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Although the HITECH incentive payments have increased adoption, EHR adoption continues to have obstacles [5,6]. One of the main obstacles continues to be affordability [5]. CDW Healthcare Physician Practice estimated the total cost of an EHR deployment at approximately USD $120,000 per physician in the first year after implementation, with annual recurring costs of USD $30,000 per physician [7]. Along with the financial cost, there is also the non-financial cost related to time spent to bring the system live and into full functional use [7].

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