Although more than 50% of American physicians now use electronic health record (EHR) systems, the transition from paper to electronic records has hardly been smooth. A recent AmericanEHR Partners survey found that 39% of doctors would not recommend their EHR system to their colleagues. Moreover, 31% of doctors plan or would like to switch to a new EHR system, according to the market research firm Black Book Rankings. While changing to a new EHR system is the trendy choice, is it the right one? Beyond the question of whether a new system will deliver actual improvements, there are two other key factors to consider before making a change: cost and time. Instead of investing resources in a new EHR system that may or may not offer better performance, organizations should make sure that they have maximized the value they can get from their existing system. This presentation discusses the implications of EHR system replacement, ways to objectively assess the viability of your current EHR system, and options for optimizing your system.