In the case study: Implementation of Electronic health record in Central City Management Group

CCMG had faced many challenges in the implementation of EHR. This had resulted in a $520,000 deficit, well below the breakeven budget.

Debb Moore, Executive Director, had several proposals to reduce the pressure on physicians including:

- Stopping the time consuming CCMG practice of rounding or following their patients in the hospital, closing the practice to new patients, and getting out of some community nursing home contracts.

- Retrenchment

- Allow those providers who were least successful to continue with the use of paper records (instead of the implemented EHR) until they could start to recruit new providers

Question: How would you assess CCMG options and what recommendations would you present to CCMG?