Fanno Creek Clinic

Fanno Creek Clinic represents an unusual case in the EMR/EHR vendor landscape. The organization is primarily a medical group practice located in Portland, Oregon, specializing in internal medicine and cardiology with over 30 physicians. However, the clinic also developed its own ambulatory EMR system, originally known as FannoTek EMR, which was created by physicians, nurses, and support staff at Fanno Creek Clinic working alongside software developers. According to government data, Fanno Creek Clinic appeared as an EMR vendor with 13 healthcare professionals using their 2011 certified products. The system was designed to address the clinical workflow needs the practice experienced firsthand. In 2019, FannoTek EMR merged with Redwood EMR, and the product is now marketed under the Redwood EMR brand. Redwood EMR is described as a fully-certified, complete ambulatory Electronic Medical Record/Electronic Health Record system designed by doctors, for doctors. The system emphasizes ease of use, customization for all practice areas with particular strength in primary care, mental health, and dermatology. Key features include e-prescribing, lab test ordering, remote access capabilities, integrated patient portal, and flexible data storage options (on-site, cloud, or hybrid). The system has been qualified for meaningful use payments and maintains connections to Health Information Exchange networks. The FannoTek brand was historically headquartered in Chadds Ford, Pennsylvania, though the originating clinic remains in Portland, Oregon. This physician-developed system represents a relatively small player in the ambulatory EHR market, competing against major vendors by offering a clinician-designed alternative focused on workflow efficiency and customization. The product appears to have limited market penetration compared to major EMR vendors, with its primary differentiation being its origin as a practice-developed system that evolved into a commercial product.