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Ground-breaking whistleblower case against EHR vendor eClinicalWorks settles for $155M

Whistleblower lawsuit against eClinicalWorks settles for $155 million in ground-breaking case against an electronic health records vendor

BURLINGTON, VERMONT, May 31, 2017 – A whistleblower represented by Phillips & Cohen LLP provided key information to the government that led to eClinicalWorks (eCW) settlement of civil fraud and kickback charges today for $155 million.

“This is a ground-breaking case,” said Colette G. Matzzie, a whistleblower attorney and partner at Phillips & Cohen. “It is the first time that the government has held an electronic health records vendor accountable for failing to meet federal standards designed to ensure patient safety and quality patient care.”

The settlement is a “first” in two other ways: (1) An electronic health records (EHR) vendor is being held accountable for the truthfulness and accuracy of representations made when seeking government certification of its electronic health records system; and (2) The government applied the federal Anti-Kickback Statute (AKS) law to the promotion and sale of EHR systems.

The government’s settlement agreement holds eCW and eCW’s founders and executives Girish Navani, Dr. Rajesh Dharampuriya, and Mahesh Navani liable for payment.  The government today also announced it has reached separate settlements with three eClinicalWorks employees who will pay a total of $80,000 to the government to settle civil allegations.

The whistleblower, Brendan Delaney, was a New York City government employee implementing eClinicalWorks EHR system at Rikers Island for prisoner healthcare when he first became aware of numerous software problems that he alleged put patients at risk.

The government’s complaint joining the “qui tam” (whistleblower) lawsuit alleged that eClinicalWorks:

·         Falsely certified that its EHR met all government criteria

·         Failed to adequately test software before it was released

·         Failed to correct critical and urgent problems and bugs in the software “for months and even years.”

·         Failed to ensure data portability and audit log requirements

·         Failed to reliably record laboratory and diagnostic imaging orders

·         Paid kickbacks totaling at least $392,000 to influential customers to recommend eClinicalWorks products to prospective customers as well as other kickbacks in the form of “consulting” and “speaker” fees

“Accurate and reliable electronic health records are essential to good patient care and safety,” said Matzzie. “The most important outcome of the case is that multiple steps have been taken to alert eClinicalWorks customers, so patients now are better protected.”

eClinicalWorks is the provider of one of the most popular electronic health records software. The privately held company, based in Westborough, MA, says on its website that over 70,000 medical facilities, 115,000 providers and 800,000 medical professionals use its EHR technology.

Both the government and the whistleblower alleged that eClinicalWorks falsely represented to customers that its EHR system complied with federal requirements known as “Meaningful Use” rules.

“Compliance with federal requirements is essential for EHR sales,” said Larry Zoglin, a whistleblower attorney who is Of Counsel to Phillips & Cohen. “Doctors and other healthcare providers can receive federal incentive payments for purchasing EHR technology only if the government certifies that the EHR product they buy meets government standards.”

The incentive program, created by Congress in 2009 to promote the use of EHR, provided payments of up to $43,720 over five years from Medicare to individual healthcare practitioners up until last year. Medicaid incentive payments to individual practitioners can total up to $63,750 over six years until 2021.

Problems that were caused by eClinicalWorks EHR, as alleged in the whistleblower complaint, include:

·         Failure to keep an accurate record of current medications administered to patients

·         Mistakenly Including in a patient’s medical record information from another patient’s record

·         Multiple errors with medication module, including failure to ensure proper dosages, errors with start/stop dates, failure to record changes to medications, duplicate orders for certain prescription drugs, and failure to display current medication at all in some instances

·         Inaccurate tracking of laboratory results

·         Software security problems that undermined the integrity of the medical record

During the government’s investigation of Delaney’s allegations, eClinicalWorks sent out in 2016 a series of advisories to customers, educating them on potential patient safety risks related to use of its EHR.  For instance, a December 2016 notice from eClinicalWorks highlighted a number of risks related to medication management, drug-allergy interactions and updating progress notes with use of its software.  (A list of eCW’s advisories is posted on the Phillips & Cohen website.)

“Brendan Delaney provided the government with information about eClinicalWorks software that became central aspects of the government’s case,” attorney Zoglin said. “He worked tirelessly to document and track the EHR problems, often working until late at night, after a full day at his job. He felt a responsibility to the community at large to get the problems fixed.”

Delaney has worked as a consultant on EHR systems for various hospitals and healthcare providers since he left employment with the City of New York in 2011.

“I was profoundly saddened and disappointed by the indifference of senior health department officials and investigators for New York City when I provided detailed information about serious flaws in the EHR software that could endanger patients,” Delaney said. “I am grateful that Phillips & Cohen and federal government attorneys recognized the seriousness of my charges and dug into the matter quickly and thoroughly.”

The case has been “under seal” – meaning it wasn’t publicly known – since Phillips & Cohen filed the qui tam lawsuit on behalf of Delaney in 2015 in federal district court in Burlington, Vermont.

“The government attorneys and investigators who worked on this case were single-minded in their efforts to protect patients and recover funds for taxpayers,” Matzzie said. “I want to commend the US Department of Justice, the US Attorney’s Office for the District of Vermont and the US Department of Health and Human Services.  Assistant US Attorney Owen Foster’s perseverance and efforts, in particular, were a big reason this case was successful.”

“Brendan Delaney, Phillips & Cohen and the government team collaborated very closely and effectively to build this case and bring it to a successful conclusion,” Matzzie noted.

Former US Attorney Tristram J. Coffin and Eric Poehlmann of Downs Rachlin Martin PLLC served as local counsel in the case.

For more information about the allegations and the settlement, see:

·         The whistleblower’s complaint against eClinicalWorks [US ex rel. Delaney v. eClinicalWorks, LLC, Case No. 15-CV-00095 (D. Vt.)]

·         The government’s complaint in intervention, filed May 12, 2017

·         The settlement agreement with eClinicalWorks

·         The Department of Justice Press release

·         US Attorney’s Office for the District of Vermont press release

About Phillips & Cohen LLP

Phillips & Cohen is the nation’s most successful law firm representing whistleblowers, with recoveries for governments totaling more than $12.1 billion in civil settlements and criminal fines. The firm represents whistleblowers in qui tam lawsuits as well as cases brought under the whistleblower reward programs of the Securities and Exchange Commission, the Commodity Futures Trading Commission and the Internal Revenue Service. www.phillipsandcohen.com

May 31, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Patient Safety and the Use of eCW’s Electronic Health Records Software

WESTBOROUGH, Mass.—December 6, 2016— At eClinicalWorks, we are deeply committed to ensuring the safety of all patients whose health care providers rely on our software.  For this reason, we have made a sustained effort to continuously improve our system and processes and to educate users on the proper use of our software to ensure patient safety.  Even with these efforts, given our large base of users and the complexity inherent to all EHR systems, we periodically identify potential patient safety risks related to the use of our software.  As part of our ongoing effort to respond to and minimize such risks, eCW is making this announcement to ensure that all participants in the healthcare process – clinicians, pharmacies, and patients and their family members or caregivers – are aware of key patient safety risks and are focused on the roles they can play in minimizing those risks.

Ensuring the safety of patients requires collaboration and communication between individuals, their physicians, others involved in healthcare delivery, and EHR companies.  With this in mind, we are issuing the following reminders:

  • The use of eCW’s EHR software carries with it risks related to medication management, electronic prescribing, and the ordering process for tests and procedures, which are among the most complex functions performed by any EHR system.
    • In December 2015, for instance, in response to certain identified concerns, eCW advised users to install all software upgrades and patches and make adequate network resources available to allow the system to operate properly.  Prior to and since that time, eCW has issued other similar patient safety-related notices, all of which are available to eCW users at my.eclinicalworks.com.
  • Consistent with our prior advisories, clinicians should continue to be vigilant about medication management, e-prescribing and the ordering of tests and procedures. Specifically, clinicians should review and adopt the measures outlined in both eCW’s December 2015 advisory and the other patient safety-related notices issued by eCW.  These measures include the following:
    • Upgrade to the most current version of eCW’s software: In July 2016, the company directed all users to upgrade to the latest version of V10-SP1-C20.8 or higher to ensure that all changes designed to improve patient safety are implemented.  If you have not already done so, you should immediately install version V10-SP1-8 or higher, as well as all update patches. Failure to continually install updates may result in the software not receiving all necessary corrective fixes.
    • Upgrade to the most current version of the Multum or Medispan drug databases:eCW releases regular updates to commercial drug database information to ensure that the most current medication information is used. For cloud customers, this information is updated automatically; for non-cloud customers, the content update should be downloaded regularly.
    • Designate a patient safety officer: As our previous advisories have made clear, every physician office should designate a patient safety officer to serve as the primary liaison with eCW on patient safety-related matters.
    • Read every patient safety notice: Patient safety advisories and similar notices are an important way in which eCW communicates about potential risks to patient safety related to the use of our software. These notices explain the potential risk and recommend actions to mitigate the risk.  Providers should carefully read every patient safety notice, alert, or advisory that we issue and implement the recommended actions to ensure patient safety.  Again, eCW users can view a complete collection of these notices at my.elinicalworks.com.
    • Confirm order accuracy: To avoid errors, providers should always confirm that prescriptions and orders created using eCW’s software are accurate.
    • Encourage patients to confirm accuracy: You should ensure that your patients and their family members or caregivers are informed about medications, dosages, and other pertinent information about prescriptions and orders. Among other things, this should include encouraging them to obtain online patient portal accounts.  Additionally, you should instruct them to confirm that the correct medication has been dispensed by their pharmacists and that other types of orders have also been properly fulfilled.
    • Follow correct steps for modifying medications: Rather than modifying an existing medication by changing the dosage or route, clinicians should discontinue the original medication and reorder it with the revised dosage or route.
    • Exercise caution in the use of custom medications: Because the use of custom medications poses a higher risk of prescription errors, providers should limit their use whenever possible.  When custom medications are necessary, care should be taken to ensure that the prescriptions are properly transmitted and fulfilled.
  • Patients and their family members or caregivers should adopt the following safeguards:
    • Be educated about your care: Ask your physician to give you or your caregiver access to eCW’s online patient portal, where you can review your visit summaries, medication orders and tests.
    • Know your medications and orders: Be aware of the prescription medications (including names, dosages, and delivery methods) and the clinical, diagnostic, or other evaluative tests that have been ordered by your physician.
    • Be sure to confirm accuracy: Confirm that the correct medication has been dispensed by your pharmacist and that tests are performed as ordered.
  • Anyone – clinicians, prescribers, pharmacists, patients, caregivers, or others – who becomes aware of patient safety concerns or unexpected software issues should immediately report them to eCW at my.eclinicalworks.com and/or to the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology’s complaint website at www.healthit.gov/healthitcomplaints.

December 9, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HIMSS Analytics Announces eClinicalWorks as Certified Educator of the EMR Adoption Model

CHICAGO (January 14, 2015) – HIMSS Analytics named eClinicalWorks a Certified Educator of its EMR Adoption Modelsm (EMRAM).

EMRAM is an eight-step process that allows healthcare provider organizations to analyze their level of EMR adoption, chart accomplishments, and benchmark progress against other healthcare organizations across the country. Each of the stages is measured by cumulative capabilities and all capabilities within each stage must be reached before progressing.

“We’re happy to be able to confirm eClinicalWorks as an EMRAM Certified Educator,” said Blain Newton, COO, HIMSS Analytics. “EMRAM allows organizations to align IT initiatives and overall business strategy, which is essential to shaping future direction and moving the industry forward.”

Vendors achieving HIMSS Analytics Certified Educator status must pass an annual certification exam and commit to an annual educator program. This ensures they stay current with trends within the model and are equipped with the necessary knowledge to help their clients advance through the various stages.

“A major goal is having our customers utilizing the EMR the most beneficial way possible for both providers and patients,” said Girish Navani, CEO and co-founder of eClinicalWorks. “This certification will benefit organizations looking to analyze their adoption of EMR technology. We welcome being part of the program.”

For more information on the EMR Adoption Model, visit www.himssanalytics.org/emram.

About HIMSS Analytics
HIMSS Analytics collects, analyzes and distributes essential health IT data related to products, costs, metrics, trends and purchase decisions.  It delivers quality data and analytical expertise to healthcare delivery organizations, IT companies, governmental entities, financial, pharmaceutical and consulting companies. Visi twww.himssanalytics.org.

About eClinicalWorks
eClinicalWorks is a privately-held company focused on ambulatory clinical solutions. Its technology extends the use of electronic health records beyond practice walls and creates community-wide records. The company is second largest in the country for e-prescribing. Based in Westborough, Mass., eClinicalWorks has additional offices in New York City, Chicago, California and Georgia. For more information, please visitwww.eclinicalworks.com, Facebook, Twitter or call 866-888-6929.

January 14, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

eClinicalWorks Chooses Exostar’s New Identity Proofing and Second Factor Credential Authentication Service

ProviderPass Meets Security and Regulatory Compliance Requirements Necessary for Electronic Prescribing of Controlled Substances

HERNDON, VA, and WESTBOROUGH, MA, October 29, 2014Exostar, an innovative information technology company offering cloud-based solutions that enable secure, cost-effective business-to-business collaboration, today announced the general availability of its new turn-key, Software-as-a-Service (SaaS) identity proofing and second factor credential authentication solution, ProviderPasseClinicalWorks, a leader in ambulatory healthcare IT solutions, has selected ProviderPass to expand its comprehensive electronic health records (EHR) product suite to include electronic prescribing of controlled substances (EPCS).

The Drug Enforcement Administration (DEA) created strict technical EPCS requirements to help combat the prescription drug abuse epidemic.  Healthcare providers who wish to e-prescribe controlled substances must complete a stringent identity proofing process and present a high-assurance digital credential to verify their identity and digital signature when they submit a prescription.

With ProviderPass, eClinicalWorks will deliver easy-to-use, innovative, affordable EPCS functionality to its customers, which include large hospital systems; large and small health systems; large, medium, small, and solo provider practices; correctional health services; and community health centers throughout the U.S.

“We wanted to deploy an EPCS capability that preserved a consistent end-user experience for our customers and met current and anticipated DEA requirements,” said Jinesh Gandhi, partner operations at eClinicalWorks.  “Exostar’s legacy in the aerospace and defense industry, known for the depth and breadth of its security and compliance requirements, was a critical factor in our decision.  That, along with their turn-key SaaS business model and proven track record credentialing organizations with tens of thousands of users, gave us confidence we would meet our objectives and obtain a competitive advantage.”

Exostar’s ProviderPass includes remote identity proofing conducted in conjunction with Experian or via live web cam video.  Individuals purchase a one-time password (OTP) hardware token through Exostar’s web store.  eClinicalWorks customers use its EHR system in tandem with an activated OTP token to seamlessly e-prescribe controlled substances.

Exostar is a full-service Credential Service Provider certified by the SAFE-BioPharma Association to meet the National Institute of Standards and Technology’s 800-63 Level 3 standard mandated by the DEA.  Because SAFE-BioPharma is a U.S. Government-approved Trust Framework Provider, ProviderPass also aligns with U.S. Federal Identity and Credentialing Access Management (FICAM) requirements.

“eClinicalWorks clearly understands how EPCS simultaneously can improve patient outcomes, mitigate the illicit distribution of controlled substances, and enable providers to more efficiently and effectively focus on patient care,” said Vijay Takanti, Exostar’s Vice President of Security and Collaboration Solutions.  “We believe other health IT vendors will follow the lead of eClinicalWorks and turn to our ProviderPass service offering to enhance the security of their EHR solutions for EPCS and other use cases where identity verification and information protection are priorities.”

About Exostar

Exostar powers secure business-to-business information sharing, collaboration and business process integration throughout the value chain.  Exostar supports the complex trading needs of many of the world’s largest companies in aerospace and defense, life sciences, and other industries.  Exostar’s cloud-based identity assurance products and business applications reduce risk, improve agility and strengthen trading partner relationships and profitability for over 100,000 companies in 150 countries worldwide.  The Exostar community includes market leaders such as AstraZeneca, BAE Systems, Bell Helicopter, The Boeing Company, Computer Sciences Corporation, Lockheed Martin Corp., Merck, Newport News Shipbuilding, Northrop Grumman, Raytheon Co. and Rolls-Royce.  For more information, please visit www.exostar.com.

About eClinicalWorks

eClinicalWorks® is a privately-held leader in ambulatory healthcare IT solutions. With physicians across all 50 states using its solutions, customers include ACOs, physician practices, out-patient departments of hospitals, community health centers, departments of health and convenient care clinics. Ten eClinicalWorks customers have received the prestigious HIMSS Davies Awards during the past six years, honoring excellence in electronic health record implementation. The company is second largest in the country for e-prescribing. Based in Westborough, Mass., eClinicalWorks has additional offices in New York City, Chicago, California and Georgia. For more information, please visit www.eclinicalworks.com, Facebook, Twitter or call 866-888-6929.

October 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

eClinicalWorks and Epic Work Collaboratively to Make EHRs Interoperable

Interoperability Between Systems Enables Real-time Communication Among Medical Providers in Different Care Settings 

WESTBOROUGH, Mass.—September 24, 2013—eClinicalWorks® today announces bi-directional interoperability between the eClinicalWorks electronic health records (EHR) system and Epic’s EHR system. This integration allows for real-time data transfer between the systems, facilitating coordination of care between providers in various care settings and ensuring that providers have more complete and accurate patient information at the time of care.

“Standards-based interoperability between systems is important for our customers and for our industry,” said Peter DeVault of Epic.  “Because both companies supported the national interoperability standards, we were able to quickly and efficiently implement this connection.”

EHR adoption has increased in recent years, shifting the industry focus to interoperability between systems, which allows for better transmission of data related to the care of a patient. Using the IHE PDQ integration profile to provide a high degree of certainty of a strong patient match as well as the XDR and XDS.b standards for clinical document exchange, eClinicalWorks and Epic have made this a standard part of their respective interoperability products. Examples of the type of data exchanged include medications, problem lists, allergies, discharge summaries and Continuity of Care Document (CCD). Having complete information at the point of care aids medical providers in making better and timelier decisions.

“Communication between EHRs aids the delivery of care and advances the industry as a whole,” said Dr. Raj Dharampuriya, chief medical officer and co-founder of eClinicalWorks. “We have been able to complete this real-time interoperability in a short time-frame by using industry standards and because both eClinicalWorks and Epic are committed to this common goal.”

September 24, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

46% of U.S. Physician Groups plan to join a Health Information Exchange (HIE)

Burlington, VT – HIMSS Analytics continues the series of strategic industry reports previously published by CapSite with the release of the 5th Annual U.S. Ambulatory Electronic Health Record (EHR) & Practice Management (PM) Study.  The study represents unique Voice of Customer (VOC) insight from more than 800 physician groups on market adoption, market share, market opportunity and vendor mind share across the U.S. physician market.  Additionally, it incorporates information from the HIMSS Analytics® Database for a comprehensive snapshot of the Ambulatory EHR and PM marketplace.

“The year-over-year analysis that we provide allows for an in-depth understanding of industry trends,” said Brendan FitzGerald, HIMSS Analytics Research Director. “While both the tethered and non-tethered Ambulatory EHR markets show signs of maturing, there is continued opportunity with 35% of respondents planning to purchase, replace, or upgrade an Ambulatory EHR solution.”

The study includes Voice of Customer (VOC) insight on physician group:

  • Status on receiving incentive funding for Stage 1 of Meaningful Use (MU)
  • Plans for purchasing or upgrading Ambulatory EHR & PM solutions
  • Primary drivers behind decisions to replace current Ambulatory EHR & PM solutions
  • Plans for joining a Health Information Exchange (HIE)

Vendor Market and Mind Share coverage includes:

Acumen, ADP AdvancedMD, Allscripts, Amazing Charts, Aprima, athenahealth, BioMedix, Cerner, CPSI, eClinicalWorks, e-MDs, Epic, GE Healthcare, Greenway, Healthland, HMS, McKesson, Meditech, MedNet, MedPlus, MED3000, NextGen, OptumInsight, Practice Fusion, Siemens, Vitera

About HIMSS Analytics
HIMSS Analytics is a wholly-owned, not-for-profit subsidiary of the Healthcare Information and Management Systems Society (HIMSS). The company acquired CapSite in October 2012 and offers a portfolio of healthcare information technology market intelligence products and services, including detailed analytics tools, market research, and customized consulting. Visit www.himssanalytics.org or www.capsite.com for more information.

June 12, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

One-third of Ambulatory Practices to Replace EMRs – Big Names Fill the Void


Replacement surge sets up Allscripts, eClinicalWorks, Epic and NextGen for compelling ambulatory EMR growth, according to a new KLAS study.
 

OREM, Utah – Feb. 23, 2011 – Already a hot market, ambulatory EMR sales – both first-time and replacement – have shot up again over the last year, and though options are more plentiful than ever, health care providers are leaning toward the tried-and-true, according to a new report by KLAS.For the new report, Ambulatory EMR: Win Rates, Replacements, and Provider Loyalty, KLAS conducted nearly 400 provider interviews to identify the ambulatory market’s purchasing trends and interest in various EMR products. A key trend, according to the report, the rate of ambulatory EMR replacement has accelerated over the last year.

“Replacements of existing ambulatory EMRs are happening at an alarming rate,” commented Mark Wagner, KLAS director of ambulatory research and author of the report. “Overall, 35 percent of all providers interviewed for this report are replacing their existing EMRs. This includes nearly a third of the smallest practices, as well as 43 percent of groups with 100-plus physicians.”

According to the report, health care professionals are turning to vendors they perceive as enduring and stable. Allscripts, eClinicalWorks, Epic and NextGen represent the best-known and most considered vendors in this study.

“Despite the perceived safety of more well-known solutions, the overall pool of vendors considered by providers is broader this year than in any previous report,” Wagner said. “However, though many providers are attracted to the specialized features and workflows of some lesser-known products, they most often opt for the security of an established brand name. Providers believe these vendors will survive the transition to the meaningful-use future.”

In Ambulatory EMR: Win Rates, Replacements, and Provider Loyalty, the most popular vendor was Allscripts, considered in 16 percent of deals; it was followed by Epic (12 percent) and NextGen (10 percent). This report also highlights AdvancedMD, athenahealth, Cerner, eClinicalWorks, e-MDs, GE Healthcare, Greenway, McKesson and Sage.

For more information about the ambulatory EMR market, as well as the strengths and weaknesses of participating vendors, Ambulatory EMR: Win Rates, Replacements, and Provider Loyalty is available to healthcare providers online for a significant discount off the standard retail price. To purchase, healthcare providers and vendors can visit www.KLASresearch.com/reports.

About KLAS
KLAS is a research firm specializing in monitoring and reporting the performance of healthcare vendors. KLAS’ mission is to improve delivery, by independently measuring vendor performance for the benefit of our healthcare provider partners, consultants, investors, and vendors. Working together with executives from over 4500 hospitals and over 2500 clinics, KLAS delivers timely reports, trends, and statistics, which provide a solid overview of vendor performance in the industry. KLAS measures performance of software, professional services, and medical equipment vendors. For more information, go to www.KLASresearch.com, email marketing@KLASresearch.com, or call 1-800-920-4109 to speak with a KLAS representative. Follow KLAS on Twitter at www.twitter.com/KLASresearch.

March 2, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

eCLINICALWORKS ACHIEVES INTEGRATION WITH MORE THAN 1,000 HOSPITALS

Award-winning Vendor Connects its Ambulatory Unified EMR/PM System to Hospital

In-Patient Systems for Improved Care Coordination

ORLANDO, HIMSS Conference, Booth #2311—February 21, 2011—eClinicalWorks®, a market leader in ambulatory clinical systems, today announced that the company has completed interfaces with more than 1,000 hospitals. These include bi-directional interfaces for labs, radiology and discharge summaries for hospitals using Meditech, Cerner, Siemens, Eclipsys, McKesson and others. This integration allows patient care information, including discharge summaries and medication lists, to be shared between the hospitals and their regular physician, promoting improved coordination of care.

“Our members are affiliated with a nationally recognized hospital, known for its technology leadership,” said David Katz, Director of the Ambulatory Technology Group at El Camino Hospital. “El Camino and IPECH were looking for a way to clinically connect community physicians, with each other and with our Allscripts in-patient system. Our physician advisory council selected eClinicalWorks for the solution’s intuitive nature and workflow, and its commitment to interoperability.”

“Our goal in establishing a community health record is to increase the quality of care and patient safety while lowering costs,” said Mitch Kwartler, Director of Information Systems of Memorial Hermann Healthcare System. “We chose eClinicalWorks in part because of the intuitive nature of the product and its inherent connectivity supporting our clinical integration strategy. The level of integration between our eClinicalWorks ambulatory system and the Cerner in-patient system will allow all physicians treating a patient to be able to view and update the community EHR, taking the burden off of the patient in keeping all providers up-to-date on treatments received and medications, thus improving overall patient care.”

“MACIPA’s hallmark is our emphasis on innovation and we are continually working to improve our clinical and information systems to provide better patient care,” said Dr. Barbara Spivak, president of Mount Auburn Cambridge Independent Practice Association, Inc. “eClinicalWorks’ electronic health record is a very versatile product which allows us to interface with other systems, e.g. Meditech and Quest labs. By creating interfaces with eClinicalWorks, we are able to expand and enhance the electronic health record for our physicians, putting more of the information that is vital to the care they provide their patients in one place, on their desktops. We are also working on a community record, again with eClinicalWorks, and its eEHX product. Our physicians are eagerly awaiting our launching eEHX because it will improve communication with each other and broaden their understanding of our patients’ needs. eClinicalWorks is a cornerstone of our innovative work to improve the quality of patient care.”

“Norman Regional Health System has long seen the value in connecting its providers via a community health record,” said Dr. Brian Yeaman, CMIO for Norman Regional Health System. “Part of the reason we selected eClinicalWorks was its commitment to ensuring its solutions work well with our current systems, including interfacing with Meditech. We have proven interoperability not only between eClinicalWorks and our inpatient unit, but have also utilized eEHX to connect to another HIE. This allows us to exchange clinical data over a regional network combining data from virtually every major inpatient and EHR vendor in the state of Oklahoma. Using eClinicalWorks aided us in achieving many milestones, including having one of our providers be the first to receive a check for demonstrating meaningful use.”

eClinicalWorks is a fully unified solution for practices, enterprise groups, hospitals both employed and affiliated, and academic health centers of all sizes and most specialties, linking all features via a single database. It emphasizes preventative care through features including clinical decision support, order sets and registry reporting. Connecting the eClinicalWorks system with the in-patient system of their affiliated hospital further automates physicians in an effort to foster better, more efficient care in both the in-patient and ambulatory settings.

“As has been demonstrated in other industries, technology silos don’t work and that is especially true in healthcare,” said Girish Kumar Navani, CEO and co-founder of eClinicalWorks. “Since the beginning, we have built our product using industry standards that promote interoperability, making it easier for our customers to gain the most advantages out of their systems. We have had great success in working with Meditech systems, along with many others.”

About eClinicalWorks

eClinicalWorks® is a privately held leader in the ambulatory clinical systems market.  The company’s unified electronic medical record (EMR) and practice management (PM) solutions are proven for every market segment: large practice groups, including Massachusetts eHealth Collaborative (MAeHC), Electronic Health Records of Rhode Island (EHRRI) and the New York City Department of Health and Mental Hygiene, as well as medium, small and solo practices regardless of specialty.  The company enjoys high profitability with a five-year compounded growth rate of more than 100 percent year-to-year.  With an established customer base of more than 50,000 providers and 225,000 healthcare professionals across all 50 states, eClinicalWorks has been awarded multiple top industry honors including being named to the Inc. 5000 in 2009, 2008 and 2007.  Based in Westborough, Mass., eClinicalWorks has additional offices in New York City, Pleasanton, Calif. and Alpharetta, Ga.  More information on eClinicalWorks can be found at www.eclinicalworks.com or by calling 866-888-6929.

February 22, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

EDWARD RIPPEL, M.D. IS cOnnecticut’s First Solo PRACTITIONER RECOGNIZED as a PATIENT-CENTERED MEDICAL HOME

Electronic Medical Records Aid Dr. Edward Rippel in Achieving Recognition in the Nation’s Foremost Quality Assessment Program

ORLANDO, HIMSS Conference, Booth #2311—February 21, 2011—eClinicalWorks®, a market leader in ambulatory clinical systems, today announced that Dr. Edward Rippel, owner of Quinnipiac Internal Medicine, P.C., of Hamden, Conn., has been recognized by the National Committee for Quality Assurance (NCQA) for achieving Level 3 Physician Practice Connections®-Patient-Centered Medical Home™ (PCMH) status, the highest level available.  The practice model is designed to coordinate care in a primary care setting, where each patient has a one-on-one relationship with a personal physician, who provides continuous and evidence based comprehensive care. The personal physician leads a team of individuals who participate in the ongoing care of patients, including communication with other providers. This coordination takes place in a culturally and linguistically appropriate environment, helping to strengthen the physician-patient relationship, improving the quality of care that patients receive, and reducing avoidable costs through improved clinical outcomes.

“I have always been patient-centric in my approach, focusing on preventive medicine and chronic disease management,” said Dr. Edward Rippel of Quinnipiac Internal Medicine. “This philosophy facilitated the pursuit of PCMH status, allowing me to become the first solo practitioner in Connecticut to receive this recognition. The eClinicalWorks electronic medical records application is a powerful tool that afforded me the ability to achieve significant improvements in the quality of care I provide for my patients and to supply the documentation required for PCMH recognition.”

eClinicalWorks emphasizes preventive care and supports the medical home model of healthcare delivery through features including automated reminders and multiple modes of communication with patients. These elements of the software allow the provider to more thoroughly and efficiently address all of the patients’ health care needs.  After installing eClinicalWorks in his office, Dr. Rippel’s success in controlling Diabetes to the nationally accepted goal, rose to 70 percent, while the national average in primary care practices for the period 1999-2004 was about 48 percent [Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey, 1988-1994 and 1999-2004.]. Also, 98 percent of Dr. Rippel’s patients with cardiovascular disease are on appropriate antithrombotic medications (blood thinners such as Aspirin).

“By putting an emphasis on preventive care, PCMH holds great promise in improving the quality of patient care,” said c, CEO and co-founder of eClinicalWorks. “We work closely with our customers to ensure they have the tools needed for these types of programs, including features such as real-time clinical decision support and registry reporting. Being named a PCMH is a great accomplishment and we congratulate Dr. Edward Rippel on this achievement.”

Additional features in the eClinicalWorks application that support the goal of PCMH include the ability to capture demographics, coordinate referrals to other providers, e-prescribe, manage labs and x- rays electronically, compile a comprehensive electronic medical record  spanning the continuum of care for every patient, as well as participate in local, regional and state-wide health information exchanges.

According to the NCQA Web site, PCMH “is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.”

To learn more about PCMH, visit http://ncqa.org/tabid/631/Default.aspx

I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

BAYCARE HEALTH SYSTEM AND eCLINICALWORKS PUT FLORIDA PHYSICIANS ON ELECTRONIC HEALTH RECORDS PLATFORM

Tampa Bay’s Largest Community-based Health System has more than 150 Providers Live on eClinicalWorks Comprehensive Electronic Health Records Solution

WESTBOROUGH, Mass. and CLEARWATER, Fla.—February 21, 2011—eClinicalWorks®, a market leader in ambulatory clinical systems, and BayCare Health System, the largest community-based health system in the Tampa Bay area, today announced that they have partnered to provide eClinicalWorks’ comprehensive electronic health record (EHR) solution to BayCare’s approximately 3,000 physicians.

BayCare provides physicians with the support necessary for the solution to be successful and to help improve patient care. BayCare has a dedicated team of professionals who help physicians throughout the eClinicalWorks implementation process – from workflow to IT infrastructure and training. With an in-depth knowledge of the eClinicalWorks product and the ability to provide practices with face-to-face support, BayCare ensures that physicians do not have to go through the EHR process alone.

“BayCare is committed to delivering superior patient care and ensuring that our clinicians and providers have all the tools necessary to make this possible,” said Bruce Flareau, MD, Chief Medical Informatics Officer and Vice President of Physician Alignment at BayCare Health System. “Teaming with eClinicalWorks enables us to improve communication among our providers and between the practices and our patients while also having immediate, 24 x 7 access to charts, tests and discharge information – when and where the clinicians need it.”

As part of this relationship, many physician practices are taking advantage of eClinicalWorks’ fast-track implementation, which brings practices live in eight to 12 weeks from contract signing. BayCare is also utilizing eClinicalWorks Electronic Health eXchange (eEHX) which interfaces with BayCare’s in-patient Cerner EHR system. eEHX is available to all practices in the BayCare network at the time of deployment and provides a longitudinal view of patient records, showing a patient’s medical history in a simple format, and eClinicalWorks P2P referral management.

“eClinicalWorks has a proven track record in successfully deploying hospital communities, providing a comprehensive electronic health record solution that is ideal for use in most ambulatory settings,” said Girish Kumar Navani, CEO and co-founder of eClinicalWorks. “The Software as a Service model shows great advantages in producing fast and successful deployments, and our investment into our private cloud infrastructure allows increased reliability. We look forward to helping BayCare Health System make communication between practices seamless.”

“BayCare is leading the way in the Tampa Bay area by integrating physicians’ office EMR with the hospitals’ EMR system,” said Brian Hale, MD of Urology Specialists of West Florida. “By teaming with eClinicalWorks, BayCare is able to provide myself and other physicians with a top notch EMR solution and superior training and support to implement the system.”

As part of eClinicalWorks’ comprehensive EHR solution BayCare Health System will implement the following:

  • eClinicalWorks EMR enables clinicians to manage patient flow, immediately access patient records in-house or remotely, electronically communicate with the referring physicians and securely send consult notes and clinical data;
  • eClinicalWorks Patient Portal allows patients and doctors to communicate securely via the Internet.
  • eBO® performs clinical and financial analytics;
  • eClinicalMobile® permits BayCare Health System’s physicians to access the system at any time through their smart phone;
  • eClinicalMessenger® acts as a messaging service that utilizes Voice-over-Internet Protocol (VoIP) to enable physician practices to send messages, in batches or singularly, to patients for aspects of care. This includes appointment reminders, lab results, diagnostic imaging and statements;
  • eClinicalWorks P2P™ provides practice-to-practice, provider-to-provider communications in a peer-to-peer environment; and
  • eEHX® serves as a hub to provide physicians with improved access to patients’ health information and allow them to exchange data more effectively with each other and with BayCare Health System’s Cerner in-patient EMR system.

Through a business relationship with Dell, BayCare and eClinicalWorks can support clients’ hardware or networking installation.

About BayCare Health System
BayCare Health System is a leading community-based health system in the Tampa Bay area. Composed of a network of 10 not-for-profit hospitals, outpatient facilities and services such as imaging, lab, behavioral health and home health care, BayCare provides expert medical care throughout a patient’s lifetime.

With more than 219 access points conveniently located throughout Tampa Bay, BayCare connects patients to a complete range of preventive, diagnostic and treatment services for any health care need. The extraordinary health care professionals across the BayCare network seek to advance the health of their patients and their communities by setting the standard for compassionate care that respects the dignity of every individual. For more information, visit www.baycare.org.

I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.