I had never heard of PracticeFusion, but clicking through their web site it looks like they're targeting solo practitioners and small practice groups. Hospital

I had never heard of PracticeFusion, but clicking through their web site it looks like they're targeting solo practitioners and small practice groups. Hospital systems with thousands of practitioners need systems that are many orders of magnitude more complex. The amount of investment it'd take to build a modern hospital-system EMR from scratch is enormous. A well-funded startup could certainly do it, but then there's the problem of adoption to deal with. Hospital systems are very like big government from an IT standpoint: extremely conservative and risk-averse, even more so than regular big business tends to be ("you'll stop us from using Windows XP when you rip the install media from our cold, dead hands"). You know the old adage that nobody ever got fired for recommending IBM? Well, nobody ever got fired for recommending Epic.