eClinicalWorks vs. Tableau Cloud

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.

Incentivized

If you're using Tableau as the primary BI tool, then Tableau Cloud is well suited to publish and share the results with a wide(r) audience. It is well suited for various degrees of self-service proficiency, from pure consumers of analytical work to more advanced users who can use web editing for smaller or larger adjustments, and even for desktop power users who will publish their work to Tableau Cloud. It has many good ways to organize the content and make it easily accessible via search, favorites, folders, collections ("playlists for your data"), or history ("recents"). It might not be ideally suited if there are many on-prem sources to be used (even though there are options to connect them) or if you have very special requirements regarding custom server setup, which is limited in a shared cloud environment like Tableau Cloud.

Incentivized

• 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.

Incentivized

• Tableau Online is completely cloud based and that's why the reports and dashboards are accessible even on the go. One doesn't always need to access the office laptop to access the reports.
• The visualizations are interactive and one can quickly change the level at which they want to view the information. For example, one person might be more interested in looking at the country level performances rather than client level. This is intuitive and one doesn't need to create multiple reports for the same.
• The feature to ask questions in plain vanilla English language is great and helpful. For quick adhoc fact checks one can simply type what they are looking for and the Natural Language Programming algorithms under the hood parse the query, interpret it and then fetch the results accordingly in a visual form.

Incentivized

• 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.

Incentivized

• Can be a steep learning curve for new users
• Modeling and building algorithms aren't always intuitive and take some testing/retesting to ensure it's working as it should
• Inability to integrate easily with our HRIS platform. Reports are pulled from HRIS at various intervals and uploaded into Tableau

Incentivized

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.

Incentivized

[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.

Incentivized

Based on comments from our clients, I awarded it this grade. Non-technical customers frequently compliment us on the ease with which they can utilize Tableau Online. Usability is rarely a source of contention amongst our customers. Few complaints have come from me as a user of our internal products.

Incentivized

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.

Incentivized

I have not had any issues that require customer support from Tableau at this time, which speaks well to Tableau. I have taken an online course with Tableau and it was very professional and well done, so based on that I would assume a similar level of quality for their customer service.

Incentivized

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.

Incentivized

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.

Incentivized

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.

In determining whether to go with Tableau Online versus Alteryx, two important factors stood out in determining our go-to solution. First, while Alteryx is an impressive tool for data cleansing, it did not stack up in terms of data visualization capabilities. Tableau, on the other hand, provided us everything we needed in terms of visualizing our data and analytics. The second factor is cost. Well neither solution would be considered cheap, Tableau was the more cost effective solution for our needs.

Incentivized

• 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.

Incentivized

• When we release new products, we are now able to quickly see data and toggle between current periods and previous to see performance
• Generating new reports requires less IT time to build
• Data can be shared across many different device types
• We now have integration where our customers can extract data from our software more easily-this was a big ask from our customers

Incentivized