ARRA Math

EMR's are big projects. Implementation projects in general and enterprise projects in particular, are usually going to follow a process that goes something like this:

Start to think about needing something new
Begin looking at options
Formalize a more specific group to begin evaluating needs and products
Develop list of potential applications
Investigate
Short list
Demos
Negotiations/Selection or Selection/Negotiation
Form project team
Develop project plans
Hire additional resources
Execute project plans (often in phases)
Remediate issues
Repeat
Stabilize/upgrades
Ongoing support

In order to qualify for the full monies in the ARRA, facilities need to have a 'meaningful use' EMR up and running in less than 2 years.

The above list of activities will easily take 2 years (actually longer) for any decent sized medical group.

Ergo, if you are not already well underway on this list, you've already missed the boat. Which means those that have been working on EMR deployment plans have a chance to get some additional money. Those that haven't been, will have to be extremely aggressive to get it done in time to obtain all the potential funds available.