RE:  Epic Hosting vs. Cloud vs. Local Hosting If you were making the decision today for a new Epic implementation, which of the three would you go with?

Hosting Provided by Epic32%

Hosting Provided by Azure, AWS, or Google67%

Hosting Locally1%

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VP of IT in Healthcare and Biotech2 years ago

Hi All, 
We are looking at evaluating Epic for Payer platform. Is anyone hosting Tapestry with Epic and if so, would you be willing to have a chat about your experience? 

Thanks All! 

Director of IT in Healthcare and Biotech3 years ago

Like most decisions nowadays, our order of preference is:

1) SaaS (assuming proper architecture and security, not just cloud-washing) 
2) Our cloud (AWS)
3) on-prem

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Yes, no questions asked9%

Yes, but only on clearly different terms or a more appealing role 60%

Maybe, I don’t have strong feelings22%

No, once I’m gone that’s it9%

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Lack of adherence to data governance23%

Users lack necessary skills49%

Data security issues53%

Poor tool selection29%

Increased fragmentation and data silos23%

Lack of scalability14%

Unable to balance cost and value generation12%

Resistance to change or poor change management8%

Unable to measure ROI8%

Other1%

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