Whether an ambulatory practice is pleased or unhappy with its electronic health records system, few understand that there are outside forces at work that will compel buying another EHR sooner than anticipated.

Being ready for the change is the focus of an education session at HIMSS14. The change could come when a hospital acquires a practice, or an accountable care organization commits to using a single EHR platform, or a practice merges with another, or a vendor stops trying to comply with Stage 2 meaningful use requirements, says Barbara Drury, president at Pricare Inc., an ambulatory-based consultancy in Larkspur, Colo.

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