Fifteen years after the transition to Electronic Health Records (EHRs) was accelerated by meaningful use incentives, health system leaders reflect on its impact, noting both significant advancements and areas for improvement. While EHRs have enhanced patient access to records, facilitated care coordination, and improved medication safety, they also present challenges such as clinician burnout due to increased documentation and a potential disconnect in the patient-provider relationship. Recent developments, including the integration of Artificial Intelligence (AI) and the digital transformation in healthcare, aim to address these issues and further optimize EHRs. Leaders underscore the essential role of EHRs in modernizing healthcare, despite recognizing the need for continuous evolution to achieve a more connected and patient-centered experience.