Most rounding practices know their EHR is not working the way it should. Fewer know whether the gap is big enough to justify a switch. The decision sits in a comfortable ambiguity — the current system is painful, but switching feels risky.
This is a ten-question framework designed to move that decision from vague to clear. Answer each question honestly. If you check more than three boxes, the financial and operational case for switching has probably already been made.
Question 1: Are your providers finishing notes after hours regularly?
After-hours charting is the most visible sign that your EHR is creating friction rather than removing it. If more than one provider in your group is finishing notes at home more than occasionally, the EHR is adding time to the clinical day that should not be there.
Question 2: How long does it take to get a response when something breaks?
Time the last three support issues your practice experienced. From initial contact to resolution. If any of them took more than 24 hours to resolve, that is time during which providers may have been unable to complete documentation. Multiply it across a year.
Question 3: Do your charting and billing systems communicate automatically?
When a note is published, how long before a claim can be worked? If the answer involves a manual step, an export, or an end-of-day process, that gap is creating charge lag and leaving room for errors that would otherwise be caught immediately.
Question 4: Does your EHR connect natively with the facility EHRs you round in?
PointClickCare is the one that matters most — it is the system behind the majority of SNFs. If your rounding EHR's integration with it is one-way or nonexistent, your providers are double-charting, and that problem compounds with every new facility you add.
Question 5: Are MIPS data elements and clinical alerts built into the system, or layered on top?
If staying MIPS-compliant requires work outside the normal charting workflow — a separate tool, a manual pull, or a third-party submission process — your EHR is creating administrative overhead that a purpose-built system handles automatically.
Question 6: Is your contract cost rising without corresponding product improvements?
Annual price increases that are not matched by meaningful feature development or support improvements are a signal. Calculate your per-provider cost today versus two years ago. If it has climbed without a visible reason, that delta compounds over the remaining contract term.
Question 7: Can you see what is actually happening in your practice?
If you cannot tell which providers are seeing more patients, how their CPT and RVU production breaks down by facility, or how many of each note type are getting completed and if they are being done timely, your EHR is not giving you the operational visibility your practice needs.
Question 8: Does your vendor answer the phone?
Ask someone on your team to call the support line after hours right now. Note whether a real person answers and how long it takes. If the answer is a voicemail or a ticket portal, that is the support model you have for your next emergency.
Question 9: Are your providers spending more time working around the system than working with it?
Workarounds are the most reliable signal that a system is not fit for purpose. Spreadsheets to track patients across facilities. Paper notes to enter later. Abbreviations developed to get through required fields faster. Count the workarounds. Each one is a tax on the clinical day.
Question 10: If you were starting fresh today, would you choose this EHR?
This is the clearest question. Not whether the system has improved or whether switching is complicated. Whether, knowing what you know now, you would sign the same contract again. If the answer is no, the remaining questions are about timing, not direction.
Scoring this honestly
Three or more yes answers means the financial case for switching is likely already there — you just have not added it up yet. Charge lag, after-hours documentation time, billing errors that should have been caught automatically, and administrative workarounds all have dollar values attached to them.
The question is not whether switching costs something. It does, and a short-term disruption is real. The question is whether staying costs more.
These are reasonable expectations, not aspirational ones. An EHR designed for rounding should meet all ten of these without qualification.
If you want to run ChartPath through this checklist, book a 30-minute demo and we will answer every question directly.
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