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At Akamai, we firmly believe there is no one-size-fits-all EMR solution. There are too many variations by specialty, practice size and documentation style.

At the same time, we don't believe that a practice should put their financial footing at risk, by having as a sole option an "included" billing system from an EMR vendor that may be otherwise attractive from a clinical perspective. The typical private practice in Hawaii simply can't exist with a marginally capable billing system. And the best documentation system has little value, if cash flow dries up and the doors can't be kept open.

To put this another way, does it make sense to risk the financial health of a practice on a billing system that is "unproven-in-Hawaii"? Should you be a "guinea pig" for a practice management application from a company whose clear focus is clinical, rather than financial?


The obvious answer is the "best-of-breed" approach. This allows a practice to select the EMR that is best suited for their needs, while having the security of an established  practice management system that is proven and locally supported.

This approach is particularly applicable in Hawaii with our unique billing environment; where "mainland-standard" billing systems may not be adept at handling issues like general excise tax and local payer requirements.


As a consequence of all these factors, at Akamai Practice Management, we are firmly committed to working with a variety of EMR companies.

The selection of Akamai PM as your practice management system provides EMR options. Unfortunately, the selection of alternative systems may restrict a practice's EMR or billing options, which could cause disruption should either the clinical or financial component fail to meet expectations.

Integration Method

Most EMR companies use a standardized interface to integrate with outside practice managment systems. When you choose an EMR there is an excellent chance that Akamai PM will be able to integrate with it. For a list of systems that we currently interface with, click on the Integration link on the left.

Funding Sources

For some general guidelines regarding EMRs and the various funding sources available to physicians in Hawaii click on the EMR Overview link.

Thoughts on the EMR Selection Process

To download a pdf copy of our general EMR findings and recommendations click here.