Opiniones de eClinicalWorks

eClinicalWorks is my personal favorite eMR for medical practices

Comentarios: This is a much less cumbersome software than that used in other offices.

Puntos a favor:

I like the search patient feature - if two patients have the same or similar names, it alerts you. It would be easy to click on the wrong patient in error. All the chart documents are organized intuitively so it is very easy to find a specific document you are looking for. Also, as soon as you pull up the patient, it shows the date of the last visit and date of the next upcoming visit. Also, printing is smooth and no trouble to set up.

Puntos en contra:

The progress notes are semi-prepopulated, which could lead to information getting into the note that you did not intend to.

Great Difficulties Discontinuing Service

Comentarios: Terrible to disconnect from with misinformation and fraudulent billing despite clear records of trying to cancel services.

Puntos a favor:

It is a usable EMR that helped productivity and was fairly intuitive

Puntos en contra:

I delayed writing my review hoping ecw would settle my issue. I’ve been charged even after selling my practice completely last December and after full transitions of ownership am still billed fully! This is considerable ongoing cost and my issues are:1) In December when I sold out we requested services terminate as the new [sensitive content hidden] took over.2) We were given incorrect information we could not cancel due to contract, then we’re told we could have cancelled anytime by clicking a button3) Verified by [sensitive content hidden] our ECW contact he sees we requested cancellation after selling back in December and again every month, HE ALSO did screen sharing and confirmed our software lacks “the button” to cancel ecw,4) we are still being billed and cannot cancel!!!

No user friendly

Comentarios: "here's your software, learn how to use it and customize it and good luck when you have problems"

Puntos a favor:

intuitive diagnosis capturing, rarely was the system down for maintenance.

Puntos en contra:

Most everything. Customer service is atrocious, all outsourced now to foreign countries.

Don't Fall For The Small Praacice Scheme

Comentarios: I changed my small office of 2 providers seeing 2-7 patients a week to Eclinicalworks after being told I would be charged 5.99 per encounter for 6 months then switched to 199/provider with 40 encounter limit anything over was 5.99/encounter. WELL, that not the case. It took over 3 months to go live and I only received a bill for encounter only for 2 months. Then I began receiving a bill for both 5.99 a encounter and 199/provider. WHAT?!!! That is not what I was told nor does that make any sense for a small practice trying to grow and not making enough money pay additional money. I still am having issues with features not working on the system yet I'm paying for them after we have complained several times.Now they are switching the explanation that you must have 40 encounters a month to not be charged 5.99 per encounter. Why does this make sense? I have tried getting access to corporate several times has been nothing but a headache and a run around. Then I never recieved a bill for APril and they never sent any information until it was considered in collection. When [sensitive content hidden] called my office and rude and biligerent to my employee. Then I still never received a bill only for MAY and JUNE. Then left us no access to the EMR but expects full payment for the new month when we cannot access it nor bill. THEY ARE A TRAP AND HORRIBLE CUSTOMER SERVICE. They do not take responsibility for their mistakes.

Puntos a favor:

NOTHING AT THIS TIME, they have been a headache x 3 months

Puntos en contra:

Constantly having issues with various features telehealth, patient confirmations, encounters, scribe, etc None of it is ever fixed

Functional basic EMR

Comentarios: Overall very functional EMR with a few small nuances.

Puntos a favor:

Easy to navigate through the program. Relatively easy to order medications and eprescribe. There is a bit of a learning curve but is easy once you get the hang of the program.

Puntos en contra:

The health care maintenance checks were lacking and left a lot of gaps for follow-ups. The E-prescribing was sometimes confusing when it came to choosing a location.

Invoice

Comentarios: The Strategic Account Manager is constantly changing and he/she providesno support with the company.

Puntos a favor:

Follow up on problems to see if resolved.

Puntos en contra:

Be careful of their invoicing. They have this complex procedure and time element whenterminating a provider. They even wish to interview the terminating medical provider.All notifications need to be within a certain time frame. If not done correctly, theywill continue to invoice you for the terminating provider

Post Go-Live Implementation is a headache

Comentarios: Simple problems and questions are quickly answered (generally with-in one day) but more complex problems or implementing new programs takes months and the projects often get lost in a run-around of tech supports.

Puntos a favor:

Ease of scheduling patients and reviewing labs/imaging/documents.

Puntos en contra:

Implementing new features often takes months of back and forth with tech support.

It gets the job done

Comentarios: It gets the job done for us and it probably just like most other EMRs they all have issues but at the end of the day they allow you to record your notes and bill the insurance.

Puntos a favor:

ECW can get most of what you want done. I work mainly on the reporting side and staff support. The ability to pull reports is pretty good with their EBO system. We get almost everything we need reporting wise from that system whether it’s financial or encounter data. Their support is pretty responsive usually calling back the same day in most cases. Their billin service is pretty good and is very reasonable. Our company pays about 8% totally cost with ECW which is pretty much the industry standard.

Puntos en contra:

There are sometimes a lot of clicks with ECW. Anytime you do an upgrade something is not going to work which is very frustrating. If you are a CPC practice you will be frustrated as their reporting dashboard took until the middle of 2018 to start working and then we upgraded and now we are waiting on a patch to get the dashboard back up. Don’t expect to speak to anyone that’s first language is English when you call support. We started with ECW in late 2015 and we had to setup everything from scratch which we thought was really strange as they have so many practices you would think there would already be templates for almost everything.

Its ok

Comentarios: It has been ok. It's not the worst but it is not the best. I wouldn't recommend switching away from it but I definitely would not recommend for a new practice. It is cost prohibitive and clunky. They do not play nicely in the sandbox so you don't have options for other integrated items. Thankfully they recently started to allow Inbox Health for statement management.

Puntos a favor:

It works. You can bill and run reports.

Puntos en contra:

This is a very clunky software with subpar support. It is very expensive and not easily customizable.

Worst EMR ive ever used

Puntos a favor:

nothing. i find no benefits with this EMR. not efficient at all

Puntos en contra:

so old and outdated, so hard to find features, interrupts patient care with its lack of efficency, so slow, so many clicks to find simple information

Customers are NOT the number one PRIORITY

Comentarios: Over all the system is easy to navigate. The look and feel of the product are very pleasing. If I could have my old, local technical support back, I would highly recommend this product, but due to the past 3 years of terrible customer and technical service, I'm reluctant to refer other clinics to this product.

Puntos a favor:

Integrated system. Easy to maneuver from the front office to back office features. Many new enhancements over the past 10 years. "Trying" to stay up to date with moving target of healthcare.

Puntos en contra:

Technical support is lacking immensely. The techs are more concerned about closing your "help desk ticket" than really helping you solve your issues. eCW states they are a Meaningful Use Certified EHR but have left their existing customers of almost 10 years in the dust when they discovered a programming error. Now clinics will be penalized 3% in Medicare payments in 2018. Report features are lacking. As of recently, they nickel and dime you for every new feature, upgrade, and/or request, such as interfaces, customized reports for all the government mandated programs, enhanced dashboards, etc. Communication with their customers, or lack there of, is very frustrating. eCW believes posting critical information on a website is "sufficient enough." When you're going to shut down the entire system for 3 days with no access or you tell your customers they're meeting meaningful use and then 7 days before the end of the reporting period eCW "discovers" their system is NOT reporting right, this should be important enough information to communicate directly to the customers, right? Nope, eCW posts the information on their website and "hopes" you log in a read the paragraph in a timely manner. NOT acceptable in my eyes. Mountains of improvement in customer service.

Never used more glitchy software, nor a more poorly designed UI in my life.

Comentarios: The owners/managers of this company need to sell to new managers who can overhaul the entire operation.

Puntos a favor:

Ostensibly offers many features, from an integrated EMR/PM system to registration kiosks, etc... Once the kiosk app became functional (took months...see below), we were able to decrease our reg desk staff.

Puntos en contra:

1. As others have stated, the initial 5 day training period was mostly used by their staff to fix their own glitches and get the the software to a base functional state. 2.5 of the 5 days training period was used to fix things like scripts which simply didn't work. So much of the provider training time was a total waste. we were than charged additional money to have them come back and spend more time with us. 2. Content is not provided. We were told the system can be used for urgent care. after all, one fo the largest chains int he country uses ECW. They didnt tell us that chain spent a significant amount of time and money customizing the system to suit the urgent care need. 3. ECW is unable to provide suggestions for how their software should function in an urgent care environment. asking them which flow would be ideal for their software is a useless question. 4. Their software was designed by folks who have never heard of UI/UX or Human factors. As others have noted there is not a consistent use of symbology between screens. There are often multiple ways to do the same function on one screen. Sometimes the label "close" means one thing on screen but another on another screen. 5. tech support is obscene. We were unable to unfavorite certain meds form our list. It took them weeks to months to figure out why. 6. Multiple sections of the software are labelled "procedures". one area results in a CPT code being auto listed on the billing screen; one area does not. Many other illogical quirks exist as well. Good luck trying to teach every new provider these types of quirks. 7. If you are an RCM customer, many of the features they use to market themselves are simply non functional. Patients of RCM clients cant use the patient portal to make payments since as an RM client, the software does not correctly send balance data to the portal. But if you call the "portal department", they are unaware of this problem. The web based version of their software to this day (early 2019) does not receive correct balance information for patient accounts. So, even if the providers and the medical assistants use the web based version, you still have to maintain the desktop version for the front desk staff. The UI is totally different between the two systems, so you effectively have to train your staff on two different systems. Ridiculous. 8. Their entire development team and tech support team is in India. Consequently, we had to spend significant time fixing the kiosk application since literally every screen in the app had typos, grammatical mistakes and phrases thats imply didn't make sense. I screen capped them to have proof. They simply didn't understand why i couldn't use the kiosk app as it was delivered to me. This means they never even bothered to have one of their US based staff look at the product before it was released. 9. They wanted to change the pricing scheme in the middle of our contract due to legal issues they had in NY. So, they changed it in their favor without discussing it with me. Their financial analyst then used seasonal data, and ignored the peak season in doing so, to justify their new price. Had they been intellectually honest and used a full year of data, it would have altered their conclusion about what the new pricing scheme would have cost me. Dishonesty like that has no excuse. 10. Despite asking them if the price we would be paying for the software included everything as an RCM customer, and them replying yes, they then proceeded to charge me hundreds of dollars extra for each provider per year to use the escript controlled substance feature. So yet Another set of conversations resulted in a reduction in price for a period of time. 11. Can't even count the number of conversations I've had with tech support, their own billing dept, as well as their practice liaisons who knew nothing about urgent care. I want the year of my life I've spent with them on the phone back.

eCW hates clinicians

Comentarios: My notes can be seen and read outside of a paper chart. Other than that, not much

Puntos a favor:

Notes are typed, so they are legible. Supposedly, the billing function is useful,however, my group does not use this.

Puntos en contra:

-Very slow to startup, and uses a lot of resources on your desktop computer -Too many clicks -Too easy to make mistakes and lose work (where did my 5 paragraph note go?!) -Not easy to customize -eCW often generates medical errors -interface is terrible--why can I only see 5 lines of typed text at a time? Why are there 5 buttons on a view that are all labeled the same thing? (No...use the "scan" button in the upper left,not the lower right) --too many mandatory fields that are not relevant (I just want to see his past vitals...I don't want to enter a pain score right this second...) --low quality document and photo uploads (I think that's a wound...but it's so pixelated) --Easy to lose formatting in templates (if you click here, it's ok, but if you click over there, then all hell breaks loose) --Anything that is not done in a billable visit has to be done in a telephone encounter --E prescribe module is difficult to use and not consistent. (Sometimes you can type in a box, sometimes you have to click on a little number pad, the options for prescribing are in a weird order (alphabetical, ordinal), complex dosing, like a prednisone taper cannot be done.)

Nightmare

Comentarios: They are 100% offshore support. 98% of the people that call speak so little English that you have no chance of having any sort of meaningful conversation. Every single time we do a patch update it takes 5-7 hours on top of the line hardware. About 50% of the time the patch fails and it takes a whole day or two to get the correct people from ECW on the phone to resolve the issue. They have account managers assigned to clients and they don't do any account management. I am not really sure why that person exist as they provide no value to my clients. Do yourself a favor, do not consider this product. It IS worth it to pay more for a better supported product. If you want to spend countless hours arguing or just trying to get a response then buy this product. Given the current level of support I wouldn't be surprised that they go out of business in the future.

Puntos a favor:

It was inexpensive, and feature rich when we purchased it in 2010. The ability to self host is great to control the user experience.

Puntos en contra:

Support, updates, cost. They are changing the way features have worked or been charged for. As a result you are forced to pay for something that was free for years or it stops working.

terrible product

Comentarios: Latest upgrade has made this a disaster. Do not use the system even if its free. Too many extra steps, cannot use the imaging center of your choice, cannot label documents, cannot import files that have any special characters. Now does not integrate with anything.

Puntos a favor:

Multiple features. Attractive pricing.

Puntos en contra:

Multiple features but none of them work well. Support is terrible with different advice given for the same problem depending on support person. Very expensive with all the extra steps providers and personnel have to take to enter the same information. This is my third EHR and the worst

BEWARE OF ECW! Not recommended for new practices!

Comentarios: Overpriced for you get.

Puntos en contra:

Horrible user interface! Eclinicalworks interface is so hard to navigate and there are several additional clicks that needs to be done to do a simple task like send in prescriptions. The website and computer program are so bulky and completely outdated. The program looks like it’s from the 1990’s. Every few months there’s an update, but that just causes the program to be even more glitchy and slower. Eclinicalworks had issues with US regulators before. I googled search their name and saw hundreds of millions of dollars in settlements. I wish I did this before I signed the contract. The worst part of the eclinicalworks is ending the contract with them. They said they will give you your patient’s data but it’ll be a “data dump” which means it’ll be useless to extract to your new EMR. If you want the files in an html format, then it’ll be $3000! If you want it in pdf files, it’ll cost $5000! They charge $500 for an external hard drive, which can be bought for $70 dollars.

Terrible Experience

Comentarios: Horrible

Puntos a favor:

Lots of features but sometimes less is more and it becomes cumbersome and time consuming.

Puntos en contra:

Tech Support ALL out of India. They don't tell you this when you purchase. Tech support can't speak English well thus a terrible language barrier and EVERY phone call with them takes a minimum of 45 minutes due to this so you lose tons of time thus revenue. Tech Support Horrible and no one knows what the other one is doing or has done. Let me say that again, TECH SUPPORT HORRIBLE. Plus didn't seem to fix anything. Glitchy and lost documentation on several occasions requiring re-entering. RX Printing did not work right the entire time we had them (2 years) MIPS reports was not done by them as we were told and they had to walk us through doing all the reporting ourselves. You have to pay for extra training. The training we recieved or 5 days was all the trainer fixing glitches and little training was possible. Data migration from eclinicals was a nightmare. We couldn't wait to change EMRs.

Financial Harm with no oversite and little support. Slow to correct and updates create more problem

Puntos a favor:

This product used to be amazing, but has been declining for the past 2 years. The only Pro is the cost is low, but you get what you pay for.

Puntos en contra:

The support is difficult to talk to and understand. The support can only do what the user can do to fix things so always hear "I have to escalate the problem". The user cannot update the fees for their services. Training is lacking and the online training includes hundreds of videos that don't have anything to do with your ECW Version and are hard to find. ECW makes updates that create more problems with no fix. They create fee schedules or delete fee schedules and send claims out with $1.00 bill fees. We recently got paid .82 cents for an office visit due to their incompetency in billing. My entire bill fee schedule is either gone, Zero bill Fee, or wrong. When I ask for this to be corrected and why it happened I get "we are working on it " yet claims continue to be sent out incorrectly.

eClinical is best for large practices.

Puntos a favor:

Full practice software for all aspects of managing a medical office and patient charting. Able to accommodate several practitioners and staff allowing for large volumes of files and database. Very straight forward practical application to use given all the functions available.

Puntos en contra:

Many features were not used as it is not easily streamlined for a specialty practice. Tech support/service call response is immediate but actual support and repair was often deferred to a later time and was difficult to communicate with their staff, located overseas. Costs for eclinical is expensive.

Nursing perspective

Comentarios: It’s important to know your needs when shopping for an EMR— company size, employee knowledge levels, and user priorities. eCW was great for us!

Puntos a favor:

I used eClinical works for many years while working as a Director of Nursing in a setting where I am now a casual employee— I have taken another job in the field, which of course means learning a new electronic medical record! This has made me appreciate a few things about eCW. I think what I liked most about this software was the strong user support resource. Trainers came to spend several days on-site at the beginning, and then remained very available for our team!

Puntos en contra:

I found the scheduling features to be slightly lacking in their ability to be customized for our setting. We had to make some new changes, but the team was again very helpful.

We switched to eCW two years ago and have never looked back, very forward thinking.

Comentarios: Ease of use from clinical side, good product from Practice Management. Forward thinking with patient engagement.

Puntos a favor:

Our clinicians feel that the setup is much more efficient than some of the other eHR packages we have use. I like we're they are going with the web based content and PHM. We see a lot of value in the product and feel it has been a great investment. From a financial standpoint, the monthly subscription service helps small businesses who can't afford to put up large sums of money for initial license fees.

Puntos en contra:

Their report generator is a little more difficult to use than some products, or you don't have access to all fields. We utilize their Query writer often and then dump the data into Excel. Their Report Writer suite can be powerful, but requires advanced knowledge of query writing, which many small to medium sized companies likely will not have available.

Steep Learning Curve with ECW

Comentarios: In general, a electronic medical record system is very helpful. I think ECW needs to listen to the user experience and make some adjustments. It should be more intuitive and less frustrating!

Puntos a favor:

There are some positive aspects of ECW. I like that you can create treatment plan templates that are accessible with a keyword. You can easily copy forward your last clinical note.

Puntos en contra:

I have found ECW difficult to learn despite having a two day in person seminar and watching their training modules. I have used other electronic medical record systems which are more user friendly. The biggest con for me is that if you type in certain areas (medical history, social history) it is included in every note of every provider moving forward. I work in a primary care clinic, so there are several disciplines working with the same patient. I don't want my information automatically included on the PCM's note and vice versa. The only work around that we found is typing all my history in the "examination" part. This does not make for a well organized note and it is more difficult to easily access the information in future visits, but it does keep the information private.

My ECW Experience

Comentarios: Overall I think there is some improvement that can be done, but ECW gets us through the day to day functions. The support staff could be a lot better. All in all, ECW does what we need it to do.

Puntos a favor:

ECW offers a lot of features that our staff utilizes. Our staff loves the jellybean system and how it makes referral, telephone encounters, messages, etc easier to see. The resource schedules are very simple to view and utilize. Running reports in ECW is super easy.

Puntos en contra:

The staff support is slow with ticket response. Even when the ticket is marked high priority, the response time takes hours sometimes. We experience a lot of slowness on a day to day basis. This is referring to the ECW product itself. Our providers have complained about being in the rooms with patients and having to stall due to system slowness.

Good intentions, poor execution

Puntos a favor:

They have built a lot of functionality in different spaces (online appointments, check-in kiosk, patient portal, patient messaging, etc.).

Puntos en contra:

If there are more than a few sites or providers in your practice, they are likely not for you. They can't handle volume or scale, many processes are extremely manual. Their support is some of the worst I have ever experienced. Tier 1 support personnel do nothing but read from their user manuals, and escalations can take days or weeks. We had substantial problems that persisted for years that regardless of how many times we talked to eCW CEO & COO we saw no resolution. They simply couldn't handle our size (30+ clinics). It may look nice on the outside, but behind the scenes their products are a mess and unreliable.

Comentarios: Our organization has 3 doctors that are primary physicians to residents in nursing home. We provide service for 9 nursing homes and continue to grow. We have 4 office staff and are all virtual. We use eClinicalWorks and Group One for billing and host through PSM. We went with eClinicalWorks because Group One billing was incorporated with them and also the hosting of the server. We did not want to have to update our own software. We are a relatively new business and did not have any software previous. We bought it in 2011 and the implementation went fine. The team did learn how to use eClinicalWorks quickly and the templates have been very useful. In regards to customer service I find that my main contact at Group One Tara Carney has been fantastic. When I have a need or issue she is right on it for me. She seems to know who to contact for me and they get back to me in a timely manner. eClinicalWorks customer service is much tougher because of the big size and it seems that 4 people contact me about something that one person could take care of. I understand that it is large and things need to go through channels so I have just accepted that I will get many phone calls and need to go through many people. I seem to go back to Tara to have her handle the situation for me and she always points me in the right direction. We are a different type of health care business and I know we have pushed a few people out of their box to get the functionality that we need to provide the best quality of care for the patient and to make it a great working environment for all. In doing so eClinicalWorks and Group One have always been receptive to growth and change to fit our needs so we can progress and that has been very much appreciated. I would have to say the Group One has been fantastic and is the main reason that we are very happy with our choice of EMR. I would like to give Renzi Russell and especially Tara Carney much of the recognition they deserve for providing excellent customer service and a fantastic knowledge of their positions. Tara has been wonderful with all she does.