No matter what software is being implemented the following must be taken into consideration in order to increase utilization, reduce frustration and maintain productivity.

Pre-implementation:
Hands on, role specific training based on clearly defined workflows
Assessment of PC skills and typing ability of all who will utilize the EMR
Chart abstractions

At go live:
Onsite support that has been briefed on workflows that were used in trainiing
Clearly defined process for issue reporting, escalation and end user updates
Handling enhancement/change requests

Post implementation:
Ongoing user support
Ongoing training (refresher, optimization & new hire)
Communication to end users (Software updates, tips & tricks)

I have worked successfully in each area listed. It must be clearly communicated that documenting patient care electronically is different than charting on paper – not better or worse but definitely different. Every patient is a new patient the first time they are seen post-implementation. It will take time and practice to become comfortable and adept at electronic charting.