We actually did convert to NE from PPO. From one respect, we did not utilize PPO as much as we should have and did not have enough support to use it to it's full advantage. Since our other apps are all ITI, we felt integration would be key. Having said that, the comments about follow-up and support are spot on. The biggest issue is that NE does not have the Crystal Reporting feature that PPO has, so we were told that we would need to buy the NE Reporting Pkg............so we did, and it doesn't work. Not one report has been accurate in the past 3 months. We use a 3rd party service provider and they're making some changes that should make it better, so I'm giving it a little more time. However, we converted in July and there have already been 2 upgrades to NE and we haven't been able to get either one in place. If you have specific questions, let me know and I'll do my best to answer them..........Or "I'll have to get back with you on that"!