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« EMRs and Crowdfunding — The Policy Connection | Main | Hiring an IT Consultant — Can You Trust the Guy Down the Street? »


Ian Pun

Selecting an EMR is more like selecting a spouse than buying a car. If you don't like your car, you just buy another car and eat the cost of the old car. Done. But the EMR is a relationship; a marriage. Reliability and support is better than first impressions of beauty. You can have a long loving relationship or an unhappy one and find all your data is gone and wants alimony.

Scott Lennox

Test drive? Not much point when the province tells you you can have any car as long as it is a Ford, any colour as long as it is black.

Of course, those who have never had a car before think it's wonderful. Never mind that it won't start, it stalls constantly, it has a top speed of 10 mph, and it handles like a tank.

Now guess where I work......

Dave Sellers

As others have stated, you have never bought an EMR before and will only buy one in your working life. You have no experience and rely on others that are biased. No one will open the hood and show you that there are just 3 mice on the wheel (but you need 20), and it is missing the spare tire, has no place for the tow truck to hook on to, and no heater (because you "assumed" that was standard). In my experience, what is under the hood is just or more important than the look and feel. But none of the reports, surveys, evaluations talk about these. Just my 2 cents.

Michelle Greiver

I agree that it is a marriage rather than a car. Things change over time, EMR vendors can fail to keep up with product improvements (see RIM's Blackberry), fail to provide adequate tools to measure and manage quality at a practice or group level, fail to allow access to our own data because we need to use additional software to measure and manage quality, fail to allow data extraction if we are finally ready to divorce and move on to something else.

If the car no longer meets your needs, you buy another one. If your EMR is now inadequate for your evolving requirements, or the vendor will not collaborate and help you with your quality of care, good luck trying to change. Just like a divorce, moving on to something else can be painful, time consuming and expensive. There is no guarantee that the next product or vendor is any better.

Caveat Emptor.


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