Need Assistance?
Would you like more assistance regarding EHR Selection and Contracting strategies or support in using any of the included resource sets?

  Request Support


The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

Learn More >


This section provides guidance to understand the key contract terms involved in negotiating the vendor contract. It is critical to negotiate a vendor contract that takes into account the unique circumstances of your center and incorporates flexibility to meet your reporting needs. Guidance is offered related to indemnification, warranties and disclaimers, liability, dispute resolution, termination and migration, and access to and use of the EHR data.  
Purchasing EHR
To Switch or Not to Switch: A Guide for Community Clinics Considering Changing EHRs

To Switch or Not to Switch: A Guide for Community Clinics Considering Changing EHRs

Developed by the California Health Care Foundation in 2019

The purpose of this guide is to help health center leaders weigh the costs and benefits of remaining with their current EHR system (possibly with enhanced functionality) or switching to a different one. It is intended to be useful to all those participating in decisions about EHR systems, not just to technical experts. The guide offers a step-wise approach to asking important questions, making decisions, and moving forward. The appendices describe the types of products and services that are available to health centers and that are mentioned throughout the guide.

The guide walks you through the following stepwise approach to EHR decision making:

1. Deciding whether to switch EHRs

  • Understand your goals and motivations
  • Consider the available options
  • Consider the costs

2. Selecting a new EHR product or outsourcing provider

  • Explore EHR product options
  • Explore EHR outsourcing providers
  • Perform due diligence and negotiate a contract

3. Planning and executing the EHR transition

  • Plan
  • Train
  • Monitor
  • Get help

Access the full guide through the link below!

Previous Article Health Center EHR Transition
Next Article EHR Vendors Most Frequently Used by Health Centers


This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.