#7, 8 - Critical EHR Questions

7. How much does it cost?

Why you need to know: The prices for EHR systems are becoming more competitive, according to Henry. However, the costs still vary considerably. Practices should ask not only for the cost of the system but also the costs for training, upgrades, and the like. Additionally, ask if license fees vary if, say a physician is part-time or an ancillary provider will be using the system.

There are some EHR systems that are "free" or cost only a monthly fee. Those basic systems may work for some practices, but be warned to look at other factors aside from just the cost. Those free EHR systems often contain pop-up ads and may not be upgradable, warns Tony Ryzinski, senior vice president of product management and marketing for Sage Healthcare. These vendors also may not offer any training.

Another cost to consider is for hardware. Many EHR systems involve both software and hardware, which is installed in the practice's office. But some EHR systems use technology developed for and delivered via the Internet, often known as "software as a service" or "in the cloud." Internet-based software also can affect the overall cost for converting to an EHR system, not to mention the costs of securing the data.

8. How interoperable is the system?

Why you  need to know: Although in years past many vendors offered only proprietary systems, physicians today need a system that will work with their health information exchanges, the hospital's systems, and accountable care organizations, as well as other organizations, says Polack. Consider the interoperability between multiple systems to ensure the chosen EHR will be compatible.