With more electronic health record systems continuing to fall short of providers' expectations, a new report by Black Book Rankings suggests that 2013 may indeed be the "year of the great EHR vendor switch."  The survey also revealed that some popular "one size fits all" EHR products have failed to meet the needs of several medical specialties and cannot continue to satisfy their client base with a lack of customizable or bespoke tools. As far as EHR systems meeting the expectations of various medical specialities, nephrologists reported the highest rate of discontent, with 88 percent saying their EHR systems fail to meet their needs. Providers