Some providers are changing their EHR system. Why?
Why indeed? What precipitates the need to change? I bet if you take the top five or seven EHRs, and compare them to a rigorous set of requirements you will find they all score within one standard deviation of the norm. You won’t hear that from the vendors, but they are the same with regard to the major functionality.
There is no single vendor who scores head over heels above the others.
I bet if you interviewed their customers you will not find a customer which thinks their vendor is the be-all end-all of healthcare. In fact, you will learn at best most clients will score their satisfaction with their vendor mediocre. Depending on what numbers you read, you will see failure rates in excess of fifty percent. Failure, by my metric, has more to do with what someone did or did not do to the application than it has to do with the application itself. This is a “Do these pants make me look fat?” issue. Guess what, it’s not the pants.
Is there a single vendor who can state that none of their clients has ever replaced them with one of their competitors? That means if you are thinking of replacing EHR A with EHR B, another hospital is thinking of replacing EHR B with EHR A. Parallel universes, or is it universi?
The grass will not be greener. Here is what will. A lot of hospitals operate with what can best be described as anything but best processes–worst processes. No EHR can handle those. Before you begin again, evaluate your processes. Weed out the bad ones, do away with the duplicates.
Are you willing to spend another hundred million or two hundred million dollars to get marginally higher satisfaction? Instead, how much would you have to spend to change your processes, implement a change process, retrain your people, and devise a system to bring in your ambulatory doctors? It would certainly not exceed nine figures.
It’s not the pants.