Over the last 10 years, health systems and physicians have invested heavily in the current generation of electronic health records. With three out of four hospitals having at least a basic EHR in place, it is safe to say implementing a system has become a foundational requirement for being in the business of healthcare delivery.

The opportunities EHR offer for improvements in care delivery are promising—they include efficient care team communication, improved clinical outcomes through embedded decision support and standard use of evidence-based protocols, immediate access to patients’ clinical information, increased patient engagement and enhanced revenue cycle. However, achieving improvement has remained elusive.

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