Case Studies / EHR Implementation
12 hospitals. 18-month timeline. On-schedule go-live.
A regional health system operating 12 acute care hospitals across four states needed to consolidate disparate EHR systems onto a single Epic platform. Legacy systems included three different vendors. Data migration complexity was high. The organization had experienced a failed implementation attempt with a previous consulting firm.
The health system had grown through acquisition. Each acquired hospital maintained its original EHR. Clinical staff transferred between facilities could not access patient records. Reporting required manual consolidation from multiple systems. Operational inefficiency was measurable in delayed care decisions and duplicate testing.
The previous implementation partner had failed to meet milestones. Staff confidence in the project was low. The board had approved additional budget but required assurance of delivery. Timeline pressure was significant—the organization needed unified operations within 18 months.
TNG deployed a team of 45 consultants across all 12 facilities. The engagement began with a 60-day assessment to understand why the previous attempt failed and to establish realistic milestones.
TNG consultants integrated with the client's internal IT team rather than operating separately. Knowledge transfer was built into the engagement from day one. By Wave 3, client staff led several workstreams with TNG in support roles.
All 12 hospitals went live within the 18-month timeline. No facilities required extended stabilization periods beyond the planned 30-day window. Physician order entry adoption reached 94% by week two of each go-live—above the 85% target.
The health system avoided an estimated $12M in extended project costs by completing on schedule. More significantly, clinical operations achieved unified patient records across all facilities within the target timeframe.
TNG maintained a reduced support team for 90 days following final go-live. During this period, the focus shifted to optimization and workflow refinement. The client's internal team assumed full operational responsibility on schedule.
Two years post-implementation, the health system ranks in the top quartile for Epic utilization metrics within its peer group.
"After our previous experience, we were skeptical of any consulting partner. TNG changed that. Their team operated as an extension of ours—not as outside contractors. The difference was immediate and sustained through go-live."
Regional Health System
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