eClinicalWorks vs. RXNT

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.

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For my psychiatric telehealth practice, RXNT is just about perfect! Once the patient paperwork packet was completed, the portal is opened and my encounter templates were up and ready to use - I could spend time actually listening to the patient because my paperwork pulls into the chart and subsequent visits can be duplicated/updated easily. It just takes time to get everything completed and ready for use. I didn't have much down time between switching my EMRs which was a little stressful trying to get patient charts moved and my paperwork built.

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• 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.

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• Patient portal, communications with patients and an easy to use platform for communciation.
• Auto posting features and claim scrubbing tools.
• Claim management and the ability to easily work to correct claims errors, rejections, and denials.
• Easy customizable reporting tools for administrative analysis on our perfromance.

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• 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.

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• Since my last review, there have been significant problems with RXNT. The first being that after the new year, I was unable to send controlled substance prescriptions. The solution turned out to be an obscure and arcane issue that was difficult to resolve
• Second, RXNT added additional steps for authentication when signing but completely bungled the roll out, informing users with only one pop-up informational box on a Monday morning with no follow up nor any advice on how to manage this change. The result was that my entire organization was unable to access RXNT for several days on Friday after they made the change.
• Third is RXNT's collective response to the second problem, namely that no one could access the program, meaning we could not view past notes for patients nor prescribe medications. They took almost half a day even to respond to our multiple complaints and requests for help. When they finally responded, their suggestions were completely useless and we remained unable to use the program. Fortunately, our CEO figured out how to access the program over the weekend. However, that meant that many of us had to work over the weekend to complete our notes and prescribe meds. Of note, we did not get a single response from RXNT over the weekend, in spite of multiple emails.
• Fourth, RXNT offered absolutely no apologies or accountability for their actions. They excused themselves from failing to respond to our emails and requests by noting that they had only 20 IT staff on hand for the roll out of the changes noted above, for which they seemed to have failed to plan for any issues. They made nothing but excuses, blaming us for their poor planning.
• Fifth, after our CEO chastised them for their entirely unprofessional behavior and lack of caring for their customers, they assigned us a specific individual, whom they claimed would be responsive to us for any further difficulties. Well, we have had a number of further difficulties in logging in to RXNT and prescribing controlled substances, and the individual tasked with taking care of us was no more responsive or accountable than we had experienced before. She did not answer emails in a timely fashion, nor did she offer any useful assistance.
• Overall, we are very disappointed with RXNT, who have proved to be unprofessional, unaccountable, and incompetent.

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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.

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This is exactly what we needed and I can’t think of of another system that can give us better service and customer support for a better price.

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[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.

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Having used other systems, there are still items I would like to see added to this platform. Additional forms, understanding of how to load those forms into the system. Ability for clients to access those forms. And the ability to upload forms that are coming in externally. This would be helpful.

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We have not had any issues being able to connect.

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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).

No issues at all. We could not be happier with this system

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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.

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info

Product support is absolutely terrible. We have been having problems with the product since the beginning of the year and their customer support has been growing progressively worse. The most egregious example of this is when they implemented a major change to the authentication process without any planning. When things went wrong, they offered no support. Very disappointed.

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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.

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Gabrielle and all the rest of our trainers were great!

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info

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.

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info

Customize encounter templates, billing codes, and forms to match your specialties. RXNT allows specialty-specific configurations, which improves efficiency.

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info

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.

RXNT offers better quality and more customization for the cost. Valant was very expensive regardless if you wanted a few features or the entire EHR. eClinical Works is easy to duplicate records but then it can take a while to update with current information. And their updated version...you might need a magnifying glass especially if you are using on a laptop. I love the larger font and overall appeal of RXNT much better

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info

It fits our needs perfectly

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I can’t saw enough about how great everyone was

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info

• 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.

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• RXNT has allowed us to ramp up bringing on new clients from an average of 90 to 120 days to under 60 days.
• We have save an average of 3-5 hours per month on admin costs due to the extensive, easy to understand reporting tools.
• Clean claim accuracy has risen by an additional 7% using RXNT.

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A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info