Starting a practice
The pros and cons of EHRs
Starting or upgrading your therapy practice? Here are a few expert tips on choosing the best EHR for your needs.
March 21, 2025 • Updated on September 9, 2025
5 min read
Electronic health records, or EHRs, are helpful tools for both mental health providers and clients. As a digital system that stores and manages client health information, EHRs can help streamline your practice while maintaining client confidentiality.
Whether you’re starting a practice or looking to upgrade, weighing the potential pros and cons of EHR systems can help you make an informed decision. Below, learn more about the benefits and drawbacks of electronic health records so you can make the best decision for your practice.
Pros
Adopting an EHR system can come with many benefits. Below, learn more about some of the ways an EHR can support your practice.
Improved patient care
EHRs make it simple to track and monitor client progress so you can be sure your treatment plan is aligned with current goals. EHRs also allow clients to access their own records and care-tracking tools, which can ensure they feel informed and empowered in their mental health journey.
Streamlined efficiency
A good EHR should also make your practice more efficient by eliminating repetitive tasks and automating workflows. For example, with electronic records, you don’t have to parse through paper records to find important information about a client. Working with integrated EHR systems like Headway’s — which consolidates telehealth, scheduling, documentation, billing, and more — can also eliminate time spent switching among different standalone platforms. Saving time can improve your productivity, so you can spend more time supporting your clients.
Billing and coding integration
Without the right tools in place, managing billing and coding can take a lot of time. The right EHR will save you time on generating invoices and tracking payments, so you can focus on your clinical work (and ensure you get paid in a timely manner). Headway’s EHR is built specifically for in-network practices, with a platform that’s compliant by design. Features like compliance-enhancing templates, AI-assisted notes, non-session documentation, and clawback protection take the stress out of working with insurance.
Better communication
Communication, whether collaborating with other providers or communicating directly with your client, is a critical component of mental health care. EHRs provide a platform for more effective collaboration between office staff, clients, and providers.
Reduced risk of errors
Reducing errors can save you valuable time (and potentially money) in your practice. EHRs typically include templates and standardized forms, which can prevent errors and ensure consistency in client information, from assessments to progress notes. Many also include features that provide evidence-based information for diagnoses and treatment plans.
Efficient data management
With EHRs, client records are instantly accessible and securely stored, which reduces time spent (and headaches accrued) with manual record-keeping. EHRs also make it simple to securely send information to other providers, which can help streamline client care.
Strong security
The best EHR systems, particularly those with regulatory certifications like HITRUST, come with robust security measures and safeguard client info — all ensuring compliance with approved privacy regulations.
Interoperability
The ability to share info among different healthcare entities can support the best possible care for your clients. An EHR system can be a helpful tool for making client decisions, scheduling your clients with another mental health professional, or communicating with your clients’ primary care providers.
Practice in-network with confidence
Simplify insurance and save time on your entire workflow — from compliance and billing to credentialing and admin.
Cons
While EHRs can add many benefits to your clinical practice, integrating an EHR can also introduce a few hurdles. Anticipating these potential challenges can help you be strategic in your decision-making and implementation process.
Setup and maintenance costs
Initial EHR setup and maintenance can be a significant financial investment — especially for small practices or solo practices, which may not have a big budget for software. (If that’s the case for your practice, consider Headway’s EHR, which is totally free to use.) Plus, transferring from an existing EHR to a new one can be time-consuming.
Implementation training obstacles
Using new software can come with a learning curve for staff. You may also encounter frustrating potential technical issues in the implementation process.
Compatibility obstacles
Headway’s EHR is built so you can seamlessly manage your entire practice from a single place. But not all EHRs are compatible with all devices or software, which can cause workflow gaps in your practice. In some cases, you may also need to invest in new hardware, including computers or tablets.
Limited accessibility
Depending on the EHR system you choose, yours may not be universally accessible to all healthcare providers, whether outside prescribers or your clients’ primary care doctors. This could potentially impact opportunities for collaboration with other providers and, down the road, care quality.
Security and privacy concerns
Client confidentiality should be a top priority in any practice. Even with strong protections in place, it’s hard to find a 100% risk-free system. If possible, choose an EHR with a regulatory certification, such as HITRUST.
Complicated user interface
Not all EHRs are created equal: Some system interface designs are less intuitive than others, which can make them difficult to navigate for both providers and clients.
Record transferring
EHRs can make it challenging to accurately transfer all relevant client information and data from one platform to a new one. This process can also be time-consuming, which can potentially impact the quality of care you can provide.
How to choose the EHR right system for you
Deciding on an EHR system is more than just weighing the main pros and cons — it’s about finding the holy grail for your unique practice. Consider the following questions as you explore EHR options:
- What day-to-day features are a must?
- How much time and sources can you dedicate to training and implementing?
- Is the user interface ideal for both clients and clients
- Can it grow alongside your practice?
- Does the system prioritize data encryption and security?
Explore your EHR options
Curious about your EHR options? Learn more about the best options for your practice:
Use our free EHR
EHRs can be a great investment for any mental health practice, ideally streamlining the care you provide. But introducing a new software can come with frustrating challenges, which is why it’s so important to choose your EHR wisely.
While different choices will make sense for different practices, Headway offers some across-the-board benefits. It’s a unified practice platform built for the needs of providers who accept insurance, available with no cost, subscriptions, or strings attached. It’s an EHR designed to let you run your practice, your way. Who couldn’t use that? Learn more about Headway’s EHR.
Streamline your practice with Headway
Join Headway to build a connected practice with a streamlined suite of free EHR features — from scheduling and messaging to documentation and assessments.
This content is for general informational and educational purposes only and does not constitute clinical, legal, financial, or professional advice. All decisions should be made at the discretion of the individual or organization, in consultation with qualified clinical, legal, or other appropriate professionals.
© 2025 Therapymatch, Inc. dba Headway. All rights reserved. No part of this publication may be reproduced without permission.
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