Overall eClinical Works does a pretty good job as a clinic based EMR. It's fairly comprehensive and once you learn it, it is very easy to fill out notes, auto populate data, code for billing and handle messaging and e-prescriptions.

I like how comprehensive the EMR is, information is fairly well laid out and it has lots of features including a messaging service where memos from patients, forms from pharmacies etc can all be accessed and responded to without having to give out the providers email address or phone number.

It can be difficult to learn at first and find all of the information it holds. Sometimes the locations of certain tabs aren't very intuitive. It's also annoying that you can't have more than one tab up at a time to look at multiple patients at once.

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

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

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!!!

Not satisfied.

You have the ability to do most things you need for medical practices. You can schedule patients, upload documents, run reports, bill and make claims, submit claims electronically and through paper printing, fax, e-prescribe, make telephone encounters, keep user logs, etc. It is an overall all-comprehensive product.

There are so many glitches it is pretty ridiculous. We are always playing catch up to fix numerous things that goes down. There is never a 2 week period where everything is running smoothly. The technical and customer support is also weak. They do a good job of getting back to you most of the times, but it takes them quite a bit of time to figure out what is wrong and fix it. Not only that, but communication is a bit tough as I believe most service technicians are located out of country and have heavy accents. ECW also charges you for so many add-ons that it gets to get ridiculous. They push their products and interfaces so that you need to pay them more than the monthly base. Also, ECW is starting to get out-dated and behind. When we first signed up with ECW about 14-15 years ago they were top of the line. But they have quickly fallen behind all the other electronic medical records systems that have started. It has been frustrating trying to keep up, especially because of all the new medical record regulations government has been pushing. ECW is also not friendly with other databases. If you need to submit certain information and electronic secure messaging, you can only do so by forcing the other party to sign up for ECW's communication system which of course no one wants to do. Also, if you try to switch out of ECW, all the data in ECW cannot be transferred easily. They purposely make it hard for you to switch out and hard for anyone to work on tech. I'd say skip.

Eclinical charged me for a nurse practitioner every month for 5 years after she left. They canceled her but they did not cancel the billing. I was unaware as I was not receiving invoices. When I finally got the company to send invoices they were very vague and hard to understand. They are refusing to give me a refund. I canceled another doctor just 2 months ago, and they did the same thing! They charged me for him the very next month after he left. I called them on it, and they said that since the invoice was already paid by direct withdrawal, that I would not get a refund. I immediately stopped their ability to remove money from my account directly

Nothing. I found out they settled a case with the DOJ for LYING about their product. The entire company is unethical.

The software has tons of errors. I have to report them individually by opening a ticket via a different web page. Regardless of how obvious the error is, they insist on calling you on the phone and logging into your computer without at least trying to check it out themselves. Then, nothing ever gets fixed.

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.

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.

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.

The onboarding days have been traumatic and thats why i am writing this review at 2 am on a weekday. I do not want any one else to go through what i am going through. After spending so much money onboarding , trainers are 1000 per trainer a day and paying for flights after the free 3 days , the onboarding process from go live to 3 days of "free training" were useless as nothing got activated, cancelled clinic days were wasted as i was waiting for their software to be activated and my licence was not "put in the system right" When i asked their manager they said i should have paid more at the onboarding with a consultation with a **WORKFLOWS - Business Analysis services if i wanted things done right first time. So far i would tell anyone to make sure you have everything locked down with prices which seems impossible as they will say their system does everything till you sign the contract and then the addons come up. It is not an efficient system.. i can see myself forced to go back to athena which is super expensive with their billing percentage version which at least works..

They have a good marketing team but all the features i went for have been exaggerated

So far Nothing much so far is likeable, it is clunky , it can only be accessed from a widget that does not work well with apple (multiple popups and quick auto log-out make it irritating till i guess you start ignoring it. Also one has to make a change and then press refresh and that has so far taken up to a minute to refresh and show an order placed. First the pricing appears transparent but is not real, the full feature (600$) is actually not a full feature and the price will almost double per person once you start, they bank on you needing addons and those do not have listed prices and once you spend 3-5 months onboarding you really get roped into it. The features such as prisma for hospital records is 750 per hospital to activate and 25 dollars a month per hospital per provider which for my 6 providers racks up per hospital. Text messages for appointment scheduling is in the package but if you have to send patients fillable forms is 15 cents a message. kiosks fee payment systems all have addd ons that they will not mention till you are locked in. The EMR sucks so far, can you imagine one cannot order a sleep study as it is a "specialty order" and should have been discussed at the buildup stage . Referrals all have to be placed in the system meaning i have to google and go out and get every provider who i want to refer to to get me their number and feed it in the system myself. Labs will only go if i have a specific lab setup, i .e i cannot order an ESR as quest calls it by a different code and i have to call them otherwise the system will not place it. ( alot of useless things that they market cleverly as fail safes but end up making the workflow longer) Like i mentioned the medication transfer is non existent, i was told after onboarding not to rely on it. Each pharmacy has to be googled and mapped out, they do not have their own database. Apparently the largest p2 network they only had 3 providers show up in my city of 1 million people in texas (because they said users in my area were fewer?)

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.

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

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

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

Follow up on problems to see if resolved.

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

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

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

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

I would not recommend this product, you should do some research and really consider another. They have had two legal issues within the year already and that is a huge concern as a user who spends a pretty penny for this service. Moving to another EMR is a huge pain, but eventually we will be moving away.

It has a lot of features and they try to stay ahead of the game, for the most part it does work and they can use 3rd party vendors. The web based version is much more modern and faster than the desktop version, however the UI is very different and can take some getting used too.

Practically everything, for one the support is terrible and you can barely understand what they are saying half the time. The EMR has TONS of issues and they never have an answer, when asked about known issues thay always say " there are none". No software is perfect and everything has known issues, they refuse to awknowledge issues and its ridiculously cumbersome to support from and IT perspective. Especially when changes occur out of nowhere and permissions have been reset and changed without warning.

ECW truly is a full practice management system, start to finish. One system to schedule patients, track care received, and process billing is a major improvement on where our little organization started. The system contains many features that we haven't really tried to implement yet either, so I know it can do even more than we currently realize.

The problem with this system is that, while it does all things needed for a practice, it does none of them well. Bugs, minor errors, design problems, and other issues plague the system. Many issues can be worked around without too much trouble, but the point is that if we are paying for this system, it should perform as advertised.

Ease of use, intuitive, and applicability to what I need day to day to be the best psychiatrist I can be.

Cost is high, unfortunately higher than our usual platform, so, colleagues don't appear to want to make the move.

After using the product for 10 years our practice had learned to master the inefficient workarounds to where they have become 2nd nature. Unfortunately, recent server stability issues forced us to look for a new solution. Our hosted platform was eventually upgraded/moved to a more stable server farm however it was too late and the process to replace the software had already began. We eventually migrated to a new solution.

The price? As far as bargain EHRs goes, this is probably front runner, but the industry is lacking in innovation and functionality and this product is no different. Where you save money up front you pay for it by having a lack of features and seemless easy to use workflows. We constantly had to create nonsensical workarounds to achieve an acceptable workflow that was less painful for the providers but made it 10 times more difficult for the staff.

As a provider, you grade how easy an EHR is to use based on the number of clicks. As an IT professional you are able to assess a software's efficiency based on numerous other metrics. As the later, I can say by far the worst aspect is the number of clicks. With no redeeming qualities to speak having to drill down 5 or 6 menus to get to a patient's documents or financials and then be forced to back all the way out before checking on a 2nd patient's info is maddening. User's are forced to keep 2 instances open so as to not be forced to close a patient's demos/chart if they have to take a call and open a new patient's chart. This of course is explicitly denounced by eCW as forbidden. We do it anyway ... it's the only way.

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.

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.

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.

Overpriced, non human staff, English is horrible,not reliable.

Nothing, something was always not functioning.

Very cumbersome always had new charges to integrate other equipment or software. No reliable SAM and not accountable. Offered to cancel and they kept me on for longer and now I am being charged to be released. After the retention department begged me to stay. What a very costly system especially during theses times.

Overpriced for you get.

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.

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.

Multiple features. Attractive pricing.

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

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.

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.

Implementation was a disaster and we had to postpone it by 2 months because by the time we were supposed to go live, so much was still not set up correctly. A year later, the software works, but it is full of bugs that are driving away our patients. For the last 6 months our patients have been getting appointment reminders 10 times in a row, in the middle of the night, as well as patients getting reminders for appointments that are completely INCORRECT. This EMR system has cost us many patients. It makes the overall patients experience confusing and horrible from the glitchy portal to the wrong reminders. There are so many things wrong with this product. We have lived with these issues for 6 months and nothing has been resolved because apparently "these can't be fixed without a system wide update" but they are unable to give us even a ballpark answer of when the new update will happen. Bottom line, don't choose eClinicalWorks unless you like pissing off your patients and loosing money.

It would be very easy and customizable to use if everything actually worked correctly. There are a lot of helpful features, however 75% of the time they are riddled with bugs.

Support is awful. It takes months to have anything resolved. The software itself is riddled with bugs and there are many processes that were obviously not thought through.

I have attended about 8 eCW users conferences, including the first one in Orlando. I am a superuser. Initially, I was optimistic, but over time I have seen a lot of false promises and lack of USER -driven improvements. The whole feel of eCW is that of a clunky data gatherer. It is absolutely dreadful at the point-of-care. I didn't go to med school to be a data entry clerk. The piecemeal product now. Nickel and dime every little feature/service. When will an EHR come out that makes sense at the point of care?

Customizable - but be careful - you may have to redo everything after an upgrade. Reporting features and back office 'ok'. Portal, Healow app and eclinicalmobile are decent (though erx through mobile is wonky).

Too many clicks. Too many windows. Tiny boxes. Tiny font. Poor format. Early 2000's feel and look. Upgrades often require the user to fix data (re-map, correct NDC codes, etc. etc. etc.) which is a total pain for staff and the providers. Too many ways to achieve the same thing, just causes confusion. Internal messaging a joke.

Our practice has benefited from using the Messenger product. We use it to primarily do text appointment confirmations, and wellness reminders monthly. During influenza season sending out a blast to parents via text message to get flu shots helps tremendously! User friendly, up to date dashboards for MIPS, MACRA, billing is awesome and new features for the EMR side are always coming through. I find it a great product for doctor offices!

Ease of use and intuitive. The company always listens to the users for suggestions and problems. Customer support is great. I like how they follow up within 24 to 48 hours of a service ticket to make sure everything is functioning. I am very pleased with the customer service team because they always call me back in the same day. The chat option is great for a quick answer as well.

In the beginning the training was not what I thought. However, in the last 6 years the webinars have expanded and ease to watch and print power points as well.

I have often wondered about the popularity of ECW. After all, I think there are many better systems out there, it lacks many necessary features and it is not cheap. I believe ECW owes its success to a good sales team, and to the fact that potential users think: if it is adopted by so many users, it must be good. In big corporations, the decisions are made by administrators, not by physicians, and the former are not well attuned to the negative aspects of the software. Due to the nature of this software requiring website re-direction each time you order anything, there is a 3-4 second lag time that occurs every other click, and that adds up to a lot of wasted time at the end of the day. Windows cannot be minimized, and you cannot simply insert your cursor and start typing in a section of the chart. Therefore, if you are in the middle of writing your HPI and the patient asks you about her lab result, you have to x out of several windows, check labs and then re-open several windows, adding to as many as 13-14 clicks, and a major interruption of the workflow. The upgrade to version 10 was disastrous. Customer support is horrible. Interface with the hospital system (Cerner), with the labs and with Sure-Scripts is awful. There are many aspects that could be improved if there was any willingness on the part of their programmers to get better, but I think they take their popularity as an indication that they are doing well. The lab review process is cumbersome. When I have lab results for one patient that I want to review and post to the note, it takes me an average of 21 clicks. Rx eligibility is dysfunctional. Saving medications as favorites has not been working since the "upgrade". The conversion from ICD-9 to ICD-10 was poorly managed. Our institution uses a separate office management software, with a lot of redundancy and poor interface.

Macros and order sets. The form of the finished note looks nice.

Everything else (see above)

Read this review as a warning if you are considering eCW.

My brother asked me to step in as emergency manager of his primary care medical practice in San Francisco in 2009 (my background is tech startups). He's an internist and was salutatorian of his UCSF med school class, so he's a smart guy, even in a room full of smart guys. And he's extremely hard-working. His partner chose eClinicalWorks for their 2-doctor practice. What was their experience? First: it was extremely, and they had to make regular payments to keep using it, so when they got into financial trouble, this was one bill they had to pay, every time, because if they didn't, eCW could literally shut off the software and shut down their practice. That happened once, and then I made sure it did not happen again until we closed the doors (I was there 6 months, the last one spent actually shutting the practice down and helping my brother file Chapter 7). Second: eCW's company culture, like that of almost all software companies (again, my background is high tech) is to over-promise and under-deliver. The company has absolutely no skin in the game. They do not have to actually make their software useful to you in order to get paid, and they don't care if their system is actually helping you run your practice; they only want to get paid. Third: the software was overly complicated to use. The training was inadequate and not a priority for the vendor, and all the training was at an additional cost. This is a joke; the training should have been comprehensive, extensive, and free. I think the support staff probably needed about 3-4 times as much formal training as they received. They universally disliked the software, mainly because they felt it was overly complicated and not intuitive.

Opportunities to improve our medical outcomes in all areas and departments.

All like the most features under the Billing navigation tab especially. The registry is the fastest way to get info drilled down to your specific needs. We are using the kiosk and questionnaires. This feature has helped tremendously with meeting Clinical Integration (CI) measures. It has also helped streamline patient check in and collecting outstanding balances. There are always new things to learn and try - always evolving!

The EBO reporting system. I do not find it easy to learn. I do not find it fits or is workable in the medical field. The reports do not give you current, month to date or year to date totals on your reports. You cannot create reports that give that information as well.