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Score 4.4 out of 100


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5 out of 10
September 17, 2020
eClinicalWorks is used in the hospital clinics as the EMR. It is used for patient documentation and for overall population health.
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HIPAA compliance (43)


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What is eClinicalWorks?

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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What is Kareo Practice Management?

Kareo Practice Management provides cloud-based management and billing solutions for small medical offices. Some key features include: Complete Patient Management, Powerful Scheduler & Patient Reminders, Insurance Billing & Reporting, and Robust Patient Billing & Collections.

What is Kareo EHR?

Kareo provides a full-featured EHR. The vendor says it is designed to fit the way its users work. Some key features include: Comprehensive Dashboard, Powerful Scheduler, and Flexible Documentation and Notes.

Features Scorecard

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Electronic Medical Records


Medical Security and Privacy


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Product Details

What is eClinicalWorks?

eClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.

eClinicalWorks Technical Details

Operating SystemsUnspecified
Mobile ApplicationNo


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Frequently Asked Questions

What is eClinicalWorks?

eClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.

What is eClinicalWorks's best feature?

Reviewers rate HIPAA compliance highest, with a score of 7.7.

Who uses eClinicalWorks?

The most common users of eClinicalWorks are from Mid-sized Companies (51-1,000 employees) and the Hospital & Health Care industry.


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Score 3 out of 10
Vetted Review
Verified User
Review Source
eClinicalWorks is an EMR (electronic medical record) system that we are required to use for tracking patient medical information.
  • Stores patient medical records
  • Works on multiple types of devices (PC, iPad, mobile device)
  • Allows for use via a web interface with controls on IP addresses for access
  • [In my experience] the support is atrocious.
  • Policy changes by their upper management are applied and enforced on the end user with no warning or input
  • [In my opinion] most updates focus on more manual labor, rather than automation of processes
  • [In my opinion] integration with other systems is non-existent or clunky.
  • [In my experience] resolution to problems typically takes a significant amount of time, usually in a later upgrade, which itself provides more problems.
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.
  • in-person training
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.
September 01, 2021


Score 1 out of 10
Vetted Review
Verified User
Review Source
It is used by the entire organization.
  • The note layout is efficient and easy to read.
  • The software is pretty. It has a lot of nice colors that are pleasing to the eye.
  • We like the sticky notes on top of the chart where we can input individualized information about each patient.
  • [In my experience] customer service is non-existant. You ask for simple things and their answer is always, "it cannot be done". Meanwhile, your medical assistant figures out how to do it while you were on the phone with the tech.
  • There are a lot of features, bells, and whistles, many that I'm sure would be useful. Unfortunately, nobody in eClinicalWorks knows how to use them, so these features are unusable.
  • [In my experience] this is an IT's heaven and a physician's nightmare. It can take 11 clicks just to refill a patient's medication.
  • There will be unexpected updates to the program and every time that happens something that was functioning before will no longer function anymore. Then you and your staff will spend endless hours on the phone trying to get someone to fix it.
  • [I believe] they don't care about their customers. Your complaints about how much time your staff is spending trying to get support will fall upon deaf ears.
  • [In my experience] things will suddenly malfunction and you will have no idea until you get an angry call from a pharmacy or another office saying your faxes have not come through for weeks.
  • With every update, they add more clicks. For example, when you are refilling medications there is no easy way to see the latest labs. That takes 4 extra clicks. Furthermore, if you review the labs and need to send a copy to the primary care physician you must exit the screen, find out who the primary care physician is, come back to the lab screen, make a few extra clicks to manually select the primary care physician, then hit send. Their default to forward the labs somewhere is back to the lab, which may make sense to IT, but not to most healthcare workers.
If you love clicking around in a pretty EMR all day long then this is the EMR for you. [However, I believe] if you are looking for efficiency and support, you should look elsewhere. [I feel] this is an EMR clearly designed by the tech world without much attention or care for those who use it and if you look at the reviews carefully you see that most of the people who love it are in IT.
Score 1 out of 10
Vetted Review
Verified User
Review Source
eClinicalWorks is being used throughout our organizations. Electronic Charting for our patients.
  • The demographic area has a screen to the side which includes race, ethnicity, and language which is easy to access without additional clicks of the mouse.
  • It has multiple ways to access various screens in the program
  • Have to switch between too many screens to chart lab results, and print requisitions and the system is slow, locks up with almost every patient. Half the time, it doesn't save the lab results and locks up.
  • The medication interaction pop-up screen is irritating, you have to use a drop-down box to acknowledge interactions that are time-consuming, and the system is very slow.
  • The most important downfall of this system, ECW 11- web-based, is when it comes to continuing meds or prescribing new meds. Way too many screens you have to click back and forth between. Not a good continuous flow. The screens lag about 8-12 seconds between each med and matching dx.
  • ECW has had multiple issues for the last 7 years I have used the system. Only has gotten worse with time.
  • Education notes for patients are terrible.
Not appropriate in any clinic scenario where efficiency is needed.
Score 1 out of 10
Vetted Review
Verified User
Review Source
We use eClinicalWorks as our electronic medical record [at a] two physician specialty practice with a third professional (audiologist) all using this software.
  • Access to patient's records - obvious lack of file and charts; transportable ; multi user synchronous access
  • Produces clinical note as end product that is organized and "readable" as opposed to the gibberish output of many EMR's that look like a poorly formatted FORTRAN printouts
  • CLick, click ,click,click ,click,click ,click,click ,click,click ,click...OK, now you can enter something...WAY TOO MUCH MOUSE WORK FOR SIMPLE DATA ENTRY. Software engineering completely not user friendly.
  • As a physician, if a medication has been entered erroneously by a staff member and I discover it, I cannot amend it within the medication section - a horrible feature.
  • Navigation is terribly cumbersome...I mean terribly ..had to have steroid injections in my elbow due to the development of "mouse elbow" from overuse due to excessive clicking to navigate - still painful physically and mentally.
  • Only one active screen can be accessed at a time ..spend your precious time opening and closing the same windows constantly ..this is available for nothing has better navigability.
  • Forces documentation to be their way or the highway in term of entry format; cannot reasonably transcribe a comprehensive plan narrative without making it look like an afterthought under the title of "other" - forces compartmentalization even when not desired.
  • They conduct "upgrades" without warning that sometimes cripple your operation and in the latest, remove functionality and introduce restrictions that don't allow you use a large number of punctuation characters ...even in a free text narrative. Absurd.
  • Could go on but you get the picture.
Scenario where useful - you don't care about what your notes look like or read like and you are willing to follow prepopulated templates even if they are not representative of the situation. Also if you are not willing to enter all the data that is included in the formatted sections because it is too much mouse work to open and close multilevel windows that can only be open one at a time.

Scenario where not useful - everywhere else.
No. Without warning we were locked out of access on all PCs still operating on windows 7 pro. Most of these were in exam rooms and used for record review in real time and were not mission critical for data entry but nevertheless should have been explicitly warned of this so that a deadline could have been anticipated at least a week or two in advance.
"upgrade" also eliminated our ability to manipulate documents easily to extract text and place in the active clinical notes, such as radiology report notes that are included in narrative of patient history. Previous ability was using an "old" microsoft product but ECW did not find a comparable replacement software to use, so we are now struggling with loss of this function... NOT AN UPGRADE. New timeout restrictions log users out after what seem like only a few minutes ..EVERYONE in the office is complaining about rapid lockouts and having to login repetitively ..another productivity killer. The re-login process also is ridiculous, sometimes requiring UP TO 4 sequential logins in a row to get back in. It is absurd.

September 17, 2020


Score 5 out of 10
Vetted Review
Verified User
Review Source
eClinicalWorks is used in the hospital clinics as the EMR. It is used for patient documentation and for overall population health.
  • They do have good software.
  • Providers like the ease of use.
  • The documentation can be adapted to the practice.
  • Customer service is not good.
  • The product is expensive.
  • Telemedicine software needs improvement.
I think the software is good but the customer service is not. They really need to find a way to improve it.
The worst part of eClinicalWorks is the customer service. If they want to grow they need to improve on this. Everything from not following through on work requests to not responding to calls.
Score 4 out of 10
Vetted Review
Verified User
Review Source
  • Notes look professional - medical history and medicines are listed to the side, instead of pages and pages of typed words.
  • Can easily transfer photos in the office to the medical record.
  • I just tried to dictate a single simple paragraph, and "the request is timed out"; not the first time this has occurred. Ultimately, I end up hand typing the entire note.
  • Often, when selecting a diagnosis, it is not possible to correctly create that in the Assessments; a prosthetic knee infection option is not there, but a prosthetic hip infection might be.
The voice to text is quite good, as are the photos, and the way the note physically/aesthetically appears; however, generating the note is often very frustrating, and more than once I get a "the request is timed out" screen, so the note has to be manually typed.
March 29, 2018

eCW honest review

Mel Hugentobler,  MBA | TrustRadius Reviewer
Score 6 out of 10
Vetted Review
Verified User
Review Source
  • Front-Desk - Easy at a glance daily payment postings to front desk staff can see their production quickly. Able to take payments easily. Add new patients quickly. See and organize the provider schedule easily. Automated phone call appointment reminders was valuable.
  • Clinic - Access of old notes was easy and template structure was good
  • Billing - Easily add notes to claims to track what billings was doing. All aspects of patient receivables were fairly simple and easy.
  • Administration/Analytics - Not much good to say here.
  • Clinic - Cumbersome and click happy. Much of the time it required the providers and medical assistants open multiple windows to get to where they needed to enter info. Workflow was slowed. CUMBERSOME!
  • Billing - Reporting was a challenge. It was difficult to get out of the system what was needed. Formatting was unfavorable as well. Very difficult to set up new providers. Time and resource intensive.
  • Administrative - Two of the biggest weaknesses of eCW were Reporting & Customer Service. Like billing, REPORTS on the administrative side were difficult at best. Some needed reports did not exist and couldn't be created. eCW would do that but charge $1,000 +/- to create. Not user-friendly. Exactly the opposite. Attempting to pull reports was time consuming and frustrating. Many KPIs were manually tracked - another time consuming add on to workflow. CUSTOMER SERVICE is something I don't think eCW really knows at all. It was always very difficult to get any service and if by chance we did, we couldn't understand the rep. By far both of these were the worst aspects of eCW. Which to us is two of the most important.
Maybe hospitals. Maybe very large practices.
June 27, 2017


Katy Wilk | TrustRadius Reviewer
Score 7 out of 10
Vetted Review
Verified User
Review Source
  • Keep track of balances
  • Make scheduling templates easy to use
  • Fnding a patient is very easy
  • Slow
  • Can be hard to navigate
  • A lot of screens
It is great for a family practice. It is a little harder to use in a multi-physician clinic. It has been hard to keep templates together for all the doctors.
Score 9 out of 10
Vetted Review
Verified User
Review Source
  • The SOAP note is set up in a way that is clear, concise, and easy to use. The templates allow me to see more patients in a shorter amount of time.
  • The billing and global alerts allow me to communicate with my administrative staff when they are checking in the patient.
  • The schedule can be viewed in chronological order and as a map-like format, allowing me to quickly see which slots are available for patient appointments.
  • EClinical Works freezes quite often, especially when opening patient documents.
eClinicalWorks is well suited for outpatient practices where the patient needs to be checked in, see a provider for an appt, and checked out. This resource has everything needed to run a practice smoothly.
Score 10 out of 10
Vetted Review
Verified User
Review Source
  • Ease of navigation through program. This is very important to time efficiency.
  • Ability to stay in communication in real time with providers, billing, and other essential coworkers.
  • Flexible custom setup to the needs of the organization on how we required it to work.
  • Simplify the path of comment feature
  • Create a flag alert for duplicate dates of service
  • Code selection of duplication alert
Having used various EMR programs in my line of work, eClinicalworks is definitely much easier to use and understand.
Score 7 out of 10
Vetted Review
Verified User
Review Source
  • Low cost of entry and price point adjust-ability based on size of organization. Offer to web-based EMR system with very little to no need for local IT infrastructure for servers and storage.
  • Easy to implement with pre-built forms for specialties.
  • Good registration and scheduling system with response UI.
  • Built in ePrescribe and eFax solutions.
  • Billing system was lacking. No way to model financial projections.
  • Reporting and trending systems were crude with no UI without custom coding.
  • No easy access to patient data historically beyond 5 years for trending.
Good for small to mid-size clinics especially if [it's] not a centralized physical location. If you dont care about "owning" your data or have no plans to do a lot of future forecasting and projections, it is fine with a lower cost comparatively to other EMRs competing in the same market. The ability to have cloud-based access and purely via web and mobile make it an EMR system ideal for providers that travel from one location to another.
Score 7 out of 10
Vetted Review
Verified User
Review Source
  • 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.
  • The interface with SureScripts has some small hiccups due to the way names are entered at the pharmacy vs in our system. About 50% of my refill requests that I receive electronically require me to confirm the patient or drug because of mismatches.
  • The lab interface with Quest seems to work well and results are received quickly. There is some difficulty with the compendium staying current. Each lab company has to participate in setting up an interface and results are varied. Labcorp frequently sends duplicate results; one through the interface and a faxed set. The hospital cannot interface at all. The variability makes it difficult to have the historical lab show up in one view to evaluate for trends.
  • Data analytics are not as strong as other programs. We decided to use third party software to better achieve our objectives.
For outpatient primary care clinics, eClinicalWorks (ECW) is above average. It can be a bit overwhelming for older physicians who are not computer savvy. Our younger providers have taken to it quickly and use the advanced features more. The specialists are able to utilize ECW for their purposes thanks to the versatility of templates. Some of the more technical tracking (like OB pregnancy monitoring) is too basic. Day to day patient management for primary care is fairly efficient.
Malachi Mosley | TrustRadius Reviewer
Score 10 out of 10
Vetted Review
Verified User
Review Source
  • eClinicalWorks has a high degree of customization. We use it in multiple different practices and everyone has different workflows in place to make the system work for them.
  • User interface is very clear. Generally if you are lost within the system, it only take a few seconds to find out where you need to go because there are always at least two ways there sitting in front of you.
  • Interfaces are also very good. Results flow seamlessly into eClinicalWorks which is most necessary for proper patient care.
  • Speed. It is common for eClinicalWorks to get slowed down heavily by the network issues at our facilities. This may be due to the networks themselves, but eClinicalWorks is usually the first application to suffer.
The use of flowsheets within eClinicalWorks is probably the best feature. It allows you to build your own sheets of automatically flowing information that pull data from the patient's data.
Kinekal Tasew | TrustRadius Reviewer
Score 10 out of 10
Vetted Review
Verified User
Review Source
We are a multi-specialty facility with over 130 providers in 27 locations and we use eClinicalWorks (eCW) as our EHR system. We are also looking forward to start using the new telemedicine module of eClinicalWorks. Most of our primary care providers are super users when it comes to using templates. Over 90% of our providers use Dragon Medical for their dictation and they are happy for its integration with eCW.
  • Our providers really love the functionality of the right chart panel as they are building their progress note
  • Flexibility of building templates
  • Integration of Dragon Medical with eCW
  • the Chronic Care Module is the most frustrating module we have seen in eCW. Providers can't bring the note from CCM to the progress note without locking one or the other
  • Not being able to open multiple windows. The lack of this functionality is the major complaining point
  • Each small task is being a paid service.. we would rather see in our customer support agreement upfront. These various fees really upsetting administration.
My team and I have implemented (roll out) eClinicalWorks (eCW) to more than 20 sites, [of a] multi-specialty group of over 125 providers. Building templates is very easy and customizable. Providers and clinical staff do not need to learn everything in eCW at their first go live date. The practices can focus on what is essential on their go live date and they can slowly add other functionality as they are familiarize themselves with the application. The videos on are very helpful for new sites and sites that have been using eCW for a while. I encourage everyone to visit the site.
Michaela Morton | TrustRadius Reviewer
Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Customizable templates
  • Practice management software
  • Web portal interface
  • Pediatric focused resources e.g. health forms
  • Less clicks
  • Interfacing with other EHRs
eClinicalWorks is definitely better suited for smaller practices. It is less malleable for larger enterprises; we have challenges with scheduling for many providers (including residents) and challenges with adequately managing security for many end users.
Sue Tree | TrustRadius Reviewer
Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Improves provider communication as all records for a patient are accessible
  • Eliminates errors in handwriting interpretation
  • Customizable template: IT has started tweaking the template specifically for my needs
  • Major problem is the lack of ability to work on more than one menu simultaneously. For example, if I want to make a note of a problem with a blood chemistry value that impacts my treatment plan, and I haven't written it on paper, I can't access it if I have the intervention menu open. I have to close it, open another and repeat. This takes time writing notes.
  • It would be nice to have the Nutrition Care Process automatically incorporated into the Nutrition sections, without having to spend time free writing in the problems, and asking IT to put it into the template.
  • There are sections that repeat as in Nutrition, which is what I use. I find that some of the menus are a bit non-intuitive.
I think, after having used it for eight years, I am fairly used to it, so I think, with some tweaking, it does the job for me, but I do know that some of the search (patient) functions are said to be fairly clumsy. I rarely use them as I usually only read the patient information of those with appointments to see me.
I have never had a problem getting MY problems resolved.
Score 6 out of 10
Vetted Review
Verified User
Review Source
  • Very user friendly.
  • Easy and straightforward to set up.
  • Makes changes along with the changing regulatory requirements. Meets the standards necessary to successfully meet meaningful use, PQRS and reporting of other quality measures.
  • eClinicalWorks had performance issues for larger size groups. I am not sure their technical setup was the best to ensure top speed to move around the application. Also their tools to evaluate this problem did not work.
  • Recommended to have more metadata items for their EBO reporting module and to grant direct access to their database for analytics teams to generate needed custom reports.
  • Having more overall functionality that is geared toward larger practices.
I think eclinicalworks is an excellent choice for an EMR for small to medium size practices. It may be less appropriate where there are many providers in one database.
Score 7 out of 10
Vetted Review
Verified User
Review Source
  • Making appointments and scheduling has become a lot easier and organized on eClinicalWorks. You are able to change your settings to view the entire month or weekly schedule. It gives you the options to make a certain type of appointment either, new patient, existing patient or nurse visit.
  • You are able to tell the patients their test results once we receive them with the physician's notes directly attached to the results for a quicker explanation.
  • Searching patients based on a various amount of information is also easy, either by date of birth, last name, or social security number.
  • The system would crash periodically and we would need to have a technician come to help often.
  • It made our internet connection very slow.
  • Trouble connecting to external devices such as printers or scanners, computer techs would come and explain that the software of eClinicalWorks wasn't recognizing the devices, making it difficult to check faxed items.
eClinicalWorks I believe is very suitable for the medical industry. As a medical scribe it made a report of the patient's first visit or chief complaint and it was very easy to note down and to enter in the vital signs very fast before the physician was able to see the patient, allowing her to have more time to see the patient's reason for their visit.
Sarah Rahbari | TrustRadius Reviewer
Score 10 out of 10
Vetted Review
Verified User
Review Source
  • Sending refills electronically to the pharmacy, cutting time in half instead of calling the pharmacy for refills on medications.
  • Telephone encounters - sending telephone encounters to providers/nurses is much more reliable then having the patient transferred to a employees voicemail. Nurses and providers can see who the telephone encounter is from and look over their chart before calling the patient back, all in one place.
  • Web Encounters - Patients can send web encounters, almost like telephone encounters to nurses regarding medication refills or questions and or cancelling or making an appointment.
  • The look of the software needs and update.
  • When patients are web enabled they are sent an email of their appointment time to tell them in the email to arrive 15 minutes early rather then giving them the exact time of their appointment. This throws our schedule off.
  • The ability to enable to text a patient's phone regarding to remind them of their appointment date and time.
eClinicalWorks is well suited in any type of office. It is user friendly and any one or any provider can use it. Providers are also able to use Dragon to talk to text while documenting as well. As far as less appropriate, there aren't many areas where it can be less appropriate.
April 16, 2015

How ECW stacks up

Shane Walker, PMP | TrustRadius Reviewer
Score 8 out of 10
Vetted Review
Verified User
Review Source
  • Charting
  • Integration with medical devices
  • Terminal services works OK
  • Terminal services environment
  • Web browser compatibility
  • Wireless disconnects
What is your EHR / Practice Management Budget? How many users? Do you need medical device integration?
Score 7 out of 10
Vetted Review
Verified User
Review Source
  • User Friendly because their user interface allows for seamless transition from all aspects of the electronic medical record
  • Reporting is comprehensive so any report can be generated
  • Built-In functionality for reminders, campaigns, patient portal, and etc.
  • 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.
Would you want an EHR solution to package all modules under one product to meet Meaningful Use? Or would you rather purchase separately to meet other business objectives?