Implications of an emerging EHR monoculture for hospitals and healthcare systems

Research output: Contribution to journalArticlepeer-review

81 Scopus citations


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
Issue number2
StatePublished - 2015
Externally publishedYes


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

ASJC Scopus subject areas

  • Health Informatics


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