Journal
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Volume 22, Issue 2, Pages 465-471Publisher
OXFORD UNIV PRESS
DOI: 10.1136/amiajnl-2014-003023
Keywords
Epic; Implementation; Cost; Markets; Data Standards; Innovation
Categories
Funding
- FDA
- ONC
- NSA
- Duke University
- AHRQ
- [NSF CNS- 1035715]
- Division Of Computer and Network Systems
- Direct For Computer & Info Scie & Enginr [1035715] Funding Source: National Science Foundation
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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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