Challenges against large scale EHR implementation ?

Today there is a need for practices to ready to accept EHR failures than just blaming the software. This is where the core issue of EHR implementation comes in which also includes adoting the right EHR selection process.
An large scale EHR implementation is surely a big challenge and it depends on certain factors which need to be dealt with in an appropriate way.
I believe the following are the most crucial factors in a large scale quality EHR implementation:
1. Use of the right tools & Services :
Each specialty EHR has its own set of challenges or requirements which I believe is overlooked by in most EHR vendors in a effort to merely follows federal guidelines. This is resulting in low usability to the practitioners, thus less ROI, finally redundancy of the EHR solution in place.
2. Looking at the profitability of the EHR investment
I think ROI is very important factor that should be duly considered when look achieve 'meaning use' out of a EHR solution. Though one may get vendors providing 'meaning use' at a lower cost, their ROI / savings through the use of their EHR might be pretty low when compared to costlier initial investment.
3.Having the right ( in terms of appropriate knowledge and experience) support function
Also the introduction of REC’s through the HITECH act. is a great way to avail of quality EHR solutions at competitive prices. The stiff competition among not only these REC’s but also among EHR vendors ( to become a preferred vendor of a given REC) will result in lot of positives to medical practioners.
4. Creating the right infrastructure for implementation:
Looking at the funding provided to the REC’s, the staggered grant allocation system also promises to be an unbiased way of allocating funds. It will also help in the concept of REC’s helping out each with their own unique business models. It can be one of the possible answers to the
’safe vendor challenge’ as discussed by many critics.
I suppose this EHR vendor partiality would exist only in the initial phase.
Later on the growing demands of medical practices will force the REC’s to look out for more competitive yet certified EMR vendors. I think here suitable modifications in the hitect act, to strengthen the REC’s yet make them give quality service or EHR implementation to the practices is one way to tackle this ’safe EHR vendor’ challenge.
Also regarding the pricing of EHR’s, there many customizable and easy to use roi tools developed by many ehr vendors, which give a fair approximation of the overall costs but very few of them cover the cost of implementing the specific needs of various specialty EHR’s.


Do you all agree with me?