title: Selecting an electronic medical record system for small physician practices.
abstract: BACKGROUND
  While electronic medical record (EMR) systems have demonstrated the potential to improve quality of care and reduce medical errors, relatively few practitioners have implemented EMR systems. This article presents a case study that explores the process by which small physician practices may select an ambulatory EMR system.
  
  
  METHODS
  We assessed the appropriate criteria small practices should use in selecting an EMR system and then evaluated a range of commercially available EMR systems according to cost, functionality, and interoperability with existing systems.
  
  
  RESULTS
  The process for selecting an EMR system starts by creating a budget for start-up costs and monthly maintenance expenses. Next, a practice should evaluate its strategic objectives and current computer infrastructure. The group should then define the appropriate functionality requirements specific for their practice. Finally, a certified ambulatory EMR system that interfaces with existing office systems can be selected.
  
  
  CONCLUSIONS
  This case study explores the process of EMR selection for rural, solo physician practices. The ability to generalize the process described herein to broader types of physician practices, such as multi-specialty group practices or to those practices with larger budgets for EMR systems, may be limited.
  
  
  CONCLUSIONS
  Multiple critical and often competing factors--including cost and interoperability with existing systems, as well as organizational goals and obstacles--influence the selection of an EMR system for small physician practices. However, by following a standardized process for selecting an EMR system, small physician practices will find EMR selection to be a relatively straightforward process.
authors.affiliation: Department of Gynecologic Oncology, Roswell Park Cancer Institute in Buffalo, New York, USA. nefertiti.dupont@roswellpark.org
authors.forename: Nefertiti C
authors.initials: NC
authors.lastname: duPont
authors.forename: Dayna
authors.initials: D
authors.lastname: Koeninger
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Guyer
authors.forename: Debbie
authors.initials: D
authors.lastname: Travers
mesh_terms: D057286:Electronic Health Records / Q000458:organization & administration*; D005194:Family Practice / Q000458:organization & administration*; D006801:Humans; D009657:North Carolina; D011216:Practice Management, Medical / Q000458:organization & administration*; D011331:Private Practice / Q000458:organization & administration; D019035:Rural Health Services / Q000458:organization & administration