Table 2. EHR System Limitations Mentioned by Visited Practices with EHRs.

System Limitation	Number of Practices (Out of 24 with EHRs)
Unable to generate lists of patients with certain criteria	8
Technical bugs in the system; doesn't work as advertised	7
Lack of technical support or adequate training to use the EHR well	6
No condition-specific prompts or reminders	6
Alerts are overpowered, alert the physician too much	4
No standard place to put key data in the chart	4
Takes too many clicks to perform tasks	4
Hard to find things with so many documents attached	3

SOURCE: MPR analysis of detailed site visit notes based on visits during summer/fall 2008