EHR Implementation Report: Analysis of eClinicalWorks EHR System

This report analyzes the eClinicalWorks Electronic Health Record (EHR) system, responding to a vendor outline based on a provided model. The report details general information about eClinicalWorks, including its address, contact information, and years as an EHR vendor. It also covers the number of live sites, newer installations, and the ratio of vendor-provided installs versus those subcontracted to third parties. The report explores the software's features, such as the patient portal, sole database for schedules, billing, and EHRs, and the inclusion of CPOE. Additionally, it assesses the system's compliance with meaningful use rules, interoperability with third-party systems, and the availability of custom reporting. The report also examines the system's coding, pre-loaded codes, and recurring order capabilities. Finally, it provides cost estimates for implementation and training, along with references used in the analysis. The report is a comprehensive overview of the eClinicalWorks EHR system, suitable for healthcare professionals evaluating EHR solutions.

Running head: EHR IMPLEMENTATION 1
EHR Implementation
Name
Institution

EHR IMPLEMENTATION 2
Vendor Outline
Using the model below, fulfill the demanded data on your company. The reply to a precise item
might be added to this segment as a supplementary file if essential.
General
Name eClinicalWorks
Address (Headquarters) 2 Technology Drive Westborough
Address Cont. MA 01581
Main Telephone No. 508-836-2700
Website www.eclinicalworks.com
Publicly Traded/Privately Held Privately held
Name Oscar Anthony
Title A supplier of EHR
Address P. O. Box 325
Address Continued Westborough TX 75100
Phone Number 508-836-2700
Fax Number [phone]
Email Address [e-mail]
No. of years as EHRs vendor 19 years
Number of live sites 15 sites

EHR IMPLEMENTATION 3
Number of newer EHR installations completed the
last 3 years?
There have been at least 10 new EHR
installations in the past 3 years
What the ratio of vendor-provided installs is vs.
subcontracted to third party corporations?
The ratio is 4:3
Size of current user base Percentage revenue from the existing users is
85%
Software name and version eClinicalWorks V10
When will you release the new version? The date for the release of the next version is
not yet definite as the current version has
been the best with tremendous performances.
Sole Database for schedules, billing, and EHRs? Yes, all functionalities of the system are
incorporated at a central point.
Does software include patient portal? A patient portal is present from where the
patients can securely access their health
records.
Was any of the product’s significant functionality
assimilated from another organization?
No. All the functionalities of the product are
original with no traces from any other
organization.
Does the software provide a portal for users
(patient) or is it interoperable with third party user
portals such as NextGen, Cerner, Practice Fusion
etc?
The software provides a portal for the users
and all medical records are solely owned by
the user. Additionally, eClinicalWorks is
vendor neutral ("eClinicalWorks | EHR

EHR IMPLEMENTATION 4
Vendor Directory | AmericanEHR Partners",
2019).
What type of product is it? eClinicalWorks is a comprehensive product.
Comprehensive
 Are the meaningful use rules met by this
product?
There are standards checkpoints for the
product and theses checkpoints have met the
required standards of guidelines.
 Concerning a substantial change, will the
product endure meaningful use procedures
through years like 2015 without it?
No, there will be changes some time to meet
the demands of the changing guidelines.
Will there be a fee charged for copying, moving,
or retrieving patient information from the software
if a client chooses to change vendors?
Yes, there are transition charges that are
charged when an individual decides to
change vendors.
Can a custom report be created by this product?
Yes, the content management team at
eClinicalWorks dies the job of developing
custom reports.
Any option for an improvised reporting by users?
No, improvised reporting is only created on
need basis.
Is the product certified by ONC-ATCB? Yes, it is certified by ONC-ATCB.
Comprehensive or Modular Certification? The certification is comprehensive.
Do the components need to meet each of the menu According to Palvia et al., (2015), the sales

EHR IMPLEMENTATION 5
set purposes comprised in the attached pricing?
Are they sold distinctly at an extra cost?
are done separately but at normal prices.
Can you assure the product will meet the present
values and future values?
Yes, I can state that with utmost certainty.

EHR IMPLEMENTATION 6
Is CPOE a separate module or a fragment of the
main product?
This product is separated from CPOE.
Is the customization of CPOE per healthcare
provider? Are templates accessible?
There are templates available for CPOE.
 Does the system permit for custom Order
Sets to be constructed?
Yes, there is that provision.
 Does the system agree for multiple
Resulting Items to be mapped to an only
Orderable Item? (e.g., Skin examinations
have several antigens (resultables) which
ought mapping to a lone Orderable code.
Yes, an option of that kind is available in the
system.
Is free text ordering permitted by this system?
No, at the moment the functionality is not
permitted but it may be considered in the
future.
Does the system support user’s cancelation of
pending orders?
Yes, the system is set up to allow for
cancellation and notify the user regarding the
same.
 If so, does it result in outbound interaction
message, or send the termination message
to third party systems?
Yes, as stated above there is a notification
when it is redirected to a third party.
Is the system using ICD9 or ICD10 coding? Coding is done using ICD10.

EHR IMPLEMENTATION 7
 Is pre-loaded codes allowed? No, codes cannot be preloaded.
 Are imminent code updates vendor or user
functional?
Yes, the system enables an update of all
needed updates.
Can the system let custom queries per order to be
established?
Yes, all orders developed have question parts.
Can the product back or sustain recurring orders? No, the orders are grouped in a systematic
way within the system thus not allowing
recurring orders.
Are Orderable Favorites by user or specialty
supported by the product?
They are specialty supported.
Any Reporting tools accessible to monitor every
CPOE steps?
Yes, we have numerous monitoring tools.
Which R.I.S./P.A.C.S. systems interface divergent
with CPOE?
There are various differing RIS/PACS
interfaces.
Does the core product include E-Prescribing or a
separate module?
No, it does not include E-Prescribing.
Can providers customize E-Prescribing / it’s at the
level of enterprise?
Customization is possible at enterprise level.
Any local or nationwide pharmacies interface with
the E.H.R.?
Numerous pharmacies have an interface with
EHR at the moment.
Who owns the following: According to Crowley et al., (2018), the

EHR IMPLEMENTATION 8
 Information
 Software
 Improvements or Customizations Paid for by
Client
 Hardware
 Servers
 Workstations
organization owns all the products. As soon
as an order is made, the organization makes
arrangements to deliver all the materials at
the price that had been agreed upon.
Specifications Yes,
Include
d
Yes,
Addtl.
Cost
No Comments / Clarifications
1. General
1.1 The system approved both a total
paperless purpose and a mixture of
function, where the contents of the
EHRs could be printed for addition in
the paper chart.
☒ ☐ ☐ Liao et al., (2017) confirm that the
system is designed in a way that it
corporates the company
requirements.
1.2 The system comprises automatic
conversion of codes to data.
☒ ☐ ☐ There is integration of functions
within the system.
1.3 The system contains support and
upgrades for the above terminologies.
☐ ☒ ☐ Yes, there are supports and
upgrades but at an additional cost.

EHR IMPLEMENTATION 9
Specifications Yes,
Include
d
Yes,
Addtl.
Cost
No Comments / Clarifications
1.4 The system embraces SNOMED CT as
the combined standard vocabulary of
clinical terms.
☒ ☐ ☐ It is not a requirement but it may be
included if the necessity arises.
1.5 Your organization provides after-hours
call center funding for the system.
☒ ☐ ☐ Yes, there is a customer care team
that provides support all the time.
1.6 The system flags lab outcomes that are
irregular or that might not been
acknowledged.
☐ ☐ ☒ Fragidis& Chatzoglou (2018)
ascertain that this is a function that
has not been included yet into the
system but can be included if the
need arises.
2. Clinical Decision Support
1.7 The system proposes prompts to assist
the observance to care plans,
procedures, and rules at the point of data
capture.
☒ ☐ ☐ Yes, this is done at no
additional charges.
1.8 The system activates alerts to providers
when discrete documented data specifies
that serious interferences may be
essential.
☒ ☐ ☐ Since this had been tested
earlier, the activation is
fast.
Cost Estimate

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For each planned product, please offer cost estimates created upon a characteristic
installation. To enable us to relate responses, please accept that the artefact is going to be
utilized at numerous site(s) with many providers. Also, any added details concerning cost or
pricing that could be supportive in our analysis must be involved as well.
Please utilize the template provided —or ascribe a cost estimation offer that contains reactions to
each enquiry below — and deliver it as a distinct, closed document inside the R.F.P. response.
One-time fees
Single-time implementation fees: $2,500
User Training fees: $2,000
Client Consulting fees: $1,000
For x healthcare providers: $750
For each additional provider: $300
For x healthcare providers: Your 4 clinics $3,000

EHR IMPLEMENTATION 11
References
Crowley, K., Mishra, A., Cruz-Cano, R., Gold, R., Kleinman, D., & Agarwal, R. (2018).
Electronic Health Record Implementation Findings at a Large, Suburban Health and
Human Services Department. Journal of public health management and practice:
JPHMP.
eClinicalWorks | EHR Vendor Directory | AmericanEHR Partners. (2019). Retrieved from
http://www.americanehr.com/ehr_ratings/EHR-Products/Info/81/eclinicalworks/26/
eclinicalworks.aspx .
Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide electronic
health record (EHR) The international experience in 13 countries. International
journal of health care quality assurance, 31(2), 116-130.
Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti, C., Han, J. E., ... & Honig, E.
(2017). Evaluation of medication errors with implementation of electronic health
record technology in the medical intensive care unit. Open Access Journal of Clinical
Trials, 9, 31-40.

EHR IMPLEMENTATION 12
Palvia, P., Jacks, T., & Brown, W. S. (2015). Critical Issues in EHR Implementation:
Provider and Vendor Perspectives. CAIS, 36, 36.