In early 2008, the Massachusetts eHealth Collaborative began supporting the Beth Israel Deaconess Medical Center (BIDMC) and Beth Israel Deaconess Physician Organization (BIDPO) with their electronic health record (EHR) initiative. This was a jointly managed program to provide EHRs to approximately 300 affiliated physicians located in more than 170 physical offices, geographically dispersed across eastern Massachusetts. Primary objectives for BIDMC-BIDPO were to enhance quality, foster clinical integration across the network of providers and construct a foundation for health information exchange and continuity of care. A clinical standards work group was formed to set priorities for the design and build of the application, identify the minimum data and documentation standards and make policy recommendations for the EHR. Developing the model office approach at BIDMC-BIDPO enabled disparate providers to have pre-loaded, relevant content and decision-support tools to ease some of the initial paper-to-EHR transition difficulties. It allowed the implementation team to develop scalable, best-in-practice workflows and more effective training plans that helped foster a consistent and quality patient experience across different practice locations.