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Implications of an emerging EHR monoculture for hospitals and healthcare systems.

Authors
  • Koppel, Ross
  • Lehmann, Christoph U
Type
Published Article
Journal
Journal of the American Medical Informatics Association
Publisher
Oxford University Press
Publication Date
Mar 01, 2015
Volume
22
Issue
2
Pages
465–471
Identifiers
DOI: 10.1136/amiajnl-2014-003023
PMID: 25342181
Source
Medline
Keywords
License
Unknown

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.

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