The point is that even MDACC figured out is was too expensive to continue their own EMR.
You're correct in that literal books could be written about EMR adoption gone wrong. That doesn't change the fact that even super huge mega-health systems can't afford to do it all themselves.
> The point is that even MDACC figured out is was too expensive to continue their own EMR.
I think then that the example does not prove your point. It would have been vastly better, financially and medically, for MDACC to have continued with their in-house EMR.