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Leaving Legacy EHR Systems Behind

Old, outdated computer in an office

The Top 5 Challenges of OBGYN Legacy Systems and the Benefits of Switching

Is your OBGYN practice still running on outdated, disparate, legacy software systems? Are you logging in and out of multiple platforms all day, manually transferring sensitive data back and forth? Have your software vendors stopped issuing regular security updates, leaving you more vulnerable to cyber attacks? If so, you’re not alone. And while it may seem like a daunting task, switching your practice to a more efficient, more streamlined, all-in-one solution could benefit you and your team.

Legacy Systems in Healthcare

It’s not uncommon to see healthcare organizations that still use legacy EHR systems to run their practices. According to a global survey published in 2022 by Healthcare Information and Management Systems Society (HIMSS), 73% of surveyed healthcare providers reported using legacy operating systems (OS).1

So, why are so many healthcare organizations still relying on software that could be outdated and may create additional work for their staff?

According to an article in Healthcare IT News, the reluctance of healthcare organizations to leave their legacy software systems behind is rooted in three obstacles: cost, risk and hassle.2 It can be costly to upgrade your entire system all at once, and many organizations hesitate to undergo such a big change as it may result in downtime for their business and potential revenue loss. Plus, it takes time for staff to train on the new software and make the transition, and the idea of starting over may be unnerving for some.

Switching to an All-in-One System

With the uptick in healthcare technological advancement in recent years, patients are now looking for a smoother check-in and easier ways to communicate with their doctors’ offices, make hassle-free payments and more. Practices that rely on legacy systems may be facing more and more challenges with trying to keep up. The healthcare industry overall — and OBGYN specifically — has been significantly affected by staffing shortages and employee burnout. Many OBGYN practices now have fewer employees, and each employee is now taking on more responsibilities and roles. If these challenges are hindering your practice from providing the best possible patient care, perhaps it’s time to consider switching to an all-in-one solution to help alleviate some of the burdens on your staff and to help your practice stay up to date with the latest tech in your field.

To help you think through this decision, we’ve listed five common challenges of operating on legacy systems and five benefits of switching to a more modern, all-in-one software system.

1. Compatibility

Challenge of Legacy Systems

Legacy software systems can be outdated, meaning any new or updated technology you introduce might not be compatible with your existing systems. The challenge then becomes trying to integrate older systems with newer, incompatible ones, and achieving this integration seamlessly is not likely. Due to the nature of operating with multiple disconnected systems, practices that run on legacy systems tend to operate in silos, rather than as one unified business.3 If your staff is required to enter and re-enter patient data and information manually across multiple platforms, this increases the risk of human error and leads to a loss of efficiency throughout your OBGYN practice.

Benefit of One Integrated System

One of the most important features of an all-in-one software system is just that: It’s all in one. No more ad hoc patching of old and new software to fill the gaps. ModMed OBGYN® , which includes our OBGYN-specific EHR system, is designed to function seamlessly as one interconnected solution with Practice Management, Patient Engagement, Analytics, ModMed Pay and more.

For example, the moment a physician completes a visit note, important forms and paperwork — such as summaries, prescriptions, suggested billing codes, lab requisitions and more — are generated and sent to the appropriate parties. Patients can access their visit summaries, scripts and appointment information in the Patient Portal. Front office staff can see if a follow-up appointment is needed and whether their prescriptions have been sent to their preferred pharmacies. A bill, complete with suggested coding for reference based on the provider’s documentation, is generated for review and sent to billers so they can proceed with billing and payment acquisition. The system works together as one, helping individual employees complete their respective tasks with more efficiency and synergy.

2. Security Risks

Challenges of Legacy Systems

In light of the ever-increasing cyber attacks on healthcare companies to steal valuable protected health information — not to mention HIPAA compliance regulations — the importance of cybersecurity in healthcare cannot be overstated. But legacy systems may not have the most up-to-date security protections and vulnerability fixes in place. In some cases, vendors may even cease to issue regular security updates for their older server operating systems or the software that runs on them, potentially leaving systems vulnerable to security breaches or cyber attacks.4 In fact, according to the HIMSS survey, 39% of respondents named legacy technology as their biggest security challenge, making it the third most common obstacle after budget (47%) and staff compliance with policies and procedures (43%).1

Additionally, many legacy systems store data in on-premise servers, which can be cumbersome and may pose a greater security risk for your practice. If your data is stored on site, it may be more vulnerable to physical damage (such as theft, fire or flooding) and to cyber threats if the software becomes outdated. Updating on-premise servers and manually backing up the data is time-consuming and could result in practice downtime. Plus, on-premise servers may make it challenging to scale your practice, since growth will likely require purchasing, maintaining and backing up additional servers.

Benefits of a Modern System

A software-as-a-service (SaaS) software suite can provide more up-to-date security protections that can help protect your data and reduce the risk of cyber threats, because security management and updates are maintained centrally in the cloud rather than on customer-managed servers. At ModMed, we take cybersecurity very seriously. For example, our cloud-based EHR system comes equipped with a multifactor authorization (MFA) feature to add an extra layer of user authentication security. Additionally, customizable administrator restrictions allow you to limit each user’s access to only the tools and resources the user needs to do his/her job. Other steps we’re taking to help practices keep their data safe include:

  • Data replication to redundant availability zones in real time as an extra safeguard for business resiliency
  • Regular, automatic software updates to cloud systems, issued during off-peak hours, causing little-to-no service interruptions
  • Frequent ModMed employee security awareness training on how to identify and reduce cyber threats via phishing, malware and more
  • Consistent penetration testing of the EHR system and its hosting environment as well as assessment of security measures through an independent third party
  • 24×7 security event monitoring by a security operations center to identify and respond quickly to emerging threats
  • More

These precautions and others can help reduce the risk of cyber attack, and it’s important to have an operating system in your practice that you can rely on to help keep your practice and patient information safe.

Additionally, ModMed is 100% cloud based, so there is less hardware to buy, store, maintain and keep secure. Software updates are issued regularly, helping to reduce service interruptions that can lead to practice downtime and potential loss of revenue. Additionally, data backups to the cloud may be safer than to vulnerable on-premise servers, and having less hardware and equipment to purchase and maintain could make it easier to grow and scale your practice.

3. Customization and Flexibility

Challenges of Legacy Systems

Some legacy EHR systems were built in a “one size fits most” format to cater to a wider, more generic client base. What you get is what you get, and customizing your software for your specialty is limited to how much time your busy physicians and staff can dedicate to building and updating templates for their most common visits and procedures. Without this customization, what you’re left with is a non-specialty-specific software system that may not cover all your needs, may have superfluous features, requires a lot of typing and dictation, and could cause redundancies. These issues not only waste time but also can contribute to employee burnout and fatigue.

Benefits of a Specialty-Specific System

With a comprehensive system that was designed specifically for OBGYN, you get the tools and automation your practice needs, without the unnecessary features that come with generic systems. With ModMed OBGYN, from the very start, our team works with you during the implementation phase to customize workflows specifically for each role in your practice, from physicians to administrators to billers and more. Less toggling, copying and pasting can help alleviate some of the strain on your employees.

4. Interoperability

Challenges of Legacy Systems

In the healthcare field, being able to gain access to, contribute to and request data from the larger healthcare ecosystem can help providers and practices offer the best, most well-informed patient care possible. If your practice is running on a legacy OS, however, facilitating this connection can be, at the very least, a challenge and, at worst, impossible. Some legacy systems were implemented before the introduction of some of the national interoperability standards.5 Some were created with unique or proprietary data input and storage methods and may have actually been designed to prevent interoperability, as a way of protecting market share.5

For interoperability to be achieved, the data being exchanged must be standardized so that it can be transferable and understood by other healthcare solutions in the ecosystem. Since legacy systems often lack this standardization, your practice may be obliged to purchase and utilize a middleware software to translate data input and output, adding to costs and introducing yet another software system.

Benefits of an Interoperable System

Seamless data transfer and effective communication within the larger healthcare ecosystem is crucial for successful patient care. To do this, you need access to healthcare exchange solutions that facilitate the transfer of patient history, labs, hospital records, referring providers and more.

ModMed has an interoperability solution that includes a multitude of mechanisms to share data with other health systems, including: a certified FHIR API, a proprietary API, HL7 capabilities, CCDA, direct mail, PDMP and more. We work alongside hospital EHR vendors to establish interfaces and other connections to facilitate exchange of demographics, financial transactions, scheduling information, finalized visit notes and other documents, as well as structured clinical data. Practices that have ModMed OBGYN can connect to Bamboo Health’s prescription drug monitoring program (PDMP) and monitor controlled substance prescriptions for their patients. Additionally, our EHR and Practice Management systems also come equipped with Health Level 7 (HL7) international data sharing capabilities to facilitate transfers of inbound and outbound demographics, visit notes, charges, lab orders and more.

5. Efficiency

Challenges of Legacy Systems

Legacy systems can be notoriously inefficient. The time it takes to key in data manually and scan paper forms is precious time wasted, and inefficiencies can translate to a need for additional staff to manage the extra work. But finding and retaining OBGYN providers and practice staff is proving harder and harder to do.

A slower operating system can negatively impact clinician efficiency, which can lead to the ever-growing issue of burnout. According to recent research, the burnout rate for OBGYNs is a staggering 40–75%, ranking them among the highest of all medical specialties.6 One of the many reasons for this is a growing disparity between the increase in population and the decrease in practicing OBGYNs, leading to more work and more patients for each practicing OBGYN to see.6 As your practice gets busier and busier, the last thing you need is a lagging, inefficient software system to frustrate and slow you down.

Benefits of an All-in-One, Cloud-Based System

With an all-in-one software suite, like ModMed OBGYN, you have solutions to help your practice staff tackle every part of their day more efficiently — from automated appointment reminders and faster patient check-in, to streamlined payment processing and suggested coding for reference based on the provider’s documentation. No more toggling back and forth between multiple software systems, manually re-entering data over and over, and increasing the risk of human error each time.

ModMed OBGYN doesn’t just help solve inefficiencies for staff. It’s also designed to streamline a clinician’s day-to-day as well. Documenting visit or procedure notes in as little as seconds and with only a few taps helps keep the focus on patient care, not paperwork. The system does the pre-work for you, presenting relevant information when the clinician needs it and in a format that is easily digestible and significantly reducing the time-wasting back-and-forth. OBGYN-specific tools and solutions, such as our OB Flowsheet, are built into the system to make it easier to track a patient’s pregnancy, keep all the patient’s information in one centralized location, and reduce the need to transfer data manually or track the patient’s progress via multiple systems.

Ready to make the switch?

If legacy software systems are holding back your OBGYN practice, causing provider burnout, creating bottlenecks in your workflow, incurring additional costs and wasting your team’s precious time, maybe it’s time to make the switch to an all-in-one OBGYN-specific software suite.

Although the prospect of having to replace multiple vendors may sound daunting, consider that, by switching, you could forego the ongoing exorbitant costs, inefficiencies and time wasted on maintaining a patchwork system that may be outdated and vulnerable to cyber threats. Instead of being nickeled and dimed for multiple systems, you could have all the solutions you need, working together as one unified system.

For more information on our integrated ModMed OBGYN suite of solutions, visit or call 561.998.2266

1“2021 HIMSS Healthcare Cybersecurity Survey,” Healthcare Information and Management Systems Society (HIMSS), (2022 January).
2“How best to manage, or dump, legacy healthcare IT systems,” Healthcare IT News (2023 March 2).
3“The Legacy Systems Challenge,” HealthManagement (2007).
4“Outdated Operating Systems Remain Key Medical Device Security Challenge,” Health IT Security (2023 March).
5“Interoperability in Healthcare: Benefits, Challenges and Resolutions,”International Journal of Innovation and Applied Studies (2013 May).
6“OB-GYN Burnout: Why So Many Doctors are Questioning Their Calling” Health eCareers (2023 May).

This blog is intended for informational purposes only and does not constitute legal or medical advice. Please consult with your legal counsel and other qualified advisors to ensure compliance with applicable laws, regulations and standards.