For whatever reason as I have stated on other threads, medical software tends to be some of the sloppiest programs on the market. They seem to be a hastily cobbled together mess that work by no small miracle, and are never more than the width of a human hair away from total collapse. These software companies probably started convulsing uncontrollably when they read the HIPPA regs. Due to some previous threads about this same topic, I will be watching out for this very thing when we do the security assessment for a medical group here in a few weeks.
That's because lots of those get started by some doctor in their "spare time" and end up getting used, passed around, hacked on, etc. Doctors may be smart people, but they aren't software engineers.
That being the case, it's been my experience, that once an application gets in place and is being used it is almost impossible to transfer an organization on to something else.
Reminds me of the old joke:
Q: What's the difference betwwen a doctor and stock broker?
A: The stock broker knows he's not a doctor.