Small-Hospital EHR (1–200 Beds) 2024
31 October 24
| Paul Warburton and Tyson Blauer
Small acute care organizations face unique challenges—such as financial constraints and limited internal resources—that impact or even delay their EHR purchase decisions. As a result, according to KLAS’ 2024 acute care EHR market share report (which tracks all hospital EHR wins and losses), 42% of the small independent hospitals (1–200 beds) still use legacy systems. Still, progress is being made: between 2021 and 2023, KLAS validated go-forward EHR decisions made by 184 such hospitals (almost 14% of the market). This report examines how a sample of those organizations are faring with their new EHR, including what their decisions suggest about future buying energy in this space, how much value they have realized, and how their training experience has been.
Note on Report Sample & Methodology: Data for this report comes from three main sources: (1) KLAS Decision Insights data, (2) KLAS market share data, and (3) KLAS performance data. KLAS Decision Insights data includes all EHR purchases from small standalone hospitals (1–200 beds) between August 2022 and August 2024. The rest of the data comes from a subset of small hospitals that have made an EHR purchase decision in the last three years and have been live for at least three months. Of the vendors with recent wins, only Epic, MEDITECH Expanse, Oracle Health, and TruBridge EHR have sufficient performance data to be included.
Being Replaced
Manager
Altera Digital Health isn’t part of our long-term plans. We have already had discussions about...
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Manager
Our contract is up for renewal, so it is a good time to just vet the systems that are out there...
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Manager
With Paragon Clinicals, we had to have the IT team build a custom logic. Once we switched over...
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Unknown
Paragon Clinicals is part of our plans for the foreseeable future, but that is complicated. We...
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Manager
Paragon Clinicals was purchased by Altera Digital Health, and the vendor wasn't clear about...
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Manager
We are unhappy with Paragon Clinicals; the vendor is not a good partner. They don’t offer...
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Considered
Manager
We have gone through a lot of highs and lows, and I am definitely not afraid to stick with...
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Manager
At the time of our decision, Paragon Clinicals was being bought by Altera Digital Health, so...
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Director
We have had a very poor experience with the upgrades from Altera Digital Health, and we are...
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Unknown
We decided to move away from Sunrise due to all the benefits of having an integrated system that...
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Analyst/Coordinator
Leaving Sunrise came about following internal restructuring. The organization we partnered...
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VP/Other Executive
We found that our existing EMRs, including Sunrise, were becoming less reliable with too...
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Director
One of the key reasons we are talking to another vendor is that we purchased another product...
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Manager
We want to move to a platform that will have information more accessible for our users. We...
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Manager
We decided to leave Sunrise because our experience with Altera Digital Health had not been good...
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Analyst/Coordinator
Since the organization that is purchasing us is on a different EHR, we are going to transfer...
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Director
We are looking at replacing Sunrise because we want an EMR that will cover our full scope. We...
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Physician
We decided to move away from Altera Digital Health's system because we had a unified system...
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Director
We decided to move away from Altera Digital Health because we needed to use the EMR system...
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Manager
In our decision to replace our previous EHR, we looked at Sunrise. At the time, we were looking at...
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Physician
We weren't impressed with Altera Digital Health's offering at all. We had also had poor...
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Manager
The only reason we are considering Sunrise is because Altera Digital Health is our current...
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Manager
We are leaving athenaClinicals because athenahealth is basically sunsetting their hospital...
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Unknown
We decided to move away from athenahealth's system because it had a lot of patient safety...
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Director
athenahealth is moving away from the current line of business that we are using with them, so we...
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CNO
We looked at Azalea Health's system, but it didn't fit the bill for our type of organization....
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Decided / Likely Choice
Manager
We are moving to Community Connect EpicCare EHR. We are going to partner with another hospital...
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Director
When we look at the offerings out there, Epic's system is, from the clinical side, the best...
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Manager
We are switching to Epic's system. We have the economies of scale necessary to make a...
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Manager
We looked at several other vendors' offerings before we pulled the trigger on Epic's offerings....
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Director
We are considering Community Connect EpicCare EHR because staying with our current EHR is...
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Unknown
A lot of the people who work in our organization have worked with the system before. The system...
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Manager
A portion of our providers really want Epic’s product. However, we currently use another...
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Unknown
We chose Epic's system because it had the best rating and the best recommendations. Epic is...
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Manager
Money is a big deal with us. We would have liked to have a closed-loop system where we could...
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Director
We chose Epic because most of the people around us were using Epic software. All of the places...
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Unknown
We went with Epic partly because of the cost. We are hosted, so we don'thave a full Epic...
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Manager
We decided to switch to Epic's system because our old solution is no longer going to be...
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Nurse
We considered Epic's system, but a specialized facility of our size couldn't go onto Epic's...
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Director
Everyone wants us to go with Epic, but we are too small and would have to piggyback someone,...
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Analyst/Coordinator
Our decision not to choose Epic was mainly a thing of autonomy. We wanted the ability to...
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Director
We explored the product, but the price point exceeded what we were hoping for, and we decided to...
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Director
We didn't select Epic's system because it came from an Epic host environment, and a host could...
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Unknown
We are implementing EpicCare Inpatient EHR now. We wanted an integrated solution that would...
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Manager
We are going to be switching to EpicCare Inpatient EHR soon. We have been increasingly...
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Director
We are looking at going with Epic's system because we want the next system we change to to be...
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CIO
I think we want to use Epic's systems as a single ecosystem. I am happy that we are getting...
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Manager
We are considering Epic as a potential replacement for our current EMR vendor due to the fact...
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Unknown
Going with Epic's EHR, an integrated system, will allow us to get rid of dozens of other...
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Manager
We are moving to Epic because they seem to have a better mousetrap.
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Physician
We decided to move to Epic system because it offered us some things that our previous system...
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Director
When we chose our current EHR vendor, we looked at Epic, but we couldn't really afford...
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Manager
We considered EpicCare Inpatient EHR because the majority of our region was on Epic systems, and...
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Manager
We are transitioning to EpicCare Inpatient EHR, and it will be much better than our current EHR....
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Director
We decided on EpicCare Inpatient EHR because it was being utilized in other facilities. We have...
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Unknown
We decided to move to EpicCare Inpatient EHR even though it is more expensive because we hope...
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Manager
We are considering replacing our current solution with EpicCare Inpatient EHR because Epic will...
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Director
We just implemented a whole bunch of automations, so we are now shifting to EpicCare Inpatient...
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Manager
Recently, we decided to move to Epic's system. I am not sure why that system was chosen. I am...
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Nurse
We chose EpicCare Inpatient EHR because there really wasn’t another option for a health system...
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Unknown
We are transitioning to Epic's system because we are not happy with our current product or...
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Manager
We are considering going to Epic's solution so that we can be a little more like other large...
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Director
We chose EpicCare Inpatient EHR because it would integrate all of the different pieces in the...
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Manager
My organization has decided to move to Epic. I’m not sure what the reasons are, but I assume we...
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VP/Other Executive
We are going through a transition right now to Epic. Epic seems to be the primary option for...
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Manager
We went to Epic because our organization decided to go to one solution. That was exciting because...
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Manager
The whole medical center is moving to Epic. It will be better than what we were on. We are moving...
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CNO
We are moving to EpicCare Inpatient EHR so that we can consolidate to a single Epic instance....
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Manager
We are used to being able to do a lot of customization-ready medical logic modules, so...
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CEO/President
We are looking at moving to Epic because that is where other organizations like ours are going,...
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Unknown
We are considering Epic's system because facilities in the big city in our area have Epic's...
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Manager
We are going to be moving to Epic. I think Epic's reputation for having a good product was...
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Manager
We decided to move to EpicCare Inpatient EHR because most of the major systems in our area were...
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Director
We decided to move to Epic because we wanted to consolidate into a single instance, and we...
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Physician
We are switching to Epic. Our organization surveyed every department that uses our current EHR,...
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CEO/President
We are switching to EpicCare Inpatient EHR because we have new leadership that likes Epic.
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Unknown
We are kicking off our Epic journey from an HIS standpoint. Some of the interfaces we have now...
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CEO/President
Our healthcare system has determined to change EMRs, and they have elected Epic's product as the...
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Director
Epic is probably the front-runner in our choice because they are the number-one player in the...
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Director
We are leaning toward going with Epic, but there are a lot of decisions that need to be made...
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CEO/President
We are considering moving to EpicCare Inpatient EHR because everyone else in our field uses...
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Unknown
We are considering moving to EpicCare Inpatient EHR because we are spending a lot of time trying...
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Physician
We are considering Epic's system because of its functionality. The build supports more of a...
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VP/Other Executive
We have talked to Epic. The physicians and the clinical staff really like Epic. Epic is really...
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Unknown
We decided to go to Epic because they could do more for us than the other vendors we were...
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Director
We chose EpicCare Inpatient EHR because Epic is ginormous and in the great majority of hospitals...
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Unknown
Epic is so expensive, but going to them would help our organization be on the same system, so we...
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Unknown
We use Epic in other areas, so our management wanted to make everything consistent since some of...
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Physician
The things that stood out to us about Epic's system were a mixed group. Some of the...
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Manager
The real reason we went to Epic was that our goals were to align us with our partners in town,...
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Director
We are moving to EpicCare Inpatient EHR because we are merging with a larger organization that...
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Manager
We decided to go with Epic's product because some of our new people had worked with it in the...
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Unknown
Our organization went with EpicCare Inpatient EMR. We liked that the system would be one EMR for...
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Director
We decided to switch to Epic because of changes in our organization. Other facilities in our...
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Manager
We chose to switch to EpicCare Inpatient EMR because our former EMR system was an outdated...
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Manager
We are considering Epic. I like that EpicCare Inpatient EHR is such a robust EHR that is used...
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Unknown
We considered EpicCare Inpatient EHR because it has a better user interface than other solutions...
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Manager
We are looking at Epic's system and vetting some other systems out there to see what is available...
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Unknown
We considered Epic's system, but Epic wouldn't return our phone calls because we were a very...
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Unknown
We considered Epic's offering, but we liked what other systems provided in terms of their...
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Unknown
Our physician group and medical center are considering a hospital-wide move to Epic. The...
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VP/Other Executive
We considered Epic's EMR when looking at EMRs, but it was too expensive.
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CEO/President
Epic is definitely in the running and has an edge over their competitors when it comes to...
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Director
We have new executive leadership, and they decided that the switch to Epic wouldn't cost too...
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CNO
We looked at MEDHOST as a potential option since their solution had a low price tag. However, due...
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Director
We did look at MEDHOST’s product, but they ultimately could not answer all of the questions that...
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Unknown
We want a better, best-of-breed solution, so we are moving away from this solution.
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Manager
We left the system because our organization was going to consolidate to another solution...
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Director
We are replacing MEDITECH's product because we want to consolidate onto a single EHR.
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Director
We are close to making a decision on an EHR migration. We are currently on MEDITECH's...
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Manager
We are looking at EMRs right now. We are ready to make things better in the EMR environment. I...
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VP/Other Executive
We are considering staying with MEDITECH. We have talked to a couple of other vendors.
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Director
We were with MEDITECH, and their offering was pretty solid. We weren’t going to switch; we...
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Unknown
We had to make the decision to either move over to MEDITECH’s newest version or go with...
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VP/Other Executive
We are considering MEDITECH along with some other vendors. Our clinical staff is partial to...
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Manager
We looked into getting C/S Enterprise Medical Record because our old solution was no longer going...
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Unknown
We are moving away from MEDITECH because we joined with another organization that was on...
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Director
MEDITECH has been our EHR vendor for many years. In general, Expanse Acute Care EHR works...
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Physician
We are moving away from MEDITECH and to another EHR so that we can get all of our facilities...
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Director
We are moving away from Expanse Acute Care EHR because it isn't as good with information sharing...
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Unknown
We are leaving MEDITECH because our physicians have more complaints with the product. There...
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Unknown
We left MEDITECH because we merged with another organization and evaluated which of our EHRs...
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Physician
Expanse Acute Care EHR is not part of our long-term plans. When we went from an older version to...
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Unknown
We are replacing MEDITECH's product with a new EHR because our organization is switching to...
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Unknown
We decided to leave Expanse Acute Care EHR because it didn't have the integration we wanted. We...
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Physician
MEDITECH doesn't have a bed capacity management system, so then we have to purchase another...
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Unknown
MEDITECH's tool is the most click-heavy product we have ever used. We are planning to move away...
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Unknown
Our medical center is considering moving platforms hospital wide because one of the vendors we...
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Manager
MEDITECH was doing a wonderful job for us and everything, but all our partners were on another...
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Director
We have been trying to switch to another vendor, and we only recently figured out what we needed...
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Unknown
We chose to go with Expanse Acute Care EHR because we already have a product from MEDITECH,...
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Manager
We would have had to start from scratch with our previous solution because we switched our...
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Nurse
We went from paper to MEDITECH's system. We didn't have to be hosted for it, and that was a...
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CNO
We chose MEDITECH as a Service because our parent organization preferred MEDITECH as a partner...
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Unknown
We went to MEDITECH because we wanted to have our hospitals and clinics all on one system so...
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Unknown
Over the last couple of years, we have been looking at MEDITECH. Some of the people in my...
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Manager
In looking at EHRs, one of our options is to go to Expanse Acute Care EHR. Hopefully, we will...
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Manager
We decided to go with MEDITECH's system to replace our previous EHR. Moving to Expanse Acute...
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CNO
We chose Expanse Acute Care EHR based on the difference between the advertised governing models...
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Director
We are leaning toward MEDITECH because of the cost, and we are able to program their system and...
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Analyst/Coordinator
Expanse Acute Care EHR will be the replacement for our current EHR. And it will replace most of...
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VP/Other Executive
We were looking for a new EMR and needed something updated. I like the Expanse product. I...
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Manager
MEDITECH has a subscription model that is all inclusive. MEDITECH doesn't nickel-and-dime....
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Director
When we conducted a poll across various vendors, the results from our employee survey...
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Manager
We are looking at MEDITECH's system to potentially replace our existing EMR because we have...
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Unknown
We considered MEDITECH's system, but surprisingly, another EHR was cheaper.
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Director
We considered MEDITECH, but they had a newer product that was just as expensive as the...
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Unknown
We bought some hospitals that are on Expanse Acute Care EHR, and we are deciding whether we...
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Manager
We took a brief look at MEDITECH and had a demo, but we really didn't go much further than that...
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Unknown
We tried to involve as many people as we could in our demo and selection process. A lot of...
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Director
We are looking at MEDITECH's system because MEDITECH is the number-two player in the acute care...
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Director
We are currently on a MEDITECH client-server, and I'm leading the project to move either to...
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Unknown
We considered Expanse Acute Care EHR, but it was inferior in the ambulatory space. MEDITECH had...
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Unknown
MEDITECH's product is the most click-intensive system I have ever used, and I have used a lot...
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Physician
We looked at MEDITECH's solution, and it was fine. Nothing stood out about it though.
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Director
We considered MEDITECH, but our decision came down to cost and integration, and MEDITECH was...
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Director
We saw some demos from MEDITECH, but all of MEDITECH's representatives showed up disheveled...
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Unknown
We decided to look at MEDITECH’s new option since we had their old system. Our decision was...
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Manager
We are considering moving away from MEDITECH's system because the system is really old.
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CEO/President
Our facility is part of a system, and that system has decided to change EMRs, so we are going to...
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Unknown
We moved away from MEDITECH because we had been on their system for a long time, and it was time...
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VP/Other Executive
I used MEDITECH's product years ago, and the product is the same now. But MEDITECH did a great...
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Manager
MAGIC Patient Care Inquiry is no longer going to be supported, so we had to change platforms...
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Unknown
I haven't been a fan of Oracle Health for a while. They lost their way after they went through...
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CIO
Just like I don't believe that anybody in their 50s or 60s is going to develop different...
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Manager
We are going to be switching EHRs within the next year. Although I was not on that selection...
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Manager
We are looking to completely switch EMRs. We have Cerner's EMR, and I don't know if there is a...
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Manager
We are leaving Oracle Health because a different vendor has better technology.
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Manager
We chose to leave Millenium PowerChart because we had been on Cerner's system for a long time...
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Manager
Our organization has been on Cerner's system for a long time. After a number of years,...
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Director
We are transitioning over to another EHR because it is fully integrated. Millennium PowerChart is...
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Nurse
We decided to leave Cerner because we had struggled with internal interoperability and data...
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Unknown
We are moving off of Millennium PowerChart for a couple of reasons. The first is that we are...
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Manager
We are looking to standardize our systems, so we might move away from Oracle Health's...
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Director
We chose to leave Millennium PowerChart because we wanted an enterprise solution that was used...
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Manager
The organization is planning a move from Cerner to another EHR vendor. I don’t know why they...
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Unknown
We are doing alright with Oracle Health right now, but we have multiple hospitals, and we need...
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Manager
We are moving off of Oracle Health's system. CommunityWorks Clinical Suite is an interesting...
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CNO
We are in the process of moving away from Oracle Health's system and to another vendor's system....
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CEO/President
We are considering moving away from Millennium PowerChart because many other organizations like...
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Manager
We are moving away from Millennium PowerChart. We have struggled over the years with getting...
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Director
We decided to replace Millennium PowerChart because we knew there was going to be a lot of...
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CEO/President
We are leaving Millennium PowerChart because our new leaders like a different vendor. Also,...
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CEO/President
We are considering leaving Millennium PowerChart because we have a best-of-breed hybrid...
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Unknown
We are considering leaving Millennium PowerChart because I spend the lion’s share of my time...
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Unknown
We decided to move off of Millennium PowerChart because the system wasn’t meeting our needs.
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Director
We are replacing Millennium PowerChart because another vendor has far more advanced technology and...
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Unknown
It has been a real pain for doctors to go between Millennium PowerChart and another system...
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Unknown
I don't think there were any major concerns with Millennium PowerChart, but our organization...
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Manager
We moved away from Cerner because their product was too expensive and rich for our blood. We...
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CEO/President
We are considering replacing Cerner because our current baseline is to have the same vendor...
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Manager
We decided to move away from Cerner because their financial system was at the end of its life,...
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Unknown
The biggest reason we left Oracle Health was that we had several different EMRs, so...
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Director
When we did a poll, we went through different vendors, and we sent the employees a survey of...
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Unknown
We are moving to Cerner because we joined with another organization that is on Cerner's systems,...
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Analyst/Coordinator
Our partner organization had Oracle Health, and we would not have had the financial resources...
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Unknown
We chose Oracle Health's system because we had some criteria, like cost, disruption,...
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Unknown
We are pretty stable with Oracle Health. We want all of our hospitals on one EHR, and if we...
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Unknown
We started looking at Oracle Health's system a few years ago. Some of our people thought it...
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Analyst/Coordinator
We are transitioning to Millennium PowerChart because we have been purchased by another...
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Unknown
Our administrators decided to go with Cerner's system. That was probably in part due to the...
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Unknown
We are looking at swapping and merging EHRs, and Oracle Health has some nice tools, but their...
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Director
We chose to go with Oracle Health because they had more resources and more functionality than...
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Director
We chose Cerner because they felt like the best fit for our organization. All of the modules came...
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Director
We chose Cerner's product because it could give us the most customizability and its cost was...
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VP/Other Executive
We need to replace our current product, and the hospital we are associated with uses Oracle...
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Director
We are going with what our mother hospital has, which is Cerner.
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Nurse
We vetted Oracle Health very well. However, we would have had to be hosted by another...
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VP/Other Executive
We considered Oracle Health a little but not for very long. There was a bit of uncertainty...
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Director
We looked at Cerner because they had a very good sales team, and they wined and dined us....
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CNO
We looked at CommunityWorks Clinical Suite, but our parent company preferred another vendor as...
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Unknown
We evaluated Millennium PowerChart, but we ended up not selecting it. Big vendors like Cerner...
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Manager
We looked at Cerner's offering, but our leaders decided that they would pull the trigger on...
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Manager
We are considering Oracle Health. We know they have enough money that they will be able to...
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Unknown
We have talked to Cerner several times, but my organization can't make a decision, so then we...
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Director
We are looking at Cerner's system because Cerner is the number-three player in the acute care...
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Manager
We reviewed Cerner’s EMR. However, the decision is coming down to some other vendors.
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Unknown
We considered switching to Millennium PowerChart, but Millennium PowerChart didn't seem to be...
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Unknown
We were going to go to Cerner, but we decided that their system wasn’t going to work for our...
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VP/Other Executive
We have looked at Oracle Health. People in our organization are fond of a different vendor, but...
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Director
We considered Millennium PowerChart, but another vendor was larger in the market and had...
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CNO
We considered Oracle Health's system because we had partners who were already using it. However,...
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Physician
Oracle Health's presentation was very impressive and well prepared, but it wasn't earth...
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Director
We looked at Cerner and let them do a full demo with us, but we ultimately chose another vendor....
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Analyst/Coordinator
I love Oracle Health. I loved the sales process. They did that process much better than the...
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VP/Other Executive
Cerner's EMR, which is widely used in the community, was at one point a front-runner in our...
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CEO/President
We are looking at Cerner because we already use their platform in one area, so it...
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Manager
We considered continuing with Cerner, and a lot of good things were going on, but we were...
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Unknown
We looked at Cerner at the very beginning, but they quickly got weeded out. That decision came...
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Manager
We looked at Millennium PowerChart, and I personally liked the product for the module I use, but...
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Manager
The move to a different vendor has been a project for years. We finally decided, and we had...
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Director
We are replacing Soarian Clinicals because it is at the end of its life. We are merging with...
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VP/Other Executive
Soarian Clinicals is at the end of its life, so we have to move to something else.
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Manager
We are replacing Soarian Clinicals since it is an older product, and we are looking for more...
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CNO
We are leaving Centriq Clinicals because TruBridge is sunsetting the application.
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CNO
CPSI is getting rid of Centriq Clinicals, so we will be running on an EMR that won't be...
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Director
We were happy with Centriq Clinicals, but CPSI made the decision to discontinue the product, so...
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Director
TruBridge EHR is an entry-level EHR, but we get what we pay for, and it is not bad. Now that I...
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Manager
TruBridge EHR isn't part of our long-term plans. It doesn't do everything that we need it to do....
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Director
We moved away from TruBridge EHR because it didn't meet our needs, and the patient portal was...
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Unknown
We switched away from CPSI because the systems that we were using between hospitals and clinics...
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Unknown
Things are horrible. From a pharmacy standpoint, the program is very unsafe. It is nice when we...
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Analyst/Coordinator
We needed an all-in-one EHR. We needed something to handle a lot of areas. CPSI's product is...
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Director
CPSI hadn't been meeting our needs for a number of years. They have an okay financial side....
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Director
We are moving away from Evident Thrive EHR so that our organization can all get onto the...
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Manager
We went with CPSI's product because one of our leaders had some experience with that product...
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Manager
We are considering TruBridge EHR because our current EHR vendor is sunsetting their EHR. If it...
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Director
We looked at staying with TruBridge, but we didn’t look for very long or very hard. We wanted...
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CNO
We looked at Evident Thrive EHR because its price wasn't as high as the prices of some...
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Director
We did a demonstration for Evident Thrive EHR, but we were not happy with the functionality that...
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Director
We considered CPSI but ruled them out due to our previous experience with them. We had much...
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Manager
We didn't like Allscripts, so our leaders were pretty convinced that they weren't going to go...
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