Comment by rustybelt

This does not match my experience in healthcare. I've gone through the EHR vendor selection process at several community hospital systems and it's always been led by one or more physician leaders who have an incredible amount of influence on the final decision.

I think the bigger issue is that an EHR is not one piece of software, it's 100+ applications are bundled together under a single name. It's a registration system, a billing system, a coding system, a data warehouse, a surgical system, a physician's office system, a scheduling system . . . It's inevitable that some of these applications will be better than others, but that's the sacrifice you make for the cost savings, consistent support, and guaranteed interoperability that comes with going with a single vendor.

Not to mention that with a medical staff of hundreds to thousands of highly opinionated, highly intelligent providers, you're never going to make everyone happy.