It is difficult to imagine a company creating a product without asking consumers what they want or need. However, that is exactly what often happens in healthcare. Specifically, many electronic health record (EHR) systems are designed and healthcare organizations buy these systems without consulting the end users. Physicians often are left out of the conversation. According to a HealthLeaders Media Intelligence survey of healthcare executives that was conducted with the support of HMS in June 2013, about one out of four organizations involved physicians in every step of the clinical system purchase. When these systems try to qualify for Meaningful Use, they are going to cost providers and health systems incentive dollars, not to mention revenue lost due to inefficient workflows. With a focus on the importance of utilizing physician input, this report explores how to ensure an EHR is up to par clinically.