How To Choose the Best EHR?
Jul 9th, 2023

How To Choose the Best EHR?

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Haniyeh Hemmati
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10 min read
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An EHR system is more than just a digital version of your paper charts. It’s a comprehensive platform that can streamline your workflow, enhance patient care, improve communication and data sharing, and boost revenue and efficiency.

However, not all EHR systems are created equal. Some may suit your needs better than others, depending on your practice size, specialty, budget, goals, and preferences.

Therefore, doing your homework before making a final decision is essential. Choosing the wrong EHR system can have negative consequences for your practice, such as disrupting your operations, frustrating your staff and patients, compromising your data security and privacy, and costing you more money and time in the long run.

This blog post will guide you through the steps to choose the best EHR system for your practice.

Understanding the Importance of Choosing the Right EHR

Before looking for an EHR system, you must understand why choosing the right one is crucial for your practice. An EHR system can have a significant impact on various aspects of your practice, such as:

Why Choosing the Right Electronic Health Record (EHR) System is Crucial

  • Quality of care: An EHR system can help you provide better patient care by giving you access to their complete medical history, enabling you to make informed decisions, reducing errors and duplication, facilitating coordination and collaboration with other providers, and engaging patients in their care.

  • Practice efficiency: An EHR system can help you improve your practice efficiency by automating and simplifying scheduling, billing, coding, reporting, ordering, prescribing, documenting, and more. This can save you time and resources, increase productivity and profitability, and reduce administrative burden and stress.

  • Patient satisfaction: An EHR system can help you enhance patient satisfaction by offering them convenience, transparency, accessibility, and security. For example, an EHR system can allow your patients to request appointments online, view their test results and health records online, communicate with you via secure messaging or telehealth platforms, pay their bills online, and receive reminders and alerts for preventive care and follow-ups.

Enhancing Efficiency, Patient Care, and Workflow with the Right EHR

Adopting an EHR
Adopting an EHR

Choosing the right EHR system can help you achieve these benefits and more. However, choosing the wrong one can have the opposite effect. For instance, an EHR system that is not user-friendly or customized to your workflow can cause frustration and confusion among your staff and patients. An EHR system that is incompatible with your existing systems, or other providers' systems, can create interoperability issues and data silos. An EHR system that is not secure, or compliant with local regulations, can expose you to data breaches and legal risks.

Therefore, choosing an EHR system that matches your practice needs and goals is vital. This will ensure you get the most value from your investment and avoid potential pitfalls.

The Vital Role of EHR in Communication and Data Sharing

Another reason why choosing the right EHR system is important is that it plays a vital role in communication and data sharing among healthcare providers. In today’s healthcare environment, where patients often receive care from multiple providers across different settings and specialties, it is essential to have a seamless exchange of information among all parties involved.

An EHR system can facilitate this exchange by enabling you to:

  • Access patient records from anywhere at any time

  • Share patient records with other providers securely and easily

  • Receive referrals and consultations from other providers electronically

  • Participate in health information networks and registries

  • Report quality measures and outcomes to payers and regulators

An EHR system can help you deliver coordinated, integrated, and patient-centered care by improving communication and data sharing.

Understanding Your EHR Needs

Now that you understand the importance of choosing the right EHR system, the next step is understanding your EHR needs. This means identifying the challenges and requirements of your practice and how an EHR system can address them.

Identifying Workflow Challenges and Requirements

The first factor to consider is your workflow. Your workflow is how you and your staff perform your daily tasks, such as scheduling, checking in, documenting, billing, ordering, prescribing, etc. Your workflow can vary depending on your practice size, specialty, location, and preferences.

To identify your workflow challenges and requirements, you need to:

  • Analyze your current workflow and identify the pain points and inefficiencies

  • Solicit feedback from your staff and patients about their experiences and expectations

  • Define your goals and objectives for improving your workflow and outcomes

  • Prioritize your needs and wants for an EHR system based on their impact and urgency

Some examples of workflow challenges and requirements are:

  • Reducing paperwork and manual data entry

  • Streamlining appointment scheduling and reminders

  • Improving documentation quality and accuracy

  • Enhancing clinical decision support and alerts

  • Automating billing and coding processes

  • Increasing patient engagement and retention

By identifying your workflow challenges and requirements, you can narrow down your EHR options based on their ability to meet them. You will also be able to customize your EHR system to fit your workflow rather than changing your workflow to fit the EHR system.

Considering Integration Options

The second factor to consider is integration. Integration is the ability of your EHR system to communicate and work with other systems, such as practice management software, billing software, lab systems, pharmacy systems, health information exchanges (HIEs), etc. Integration is important because it can enhance workflow efficiency, data quality, interoperability, and security.

To consider integration options, you need to:

  • Identify the systems that you currently use or plan to use in the future

  • Evaluate the compatibility of these systems with different EHR vendors

  • Determine the level of integration that you need or want for each system

  • Assess the costs and benefits of integration versus standalone solutions

Some examples of integration options are:

  • Cloud-based versus server-based EHR systems

  • Native versus third-party practice management software

  • Direct versus indirect interfaces with labs and pharmacies

  • Built-in versus external telehealth platforms

  • Single sign-on versus multiple logins for different systems

By considering integration options, you can choose an EHR system that can seamlessly connect with other systems essential for your practice. You can also avoid potential issues such as data duplication, inconsistency, or loss.

Researching and Comparing EHR Options

After understanding your EHR needs, the next step is to research and compare different available EHR options. This means exploring various EHR vendors' features, functionality, pricing, and support and how they match your needs. To do this, you need to consider the following factors:

Evaluating User-Friendliness Capabilities

The first factor to consider is user-friendliness. User-friendliness is an EHR system's ease of use and intuitiveness for you and your staff. User-friendliness is important because it can affect your adoption rate, satisfaction level, productivity level, and error rate.  It does not matter what the system can do, if your staff cannot remember or figure out how to use it. 

To evaluate user-friendliness, you need to:

  • Request a demo or a trial of different EHR systems

  • Test the usability and functionality of different EHR systems

  • Compare the user interface and design of different EHR systems

  • Ask for feedback from your staff about their preferences and opinions

Some examples of user-friendliness criteria are:

  • Simple and clear navigation and layout

  • Fast and reliable performance and speed

  • Responsive and adaptable to different devices and browsers

  • Accessible and compliant with accessibility standards

Examining Features and Functionality for Optimal Performance

The second factor to consider is features and functionality. Features and functionality are the specific capabilities and tools an EHR system offers to help you perform your tasks and achieve your goals. Features and functionality are important because they can affect your practice performance, quality of care, patient satisfaction, and compliance.

To examine features and functionality, you need to:

  • Review the list of features and functionality that different EHR systems provide

  • Compare the features and functionality with your workflow challenges and requirements

  • Test the features and functionality during demos or trials

  • Ask for feedback from your staff about their needs and expectations

Some examples of features and functionality are:

/buAppointment management: Allows you to schedule, confirm, cancel, reschedule, or remind patients of their appointments online or via phone, email, or text messages.

  • Patient health records management: Allows you to create, update, view, or share patient health records electronically, including demographics, allergies, medical histories, vital signs, medication histories, immunization records, diagnoses, lab test results, progress notes, etc.

  • Billing and revenue cycle: You can generate, send, receive, track, or manage invoices, claims, payments, reimbursements, collections, adjustments, etc.

  • Telehealth: Allows you to conduct virtual visits with your patients via video, audio, or chat and document and bill for these services accordingly.

  • Communication: You can communicate with your patients and other providers via secure messaging, email, phone, fax, or portal and send or receive reminders, alerts, notifications, referrals, consultations, etc.

  • Result management: Allows you to order, receive, view, or share lab tests, imaging studies, reports, prescriptions, etc., and track their status and follow-up actions.

  • Clinical workflow management: Allows you to manage your clinical workflow from start to finish, including check-in, triage, assessment, diagnosis, treatment plan, education, follow-up, etc., and customize it according to your specialty and preferences.

By examining features and functionality, you can choose an EHR system that can support your practice performance and quality of care. You can also avoid potential issues such as missing features, malfunctions, or limitations.

Analyzing Security and Data Privacy Measures

The third factor to consider is security and data privacy. Security and data privacy protects your patient's data from unauthorized access, use, disclosure, modification, or destruction. Security and data privacy are important because they can affect your compliance with regulations, reputation and trustworthiness, and liability and risk.

To analyze security and data privacy measures, you need to:

  • Ask about the compliance of different EHR systems with relevant regulations, such as HIPAA and HITECH

  • Check the encryption, backup, and disaster recovery measures of different EHR systems

  • Verify the data breach notification policy and procedure of different EHR systems

  • Evaluate the access control and audit trail features of different EHR systems

You can choose an EHR system to safeguard your patients' data from potential threats and breaches by analyzing security and data privacy measures. You can also avoid potential issues such as non-compliance, data breaches, or lawsuits.

Assessing EHR Providers for Implementing and Adopting

After researching and comparing different EHR options, the next step is to assess different EHR providers for implementing and adopting the EHR system. This means evaluating the reputation, reliability, support, and training of various EHR vendors and how they can help you transition and maintain the EHR system.

Checking Vendor Reputation and Reliability

The first factor to consider is vendor reputation and reliability. Vendor reputation and reliability are the trustworthiness and credibility of an EHR vendor based on their track record, customer feedback, industry recognition, and financial stability. Vendor reputation and reliability are important because they can affect your confidence and satisfaction with the EHR system and your ability to resolve any issues or problems that may arise.

Comparing Pricing Models and Costs for Budget Alignment

Another key factor to assess is pricing models and costs. Pricing models and costs refer to how much an EHR system will cost to purchase, implement, use, and maintain. An EHR system should have a transparent and reasonable pricing model and cost that aligns with your budget and value.

There are different types of costs for EHR systems, such as:

  • Acquisition costs: These are costs you incur to purchase an EHR system, such as software license fees, hardware purchase fees, or subscription fees.

  • Implementation costs: These are costs you incur to implement an EHR system, such as data migration fees, system integration fees, customization fees, or training fees.

  • Maintenance costs: These are costs you incur to maintain an EHR system, such as software update fees, hardware upgrade fees, support fees, or backup fees.

  • Improvement costs: These are costs that you incur to improve an EHR system or your practice performance, such as optimization fees, consulting fees, education fees, or upgrade fees.

A transparent and reasonable EHR provider should disclose their pricing model and cost upfront and offer flexible and affordable payment options.

Considering Staff and Patient Experience

The next key factor to assess is staff and patient experience. Staff and patient experience refers to how an EHR system affects your staff and patients' satisfaction, engagement, and outcomes. An EHR system should have a positive impact on your staff and patient experience, such as:

  • Improving staff satisfaction by reducing workload, stress, and burnout

  • Improving staff engagement by increasing collaboration, communication, and feedback

  • Improving staff outcomes by enhancing performance, quality, and safety

  • Improving patient satisfaction by reducing wait times, errors, and costs

  • Improving patient engagement by offering convenience, education, and empowerment

  • Improving patient outcomes by improving access, continuity, and coordination of care

Conducting Demos and Trials for Informed Selection

The final step in choosing the best EHR for your practice is conducting demos and trials. Demos and trials are ways of testing an EHR system before you buy it. They allow you to:

  • See how an EHR system works in real-time with real data

  • Experience how an EHR system fits with your workflow, needs, and goals

  • Evaluate how an EHR system meets your user-friendliness, customization, functionality, security, cost, and more criteria.

  • Compare different EHR options side by side with objective measures

  • Identify any issues or problems that may arise with an EHR system

Also here, you can explore and evaluate examples of the top Electronic Health Record Systems (EHRs) in The US.


Choosing the best EHR system for your practice is a complex and critical process that requires careful planning, research, comparison, assessment, and selection. Following these steps, you can find an EHR system that meets your needs, expectations, goals, budget, preferences, workflow challenges, and staff and patient experience. You can also avoid potential pitfalls and problems arising from choosing the wrong EHR system.

However, choosing the best EHR system is only part of the journey. You still need to implement and adopt the EHR system successfully in your practice. This involves preparing your practice for the transition, training your staff and patients on how to use the EHR system, monitoring and evaluating the EHR system's performance and outcomes, and making adjustments and improvements as needed.

To help you with this process, consider using Tali, an AI medical dictation and ambient scribe tool that can greatly assist healthcare professionals. Tali is an alternative to remote medical scribe services that can help you document patient encounters faster, easier, and more accurately. Try Tali if you want to experience its benefits for yourself.


Why is choosing the right Electronic Health Record (EHR) system important for a medical practice?

Selecting the appropriate EHR system holds paramount importance for medical practices due to its far-reaching impact on various aspects. Firstly, an EHR system significantly influences the quality of patient care by offering access to comprehensive medical histories, aiding informed decisions, decreasing errors, enabling collaboration with other healthcare providers, and involving patients in their care. Secondly, the efficiency of a practice can be greatly enhanced by an EHR system through streamlined scheduling, billing, coding, reporting, ordering, prescribing, and documentation, ultimately saving time and resources, improving productivity and profitability, and reducing administrative workload. Thirdly, EHR systems contribute to patient satisfaction by providing convenience, accessibility, transparency, and security. For instance, patients can request appointments online, access their health records and test results, communicate securely with healthcare professionals, settle bills online, and receive reminders for preventive care and follow-ups.

What factors should be considered when evaluating different Electronic Health Record (EHR) options?

When assessing various EHR options, several factors come into play. Firstly, user-friendliness is essential for successful adoption; it involves the ease of use and intuitiveness of the system for both the staff and patients. Evaluating features and functionality is crucial, as these capabilities directly impact practice performance, quality of care, patient satisfaction, and compliance. Moreover, security and data privacy measures must be analyzed to safeguard patient data against unauthorized access and breaches, ensuring compliance with regulations. Furthermore, considering the reputation and reliability of EHR vendors is important, as this establishes trust and confidence in the system. Pricing models and costs must align with the practice's budget and value, covering acquisition, implementation, maintenance, and improvements. Lastly, assessing staff and patient experiences is vital; the EHR system should enhance satisfaction, engagement, and outcomes for both groups. Conducting demos and trials allows firsthand experience of the EHR system's compatibility with workflow, customization, functionality, security, and more, aiding informed selection.

How can medical practices transition to a new Electronic Health Record (EHR) system effectively?

Transitioning to a new EHR system involves several steps. First, understanding the importance of a well-suited EHR system and its impact on various practice aspects is crucial. Next, identifying practice needs, workflow challenges, and integration requirements helps narrow down suitable options. Researching and comparing different EHR vendors, considering user-friendliness, features, security, and costs, assists in informed decision-making. Assessing EHR providers for reputation, reliability, and support ensures a smooth transition. Integrating the chosen EHR system requires thorough preparation, training, and monitoring of staff and patient experiences. Regular evaluation and adjustment of the EHR system's performance contribute to its effective utilization. Finally, exploring tools like Tali, an AI medical dictation and ambient scribe tool, can further aid in documenting patient encounters accurately and efficiently, making the EHR transition smoother for healthcare professionals.

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