Does eClinicalWorks Provide a Notice of Privacy Practices?
By NPP Generator Research Team · Published Apr 24, 2026 · Last reviewed Apr 24, 2026 · 4 min read
Key Takeaways
- ✓ eClinicalWorks does not produce a HIPAA Notice of Privacy Practices for your practice
- ✓ eClinicalWorks does sign a BAA — a vendor contract, not a patient-facing HIPAA notice
- ✓ eCW's healow patient portal can collect intake forms, but practices must supply NPP content
- ✓ eClinicalWorks is one of the largest EHR vendors in the US by practice count
- ✓ The NPP obligation belongs to the covered entity regardless of EHR
eClinicalWorks (commonly called eCW) is one of the largest EHR vendors in the United States by number of practices, particularly popular with primary care, family medicine, and multi-specialty groups. Despite being a fully HIPAA-compliant platform with a robust feature set, eCW does not produce the patient-facing Notice of Privacy Practices that each covered entity practice must independently create and maintain.
What eClinicalWorks Provides
- Business Associate Agreement. eCW executes a BAA with covered entity practices, binding eCW to HIPAA obligations for PHI it handles.
- HIPAA-compliant EHR. Encrypted records, audit logging, and access controls across the eCW platform.
- healow patient engagement platform. Online scheduling, check-in, and patient portal — intake forms can be collected electronically, but practice-supplied content only.
- Interoperability and data exchange. eCW supports HIE participation and ONC-certified data exchange, which has its own NPP disclosure requirements.
HIE Participation and Your NPP
If your practice participates in a Health Information Exchange (HIE) through eCW's interoperability tools, your NPP must include a specific HIE participation disclosure. HHS requires that covered entities that participate in an HIE notify patients of that participation in their Notice of Privacy Practices. This is an additional content requirement on top of the standard NPP — and it's one that eCW does not add to your NPP on your behalf. See NPP requirements in 2026 for the full content checklist.
What You Still Need if You Use eClinicalWorks
- A compliant NPP aligned to the HHS February 2026 model
- HIE participation disclosure in the NPP if your practice exchanges data through an HIE
- Public website posting of the NPP
- Physical office posting at each service site
- An acknowledgment process for new patients (eCW's healow portal can collect this once you upload your NPP)
Frequently Asked Questions
Does eClinicalWorks provide a Notice of Privacy Practices?▼
No. eClinicalWorks provides a BAA and HIPAA-compliant EHR and practice management infrastructure but does not produce a Notice of Privacy Practices. The NPP is a covered-entity obligation under 45 CFR § 164.520.
Does eCW sign a BAA?▼
Yes. eClinicalWorks executes a Business Associate Agreement with covered entity practices. The BAA covers eCW's handling of PHI across its EHR and patient engagement platforms.
Does my NPP need to mention HIE participation?▼
Yes, if your practice participates in a Health Information Exchange. HIPAA requires HIE participation to be disclosed in the NPP. NPP Generator includes an optional HIE participation flag in its intake questions to handle this disclosure when applicable.
What's the difference between an NPP and a BAA?▼
A BAA is a vendor contract between your practice and eClinicalWorks. An NPP is a patient-facing notice from your practice to your patients. Both are required by HIPAA but serve different functions. See NPP vs. BAA — what's the difference.
Generate your NPP in under 5 minutes.
Upload the PDF to eCW's healow intake flow, post it on your website, and you're covered. HHS February 2026 model with HIE participation option. $49 one-time — no subscription.
Start your NPP — $49Free watermarked preview available. See sample →