James Spruell David Vicknair Sylvia Dochterman


This study examines the challenges faced by the small medical practice (1-2 providers) in capturing the financial benefits of investing in Electronic Medical Records (EMR). In particular the paper focuses on three key elements of the process: (A) A theoretical framework that explores the underlying principles that drive the variation in benefit capture and ROI associated with EMR investments; (B) The risk to reward levels that set an appropriate cost of capital for investments of this type; and (C) An understanding (and limit) of financial exposure during EMR projects.