Becker's Hospital Review

27 CIO / HEALTH IT Why big health systems keep switching to Epic By Giles Bruce W hen UPMC and Intermountain Health both said in early September they would be switching to Epic, they continued a trend of the biggest U.S. health systems opting for the nation's largest EHR vendor. Hospital CIOs told Becker's they don't see this changing anytime soon. "It is not a coincidence many big health systems are moving to Epic," said Scott Arnold, executive vice president and CIO of Tampa (Fla.) General Hospital. "e scale and interoperability available with Epic make it attractive to big systems that may struggle with those elements. Exchanging information between Epic sites is remarkably easy." UPMC, a 40-hospital system based in Pittsburgh, said Sept. 5 it plans to consolidate its nine EHRs to Epic over the next three years. Salt Lake City-based Intermountain Health said Sept. 11 it will switch all 33 of its hospitals from Oracle Cerner to Epic. ey joined New Hyde Park, N.Y.-based Northwell Health, which said in March it would be moving its 21 hospitals from Allscripts to Epic. ese dwarfed Epic's biggest wins last year, which included Houston- based Memorial Hermann Health System, which has 14 hospitals, and Emory Healthcare, an 11-hospital system based in Atlanta. Both switched from Oracle Cerner. e only other EHR vendor that gained any big system hospitals in 2022 was Oracle Cerner, with eight, according to KLAS Research (KLAS defines large systems as having more than 10 hospitals). Epic is the choice for mammoth systems because of its integration across products, interoperability with critical partners, ability to standardize healthcare workflows, and constant technological development, said KLAS analyst Paul Warburton. "Until other vendors better address these challenges, we expect the trend to Epic will continue," he said. e market is ripe for more movement. In 2022, about a fih of the nearly 2,300 hospitals that are part of big health systems still use legacy EHRs from various vendors, KLAS reported. Epic has "made a concerted effort to focus on interoperability, social determinants of health and — important to health system vitality — a strong financial platform," said William Hudson, CIO of Oklahoma City-based Integris Health (himself a former Cerner executive). "As long as Epic continues to focus on aligning caregivers and patients and transforming care, while Oracle remains focused on integrating Cerner into their portfolio, Epic will continue to pull away." Soware giant Oracle acquired Cerner, the nation's second-largest EHR vendor, in 2022 for $28.4 billion. "We're basically rewriting that soware a piece at a time," Larry Ellison, Oracle's co-founder and chief technology officer, said in a Sept. 11 earnings call, referring to the Cerner Millennium EHR. at doesn't mean Epic works for everyone. "Epic tends to be more expensive than most of their competition, can require a larger amount of resources to have and maintain (between things like application analysts and IT infrastructure), and does not mold itself as much to the customer organization," said Saad Chaudhry, chief digital and information officer of Annapolis, Md.-based Luminis Health. However, he said, "Epic has fine-tuned the art of implementing an EHR into a science." He also said the company has successfully reined in nonstandard configurations and is tightly integrated. at's because Epic hasn't grown through acquisitions — it's remained privately held since its founding in CEO Judy Faulkner's basement apartment in 1979 and has never bought or invested in another company — so it has built all of its dozens of modules in house. n 'The hype is real' with AI documentation, according to UPMC By Naomi Diaz P ittsburgh-based UPMC physicians are using AI technology from Abridge during patient appointments and have stated that the platform is already about 95 percent accurate, ABC27 News reported Sept. 5. Salim Saiyed, MD, chief medical information officer of UPMC, told the publication that the technology, which listens to the patient and physician's conversation and creates a transcript of it, has been saving physicians time and is improving patient interactions. "Every one of them [physicians] has described this as really game-changing," he said. "And the hype is real, we're using it." The technology, according to Dr. Saiyed, is like having a real-time scribe, as it takes information from patient appointments and writes a patient history and visit summary right away. With this, UPMC physicians don't have to spend time documenting after work, and now only have to review Abridge's notes to ensure they are accurate. Physicians can also add in any context to the notes as desired. "They get a[n] accurate note and the notes much more faster," Dr. Saiyed said. n

• Cover