By any standard, the electronic health records rollout at Duke Medicine is big. Located in Durham, N.C., the academic medical center is in the midst of a 4-year deployment of an Epic system across its ambulatory and inpatient settings. Epic will replace multiple legacy systems and offer an integrated package of clinical and revenue cycle applications.

At Health Data Management’s Healthcare Analytics Symposium, Monica Horvath, Duke’s team lead in health intelligence and research services, described how data analytics can be used to monitor the effectiveness of the roll-out. The findings were not always pleasant, as Horvath discussed how some physicians wound up returning to a legacy documentation system rather than use the new Epic module because of cumbersome documentation requirements.

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