Why the Average Health System Has 18 EHRs—And How to Simplify IT Complexity

Modern healthcare organizations face a growing burden of complexity when it comes to managing their health information systems. A recent study by Becker’s Hospital Review reveals that the average health system operates with approximately 18 different EHRs across its facilities. This fragmentation isn’t just a technical challenge—it introduces major risks related to compliance, cost, interoperability, and clinical efficiency.

This blog explores why this EHR sprawl exists, the hidden costs of maintaining multiple legacy platforms, and how health systems can reduce risk and improve efficiency through strategic archiving and HIT consolidation.

The EHR Explosion: How Did We Get Here?

The shift toward electronic medical records over the past two decades brought digitization to healthcare, but it didn’t bring uniformity. As hospitals acquired practices, merged with health systems, or transitioned departments independently, new EHR systems were introduced.

Add in variations between clinical specialties, outpatient and inpatient workflows, and geographic licensing limitations, and it’s easy to understand how a single health system could end up with:

  • Multiple versions of eClinicalWorks, Allscripts, or NextGen
  • Disparate oncology or radiology-specific systems
  • Legacy pharmacy systems never fully decommissioned
  • Old platforms still used for historical data access

The Cost of Fragmentation

Operating across 18+ EHRs creates a host of challenges:

  1. Compliance Risks: Legacy systems often lack modern audit trails, role-based access, or current security patches. These gaps expose organizations to HIPAA and HITECH penalties.
  2. High Overhead: Maintaining licenses, servers, support contracts, and internal expertise for outdated systems adds substantial cost.
  3. Data Silos: Clinicians lack unified views of the patient journey, increasing the risk of missed context, duplicated tests, and care inefficiencies.
  4. IT Burden: Supporting and securing multiple environments strains internal resources, increases support tickets, and delays innovation.

 

Consolidation Through Archiving

One of the most effective ways to reduce this complexity is through legacy system decommissioning—paired with a compliant, searchable data archive. Two Point’s ACERT™ HIT Archive allows health systems to retire outdated platforms without losing access to critical clinical and financial data.

Benefits of Strategic Archiving:

  • Centralizes all historical data in one interface
  • Maintains HIPAA-compliant, role-based access
  • Removes the need for costly vendor contracts and licenses
  • Reduces IT overhead and risk exposure
  • Improves data availability during audits or legal requests

 

Case in Point: A 20+ Facility Health System

One of Two Point’s recent clients, a multi-specialty ambulatory network, was operating nine versions of three different EHRs. By implementing the ACERT™ HIT Archive, they:

  • Retired seven legacy platforms
  • Saved over $120,000 annually
  • Improved clinician access to legacy data within a single portal
  • Streamlined their migration to Epic

 

The Path Forward

Health systems don’t need to move every piece of historical data into their new EHR. Instead, the smarter approach is to migrate only what’s necessary and archive the rest securely. This model not only saves money but positions IT teams for better agility and compliance.

If your organization is carrying legacy system overhead simply to access historical records, it may be time to consider an enterprise archiving strategy.

ACERT Archive Display

Learn More

Explore how Two Point’s HIT Archiving and Conversion Services can help your organization streamline complexity and retire outdated systems with confidence.
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