One of several factors inhibiting ophthalmologists from adopting electronic medical record (EMR) systems has been the way Meaningful Use mandates were originally developed. In an article from Ophthalmology Times, titled “Eye-care professionals still slow to adopt electronic health records,” Dr. Chiang, chairman of the AAO Medical Information Technology Committee, offered the following comment: "The government's meaningful use programs are geared toward all health-care providers, for that reason, they inherently have somewhat of a one-size-fits-all approach, where the requirements that an ophthalmologist needs to meet are the same as what an internist or general surgeon would need to meet." However, the number of ophthalmology practices implementing EMR and practice management systems is growing due to the emergence of specialty vendors offering fully customized solutions using more advanced and flexible technology. The following are some best practices, tips and practical advice for ophthalmology practices that are trying to find EMR solutions to best fit their needs.