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Client: University Hospitals, Cleveland.Service: Integrated ambulatory and hospital clinical information system.Winning Vendor: Eclipsys, signed September 2006 after a nearly two-year search.Terms: 10-year contract worth "tens of millions," says Ed Marx, University Hospitals' chief information officer. Selection Team: Multi-disciplinary group of 40 led by Lynne King, EHR project director; reported to five-member executive steering team that made final decision.Goal: "Single patient, single record" across nine hospitals and 150 clinics.Number Vendors Considered: Five (Cerner, Eclipsys, Epic, IDX and Siemens submitted RFPs).Evaluation Tools: Evaluated 500- to 600-page RFPs against 1,000 categories; site visits; live demos, including an oncology patient admission, discharge and transfer scenario, before 250 to 300 clinicians.Hold Everything: Taking a four-month pause, University Hospitals considered an integrated financial/clinical technology package, but determined no vendor could provide it.Selling Point: Interviewing vendor chief executive officers-steering committee liked Eclipsys' culture.Lesson: The fewer RFPs, the better, King says. "Do three or less."-Gary Baldwin