eClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.
When we did the evaluation (about 10 years ago now) eClinicalWorks had a similar featureset, but was designed as a modular cost platform, so if you had certain features you could choose to add them, or not add them which then impacted the total cost. Most of the other products …
I was attracted by the final note format of ECW. I said then and still say that most EMR's clinical notes are terrible to try to read and follow in orderly fashion by comparison...BUT the devil is in the data entry and that is where "you live" as a clinician. Incredibly …
I think eClinicalWorks and Evident are similar. eClinicalWorks has the better software. Evident has the better customer service. I think Cerner stands out above both.
We selected eClinicalWorks because it had great reviews. We do find that it is much easier to use than Medisoft. Our employees tend to feel that it is a little easier to transition between the patient area and the exam area.
eClinicalWorks is easy to learn from a staff and provider standpoint. Tabs/links are clear and concise. Just by playing around with the system for a few hours, I was able to learn most of the important tabs/headings.
Lowest cost of entry compared to other EMRs we had experience in implementing. Our customers were not ready to spend seven figures on large EMR systems they will be locked in for eight to ten years down the road. They also did not want to store a lot of local data on expensive …
eClinicalWorks is above average for primary care outpatient services. It is not my favorite but it is not the worst either. ECW was selected by the group prior to my arrival so I cannot speak to why it was selected. I had an easy time adopting it but I have an extensive …
At the end of the day, the EHR systems do many things similarly. How each system does things may vary, but what stands out to the providers, clinical team and administration are the following few things. The providers and clinical team want to have an ease of use in the …
eClinicalWorks has a better user interface than the other products because it allows the user to navigate seamlessly between the progress note and chart. In addition, all information is easy to find based on the design. Their triggers and order sets are comprehensive allowing …
I've also used NextGen and Epic. I believe that Epic is by far the best EHR on the market for medium-large healthcare organizations. There are downsides however including the cost of the Epic solution which makes it cost prohibitive for some organizations to implement Epic. …
eClinicalWorks should be used in most medical situations. The program generally speaking works the way it should keeping track of patient records and the like. They have recently added an inpatient module for ASCs. Seems to work pretty well for smaller practices that don't require a lot of additional features or integrations.
One of the strengths of ECW can also be a weakness depending on the user's perception. ECW has a lot of redundancies. There are multiple pathways to perform a task. It can be appealing to advanced computer users because of the versatility. I have found that it tends to confuse lesser experienced computer users.
The creation of templates is very easy and any provider in our system can create one. It definitely makes documentation more efficient. By creating a set of templates for the clinic, we are able to standardize the orders/procedures along established guidelines.
We have converted our scheduling to open access. ECW allows us to set the follow up time and the end of the visit and then an alert is created. Front office staff can run the report and schedule patients closer to the actual time. It has improved our no show/cancellation rates.
Meaningful Use Reports should be capturing data in real time and generated fairly quickly instead of the MAQ dashboard extraction process.
Their support teams are not very helpful at certain topics such as the definition/logic of Meaningful Use calculations. These are generally difficult to determine but several cases in regards to Meaningful Use take several days before it gets addressed.
Training videos would be helpful on their support website.
If we had an option to easily switch to another EMR product we would. However, an EMR keeps you invested solidly in it - once you've started you're then going to be stuck with it. The investment into the data in the system are such that you have no real option to back out of what you are in and move into something else. Again, if we could, we would immediately move to another EMR. The ability to use it and be supported by the vendor has decreased nearly to the point of inability to use.
[In my opinion] the features allowed by the system are not designed for providers. [I think] the systems are inefficient, and new features tend to be "bolt on" features either as products purchased and added from other providers or simply a module created and strapped onto the software. There doesn't seem to be much idea around making things easier for the provider, though they like to state that provider burnout is something they are working on.
I often cannot assign a proper diagnosis under the assessment section; and as mentioned, sometimes (about once a month) the dictation just freezes because "the request has timed out" (even restarting the iPhone/ laptop does not help).
You put in support cases through a support portal. [I believe] for no apparent reason, the company decided that their support cannot have access to actual patient records and as a result, it's required that they have to connect remotely to a computer system in our network, and log in as one of our users to do anything. This also entails that they are completely incapable of diagnosing problems and require significant amounts of user input and time to try and begin any sort of work on the problems. [In my opinion] this takes away from patient care and other concerns. Also, while you can put in as detailed a ticket as you want, when you are called, you have to go over the ticket again, as they don't seem to read or care what you put in, as it's more important to them to go over everything in painful detail. Often times you must explain to the tech how the process works. In the past month, we were upgraded overnight with zero warning, which caused issues the following day as we had to update every single computer in our network (over 300) and it requires administrative privileges so couldn't be done by a user. This also doesn't update any information in the programs list, so there's no way to tell whether the update happened or not.
Paid for training, did not help. They trained prior to go-live, but it was so long ahead that users weren't able to function well when it actually happened, they seemed unable to provide adequate support. [In my experience] further support is typically very boilerplate, and is thus not useful, and has additional cost.
It's very important to limit your schedule during the weeks after go live but it is equally important to have a resource that is the lead at the practice that ensures that milestones are met leading up to the go-live date. Someone must be the point person at the practice otherwise milestones will be missed and the implementation will run into problems.
I was attracted by the final note format of ECW. I said then and still say that most EMR's clinical notes are terrible to try to read and follow in orderly fashion by comparison...BUT the devil is in the data entry and that is where "you live" as a clinician. Incredibly frustrating software because of inflexibility and restrictions of multi level data fields that can only be opened one at a time (i.e. no "toggling" between windows... ooen read and close...then reopen other data entry window....then close and repeat if you need to refer back to original window of data. This applies throughout the software and is due to its reliance on SQL architecture from what I have been told). Kills productivity.
I will just share one area that our organization saw the ROI in a very short time period. That is the elimination of a dictation service for most of our specialty group doctors when we introducec Dragon Medical. This functionality brought a tangible benefit and a significant ROI in a short time period.
