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An area version of excellence in practice EMR transformation is Old Harding Pediatric Associates (OHPA) that includes two practices and two doctors who manage a patient population of 23,000 and more than 72,000 patient encounters each year. OHPA’s transformation to digital records in early 2000 happened as a consequence of the pursuit of excellence in patient care and the desire to utilize technology in a manner that benefitted their individual population. OHPA created a cross functional work group to enhance their practices in the fields of facilities, employees, communication, engineering and outside influences. Noteworthy was selected as the EMR seller based on consumer friendliness and also the similarity to some typical patient graph with tabs for documents. The program was personalized to the pediatric environment complete with individual development charts. Windows was used since the working system based on supplier familiarity. Within four times OHPA had 100% compliance and application of the EMR system.