The Best User-Friendly EHRs for Solo Practices

A growing number of practices are now using electronic health record (EHR) systems, largely due to EHR incentive programs.

However, doctors feel inhibited by the poor design of some EHRs: problems with navigation and difficulty searching for patient information affects the user-friendliness of these systems.

Solo practitioners are particularly vulnerable to the consequences of a clunky system. Think about it: Large medical practices and hospitals have more employees and a dedicated IT staff to shorten an EHR system’s learning curve.

A single-doctor or small practice, however, has to operate unfriendly EHRs with a limited support staff—a concern that can keep some practices from EHR adoption altogether.

To help solo and small practices choose a system that will deliver all the benefits of an EHR while limiting the usability challenges, we’ve compiled a list of four user-friendly EMR systems with positive user reviews.

We started by identifying popular systems among independent physicians, then calculated which were rated highest for their “ease of use” by actual EHR users on Software Advice’s website (full methodology detailed below).

practice fusion

Ease of use rating: 4.0 out of five stars.

System overview: According to SK&A’s 2017 report, Practice Fusion has been ranked as the top cloud-based ambulatory EHR in the U.S. It supports most major medical specialties used by solo and small practices. Among the software’s capabilities: patient scheduling, charting, e-prescribing and lab and imaging integration.

What users say: “[It is] fast to add features, and [does] almost everything I need in an EMR. The fact that it’s no cost is a plus. For the record, I would probably pay $100 per month or more to use this. I’m on it six days a week, from the office and from home.” —Dr. Vatsal Thakkar, NYU School of Medicine

Why it’s good for solo practices: This system is specifically developed for small to midsize providers, and offers unlimited customer service at no charge. While a free, partially ad-supported version of the software is available, practices have the option of upgrading to a paid, ad-free version.


Ease-of-use rating: 4.2 out of five stars.

System overview: Kareo’s EHR system is both free and cloud-based. It’s geared toward solo and small practices in any specialty. The system is compatible with mobile devices and includes documentation templates, auto-populating ICD coding fields, a dashboard view of patient appointments, a patient portal and more.

What users say: “The Kareo EHR is the easiest and most intuitive of the three products I have used. … I am a solo practitioner and enter all the data myself. I don’t have a lot of time available to learn something the hard way on a daily basis.” —Richard Keyser, A.R.N.P., Psychiatric Mental Health Associates

Why it’s good for solo practices: There are no contracts or initial setup fees for this system. Kareo offers this product for free as an incentive for users to buy their practice management and/or billing products, which integrate with the EHR system.


Ease-of-use rating: 4.2 out of five stars.

System overview: PrognoCIS by Bizmatics is available as either a cloud-based or an on-premise system. The software offers a specialty-specific template library for health data documentation, as well as drug interaction alerts, a search query functionality for the patient database and more.

What users say: “The EHR is user-friendly and allows you to chart with accuracy and efficiency. With the use of the podiatry templates, it made the start-up relatively easy.” —Gus Constantouris, D.P.M., Constantouris Foot Pain

Why it’s good for solo practices: The vendor assigns an Implementation Specialist to every new client to serve as a “personal guide” to the software. The Specialist also helps set up the EHR to ensure it interfaces with the practice’s medical devices, lab systems and any practice management or billing software that may already be in place.

chartlogic ehr

Ease-of-use rating: 4.5 out of five stars.

System overview: ChartLogic EMR, the first complete ambulatory EHR in the marketplace to be certified for meaningful use, is a cloud-based product that also offers the option to be deployed on-premise. The solution’s capabilities include electronic charting, document management, e-prescriptions, coding tools and more.

What users say: “Everything is pretty straightforward, and you do not have to keep clicking a bunch of keys to find what you need. This EHR meets our needs by providing everything for a patient’s visit from start to finish. It’s also capable of meeting our meaningful use requirements.” —Odulia Sites, the practice of Dr. Terry J. Sites, P.L.L.C.

Why it’s good for solo practices: This EHR is integrated with proprietary voice recognition technology that allows physicians to dictate notes directly into the system. This can save time, allowing physicians to see more patients per day.

To determine the products featured in this article, we first compiled a list of 20 most commonly used EHR systems among solo practitioners. The list was derived from an analysis of Software Advice interactions with potential buyers. Our advisors regularly speak with buyers who contact Software Advice seeking new EHR software. The data used to create this report was collected by our advisors during those interactions for business purposes, rather than for market research. We selected interactions with U.S. single doctor practices during January 2017 to October 2017, and counted the most commonly cited products they used.

From that list of 20 commonly used EHRs, we determined “ease of use” rankings for all products. To do this, we analyzed our proprietary reviews data by ranking products based on their average “ease of use” star rating (out of a possible five). Products with less than 10 reviews on our website were excluded from the “ease of use” rating calculations and a final list of top 5 products was derived for this article.

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