As the CEO of a small, independent, Medicare Certified home health agency with a background in healthcare informatics and healthcare quality I know the criticality of my Electronic Medical Record (EMR). …. I have been very pleased with the value (i.e. quality/cost) of Cashé to my business: not only the EMR and it’s continuous improvement but also the billing services…. Bottom line: I think Cashé is on a path to Baldrige level quality and they don’t even know it.