EHR implementation in 2026 is fundamentally different from the past decade. The modern EHR is now an intelligent operating ecosystem — powering AI-assisted documentation, billing automation, analytics, compliance reporting, patient engagement, and ASC coordination. Successful practices no longer “install software”; they design digital infrastructure around clinical, financial, and operational strategy. In ophthalmology and specialty care, data volume, imaging dependence, patient expectations, and regulatory pressures are rising sharply. Interoperability is now mission-critical. AI assistance is becoming routine. MIPS and policy expectations increasingly require structured, high-quality documentation. Meanwhile, margins remain under pressure — making billing accuracy and workflow efficiency essential. The most successful EHR implementations today begin with strategy: clearly defining the role of AI, mapping integration needs, aligning workflows across clinic and ASC, em...