Selection 11 min read

Best EHR for OB-GYN Practices (2026 Buyer Guide)

OB-GYN groups need EHR systems that support longitudinal prenatal care, in-office procedures, and strong patient communication while maintaining coding integrity.

High-Impact OB-GYN Requirements

  • Prenatal flow sheets and episode-based tracking
  • Procedure documentation for common office-based OB-GYN services
  • Integrated lab/imaging follow-up workflows
  • Clear handoffs between clinic and hospital settings
  • Robust patient messaging and recall management

Selection Questions to Ask Vendors

  • Show full prenatal-to-postpartum documentation flow in one scenario.
  • Show how abnormal result follow-up is tracked to closure.
  • Show coding support and denial prevention for procedure-heavy visits.
  • Show patient communication tools that reduce no-shows and missed follow-up.

Operational Risks to Mitigate

  • Template sprawl across providers and sites
  • Loose follow-up governance on lab/pathology results
  • Documentation lag that increases billing delay
  • Fragmented communication between ambulatory and hospital workflows

Rollout Recommendations

  1. Establish specialty governance for core templates and result workflows.
  2. Prioritize prenatal and high-volume procedure pathways in training.
  3. Monitor chart-close and denial metrics weekly for first 90 days.
  4. Run quarterly audit of follow-up completion and patient communication SLAs.

Bottom Line

For OB-GYN, the right EHR reduces care coordination gaps and protects revenue through structured workflows. Require practical workflow proof, not feature lists.

Next Steps