001, QSI combined Clinitec and Micromed to create NextGen Healthcare Information Systems. These acquisitions and mergers add to their suite of products for the outpatient/ambulatory market. The next goal was to compete in the inpatient market. In 2008, NextGen Healthcare then acquired HSI of St. Louis, Missouri, and Practice Management Partners of Hunt Valley, Maryland, to expand its billing services and revenue cycle consulting division.[3] In 2009, NextGen Healthcare updated the name of its electronic medical record system from NextGen EMR to NextGen EHR.

In February 2010, QSI entered into an agreement to acquire Opus Healthcare Solutions, Inc. and announced it would be integrated with the assets of Sphere Health Systems, Inc., which were acquired by QSI in August 2009. Both software and services companies for the inpatient market would become part of NextGen Healthcare.


The NextGen product is written in Visual Basic and Visual C++ and uses MS SQL database and Active Domain. This implies an open architecture for custom developed extensions, such as integration adaptors and complex reports. The NextGen EMR enables the user to interact with the system through a portable, wireless workstation or a standard Windows based desktop computer. As the data is captured, it is relayed back to the database engine on a UNIX, Windows 2000/NT or Novell server. You can run the application on a locally hosted server; NextGen also has a corporate data center, which can act as a host for your data collection. NextGen has its own integrated word processing for creating/customizing letters and communication materials. The company is currently working on optional interface with Microsoft office.[4] NextGen EMR integrates with NextMD, which is the company’s patient-provider portal that facilitates effective electronic interactions between the patient and the practice.

NextGen Products and Services

  • NextGen Ambulatory EHR (Electronic Health Record)
  • NextGen Practice Management
  • NextGen Population Health
  • NextGen Analytics
  • NextPen
  • NextGen Documentation Management
  • NextGen ePrescribing
  • NextGen Mobile
  • NextGen Emergency Department Solution
  • NextGen InSight Reporting
  • NextGen Surgical Management
  • Lab
  • Hospital System Integration
  • NextGen Inpatient Clinicals
  • NextGen Inpatient Financials
  • NextGen Patient Portal
  • NextGen Health Information Exchange (HIE)
  • NextGen EHR Connect
  • NextGen EDR
  • NextGen RCM Services
  • NextGen EDI
  • NextGen Benchmarking
  • NextGen Clearinghouse Services
  • NextGen Hospital Scheduling
  • Consulting
  • NextGen Health Quality Measures [5]

Patient Portal

A requirement of Meaningful Use Stage 1 and Stage 2 is patient engagement. To meet the objectives of MU 1 and 2, NextGen offers providers a patient portal called NextMD for engaging and communicating with patients. The portal offers patients a way to connect with their provider in a convenient and secure electronic environment, schedule appointments, request refills, and make payments online. Patients can view their records from their personal computer, tablet computer or mobile phone.[6]

CCHIT Certified Products

  • NextGen Healthcare NextGen Ambulatory EHR 5.6

Fully Certified Ambulatory 2011 Eligible Provider Complete EHR 2011/2012

  • NextGen Healthcare NextGen Inpatient Clinicals 2.4

Pre-Market Inpatient 2011 Hospital Complete EHR 2011/2012

  • NextGen Healthcare NextGen Inpatient Clinicals 2.3

Fully Certified Inpatient 2008

  • As of August 2014, NextGen® Ambulatory EHR version 5.8.1 is compliant with the ONC 2014 Edition criteria for certification measures 170.314(f)(5), Cancer Case Information, and 170.314(f)(6), Transmission to Cancer Registries, both in the Ambulatory setting, in accordance with the applicable Eligible certification criteria adopted by the Secretary of Health and Human Services (HHS).[7]