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A Black Book survey of health care executives found that an EHR implementation or replacement caused concerns about the future of their employment in 64% of respondents, while 5% reported that they or their colleagues were asked to resign or were fired because of the effect of EHR rollouts on costs or productivity. Ninety-three percent of respondents had little regret over their choice of EHR vendor, but 88% of those from smaller regional health systems expressed dissatisfaction, listing issues such as physician and clinical burnout, hidden costs, reliability issues, consumer frustration and time-extended rollouts.

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