Moment of truth: 4 common EHR transition problems and how one practice handled them

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article examines practical issues that can arise when a medical practice moves from paper records to an electronic health record system. It is written for practice managers, physicians, and coding or operations staff who want to understand the operational side of EHR adoption, including terminology changes, paper record handling, outside-document workflows, and contingency planning for system access problems. The article uses one practice’s early experience with an EHR implementation to frame general guidance and vendor-support considerations.

Why This Topic Matters

EHR transitions affect day-to-day workflow, data entry, record management, and access to patient information. Understanding the common problem areas can help practices prepare staff, policies, and technical support before go-live.

Article Sections

  1. Special Report: Making the switch to EHR

    An overview of the broader report series and the stage of the transition being discussed. It situates the article within a multi-part look at moving from paper to an electronic record system.

  2. 4 common EHR transition problems and solutions

    A general discussion of four recurring implementation issues seen during the transition period. The section frames the article’s practical focus on workflow and technology adjustments.

  3. Practice jargon vs. by-the-book terminology

    Discussion of how practice-specific wording can differ from standardized terminology used in an EHR. It also covers staff preparation and tools for organizing frequently used items.

  4. What to do with your paper information

    Guidance on handling existing paper records during the transition to an electronic system. The section addresses the distinction between scanned material and structured data.

  5. Dealing with paper-only organizations

    Considerations for information arriving from outside organizations that still rely on fax or paper. The section focuses on deciding how incoming documents are managed in the new workflow.

  6. Preparing for EHR crashes

    Planning for situations when the EHR or network cannot be accessed. The section explains the importance of continuity planning and system architecture considerations.

What You Will Learn

  • How common workflow disruptions can appear during an EHR conversion
  • How practices may organize staff responses to terminology changes
  • How paper records and incoming paper documents are typically evaluated during migration
  • How practices think about contingency planning for EHR access interruptions

Who Should Read This

  • Practice managers
  • Physicians
  • Medical office staff
  • Healthcare administrators
  • EHR implementation teams
  • Coding and billing professionals

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