In this AMDIS roundtable, health IT leaders take a hard look at the entrenched “Epic-First” mindset that dominates hospitals today. With so much money and time already invested, organizations default to Epic tools for every need, whether they fit or not. The panel unpacks how that approach fuels governance failures, messy builds, technical debt, and clunky integrations that weaken clinician workflows and frustrate patients.

 

The discussion explores where Epic’s native tools fall short, when third-party apps add more risk than value, and how cloud migration and patient portals expose deeper cultural and leadership gaps. From documenting notes built for billing rather than care to the challenge of sustaining true change management, the panelists share unfiltered lessons from the trenches and explain what it will take to make Epic deployments actually work for clinicians and patients.