Implications of an emerging EHR monoculture for hospitals and healthcare systems.
In many hospitals and health systems, a 'new' electronic health record means a shift to one vendor: Epic, a vendor that dominates in large and medium hospital markets and continues its success with smaller institutions and ambulatory practices. Our paper examines the implications of this emerging monoculture: its advantages and disadvantages for physicians and hospitals and its role in innovation, professional autonomy, implementation difficulties, workflow, flexibility, cost, data standards, interoperability [...]
Author(s): Koppel, Ross, Lehmann, Christoph U
DOI: 10.1136/amiajnl-2014-003023