https://www.nytimes.com/2018/12/20/business/epic-systems-campus-verona-wisconsin.html#commentsContainer
Can anyone familiar with the business ecosystem suggest market entry vectors for a replacement users might love?
"replacement users might love?"
Users loving these systems is completely immaterial. The key to these systems is that they:
a) integrate with the massively nutzo installations of health infrastructure devices
b) provide flexibility to capture really arbitrary workflows and business logic
c) provide compliance and auditing to ensure that billing and security for patient data is handled correctly
d) most importantly, come from a company that is Too Big to Fail and which can be payed gigantic sums to offers absurd SLAs and to take on the liability of killing people using their software.
That's before you even touch on the "boring" issues of multi-year sales cycles, truly byzantine and absurd legal requirements (because the only thing hospital legal teams want to do is tell you no), FDA certification for certain types of systems (itself a very tricky and expensive process), and all sorts of other bullshit.
Epic is not something you just "replace".