When it comes to EHR go-lives and optimization, it's hard to reproduce quickly all the features of the previous EMR during an EMR go-live and new features keep coming. Feature lists are too long, so the governance committee has to prioritize what to implement and optimize next. Gronberg warns that many organizations implement "base components" with the intention of coming back later to add more—but actually never do so. Thus, both he and Bodnar say that optimization is an on-going process.

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