Training is followed directly by implementation or “Go-Live”.  HVA has developed a system implementation methodology that is sensitive to the primary concerns of our clients — loss of productivity and cash flow.  Our method allows for return to productivity and 100% adoption in 4 months with <3% practice productivity loss.  In addition, our typical client receives a healthy return on investment.  Payback is achieved within 21 months, even with no government funding or additional P4P incentive monies.