I work at an institution made up of components institutions, many of which use their own independent EHR systems. What doctors LIKE are the ones they get used to in their residency, fellowships, and first years in practice. Older doctors coming from paper straight to ANY EHR will struggle without extensive assistance from their support staff. Nurses rarely get support staff, and usually ARE the support staff to a provider in addition to their nursing duties. The overall feeling I get, though, is that most of them that have used Epic like it. Cerner as well. Some others in the institution like Meditech, less so (due to largely archaic interfaces dressed up with some more current UI). But Epic and Cerner are the big players in the game. There are many, many others, and in the end what ends up mattering is the support staff for the EHR both local and vendor. One we use has gone to a lot of off-shore tier 2 and tier 3 support staff lately, and it truly is a struggle in unforeseeable ways (such as terrible telecom infrastructure making it often impossible to communicate with vendor support staff). They are all focused on new customers and growth and then maintaining the customers, and it certainly makes you feel like an afterthought as a standing customer.
Re: Ask HN: Have you ever heard of users demonstrating against software?
#71Having worked in IT supporing doctors, nurses, scientists, and academics for the last 23 years, in all honesty, it doesn't matter what they would have chosen it would have resulting in a percentage of them complaining. Doctors like change that they control and understand, such as research leading to new treatments and improved patient outcomes. They do NOT like having their workflows challenged, though. They have very specific prescriptive actions that they live by, and again, they only like changing those when it benefits them in some tangible way. EHRs benefit their -institutions- in tangible ways, not them. EHRs benefit billing, administrative, regulatory departments more than they benefit providers... in the eyes of the providers.