eClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.
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WellSky Personal Care
Score 8.0 out of 10
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WellSky Personal Care (formerly ClearCare) is an online home healthcare business administration platform. It includes features for scheduling in-home care visits, messaging between patients and caregivers, and marketing caregiving services.
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.
ClearCare/WellSky is not a software I would go out of my way to endorse. The coding bugs are numerous and fixing those bugs is not at all a priority. Unfortunately, it is still the most robust platform of it's kind - reporting, customization, integrations, automation capabilities, mobile app for caregivers - and with it becoming part of WellSky I am hopeful they will now have the resources to allocate for bug squishing
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.
Managing the scheduling process form the employee and client standpoint. In one screen we can see exactly what is going on with a client. Who's there, when they arrived, when they will be leaving, etc. Plus we can manage up to the minute changes in the care plan, in real time.
Payment processing allows us to bill and initiate client payments with a few clicks. It automatically reconciles accounts receivable. It handles both credit card and ACH payments. Saves a bunch of time.
Background checks are fast and easy because they are integrated into the platform. When a potential employee applies it starts the system begins all the steps in the hiring process. Once they get to orientation and have completed all of the other hiring process steps, with one click we initiate a customized background check that meets our licensing requirements.
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.
ClearCare does experience times when the system glitches. You cannot add or edit shifts, see client or caregiver details, nothing. They don't have anything in place that reassures you that they are aware of the problem and are working to fix it. It doesn't usually happen more than a few times a year, but we rely so heavily on this software for the daily operation of our business that even 15 minutes down can prove to be catastrophic.
You can call tech support, but overall I have found them rather unhelpful. I don't usually stay on hold long enough to get a live person, preferring to send an email if it's not an urgent need. I have been disappointed with the time it takes to resolve issues; the longest I went without a fix was about 8 months. They are pretty slow to change when it's something that has been suggested by the network publically. Moreover, sometimes the changes they implement make things more difficult for us or require features or functionality that we would prefer not to use. For example, they are rolling out a new feature that will allow the caregivers to enter their own availability in the system. We require them to contact the office to change their availability or request time off and plan to do everything we can to keep it that way.
The mobile version of the administrative site is essentially the desktop version, but tiny. When we are out and about after hours, inevitably we use our cell phones to utilize the software. Any shift adjustments are tedious, as the pop-up box moves around whenever you edit a field. To be fair, I'm not sure that the time and energy it would take to redesign the mobile site would be worth it when we still get all the functionality of the full site, even if it is harder to maneuver.
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 have used ClearCare for about a year now and have only experienced positive outcomes with the system. It has everything you need from simple note reminders to detailed medial information regarding your client. If anyone in the health field takes the time to view this software, they would be hooked.
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.
They are reasonably responsive with simple questions, but when it comes to the software not functioning as expected, resolution is very slow. I had a situation where I would click "cancel" in a scheduling window and it would go ahead and make the change (i.e. I didn't realize a caregiver wasn't actually available or that it would create over time, so I would cancel out of that window to go reevaluate, but when it closed that window, the change would be made regardless). That took 8 months for them to resolve, during which time they released a number of relatively useless updates. Currently, I am waiting for them to fix Safe Mode, which is supposed to give us basic access to personnel and scheduling. A select few clients/caregivers actually show up in this system, rendering it largely useless. I have been waiting since late August without an update or resolution, it is currently mid-February. For software that touts safe mode, I would think they would make sure it's actually functional for all users. They have to advertise it in the network because the software goes down with some frequency, at least every few months.
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.
This is a similar system that was created for organizational purposes for health businesses. Ortho2 is not as user friendly and takes much longer to learn the different ins and outs of the software system. I used it for over six years and still did not use all of the features in the system
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.
POSITIVE IMPACT: We can access almost any metric related to the business and build reports that allow us to set goals, identify potential issues, maintain oversight, and automate workflows with the report scheduling
NEGATIVE IMPACT: We've been dealing with the same software bugs for over 5 years now, they slow productivity, create room for user error, require workarounds to be created, you name it, just a lot of work to make the platform's shortcomings better since they refuse to do it for us
