Blog | Precision AQ

What Physicians Wish Pharma Knew About EHR

Written by Thad Nowakowski | Sep 1, 2026, 6:38:41 PM

Author: Thad Nowakowski, Senior Vice President, EHR Solutions

With targeted oncology treatments and next-generation cell and gene therapies representing among the most significant clinical advances in years, the science behind today’s precision medicines holds incredible promise. However, innovative science alone doesn’t guarantee commercial success. What distinguishes a breakthrough therapy from a widely adopted one is often dependent on how conducive it is to a physician’s electronic health record (EHR) workflow.

The Importance of EHR to The Physician's Workflow

EHR is not simply a documentation system, but an operational backbone that moves a physician from point A to point B in their workflow, across the various steps of the patient journey, including:

  • Making a diagnosis
  • Ordering biomarker testing
  • Confirming payer eligibility
  • Prescribing a therapy
  • Managing prior authorization (PA)
  • Following up on adverse events (AEs)
  • Communicating with patients

For complex therapies, particularly in several oncology indications, the patient journey is not linear. Before treatment decisions are made in complex indications, the care team must consider the upstream workflow:

  • What is the testing needed?
  • What do the biomarker results look like?
  • Are there pre-medications that accompany this treatment?
  • Are there referrals needed?
  • How is communication with nursing staff facilitated?
  • Is there adequate patient education?
  • Have the necessary follow-ups been scheduled?
  • Is the team prepared for AE management?

Given these potential friction points, the entire process must be laid out in the physician’s EHR so they can guide the patient through each of these steps safely and efficiently.

Clinical Value Is Not Enough

Unfortunately, what many launch teams learn too late is that workflow efficiency matters just as much as a treatment’s efficacy and safety. If a therapy is difficult to find, order, document, authorize, and monitor, those friction points accumulate, leading to lower widespread adoption among the patients who would benefit most. Given physicians’ demanding schedules, operational inefficiencies are a major barrier to prescribing, from every unnecessary click and manual step to systems that require them to leave their workflow and navigate to an external portal.

Rather than investing in more educational resources for physicians, such as medical liaisons, to explain how a drug works, pharma companies should invest in better tools for physicians. Physicians need more streamlined ordering, cleaner documentation workflows, fewer manual steps, and PA criteria surfaces directly to their EHR, not housed on a separate manufacturer portal.

What physician and other health system decision makers are asking about any new EHR-related initiative is straightforward:

  • Does it save time?
  • Does it reduce work?
  • Does it improve access?
  • Does it help my staff?
  • Does it save money?
  • Does it help my patients?

If the answer to those questions is not obvious, adoption will stall, regardless of how strong the clinical evidence may be.

How to Best Operationalize Within the EHR

Operationalizing a precision therapy within the EHR requires two key capabilities:

  1. Deep Clinical Knowledge
  2. Technical EHR Expertise

On the clinical side, this requires staff who have done the work before, such as oncology pharmacists and clinical specialists who have worked at major academic medical centers and health systems and understand firsthand what it takes to bring a new therapy to life within a care team's daily reality.

On the technical side, this requires certified EHR builders who understand the architecture of major platforms and know how to configure a complex therapy workflow so that it is not only functional, but highly efficient for the end user.

By merging these capabilities, pharma companies can gain a clear blueprint on how to operationalize their innovative therapy, with a plan in place to deliver that blueprint to a health system and physicians with confidence and ease of use.

How to Leverage EHR Resources Strategically

There is a meaningful difference between having EHR resources and having an EHR strategy. With an EHR strategy, your team can proactively understand the pre-launch challenges your customers will face. With these challenges in mind, your team can make deliberate decisions about which field roles to invest in and which systems to build, so you’re best prepared to address any roadblocks. That means asking the teams the right questions:

  • Are customer-facing teams appropriately trained?
  • Can the teams conduct EHR workflow assessments?
  • Where are there workflow gaps?

Looking Ahead: AI & The Future of EHR in Oncology

As artificial intelligence (AI) continues to evolve in the oncology space, there’s an increased appetite for its utilization. Two cases in particular hold significant promise:

  1. Patient Identification: AI can enable health systems to find patients who meet the eligibility criteria for a specific therapy, based on data already residing in the EHR.
  2. PA Efficiency: With incomplete patient information being one of the prominent reasons why PAs are denied or delayed, an AI-enabled EHR can help fulfill PA requirements by utilizing the data already available in the system.

As a result, pharma will see fewer denials, faster coverage decisions, and less administrative burden on care teams.

Implement Precision AQ’s EHR Solutions

For pharma manufacturers, especially those launching complex precision therapies in oncology, it’s clear that the path to commercial success lies directly in an effective EHR system. The companies that understand this and invest in the clinical and technical expertise to act on it will be better positioned in the increasingly competitive market.

If you’re ready to improve access through efficient EHR workflows, connect with Precision AQ today.