Implications of an emerging EHR monoculture for hospitals and healthcare systems

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

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, and interactions with other information technology (IT) systems.

Original languageEnglish (US)
Pages (from-to)465-471
Number of pages7
JournalJournal of the American Medical Informatics Association
Volume22
Issue number2
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Delivery of Health Care
Professional Autonomy
Workflow
Electronic Health Records
Information Systems
Technology
Physicians
Costs and Cost Analysis
Health

Keywords

  • Cost
  • Data standards
  • Epic
  • Implementation
  • Innovation
  • Markets

ASJC Scopus subject areas

  • Health Informatics

Cite this

Implications of an emerging EHR monoculture for hospitals and healthcare systems. / Koppel, Ross; Lehmann, Christoph U.

In: Journal of the American Medical Informatics Association, Vol. 22, No. 2, 01.01.2015, p. 465-471.

Research output: Contribution to journalArticle

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