Jim Holsinger wasn't always a family doctor. Handed a golden parachute after years as a food marketer, he fulfilled a lifelong dream by heading to medical school in his mid-40s. When he completed his training and went to set up a solo practice in Keokuk, Iowa in 2003, adopting an EHR at the outset was such an obvious choice that he didn't even consider it to be one. "After my long career in business, it was unimaginable not to have a computer system," he says. His practice had an EHR the day it opened its doors, and has been paper-free ever since.

The practice's use of the EHR won it a 2011 Davies Award of Excellence in ambulatory care. Dr. Holsinger will show how his practice uses its EHR not only to stay solvent in a challenging financial environment, but to far outstrip the average patient-care metrics of other physicians in his area. For example, more than 95 percent of his patients are up to date on flu and pneumonia vaccinations, compared with a state average of less than 50 percent.

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