Following are the main factors that help in arriving at a decision for purchasing an EMR Software System. Answering a Yes or No will quickly lead you to a decision.
Before these questions, you need to address a more fundamental question of whether you want a Client-Server or in-house EMR or Web-based EMR (Cloud EMR, SaaS EMR).
1. Does the System meet 'majority' of my needs? (apply the 90-10 rule).
2. Do I see myself (Provider) using it?
3. Does my staff feel comfortable? Do they see themselves using it?
4. Does it fall within my budget?
Answer to all of the above has to be Yes. If the answer to any of the first three is No, then the system is not a good fit.
If the answer to 4 is yes, then Negotiate.
Don't complicate too much, there are too many choices, you'll go nuts.