General purpose or specialized need?
A general purpose document management system (DMS) is designed to be flexible so that it can fit a number of business needs, providing core but not specialized functionality. A general purpose DMS might be fine in a law office, a real estate office, or a collections business.
In contrast, a dedicated or specialized DMS is designed to focus on a specific problem and to provide resources to handle that particular problem very well. A dedicated DMS might be a system designed specifically to scan property tax payment checks along with attendant remittance slips, and to provide input to the accounting system.
It is important to know before you start which kind of system you want. Trying to turn one into the other usually yields frustrating and mediocre results.
How do speed and accuracy of retrieval factor into the decision? That is, do you need an archival- or a retrieval-driven system?
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See also