The Intake

Insights for those starting, managing, and growing independent healthcare practices

How to write an RFP for an EHR: A step-by-step guide (with free template) 

A well-executed RFP paves the way for a smooth EHR implementation.

RFP for EHR

At a Glance

  • Clearly define your practice’s needs and goals with a well-prepared RFP to streamline your EHR selection process.
  • Use a structured RFP process, including vendor evaluation and demonstrations, to identify the best EHR system for your practice.
  • Employ Tebra’s free, editable RFP template to save time and ensure a comprehensive evaluation of EHR vendors.

Selecting an electronic health record (EHR) system is a challenge for any independent healthcare practice owner. Having a low-performing EHR and case management software can have an enormous impact on practice efficiency and patient care, while the right EHR can transform healthcare delivery.

To help you navigate the EHR acquisition process, read on for a step-by-step guide on how to create an effective request for proposal (RFP) for vendor selection, and get a free, editable template.

To start, we’ll explore the vital role of RFPs in EHR selection. 

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What is an RFP in EHR?

For independent practice owners, implementing an EHR can be a rocky journey. A recent Tebra study showed that 65% of providers would like to switch from their current EHR, but the many steps and roadblocks along the way often prevent them from making a change.

A clearly defined EHR vendor selection process depends on a well-prepared, well-written request for proposal.

A clearly defined EHR vendor selection process depends on a well-prepared, well-written request for proposal. An RFP is an essential tool in the vendor selection process, facilitating the comparison of different EHR systems. As a formal document, it invites vendors to submit key details about how their software would meet your specific demands. In helping you obtain a quality pool of applicants and narrow your options, a focused RFP process lets you select the best possible vendor for your practice’s needs.

What are the 7 steps in conducting a comprehensive RFP process?

To conduct an effective RFP process, here are the 7 key steps your medical practice should follow:

1. Requirements gathering

Working with a cross-functional internal team, start by creating a well-defined list of desired EHR features that will solve problems at your practice and best meet its strategic goals. 

Examples of your desired requirements could include:

  • Reporting functions 
  • Security features
  • Patient portal/scheduling features
  • Technical requirements for hardware, software, networking, and workstations
  • Practice management tools
  • ePrescribing availability 
  • Lab integration
  • Interoperability with other systems 
  • Expectations for end-user training
  • Compliance requirements (meaningful use, HIPAA, etc.)
  • Specialty-specific workflows
  • Mobile/tablet access
  • Customization and integration needs

2. Vendor identification

Research and identify potential EHR vendors. Weed out weaker candidates and non-contenders with a request for information (RFI), presenting broad questions that capture general information about vendors’ high-level application capabilities, services, and support.

3. RFP distribution

Distribute an RFP document to your list of selected vendors who made the cut. Ensure that the RFP clearly outlines the project scope, technical requirements, evaluation criteria, timeline, and submission instructions.

4. Vendor proposals

Receive and evaluate vendor proposals. Vendors will respond with detailed information about their EHR systems, including features, pricing, implementation timelines, support services, etc. 

5. Initial evaluation

Review and evaluate the received proposals against your criteria, ranking vendors on how closely they align with your practice’s EHR requirements. Score each one numerically, creating a shortlist of vendors that you are willing to approach with a request for quote (RFQ).

6. Vendor demonstrations/presentations

Invite 3–5 shortlisted vendors to provide demonstrations or presentations of their EHR systems. See the software in action, ask questions, and start assessing how well it meets your practice’s needs. For instance, you can sign up for a Tebra demo customized to your practice.

7. Final evaluation and selection

Conduct a final evaluation, assessing each vendor’s offerings, demonstrations, and quotes. In consultation with your internal team, select the vendor that best meets your requirements, fits your budget, and aligns with your practice’s EHR goals.

The key components of an effective RFP for EHR vendor selection

Putting out an effective RFP is the foundation of any successful EHR selection process. To ensure your practice is obtaining a quality pool of candidates, here are the essential elements to include in your RFP.

Lay out your project needs and purpose (executive summary)

Describe why you are searching for a new EHR and detail the needs and scope of your practice, including:

  • Your practice’s specialty and background
  • The number of facilities that will use the EHR 
  • The number of internal users your system has, both providers and other users 
  • Any third-party or ancillary programs integrated with your existing system

Give the name of your current EHR system and explain why it's no longer working for you. Give an executive summary of what you aspire to change.

Detail terms and conditions, including budget constraints

To help the vendor get a sense of the scale of your project, go through the timing and budgetary constraints that your practice can’t go beyond.

Describe specific requirements for your new EHR system

Detail what specific products and services the vendor should deliver, and their priority, such as:

  • Reporting functions 
  • Security features
  • Patient portal/scheduling features
  • Technical requirements for hardware, software, networking and workstations
  • Practice management tools
  • ePrescribing availability 
  • Lab integration
  • Interoperability with other systems, including affiliated hospitals and networks
  • Expectations for end-user training, including the number of users who will require training
  • Compliance requirements (meaningful use, HIPAA, etc.)
  • Specialty-specific workflows
  • Mobile/tablet access
  • Customization and integration needs
Tebra EHR
Here is a glimpse into Tebra's cloud-based, ONC-certified electronic health record (EHR) with integrated billing, telehealth, and eRx- and eLab-ordering workflows. Learn more here.

Detail any other desired vendor qualifications

Describe any other qualities or qualifications you would want in a partner, like customer support, cloud services, or company culture.

Give a timeline and milestones

Give the vendor your anticipated project start date (when the selection process will begin), your selection steps, and any anticipated project go-live dates.

Describe your criteria for evaluating proposals

Give the vendor a deadline for when they need to submit their response to the RFP. Provide a template for them to use, and explain how you'll be evaluating responses.

A step-by-step guide to creating your own RFP for an EHR 

Now that we’ve laid out the essential content you’ll need in your RFP, let’s take a step-by-step look at the best approaches to gathering that content.

Prepare your team and define your needs

The first step in preparing a strong RFP for EHR is to assemble a strong internal team from across your practice. Gather people who represent your practice’s different functions including clinical, administration, IT, and finance. Appoint an RFP lead or coordinator to head the group, ensure smooth communication, and adhere to the timeline. 

Compile the short- and long-term needs and goals of each member of the internal team, putting together an outline of your collective needs and goals.

The first step in preparing a strong RFP for EHR is to assemble a strong internal team.

Short-term goals may include: 

  • Streamlining workflow efficiency
  • Improving care
  • Enhancing data security

Long-term goals may include:

  • Cost reduction
  • Scalability
  • Interoperability with other systems

Take the time to make sure that nothing is overlooked, that all functions of your practice are represented, and that competing priorities are balanced.

Gather information and establish criteria

After completing the necessary work with the internal team, conduct a needs assessment of your software requirements. Through surveys, focus groups, and stakeholder interviews, gather relevant data. Include:

  • The size of your practice or organization
  • The number of users
  • Your client population
  • Your unique clinical or administrative needs

Gather your functional and technical requirements and priorities, including: 

  • Scheduling, billing, record keeping, reporting
  • Server capacity, operating system compatibility, security protocols, interoperability 
  • Any current technology or systems that must be integrated

If you are a private practice group, the type of EHR that your affiliated hospitals use will hold considerable weight in your choice of systems. Most providers find it extremely useful to have interoperability between their office and hospital EHRs. You may want to ask your hospital administration if they have a way for you to jump on board their EHR at a discounted rate.

Create a detailed project scope and timeline. Define the tasks, deliverables, and responsibilities for both you and the vendor. Put proposed dates to the following project phases: vendor selection, customization, data migration, training, and support. 

Specify vendor qualifications and experience, such as a minimum number of years in the EHR industry, a proven track record with organizations similar to yours, or experience integrating with other health care IT systems and vendors. Consider asking for vendor references and case studies.

Decide what your criteria for evaluation is going to be, such as a numerical grading rubric, and define what weight you will assign to each criterion to reflect its priority.

Lastly, establish a plan for ongoing support, maintenance, and updates after the EHR is implemented, focusing on user training and post-implementation evaluation.

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Writing the RFP: Tips and best practices

With all the above content compiled in outline form, drafting the final RFP is the last step. Here are tips and best practices to consider as you enter the writing phase:

  • Delegate the task of writing and editing the RFP document to the department or individual at your practice who is strongest in writing
  • Consider working with a third-party RFP consultant
  • Do market research to create a targeted list of potential vendors, narrowing the vendor applicant pool
  • Have the writer work from an RFP for EHR template as they expand the outline

Distributing the RFP and evaluating responses

Contact targeted vendors directly with your finalized RFP, make a public announcement, or both. As responses come in, have your team evaluate them using your predetermined scoring system. Decide whether the scoring and voting process is anonymous or whether it will happen as a group discussion.

Conduct extra due diligence, verifying references and case studies, reviewing vendors’ financial stability and reputation, and checking their track records for customer support and satisfaction. 

Get a free template to begin your RFP

RFP: The foundation of your EHR vendor selection

No matter the scope or specialty of your independent practice, a well-prepared RFP is the cornerstone of a successful EHR implementation.

By methodically following the step-by-step guide above, and using an RFP template to steer you, you’ll gain a clearer understanding of your practice’s specific needs and goals. This structured process will save you time and resources as you select an EHR, as well as helping you consider all aspects of EHR functionality. You’ll gain the information you’ll need to compare and evaluate different EHR vendors. Ultimately, this will help you make an informed decision. 

A well-executed RFP paves the way for a smooth EHR implementation. This can lead to improved care delivery, better outcomes, and increased efficiency across your entire practice. Use the resources provided here, including our free template, to kickstart your EHR selection process and set your practice up for success.

Read the full EHR implementation guide from Tebra.

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Learn how to create a seamless patient experience that increases loyalty and reduces churn, while providing personalized care that drives practice growth in Tebra’s free guide to optimizing your practice. 

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Kari Beauchamp

Kari Beauchamp holds an MA in English and creative writing from the University of New Brunswick. She has written across diverse fields and industries including healthcare, business writing, community engagement, and lifestyle. With multiple doctors in her immediate family, Kari finds communicating about healthcare to be a vital and very personal form of writing. She is proud to be deepening the understanding of the vital role of independent practices, promoting both physician wellbeing and strong patient care.

Reviewed by

Jesse P. Houghton, MD

Dr. Jesse Houghton, MD is board certified in both Internal Medicine and Gastroenterology. He is an expert in endoscopic procedures and the recipient of numerous awards, including the Best Doctors in America, Ohio Top Docs, Castle-Connelly Top Doctor, and Marquis Who’s Who in Medicine. He is the medical director of Gastroenterology at Southern Ohio Medical Center.

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