Changing EMR’s is an enormous amount of work and money, regardless of practice size. There isn’t even a standard way to transfer records between them, though I

Changing EMR’s is an enormous amount of work and money, regardless of practice size. There isn’t even a standard way to transfer records between them, though I think the ACA created a phased plan to improve interoperability between systems. When I worked in a small practice that had converted from paper to electronic records, we didn’t even bother scanning in all the legacy paper records. They just sat in the doctor’s basement at home until the required 7 years passed until they could be destroyed. I’m not sure what would happen if that same doctor had to switch EHRs. I would guess they’d just leave the records on the old system and keep paying for both.