Theoretically, shifting to electronic health records (EHRs) should improveeverything. Unfortunately, there are still some glitches to be worked out. Theseglitches contain financial concerns, changes in workflow, temporary loss ofproductivity associated with EHR adoption, privacy and security concerns, andseveral unexpected consequences.Financial concerns include adoption and implementation expenses, ongoingmaintenance costs, revenue loss associated with temporary loss of productivity,and revenue reductions are all factors that prevent hospitals and physicians fromadopting and implementing an EHR. Purchase and installation of hardware andsoftware, conversion of paper charts to electronic charts, and end-user trainingare all costs that are associated with EHR adoption and implementation. “In 2002,a study conducted in a 280-bed acute care hospital, a seven-year EHR installationproject was estimated to cost over US$19 million[ CITATION Abh02 \l 1033 ].”Another disadvantage of an EHR is that it disrupts medical staff andprovider workflows, resulting in temporary productivity losses. This loss ofproductivity is a result of end-users learning the new system, and it could result inprofits losses. According to one study, which was including many internal medicalclinics, where productivity dropped by 20% in the first month, 10% in the second