Developing Interoperable EHR Software Systems: Key Considerations

As a business owner in the healthcare sector, you might be wondering how to build EHR software systems that seamlessly integrate into your operations while ensuring security, compliance, and efficiency. With technology rapidly transforming the industry, keeping up with these innovations can be challenging. Such an advancement has become a cornerstone of modern practice, offering both patients and providers instant access to critical records.

EHR Systems

However, building a robust and reliable system requires careful planning, strict adherence to safety protocols, and compliance with industry regulations. Today we will explore the key steps and tips for creating a program that enhances workflow efficiency, safeguards information, and meets all necessary standards.

What Is an EHR System?

In essence, Electronic Health Record (EHR) implementation serves as a digital summary of a person’s medical history, collected, stored, and shared through a specialized program. It enables seamless communication between authorized providers, including physicians, laboratories, pharmacies, nursing homes, state registries, and clients.

The platform contains a wide range of people’s documents, including test results, diagnoses, prescribed medications, routine checkups, and hospital visits. By consolidating this information, you are able to improve clinical decision-making, leading to more accurate diagnoses and quality services.

Additionally, it streamlines exchange between laboratories and specialists, fostering better coordination and collaboration. When properly implemented and managed, you can enhance accountability and minimize errors.

EHRSystem

Key Features of EHR System Development

A well-designed platform offers a holistic view of a person’s medical history by seamlessly integrating key functionalities. While its primary purpose is report administration, it is far more than just a digital repository.

It plays a vital role throughout the entire customer journey, from check-in at the clinic to prescription fulfillment at the pharmacy, all while leveraging analytics to deliver valuable insights.

With a wide range of providers on the market, there are many different choices and practices of all sizes. To understand what suits you better, let’s explore some of the most essential features that are sure to stand out.

  • Patient Management Portal This feature streamlines administrative tasks such as people’s registration, admission, facility transfers, and discharge. Upon registration, customers receive a unique system ID (or medical record number) that tracks all future interactions, including lab results, diagnoses, medications, and visits. This centralized record-keeping ensures high-quality customer care.
  • Clinical Records Management This component supports you in documenting all the encounters, including medical histories, physical examinations, and surgical notes. Seamless implementation with pharmacy administration and nursing records ensures centralized access, improving treatment outcomes.
  • Billing and Financial Dashboards The platform plays a vital role in billing by recording all expenses and automating financial tracking. These dashboards help your facility monitor revenue trends, department-specific billing, and overall financial performance. With real-time statistics collection, you can optimize your billing processes and identify areas for cost improvement.
  • ePrescriptions With the growing digitization, ePrescriptions ensure accurate record-keeping of treatments and conditions. This feature enhances transparency, helping you make accurate prescriptions.
  • Integration with Test Labs Seamless consolidation with laboratories, allows you to receive test results promptly. This real-time access improves treatment efficiency, ensures laboratory staff are aware of a person’s medical history, and facilitates immediate communication between doctors and lab personnel. This enhances diagnostic accuracy and speeds up decision-making.
What Is an EHRSystem

The Most Common Types of EHR Systems

The first step in developing is understanding the different types of EHR software available. A crucial factor in this evaluation is determining where the data is stored — specifically, the location of the servers that manage sensitive information. This decision significantly impacts performance, accessibility, and security, guiding you toward an on-premise, cloud-based, or hybrid option.  

When selecting the right type, you might consider key factors such as the clinical setting, the control of statistical analyses — including test results, vital signs, and progress notes — as well as customer engagement. To identify the most suitable option, let’s first explore the different types of EHR software systems.

  1. On-Premise On-premise options are installed on your facility’s local servers and purchased outright from a vendor. While they require a significant upfront investment in network infrastructure, they eliminate ongoing subscription fees, making them cost-effective in the long run. They are often ready to use but may require customization for clinical templates, reports, and workflows.
  2. SaaS Software as a Service (SaaS) operates in the cloud, eliminating the need for on-site servers. They are accessible via the Internet and typically follow a subscription-based pricing model with lower initial costs. However, they offer limited customization compared to on-premise solutions.
  3. Bespoke If you want a very specific set of features and functionalities, you may opt for custom-built platforms tailored to your specific needs. While they offer maximum flexibility, they also require significant upfront investment. A hybrid approach — customizing enterprise-grade on-premise programs with tailored interfaces, templates, and reports — can provide a cost-effective alternative.
  4. On-Site Storage In this case, everything is stored on internal servers, allowing complete control over security and privacy. However, maintaining on-site storage requires substantial costs for infrastructure, regular backups, and reliable internet connectivity to ensure availability.
  5. Remotely Hosted Dedicated Servers You can rent storage space on remote, dedicated servers managed by third-party providers. This approach reduces the need for in-house server maintenance while allowing you to retain control.
  6. Cloud-Based Cloud-based type relies on internet-based storage, providing a cost-effective and scalable platform. This enables seamless access to records from any location while ensuring security and compliance through vendor-managed privacy measures.
EHRSystems in Healthcare

How to Develop EHR That Will Serve the Best for Your Company?

Developing an EHR software system is a complex process that requires careful attention to various technological and regulatory factors. To ensure a seamless and compliant solution, partnering with an experienced EHR software development service will greatly help you in this delicate matter.

In this guide, we will explore how to develop healthcare software and the critical considerations that go into building a robust, efficient, and fully compliant platform—one that operates smoothly without the risk of regulatory penalties.

Idea Validation

The first step is validating the concept. Before initiating EHR development stages, the provider assesses the profitability, market fit, and feasibility. This involves identifying key objectives, industry needs, and competitive differentiators to define the essential features. Once technical and market analyses are complete, the project moves to the design phase.

Models and Prototypes

After confirming the concept, the next stage is prototyping. This involves defining core functionalities, selecting the team, and choosing the appropriate technology stack. At this stage, a prototype is created to closely resemble the envisioned user interface and functionality. This allows stakeholders to evaluate the design and provide feedback before moving into full-scale development.

Design and Development

Once the prototype is approved, the final design phase begins. A custom EHR development approach ensures that everything aligns with your specific requirements. Developers implement the system in iterative sprints, each delivering a fully functional component. Cloud-based is often a preferred choice for scalability and accessibility.

Testing

Quality assurance (QA) teams rigorously test to identify and resolve defects. This phase ensures that the program meets regulatory and performance standards. Testing continues until the functionality aligns with the project’s goals.

Launch and Maintenance

After final testing, the software is deployed, either as a consolidation into an existing system or as a standalone solution. Post-launch, continuous monitoring, and maintenance are required to address potential issues, ensure compliance, and introduce future enhancements.

One standout example of successful implementation is Cedars-Sinai Medical Center, which overcame inefficiencies and silos through a well-executed rollout. By streamlining workflows, enhancing interoperability and improving care, the hospital significantly boosted efficiency and engagement. Comprehensive training programs and the implementation of advanced technologies—such as AI-driven clinical decision support—played a crucial role in optimizing operations and elevating the experience.

Types of EHRSystems

Benefits of EHR System That Will Transform Your Business

While these technologies have become integral to the modern landscape, it’s essential to understand the significant benefits they bring to the industry.

Between 2024 and 2030, the global electronic health records market is expected to grow from USD 32.23 billion, with a compound annual growth rate (CAGR) of 4.43%. A major factor driving this expansion is government-led initiatives to accelerate the adoption of IT.

Let’s explore some of the major advantages of EHR systems that are transforming the industry.

Enhanced Quality of Care

Systems offer rapid and simple access to information, allowing practitioners to make more proactive treatment plans.

  • Checks for Drug Conflicts. Since the systems track prescriptions and allergies, they can also identify possible difficulties or conflicts with newly prescribed medications.
  • Improved Emergency Treatment. By providing emergency professionals with instant access to vital information, such as a life-threatening allergy. This helps them to offer appropriate treatment to the people, even if they are unconscious.
  • Preventive Measures. Assist practitioners in preventing potentially significant problems by alerting them to prospective safety hazards, resulting in better individual outcomes.

More Efficiency

One of the most noticeable advantages of an EHR practice management system is its capacity to improve organizational efficiency along with producing a favorable return on investment.

  • Appointment Scheduling. By automating the scheduling process, you can avoid typical blunders (e.g., duplicate booking), while also providing real-time scheduling changes that allow clinicians to reschedule appointments or send reminders to clients.
  • Billing. Building an EHR system helps minimize the likelihood of lost or delayed payments by automatically creating and delivering invoices, as well as detecting inconsistencies like duplicate charges or inaccurate billing codes.
  • Patient Communication. In addition to making it easier for customers to access their documentation, messaging features allow them to ask their clinicians questions in a private and confidential setting.

These enhancements can help your personnel manage their workload more efficiently. They also eliminate numerous human mistakes, such as illegible handwriting or lost documents.

Growing Patient Engagement

It facilitates collaboration between patients and professionals. Clients now have greater input in their wellness because of EHR system implementation, which increases openness. This safe access to information has motivated more people to take charge of their well-being and actively communicate with their doctors. The more information you make available to the patients, the more engaged they become.

This is especially true when 50% of the American population suffers from a chronic illness at any one time, and this epidemic is responsible for 86% of all healthcare expenditures. EHR systems for hospitals boost clinicians' capacity to build long-term connections with patients and work together to identify answers.

Reduced Medication Errors

Easy access to clients' medical histories, allergies, and existing drugs helps doctors avoid giving medications that might hurt them or interfere with other prescriptions. This increases individual safety and ensures that clinicians have the information they need to make correct recommendations.

The medical EHR system also assists in avoiding pharmaceutical mistakes by sending medication notifications and reminders to practitioners and allowing for automated drug prescribing. Furthermore, the estimated cost of surgical errors varies greatly, with some experts estimating $20 billion per year and others estimating expenditures ranging from $35.7 to $45 billion per year for hospital-acquired illnesses.

Communication mistakes are one of the primary causes of inaccuracy. Therefore, technologies can assist in decreasing the expenses associated with these errors.

High-Level Security

Examples of EHR systems provide superior security than paper-based systems because data is kept in safe, encrypted forms that are only accessible to authorized persons. Furthermore, you enable the safe exchange across authorized practitioners, providing for seamless communication between teams while reducing the danger of breaches. They also do frequent backups and data recovery, ensuring that information is always accessible and safeguarded.

Better Data Accessibility

The user-friendly nature of EHR medical system software largely drives its widespread adoption. They enhance accessibility for both providers and customers, allowing records to be securely accessed from any authorized device.  

However, while both groups benefit from improved availability, the level of access differs. For example, personnel can seamlessly retrieve documents from any location with an internet connection, making it easier to provide care across multiple facilities.  

Customers, on the other hand, have the right to securely access their information through a protected platform. This increased accessibility empowers individuals to take a more active role in managing their well-being.

Cost-Savings

The cost-effectiveness of healthcare EHR systems is often debated, as their implementation and maintenance can be costly. However, they offer significant long-term savings by improving efficiency and reducing unnecessary expenses.

  • Minimizing the need for paper-based systems eliminates costs associated with printing, storage, and manual recordkeeping, making facilities more sustainable and cost-efficient.
  • Reduced time spent on administrative duties By automating tasks such as scheduling, billing, and data entry, professionals focus more on treatment rather than paperwork.
  • Reducing Errors and Inefficiencies Real-time access to accurate documents helps prevent errors related to prescriptions, diagnoses, and treatment plans, ultimately lowering costs associated with mistakes and malpractice claims.

While the upfront costs of implementation may be high, the long-term financial benefits and operational efficiencies make them a valuable investment for your venture.

EHRSystems for Hospitals

Overcoming Challenges in Implementing EHR Systems in Healthcare

Implementing EHR systems comes with a range of technological, regulatory, and operational challenges. There’s always a need to address critical concerns such as security and privacy, regulatory compliance, seamless integration, and effective user training and adoption.

However, there’s no need to worry—every challenge has a solution. In this section, we’ll guide you through the key obstacles and provide practical strategies to overcome them, ensuring a smooth and efficient implementation.

  1. Ensuring Security and Privacy
    Since different EHR systems store sensitive files, they are prime targets for cyber threats. Protecting this documentation requires implementing strong security measures such as advanced encryption, multi-factor authentication, automated session logouts, and role-based access control.

Conducting regular security audits and monitoring system activity in real time further strengthens the system against cyber risks.

  1. Meeting Regulatory Compliance
    Strict regulations like HIPAA, GDPR, and HITECH govern systems, and non-compliance can result in legal penalties and reputational damage. Collaborating with an experienced EHR development team that specializes in regulatory compliance ensures adherence to protection laws and industry standards.
  1. Achieving Seamless Integration
    For optimal performance, it is necessary to integrate smoothly with other systems such as Laboratory Information Systems (LIS), Picture Archiving and Communication Systems (PACS), and e-prescription platforms. Using interoperability standards like HL7 and FHIR facilitates secure and efficient exchange between different programs.
  1. Facilitating User Training and Adoption
    Proper training is essential to maximize efficiency. Developing comprehensive training programs that cover navigation, documentation transfer, and documentation best practices helps you utilize the technology effectively.

By proactively addressing these challenges with the right strategies and technologies, you can implement a secure, compliant, and user-friendly system that enhances both service quality and operational efficiency.

Healthcare EHRSystems

How Much Do EHR Systems Cost, and How to Consider All the Hidden Expenses?

Custom software development costs vary depending on your company’s size, complexity, and particular requirements. These expenditures may be divided into two categories: direct and indirect.

The direct costs of EHR systems include on-premise or cloud installation, while indirect costs include staff training, human resources, and unanticipated spending such as security measures.

Now let's go over all of the subtleties and potential costs that you can encounter along the way.

System Selection and Licensing

These expenses rely on your choice of investment — whether your can spend monthly fees and depend on your provider or you can develop a precisely customized system for your needs.

  • Ready-made EHR Systems Operate on a per-provider subscription model, typically costing between $100 and $500 per provider per month. These are quicker to deploy but may offer limited customization.
  • Customized EHR Systems They are made from scratch to meet your specific organizational needs. While they provide greater flexibility and functionality, they require a substantial investment, ranging from $50,000 to $500,000 or more, depending on the project's scale and complexity.

Hardware Costs

Hardware expenses depend on whether the system is cloud-based or on-premise.

  • Workstations and Tablets Employees need PCs, laptops, or tablets to use the system, which costs between $1,000 and $10,000 per item.
  • Servers On-premise needs dedicated servers, which cost between $10,000 and $50,000.
  • Networking Equipment Routers, switches, and other IT infrastructure cost an additional $5,000 to $15,000.

Integration and Data Migration

Migrating records to medical EHR systems is a complicated procedure. The cost of merging and exporting varies with volume and format but normally ranges from $25,000 to $55,000. Incorporation of third-party applications like as invoicing or laboratory systems may result in additional expenditures.

Training and Support

Staff training is vital for a successful adoption process. Training expenses per employee vary between $1,000 and $6,000, depending on the degree of complexity. Post-implementation support services, such as troubleshooting and user help, may cost $4,000 to $25,000 per year.

Ongoing Maintenance and Enhancements

Maintenance includes frequent upgrades and security fixes. Annual maintenance expenditures are generally between $4,000 and $20,000, which include system updates, security enhancements, and functionality improvements.

In a Nutshell

The development of EHR  is an exciting leap forward in boosting efficiency, growing customer satisfaction, and optimizing operations. By facilitating smooth exchange across different networks, you can enhance the coordination and quality of provided services, leading to better results.

Choosing to invest in a strong, compliant, and future-ready expertly crafted platform streamlines administrative tasks, cuts down on mistakes, and boosts accessibility for providers and clients alike.

If you're looking for an experienced software partner for your organization, we’re here to help. At CleverDev’s Software, we aim to craft a customized strategy that aligns with your business needs. Contact us, and we will get back to you as soon as possible!

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About the Author

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Anastasiya Kastsiukovich

Anastasiya Kastsiukovich

Tech & Innovation Expert

Anastasiya is committed to making the complex simple. Her passion for writing, proficient research, and strong interviewing skills allow her to share in-depth insights into the ever-evolving IT landscape.

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