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John Hopkins’ CMIO Peter Greene, M.D., used his organization as an example of how difficult the transition to an enterprise-wide EHR can be, even for a sophisticated academic medical center. The Epic deployment at Hopkins involves 20,000 users, 400 types of users roles. 93 clinical specialties, 460 clinical departments, 200 message folder types, 561 insurance plans and 11 different lab interfaces.
“The widespread use of electronic health records (EHRs) in the United States is inevitable. EHRs will improve caregivers’ decisions and patients’ outcomes … But inevitability does not mean easy transition.”
— David Blumenthal, M.D., and Marilyn Tavenner, R.N., writing in the New England Journal of Medicine in 2010
