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3 Keys to Improving your EHR ROI

As most of you know, I’m a big fan of EHR. However, we still hear of many cases where the EHR isn’t living up to its potential. In most cases, they start talking about the ROI of their EHR software. While there are many reasons why a practice could not be seeing an ROI on their EHR software, the reality I’ve seen over all these years is that an EHR ROI is possible, but it takes the right focus, the right people and the right software to make it happen.

The benefits of EHR software are there and quite clear. What’s not clear is whether your EHR implementation is going to be done in a way that it achieves those goals.

While I still think that EHR selection is the most important factor in determining the ROI of your EHR software, this whitepaper called Improving the ROI of Your EHR: 3 Keys for Success provides a pretty good set of ideas as well. In fact, you should consider the 3 keys in this whitepaper as part of your EHR selection process.

Here are the 3 keys that they offer:

  1. Choose a Product that Enhances Profitability
  2. Optimize Implementation for Faster Time to Value
  3. Attack Meaningful Use in a Way that Maximized Value

The whitepaper digs into a lot more details on what each key really means.

As I look at those keys, I think:

  • Do you have the right software?
  • Are you implementing the software thoughtfully so you get to the value as quick as possible?
  • Can you benefit from the government EHR money?

Of course, there’s a lot of dirty worked involved in each point. EHR ROI doesn’t come without work, but ROI rarely involves sitting back with a cold drink in hand.

December 6, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

10 Tips for Selecting the Right EHR

I recently stumbled upon the Insight Data Group website. I don’t know much about the organization, but they had an interesting page on their site listing 10 tips for selecting the right EHR. Here are there 10 tips.

  • Make sure the EHR is easy to use and customize
  • Get training and more training
  • Buy the ‘right sized’ solution for your practice
  • Know who’s filing your insurance claims
  • Get and check references
  • Get mobility / portability access
  • Use the government’s money to pay for your EHR
  • Compare total cost of ownership not monthly payments
  • Know the financial stability and reputation of your EHR vendor
  • Make sure your vendor’s meaningful use guarantee is meaningful

They have a full explanation of each tip at the link above, but I thought it was an interesting list to share. I have a little bias for the e-Book I wrote on EHR selection, but this is a good quick list to consider if you’re in the EHR selection and EHR implementation process. I would be careful with the government money recommendation. I’d probably have said, “Consider using the government’s money to pay for your EHR.”

Of course, many of you are likely already past this process. However, I know that many of you will need this list in a year or two when your current EHR software doesn’t deliver what you expected it to deliver. We’re already seeing this now, but the replacement EHR market is going to be huge over the next few years.

November 30, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

The Fast EHR Companies and the 37Signals EHR Companies

I was recently reading this fascinating interview with Jason Fried, Founder of 37signals. It’s a fascinating read, as was his book Rework. I must admit that I have a similar model for tech entrepreneurship to Jason Fried and it is quite different than what’s written about by most tech websites. Jason is much less about the flash and cash part of entrepreneurship and much more about building something of value in a long term sustainable way.

As I consider on these ideas, I started to wonder about the various EHR companies and which companies fall into the various entrepreneurship buckets.

Fast EMR
The fast EMR company is usually one that’s gone out and gotten a ton of funding from venture capital firms. If you’re an EHR company that’s gone out and raised millions and millions in funding, then you have no choice but to attack the market aggressively so that you can provide a return to your investors. There are actually a number of EHR companies that fit this profile, but the first one that will likely come into everyone’s mind is Practice Fusion. There $64 million in EHR funding means that they have to get a large portion of the EHR market. They no longer have the option of staying small but successful.

Let me be clear that there’s nothing wrong with being a Fast EMR. In fact, there are a lot of good things that come out of fast EMR companies that are trying to push the envelope when it comes to EHR adoption and how EHR should be done. It is entrepreneurship at work.

Slow and Steady EMR
On the opposite end of the spectrum are what I call the slow and steady EMR companies. These companies are often self funded or took in a much smaller investment and then used revenues to grow the company much like 37signals founder described. They slowly and steadily built their product, acquired customers and generated revenue.

I believe that SOAPware and Amazing Charts are the epitome of this type of company. They were both physician founded EMR companies that have built their user base slowly over time. They’ve never gone out and gotten the millions in funding. Instead they’ve grown organically over time.

Why Does This Matter?
In my e-Book on EHR selection, I talk about why it is important for you to understand the type of EHR company you are choosing. Would you rather “marry” the EMR tortoise or the EMR hare? The choice could change your EHR experience dramatically.

Disclosure: Practice Fusion, Amazing Charts and SOAPware are all advertisers on this site, but I didn’t discuss this post with them before posting it. Although, since they’re advertisers they were likely top of mind for me when I was writing this post.

September 4, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

The EHR Has Clothes … At Least Some of Them

I’ve been really falling in love with some of the content that the Health Affairs blog has been putting out there lately. A recent post titled “The EHR Has No Clothes” was no exception. In this incredibly thoughtful post by Barry Saver, he’s not afraid to start a discussion about points that many are afraid to talk about. I like that a lot. Although, I think the post also represents a couple ongoing trends I see in EHR perceptions.

Common EHR Problem 1 – I can’t tell you how many times I ask a doctor how they like their EHR and then they provide me some small facet of the EHR which annoys them. In Barry’s case it’s “Most screens do not show age, date of birth, or medical record number.” While we could delve into the particular feature that Barry mentions, that’s really not the point. The point is that far too often I see users of EMR systems fixating on one particular issue and ignoring the dozens of other items that are better than the paper world. It’s the proverbial throwing out the baby with the bath water.

No doubt I have a little Pollyanna in me. Although, I should be clear that I’m not suggesting that EHR problems shouldn’t be addressed. Please do hold EHR vendors accountable if their software needs changes. I am saying that I see far too many doctors and clinics that get so fixated on one problem that they ignore all the other good things that are possible. There are deal breaking EHR features and their are EHR annoyances that can be fixed. Make sure you know which one you are really dealing with when you see it.

As an interesting sidebar, this same fixation often happens in the EHR selection process. Although, in this case the person selecting the EHR often fixates on some particular feature (valuable or not). For example, they’ll say that they really love the login screen or background color. It’s amazing what little things can have such an influence on our decision making when they shouldn’t matter at all.

Common EHR Problem 2 – I’ll call this problem the mature feature problem. It turns out it’s a fallacy to assume that a mature EHR (ie. one that’s been around for a long time) has had time to fix all the problems. Here’s a short paragraph from the above linked post:

Approving 12 months of refills when I receive an electronic refill request typically takes a combination of 14 mouse movements, clicks, and keystrokes – as opposed to four if it were implemented efficiently. The list of items needlessly making it more difficult to provide efficient and effective care would cover many pages. These might seem like issues that could be present in version 1 of a system and then promptly fixed, but we currently have version 5.6.

I’ll save the discussion of mouse clicks and keystrokes for another post since it’s an important one. Instead, let’s focus on the idea that a mature EHR will have worked out all the issues with certain features. While this can definitely be true in the early development of EHR software, the opposite often comes into play as EHR software matures.

When an EHR begins its development life cycle it’s usually only saddled with a very specific task. In fact, you don’t have time to build all the features so you often have to make it really simple because of time constraints. Assuming this meets your workflow, it’s a great thing and you enjoy a wonderfully simple interface. Over time, features continue to be added to the interface. Plus, they have to start supporting all 50+ medical specialties that all have their own specific needs. Quickly, the beautiful EHR interface gets bloated to the point that it can do everything imaginable, but it does nothing really well.

Certainly, the best EHR software vendors know this and battle against it. Although, it really takes a battle to overcome this challenge.

What I find even more ironic is that Barry suggests Vista as the solution to his issues with EHR. At least he admits to never having used it other than the demo client on the web. Certainly Vista has its place in the EHR world and I love that it’s open source and benefiting from that innovation. Although, I think it’s crazy to think that a small doctor’s office is going to implement Vista. I’d love to see Barry do a write up after he adopts Vista.

Does the EHR have no clothes?
I think many EHR companies do have clothes on. I think the real problem is that we need to just stop shopping at the high end stores by the nude beach.

July 10, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

Mayo Clinic Social Media Residency, EMR Selection, & EMR License Transfers

While the Twittersphere is flooded with tweets about the #HIT100, I still was able to take a look through all the volume of tweets and find a few good topics that are well worth discussing on this site.

There are some real doozies in this EMR and Health IT Twitter round up. I’d love to hear your thoughts on each of the topics.

Let’s start with this announcement from the Mayo Clinic:

That’s pretty amazing news to consider. I imagine that most doctors won’t like the use of the name “residency” when it comes to this program. It kind of diminishes how much work, effort and learning happens in their residency. In this case I have to agree with those doctors. Use of the word residency for this short “social media residency” is in poor taste. Although, I do like that the Mayo Clinic is placing such value on the use of social media in healthcare.


Amazing counsel!! Read it again and post it on your wall if you’re going through an EHR selection. The other way to deal with this is to not buy until the requested features is implemented. Although, if you go that route, you might be sitting around forever since they may never implement your requested feature.


I’m glad to see Jim Tate tweeting again. I think he was on hiatus for a while. Or maybe I just hadn’t seen him for a while. In the above tweet he links to an article by William O’Toole that does a great job looking at the issues associated with EMR licenses. Well worth a read if you’re purchasing an EHR or if you plan to one day sell or transfer your practice to someone else.

July 8, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

You Don’t Know What You Don’t Know When it Comes to EHR Adoption

My husband and I are currently researching the world of landlords with the possibility of becoming two in the very near future. This process has presented me with several situations that physician practice managers must find themselves in from time to time, especially when contemplating purchasing and implementing a new piece of healthcare IT.

The first thing I did was sit down with a friend who, along with her husband, currently manages multiple properties in addition to having a full-time job – a situation not unlike my own. I came to our conversation with a laundry list of questions about being a landlord, which she was happy to answer over a few glasses of wine. I have continued to use her as a sounding board as I continue down the path of property management.

I imagine that, hopefully, this is what practice managers do when mulling over new IT systems for their facilities – get together over coffee, a round of golf, at a conference, and really hash out the experience of one for the benefit of the other. Personal recommendations and advice are invaluable, in my opinion.

In tandem with plying my friend with wine, I also turned to the Web for resources with which to educate myself – another research practice managers most likely utilize. As someone who deals with healthcare vendors on a daily basis, I know that there is a treasure trove of data out there on pretty much any health IT system you might be contemplating. White papers, case studies and of course many of the blogs at Healthcarescene.com offer insight into implementation experiences.

Then came the hard part – sifting through the “free” property forms I could use to get the rental property ball rolling. Like many of us in healthcare, as the popular saying goes, “you don’t know what you don’t know.” So, while many free forms I came across seemed perfectly legitimate, I was constantly second-guessing myself: Is this one legal enough? Will that one hold up in court if, heaven forbid, we have an eviction on our hands? Why would someone pay for this form when they can get it for free? What is this website not telling me!?

I wonder if this is similar to what small practice managers feel like when they go down the path of the free EHR. As consumers, we typically assume that free is good, but we also know that you get what you pay for. So they must do some second-guessing themselves when it comes to using healthcare IT that includes advertising from third parties, right?

This is where, I imagine, a successful free EHR company would step in with the aforementioned white papers, case studies and offers to sit down and allay any fears a provider might have about taking this leap into the HIT unknown. I’d love to hear from those who have been in similar situations. What resource did you find of most value when considering new IT? What resource disappointed you? What were you not aware of that might have made a difference in your decision? Please share your thoughts with me in the comments below.

June 18, 2012 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

EHR Selection Services

Those of you who’ve read my Free e-Book on EMR selection know that one of the things I suggest you do is to narrow down your list of EHR vendors to a small group of ~5 EHR vendors to start your EHR selection process. The book has the full rationale, but the challenge is that with 600 EHR companies out there you can’t review them all.

Of course the next question I’m asked is how you narrow down the companies to start your EHR selection review process. One thing that’s really developed over the 6 years I’ve been blogging is the EHR selection services. They’re still all far from perfect, but I suggest you take a look at a couple of them to start getting a list of EMR companies that you might want to consider. Then, take those lists and ask around to your colleagues. I call this approach triangulating the EHR data points to get you down to a smaller group of EHR companies.

One challenge is that there are a lot of EHR selection website out there. Here are just a few for you to consider. If you’re just looking for a really simple way to get access to price quotes and demos of EHR software, then go check out Software Advice or EHR Scope.

If you want a deeper, more custom EMR / EHR matching system then you’ll want to take a look at EMR Consultant, EHR Selector, and Hielix Apps. All 3 of these websites have made significant investments to try and help doctors match their needs with the EHR software.

I’ll admit that I’m probably a little bias towards EMR consultant since they’ve been around ever since I first started blogging about EMR. Plus, I love that it’s free. Although, a little birdie told me that EHR selector is considering a Free EHR selection option as well. There’s something I really love about the free EHR selection model. Basically, physicians that use it to help with their EHR selection have very little to lose.

Hielix on the other hand costs a few hundred dollars to use. They did send me a promo code for those that want $25 off their service. Just enter: “EMRANDEHR” Hielix is definitely taking a much more hands on approach to the EHR selection process so it makes some sense that they’d charge for the service. In one email exchange with them they talked about their CEO meeting with one of their customers to discuss their report. I’m sure many doctors will like this type of high touch service.

Always trying to get some good info for my readers, I got permission to publish a PDF file of a sample report that Hielix produces. I think the really good stuff in this report starts about page 7.

As I said previously, none of the EHR selection services are perfect. Although, I think using a couple of them isn’t a bad idea to start narrowing down the long list of EHR companies. I see it as an extra data point that can be used to narrow your list. Unfortunately, none of these services make it so you don’t have to do a thorough evaluation of multiple EHR vendor before you buy. I’d love it if someone figured out how to solve that problem. Until then, an EHR selection service isn’t a bad place to start.

June 12, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

How To Grill An EMR Vendor

Today I found a nice blog piece on how providers — largely medical practices, the blog’s core audience — can grill EMR vendors effectively prior to sinking their money into a product. I say “grill” because the questions will force vendors to put up or shut up on several levels, something a lot of non-techy doctors wouldn’t know how to do.

Here’s the five questions, courtesy of the EMR and EMR Insights blog (with a few comments on each):

When did your company start operations, and can I have 2 references from each year you have been in business?

I don’t know about you, folks, but assuming older companies will produce better results involves some significant risks too.  Sure, a high-flying venture-funded partner might go out of biz next week, and that would be pretty terrible. On the other hand, many companies grow less creative and less flexible over time, and take their customers for  granted — even if it’s not part of a doofus big vendor’s lineup.  What about: “Can I have five references for clients in my specialty?” and “Please sign this contract addendum which addresses how you’ll handle it if your product is discontinued or you close you doors.”

* How many developers are assigned to work on your core EHR product? Where do the developers reside?

I like the Q regarding the size of the development team, which can be  make-or-break factor in keeping your product updated and bug-patched.  But as for where the developers reside, again, that’s a toss-up.  You could hire a vendor with a large but poorly-managed development team, or a small vendor whose team is overseas — but well-managed and effective nonetheless.

* How was your product and company ranked in the Best in KLAS Awards — Software & Services Report – December 2011, and the KLAS Ambulatory EMR Specialty Report 2012?

Interesting. In theory asking about rankings is a good idea, unless you don’t respect the people doing the ranking. (I know my colleague John Lynn isn’t a raving KLAS fan.)  I suppose rankings like these can be a touchstone, but they probably shouldn’t be a primary factor in EMR investment decisions.

* Do you have a whitepaper that explains your interoperability platform?

Definitely a good question, but the answer is probably over the heads of many clinicians and office managers making the EMR call. If a medical practice has someone on staff who’s geeky, or an IT consultant is on your selection team, sure, get the whitepaper. Otherwise, I believe medical practices would do better simply studying the literature and asking for a thorough, plain-language presentation explaining these features.

* What are your specific plans for meeting all the Meaningful Use requirements of Stages 2 and 3?

What can I say but yes, yes and more yes. A company that can’t answer this question should be toast.

One final note.  How about throwing in “If I can’t get to Meaningful Use within x days, do I get my money back?”  Seeing how your vendor reacts should be, um, educational.

June 4, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @annezieger on Twitter.

An EMR Point of Differentiation – Watson

Michael Dale has an interesting post I came across discussing IBM’s Watson in healthcare. Here’s one piece of the post:

You may know Watson best for its performance on the Jeopardy game show. Watson demonstrated swift decision making after indexing over 200 million pages of data. Watson would only answer if the system crossed a certain confidence threshold. The confidence threshold was a predefined percentage set inside the system. When Watson referenced the data, it determined the percentage to which it was sure the top three answers were correct. If the percentage of the top answer crossed the confidence threshold, Watson would signal for the answer. The IBM machine proved itself successful against two humans competing in the game show by winning both rounds.

Certainly physicians and members have much to gain from the assistance of a machine that can reference millions of pages of data to ascertain a diagnosis or treatment. While physicians may always hold the upper hand to interpret the context of the situation for a presenting patient, Watson’s assistance can certainly supplement any decision using vast amounts of data in a quicker time frame.

My immediate reaction to reading this post was the following:

Reading what you wrote made me wonder if the Watson like technology could become a strong differentiation between EHR vendors. It has been extremely challenging lately to differentiate between the various EHR vendor offerings. It seems like having a Watson like brain assisting you in the process could become a differentiation point.

So many physicians are trying to sift through the overwhelming number of EHR companies, that they are looking and wanting for some sort of major EHR differentiation. I wonder if some smart Watson like technology would be amazing enough to blow physicians away so they start saying, I have to have that.

Michael Dale also discusses in the post how Watson would essentially use an EHR to access the data. Sounds a lot like my comments about EHR Being the Database of Healthcare.

May 17, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.

Are Large EHR Vendors More Likely to Shut Down an EHR Than Small EHR?

As most people who have read this blog for a while, you know that I try to bring you raw perspectives on things that a lot of people don’t want to talk about. Plus, I don’t mind arguing the other side of topics in order to provide a more well rounded view of an important topic. One of my main goals is to provide the information necessary for doctors to make great decisions.

I recently got into a lengthy discussion with someone about EHR vendor selection. They suggested that doctors should look to the 5 EHR market leaders in their EHR selection process (I believe he sold one of those EHR market leaders). He made some very good points about the market leaders ability to support all stages of meaningful use, that they have a solid business model that will support doctors for the long term, and that they have the resources to support an EHR software for the long run. He also provided some reasonable cautions around small EHR vendors with skeptical business models that might not be around a few years from now.

Certainly the points he makes have merit and are worthy of consideration. Although, unlike this person, I’m not so ready to throw the rest of the non-top 5 EHR vendors out and I think it’s a mistake for a doctor or practice manager to do so as well.

As I considered on this discussion, I realized that over the past 5-7 years, it’s many of the big EHR vendors that have closed up their EHR software. Possibly even more than the various startup EHR companies. Here are just a few examples of large companies shuttering their EHR: Misys (billion dollar company if I remember right), Epocrates and GE Centricity Advance (one of GE’s suite of EHR). Of course, Misys merged with Allscripts (if you call it a merger since they were going bankrupt), but I know a lot of unhappy Misys users that don’t know what to do now. GE has many other Centricity products as well and seems to have made a smoother transition for their Centricity Advance users. At least that’s within the same company. Epocrates is a large company, but didn’t have many EHR users.

My point of course is that even EHR software from large EHR vendors aren’t safe from possible future issues. In fact, I could make a reasonable case for why a smaller EHR vendor that’s grown in a sustainable way over a long period of time is in a better financial position than a HUGE company with a lot of overhead. Plus, I know personally A LOT of these small EHR vendor CEOs. They love what they’re doing and they’re in this for the long haul.

Now with 600+ EHR vendors out there, I’m certainly not saying that all of them have great business models. I was blown away when I met one at MGMA who had 1 doctor using their system. I hope whoever they sign up second is aware of the situation and is going in with both eyes open. There are certainly risks associated with being the second doctor on an EHR software, but there are also plenty of benefits as well. When you suggest something be changed, there’s a good chance you’ll get that change.

Conclusion
There are good small EHR companies.
There are good large EHR companies.
There are bad small EHR companies.
There are bad large EHR companies.

I guess what I’m saying is that size doesn’t matter in EHR selection. There are much more important factors to consider.

May 9, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus. Healthcare Scene can be found on Google+ as well.