Advanced eClinicalWorks Cloud Platform, OneHealthEQ, And Mosaic Health

As a Federally Qualified Health Center (FQHC) based in Rochester NY, Mosaic faced challenges with their Electronic Medical records system, […]

By zivaro|August 24, 2019|0 Comments

As a Federally Qualified Health Center (FQHC) based in Rochester NY, Mosaic faced challenges with their Electronic Medical records system, eClinicalWorks. eCW is an EMR or EHR solution, that manages all aspects of patient care. They were experiencing outages, downtime and hardware price increases. Mosaic needed to get back to focusing on patient care and healthcare provider productivity. To remedy the challenges, Mosaic looked to OneHealthEQ to provide relief.

The solution: An AWS hosted EMR+EHR platform, to control hardware costs and optimize uptime.


Mosaic Health is a Federally Qualified Health Center (FQHC) located in Upstate NY providing primary medical, dental and mental health services to uninsured and underinsured patients. They have 6 locations, a mobile dental program + 2 administrative centers. Mosaic’s mission is to provide access to compassionate, individualized health care and wellness-related education for everyone, regardless of financial, cultural, or social barriers.


Like many clinics and healthcare organizations, Mosaic relies on eClinicalWorks for their EMR/EHR solution. There were many challenges that Mosaic faced with their initial eCW EMR/EHR platform:

  • Latency – Full or half day outages
  • Over-dependence on physical hardware
  • Too many “moving parts”/complexity
  • Scale and pricing
  • Ransom-ware and Security Concerns


Mosaic reached out to OneHealthEQ, a wholly owned subsidiary of Zivaro, Inc, due to their expertise in creating custom  IT solutions for the healthcare market place and the ability to navigate challenges in the heavily regulated health care market. OneHealthEQ proposed a solution custom built on AWS to maximize uptime and cost effective sclability.

OneHealthEQ, an industry-leading platform purpose-built in AWS to securely and seamlessly deliver eClinicalWorks at a fraction of the cost it would take to build and manage in-house.

OneHealthEQ powered by AWS, allows Mosaic to focus on patient well-being.  No server hardware to purchase, rack, power, cool, secure, maintain patch or troubleshoot. With OneHealthEQ powered by AWS, Mosaic’s eCW solution is always “right-sized” avoiding over spending on licensing and hardware purchases.


OneHealthEQ and Mosaic have continued their partnership by engaging in an ongoing managed services relationship. OneHealthEQ strives to provide Mosaic continuous innovation and automation, with next generation managed IT to optimize for today’s technology complexity.

Most importantly, this ongoing relationship with OneHealthEQ allows Mosaic to focus on what they do best; driving equitable patient care for the upstate New York communities.


Mosaic Health removed themselves from the practice of supporting their IT systems and took ownership of their patient population data to focus on what they do best – patient care.

They also realized additional benefits:

  • Reliability – 3 outages in the last 1.5 years; 1 amazon, 2 carrier, they were down for less than 20 minutes, in comparison to monthly, half-day outages previously.
  • Much faster with low latency – doctor’s and nurses are more efficient
  • Overall experience – not receiving calls about systems down, no rebooting, tracking and documenting eCW activity on cloud servers for accountability
  • Cost Savings – No more products to purchase and no more over licensing fees

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