Quality Systems, Inc. (QSI) was formed in 1973 in Irvine, California, as a dental software company. 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.

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.

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.

Features and Benefits (as reported by NextGen)

  • Advanced Security.  Permission-based user log-ins and audit trails prevent unauthorized access to records and maintain data integrity. Data is time stamped with the user’s identification.
  • Clinical Content .  Developed by specialists, built-in workflow and clinical templates for over 26 specialties offer options for documenting specialty-specific HPIs, procedures, histories, assessments, and more.
  • Coding Optimization & Compliance .  E&M coding calculator helps to prevent lost charges and to maximize reimbursement based on audit-proof documentation.
  • Disease Management.  Disease management templates for diabetes, hypertension, and other chronic diseases, prompt providers to enter required information to meet clinical guidelines at point of care.
  • Health Maintenance.  Providers can determine overdue patient exams, screenings, immunizations, and tests, create orders, and customize schedules, ensuring patient compliance and preventive care.
  • Lab & Device Connectivity.  An extensive offering of lab interfaces and electronic data exchange with diagnostic devices provides physicians with real-time access to up-to-date data for higher quality of care.
  • ePrescribing & Medications ModuleTo help prevent interactions and errors, prescriptions are automatically checked against a patient’s medications and allergies before electronically transmitting to the pharmacy.
  • Image Management.  Printed documents and clinical images can be captured from outside sources and imported directly into a patient’s electronic chart for a complete, accurate, and up-to-date medical record.
  • Referral Management.  Forms are automatically populated with patient, treatment authorization data and provider information. Inbound forms can be scanned or transferred electronically into the patient record.
  • Reporting.  During an encounter, patient data are collected and stored as discrete data, which enables your practice to easily generate reports for outcomes analysis, pay-for-performance, medication recalls, patient populations, business analysis, and more – right from the EHR.


Client/Server (You host it)

Meaningful Use

NextGen is ONC Certified EMR for Meaningful Use

Rough Pricing

About $1,000 per month per provider (user posted)


Nothing to really write about


Very poor on interoperability.  Many have tried integrations and struggled. The patient portal seems to be a weak spot for Nextgen.



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