We have been using HEALTHCAREfirst since 2008. The ever changing Medicare requirements led us to start looking for electronic clinical documentation. We actually went from paper notes to electronic documentation. It is very user friendly and does not take long to learn at all. We like the fact that we can “chat” to ask questions or have something fixed. We are a free standing non profit hospice, so every penny has to be spent wisely. We made an excellent choice with HEALTHCAREfirst.