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Client: Midland (Texas) Memorial Hospital.

Service: Emergency department information system.

Winning Vendor: A4 Health Systems (acquired by Allscripts during selection).

First Runner-up: Picis.

Selection Team: A multidisciplinary group of about a dozen staff, led by Cori Armstead, nurse manager.

Healthcare Issue Addressed: Functionality of prior system.

Contract Signed: November 2005, after 18-month search.

Number Vendors Considered: Seven, including Cerner, Emergisoft, MedHost, Picis and Wellsoft.

Range of Bids: $225,000 to $1.3 million

Winnowing Out: Eliminated vendors MedHost (documentation modules), WellSoft (interfaces), and Cerner (functions).

Evaluation Tools: Ranked all vendors with scorecard; site visits to two finalists.

Why Allscripts Won: Superior reporting tools of aggregate clinical data and ease of setting up customized order sets, says Lawrence Wilson, M.D., medical director.

—Gary Baldwin