There was a documentary around here (not-US) a couple years ago about the main EMR provider in the country. Because it's so onerous to install and set up a replacement (just a lot of demands and requirements), the market gravitates towards only a few "established" providers, one of which are overseas/US software that are infamous for their issues (Epic is the one that jumps to mind), but the focus was on the local provider.
The local one apparently is insanely expensive, doesn't have intranet support (because it started as some ancient Windows version as a surgeon-for-hires (the CEO of the company was one) payment record), meaning that hospitals have to move computers on wheeled desks around, lacks a lot of views for medical staff and the operator rolls in "service fees" for things that aren't fees and demands constant cash for upgrades that don't seem to change or fix anything. If a hospital indicates they're planning to replace any component, the CEO apparently just starts screaming and threatening to cut off the hospital out of their stuff entirely (which means that hospitals are unable to invest in startups that might provide the components they need).
It's pretty awful, considering the software is supposedly rather glitchy and has already resulted in numerous patient deaths due to inaccurate medicine prescriptions being loaded in (something which the company denies, but there's ~20 or so reported cases of this at different hospitals). I've heard doctors keep a second physical copy of any patient records, just because that system could screw it up and cause issues down the line, completely nullifying the use for it.
The local one apparently is insanely expensive, doesn't have intranet support (because it started as some ancient Windows version as a surgeon-for-hires (the CEO of the company was one) payment record), meaning that hospitals have to move computers on wheeled desks around, lacks a lot of views for medical staff and the operator rolls in "service fees" for things that aren't fees and demands constant cash for upgrades that don't seem to change or fix anything. If a hospital indicates they're planning to replace any component, the CEO apparently just starts screaming and threatening to cut off the hospital out of their stuff entirely (which means that hospitals are unable to invest in startups that might provide the components they need).
It's pretty awful, considering the software is supposedly rather glitchy and has already resulted in numerous patient deaths due to inaccurate medicine prescriptions being loaded in (something which the company denies, but there's ~20 or so reported cases of this at different hospitals). I've heard doctors keep a second physical copy of any patient records, just because that system could screw it up and cause issues down the line, completely nullifying the use for it.