The Hidden Costs of “Free” EHRs: Why Community Hospital Independence Matters
Community Connect models, promising affordable access to powerful Electronic Health record (EHR) systems like Epic, are gaining traction. Though, a closer look reveals potential pitfalls for community hospitals. This article explores the trade-offs, highlighting why maintaining control over your technology and data is paramount to long-term success.
The Allure of Community Connect
Many smaller hospitals struggle with the high costs of implementing and maintaining a comprehensive EHR. Community Connect offers a seemingly attractive solution: shared infrastructure and reduced upfront expenses. But is this access worth the potential loss of control?
A False Sense of security
It’s easy to be drawn in by the promise of streamlined technology and reduced financial burden. though,relying heavily on a shared system can create dependencies that ultimately compromise your hospital’s autonomy.You need to understand the full implications before making a decision.
Alternatives That Empower, Not Enchain
Fortunately, Community Connect isn’t the only path forward. Today, cloud-native, modular EHR systems are specifically designed for community hospitals. These platforms deliver robust inpatient and outpatient workflows, ambient documentation, interoperability, and patient engagement – all without sacrificing your governance or flexibility.
These platforms empower hospitals to:
Own your software and data, ensuring complete control.
Customize systems to meet your unique local needs.
Retain control over upgrades and integrations,avoiding vendor lock-in.
Lessons Learned: Waukon and Fresno
Recent experiences offer valuable insights.Waukon, Iowa, demonstrates the potential benefits of a clear Community Connect implementation. Conversely, the situation in Fresno, California, serves as a cautionary tale.
The Fresno Case: A Warning Sign
A recent Department of Justice investigation revealed notable False Claims Act violations stemming from a Community Connect arrangement. This case underscores the risks associated with complex financial incentives and a lack of oversight. It’s a stark reminder that seemingly beneficial partnerships can quickly spiral into legal trouble.
Don’t Confuse Access with Ownership
Access to technology is valuable, but it doesn’t equate to ownership. Similarly, vendor support shouldn’t be mistaken for true sovereignty over your data and systems. The best patient care happens in hospitals that control their own destiny.the True Cost of “Free”
In healthcare, “free” rarely comes without strings attached. Consider the long-term implications of relinquishing control over your core technology. Independence may be the most valuable resource your hospital possesses.
Protecting your Future
As a healthcare leader, you have a obligation to safeguard your hospital’s future. Prioritize solutions that empower you to shape your own technology strategy and maintain control over your data. This isn’t just about technology; it’s about preserving your hospital’s independence and ability to serve your community effectively.
About Jay Adams
Jay Adams is Executive Vice President of Altera Sunrise. A U.S. Navy veteran, he brings over two decades of leadership experience in healthcare IT, managed services, and enterprise software. Jay is passionate about restoring autonomy and clarity to community health systems through smarter, more sustainable technology strategy. https://www.linkedin.com/in/theanalystx/
References
- Coker Group. HCIT Insights on Community Connect Models. February 2024.https://www.beckershospitalreview.com
- U.S. Department of Justice – Eastern District of California. Fresno-Based Community Health System to Pay $3









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