In this weeks Mercom Market Intelligence Report I saw a very interesting quote. “Software developers emphasized the need for systems to follow routine conventions such as adopting a Microsoft Windows-like interface. “. This makes perfect sense because so many new EHR users are already comfortable with MS Windows and MS Office products.  This comfort level means that the learning can focus on the EHR instead of the Graphical User Interface (GUI).   At XLEMR we identified the principle barrier to EHR adoption was the GUI, and the GUI is also the principle expense of keeping an EHR current with the rate of change that occurs in HIT today.  It was a clear choice;  the Microsoft Windows and Office products GUI allow every user to improve the GUI to meet the new need of the day.  This daily change process is called Kia-Zen and allows our clients to stay current.