Many consulting organizations can do cost analysis for a major EHR migration. Few consulting organizations can conduct a thorough analysis of the benefits of an EHR migration. This was done by Tegria by engaging operational leadership to gain concurrence and buy in.”

Robert K Eardley, Chief Information Officer, University Hospitals - Cleveland
Background and Challenge 

For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, UH has expanded across Northeast Ohio to deliver what matters most to their patients: personalized, compassionate care; medical discoveries and breakthroughs; and high-quality, affordable care close to home.

UH sought assistance from Tegria to modernize their clinical and revenue cycle platforms to provide a solution that was best for their patients, providers, staff, and bottom line.

Switching EHR platforms is a major investment, so UH wanted to understand not just the costs of the new platform. Tegria helped to develop a business case that included a thorough analysis of the potential return on this major investment. Our team investigated UH’s current pain points, how they might be reduced, and the potential financial lift UH could expect from a new platform.


Tegria developed a comprehensive business case that included the cost of the system implementation and a return on investment model for 20 key performance indicators for UH’s operations, including:

  • Expected revenue gains from improved scheduling, fewer appointment cancellations, better referral completion, physician efficiency, clinical revenue capture automation, etc.
  • Projected cost savings from fewer insurance denials, reduced bad debt, fewer patient adverse drug reactions due to better record sharing, and more
  • Improved margin from the transition to value-based care, population health, and research
  • Non-financial benefits like caregiver satisfaction, patient engagement, and integration of additional specialties into the EHR platform

The model Tegria delivered analyzed the return on investment over a 10-year period following the implementation of the new platform. UH expects to recoup their investment in the new platform and see improved revenue and margin after cutting over to the new platform. The work Tegria did provided a roadmap for UH’s executive team and board members.

Based on the business case, it was clear to UH that moving to a new EHR platform was the right decision.

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