Most practices blame their EHR the moment productivity starts slipping. But after reviewing dozens of eClinicalWorks environments, I’ve noticed something that rarely gets the attention it deserves: the biggest productivity killers usually aren’t the software. They’re the workarounds that were created years ago, quietly became “how we do things here,” and never got revisited.

Those workarounds are signals. They point to a gap between how eClinicalWorks was configured, how staff was trained, and how the practice actually operates today. That gap is where eClinicalWorks workflow optimization should begin.