Journal of Medical Systems

, Volume 31, Issue 1, pp 25–33 | Cite as

Electronic Medical Records for a Rural Family Practice: A Case Study In Systems Development

  • Liam O’Neill
  • William Klepack
Original Paper


In this paper, we describe the planning, development, and overall impact of Electronic Medical Records (EMRs) on Dryden Family Medicine (DFM), a rural family practice in Dryden, New York. The EMR system was installed in July, 2003, and the full conversion to the new system was accomplished in three phases. Significant efficiency gains were achieved in billing, prescription ordering, and other routine processes. Protocols were developed to enhance quality management, preventive medicine, and disease management. Job responsibilities changed and expanded for all members of the practice and coding issues became paramount. Practice revenue increased by about 20 percent and average “case-mix” increased by 10 percent in the second year following the implementation of EMRs due to improved billing documentation. We focus on the implementation process, the lessons learned, the obstacles encountered, and the successes achieved by one rural family practice.


Electronic medical records Systems development Family practice Vendor selection 


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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  1. 1.Health Management and Policy, School of Public HealthUniversity of North TexasFort WorthUSA
  2. 2.Dryden Family PracticeDrydenUSA
  3. 3.UNT - Health Science CenterHealth Management Policy Dept.Fort WorthUSA

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