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PM R. 2017 May;9(5S):S4-S12. doi: 10.1016/j.pmrj.2017.02.007.

Selection and Implementation of an Electronic Health Record.

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Department of Medicine, University of Washington, Seattle, WA; Information Technology Services, UW Medicine, Seattle, WA(∗).
Department of Medicine, University of Washington, Seattle; and Information Technology Services, UW Medicine, Box 359968, 325 Ninth Ave, Seattle, WA 98104-2499(†). Electronic address:


Electronic health records (EHRs) are now the standard of practice in most communities, because of transition to reimbursement that increasingly focuses on risk sharing and quality measurement, and government EHR incentive programs. The selection and implementation of an EHR is one of the most important decisions a practice faces. Organizing the search for an EHR that fits a practice, negotiating a contract, planning and successfully implementing an EHR are best accomplished with a well-informed, strong, multidisciplinary team using project management techniques. Focusing on the best match between your practice's needs and available commercial systems, and creating a strong relationship with your vendor will be key to leveraging the EHR to improve the experience of your patients and the quality of care they receive, and to the efficiency of your practice.

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