Redesign Health研究：71%的医疗卫生系统采用“Epic优先”的AI采购策略
Redesign Health Study: 71% of Health Systems Adopt an “Epic-First” AI Purchasing Strategy
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根据Redesign Health开展的一项研究，71%的受访医疗卫生系统领导者称其组织采取“Epic优先”策略，80%预计未来3至5年这一偏好将进一步加强。
91%的高管对Epic能够执行其AI路线图、达到同类最佳外部解决方案的水平，抱有“完全”（60%）或“显著”（31%）的信心。
医疗卫生系统平均将其临床和行政信息系统预算的57%投入Epic，剩余43%留给外部软件供应商。
43%的受访者表示，AI工具首先使用专科业务线或部门预算，之后才转入中央IT预算，这为初创企业通过自主决策的部门负责人直接进入市场提供了机会。
78%的高管要求外部初创企业证明其ROI高于Epic解决方案，其中49%要求“显著更高”的回报，才会批准部署。
超越默认EHR：医疗技术初创企业如何在Epic优先生态系统中胜出
Redesign Health开展的一项主要研究揭示了围绕Epic Systems的平台整合如何重塑各医疗卫生系统的软件采购。该报告题为《Epic效应》，调查了112名采用Epic的医疗卫生系统中的资深医疗保健高管，包括CEO、CIO、CMIO和副总裁，以了解医疗卫生系统领导者如何在“Epic优先”生态系统中评估第三方软件和AI应用。
Epic优先的基线
该研究强调了向核心EHR平台整合的明显转变：
平台偏好：
71%的受访者称其组织采取“Epic优先”策略，在可能的情况下优先使用Epic原生模块。其余29%以平等的“同类最佳”标准评估Epic和外部供应商。没有受访者表示对第三方供应商存在固有的基线偏好。
趋势：
80%的高管预计，未来三至五年他们对Epic解决方案的关注将进一步加强。
执行信心：
91%的领导者对Epic能够执行其AI路线图、达到同类最佳外部替代方案的水平，表现出高度信心，其中60%表示“完全信心”，31%表示“显著信心”。
预算分配：
医疗卫生系统平均将其信息系统软件预算的57%分配给Epic，43%分配给外部供应商。
推动选择Epic的因素
当医疗卫生系统选择Epic而非外部替代方案时，高管列举了具体的运营优势：
易于集成：
50%更强的能力：
48%“够用”的功能：
48%总体成本效益：
47%降低工作流复杂性：
33%初创企业的战略切入点尽管医疗卫生系统与Epic具有很强的平台一致性，但其领导者指出了第三方软件供应商可以成功竞争的明确功能领域：
面向临床医生的AI和环境式语音记录：
48%影像AI和诊断：
44%患者AI助手和参与度提升：
40%医疗服务获取和排程：
28%出院和照护过渡：
25%收入周期AI：
24%外部供应商的关键采购驱动因素当外部初创企业击败Epic模块赢得合同时，63%的高管将易于集成列为主要差异化因素，其次是更快实现价值（59%），以及能够扩展原生EHR功能的专业化能力。
此外，43%的受访者指出，新兴AI应用首先使用部门或专科业务线预算，其中52%的部门负责人拥有独立采购权限，这为专业软件在接受全企业范围的IT审查之前提供了进入路径。
What You Should Know
71% of surveyed health system leaders describe their organization as “Epic-First,” and 80% expect this preference to intensify over the next 3 to 5 years, according to research study from Redesign Health 91% of executives possess “complete” (60%) or “significant” (31%) confidence that Epic will execute its AI roadmap to match best-in-class external solutions.
Health systems deploy an average of 57% of their clinical and administrative IS budget to Epic, leaving 43% for external software vendors.
43% of respondents report that AI tools hit service-line or departmental budgets before transitioning to central IT, offering startups a direct entry point via autonomous department leads.
78% of executives require external startups to demonstrate a higher ROI compared to Epic solutions, with 49% demanding a “significantly higher” return to justify deployment.
Beyond the Default EHR: How Health Tech Startups Win in an Epic-First Ecosystem A primary research study from Redesign Health reveals how platform consolidation around Epic Systems is reshaping software procurement across health systems. The report, titled The Epic Effect surveyed 112 senior healthcare executives—including CEOs, CIOs, CMIOs, and Vice Presidents—at Epic-based health systems to map how health system leaders evaluate third-party software and AI applications within an “Epic-first” ecosystem.
The Epic-First Baseline
The study highlights a distinct shift toward core EHR platform consolidation:
Platform Preference:
71% of respondents describe their organizations as “Epic-first,” prioritizing native Epic modules whenever possible. The remaining 29% evaluate Epic and external vendors on an equal “best-in-breed” basis. Zero respondents reported an inherent baseline preference for third-party vendors.
Trajectory:
80% of executives expect their focus on Epic solutions to intensify over the next three to five years.
Execution Confidence:
91% of leaders express high confidence (60% “complete confidence,” 31% “significant confidence”) that Epic will execute its AI roadmap to match best-in-class external alternatives.
Budget Allocation:
Health systems allocate an average of 57% of their IS software budget to Epic and 43% to external vendors.
Factors Driving Epic Selection
When health systems select Epic over external alternatives, executives cite specific operational advantages:
Ease of Integration:
50%
Superior Capabilities:
48%
“Good Enough” Functionality:
48%
Total Cost-Effectiveness:
47%
Minimizing Workflow Complexity:
33%
Strategic Entry Points for Startups Despite strong platform alignment with Epic, health system leaders identify clear functional domains where third-party software vendors can successfully compete:
Clinician-Facing AI & Ambient Scribing:
48%
Imaging AI & Diagnostics:
44%
Patient AI Assistants & Engagement:
40%
Care Access & Scheduling:
28%
Discharge & Care Transitions:
25% Revenue Cycle AI:
24%
Key Buying Drivers for External Vendors When external startups win contracts over Epic modules, ease of integration is cited by 63% of executives as the primary differentiator, closely followed by faster time-to-value (59%) and specialized capabilities that extend beyond native EHR features.
Additionally, 43% of respondents note that emerging AI applications hit departmental or service-line budgets first, where 52% of department heads maintain independent purchasing authority—offering an entry pathway for specialized software before enterprise-wide IT review.
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