Transforming a Multi-State Health Network Through Epic Deployment

This was truly a partnership. Tegria brought not only deep Epic knowledge but also the ability to guide us through complex change. They were seen as leaders across our teams, and their support helped us stay focused, aligned, and ready at every step.

KRISTY BROWNEpic Program Director, University of Vermont Health Network

Background and Challenge 

As the University of Vermont Health Network (UVMHN) expanded into a six-hospital, multi-state system, the organization needed to standardize operations, improve care coordination, and modernize aging infrastructure. While UVMHN had long used Epic for core clinicals, the health system sought to extend Epic’s full capabilities—clinical, departmental, and revenue cycle—across diverse hospitals and clinics in Vermont and New York. Tegria was engaged to help the network achieve this goal while navigating complex regulatory environments, varied local workflows, and the challenges of large-scale change management. 

Solution

From baseline review to full systemwide Epic build and deployment, Tegria supported UVMHN through every stage of its transformation. The engagement began with a detailed assessment of UVMHN’s existing Epic environment, followed by a complete redesign and phased rollout of Epic’s full suite across the health system. 

Tegria provided a multidisciplinary team of more than 50 experts, including project leaders, Epic application specialists, analysts, trainers, and change management professionals. The team worked alongside UVMHN leaders to secure necessary regulatory approvals, including testimony and documentation for Certificate of Need (CON) approval from the state. 

A major focus was operational standardization across facilities with distinct clinical, billing, and regulatory requirements. Tegria helped align workflows, integrate third-party systems, and streamline vendor relationships. To ensure readiness, the team delivered a comprehensive change management and training program that prepared over 10,000 staff for new systems and processes. 

Tegria demonstrated flexibility and adaptability during the engagement by seamlessly pivoting from fully onsite to fully remote support when in-person work was restricted. The team worked closely with UVMHN to establish a scaled-down on-site presence for key milestones and developed effective approaches for remotely supported go-lives. This shift not only maintained project momentum in a dynamic environment, but also reduced travel costs and helped establish remote go-live support as a standard practice for the organization.  

This flexible, responsive approach was tested later the same year, when a ransomware attack threatened to cripple the UVMHN infrastructure and halt the project in its tracks. True to form, Tegria provided rapid response and recovery support to restore systems and keep the rollout on track.  

To accelerate adoption and reduce technical burden on internal teams, Tegria designed and implemented a dedicated Epic demo environment. This environment supported role-based training, workflow simulations, and validation exercises in a safe, realistic setting. 

Throughout the multi-year engagement, Tegria served as a strategic partner and consistent source of leadership, knowledge, and stability.