Epic at the Practice Level
What practice-side Epic work looks like beyond the hospital.
Epic is the dominant EHR in large health systems — Hackensack University Medical Center (HMH), Atlantic Health System (Morristown, Overlook, Chilton), RWJBarnabas (RWJ New Brunswick flagship), Valley Health System, Englewood Health, Holy Name, Saint Barnabas, Newark Beth Israel, University Hospital (Rutgers), Capital Health (Trenton), Penn Medicine Princeton, St. Joseph's (Paterson), Hoboken UMC, Jersey Shore UMC — all use Epic.
For practices affiliated with these systems through employment, Community Connect, or direct license, Qventive handles practice-side Epic work: workflow optimization within Epic's customization framework, SmartList and SmartText refinement, order set tuning, device integration coordination, practice-side cybersecurity, endpoint management, training, and interface coordination with non-Epic specialty systems. We don't do enterprise Epic builds — that requires Epic-certified consultants through Epic UGM training. We fill the practice-level gap.
Epic Care Everywhere enables records exchange between Epic instances nationally. For practices referring across hospital systems — Hackensack Meridian ↔ RWJBarnabas ↔ Atlantic Health ↔ Valley Health — records flow through Care Everywhere when both sides use Epic, and through standard HL7/FHIR interoperability otherwise.
Epic Deployment Patterns We Support
Hospital-employed outpatient practice. Practice is owned by the hospital; Epic is the hospital's enterprise platform. Hospital IT handles platform; practice-side support (workflow, local templates, device support, training) often falls into a gap. Most common Epic engagement pattern.
Community Connect practice. Independent practice that licenses Epic through a hospital's Community Connect program. Hospital hosts Epic; practice operates on it with its own workflow. Practice is responsible for its own endpoints, cybersecurity, training, device management, and local support.
Large specialty group with direct Epic license. Practices large enough to license Epic directly (typically 50+ providers). Operates like a small health system. Requires Epic-certified internal resources plus external support for specific workstreams.
Small practice on Epic (rare but growing). Epic's smaller-practice offering appears occasionally — typically specialty practices whose referring hospitals use Epic and want interoperability.
Epic for Specialties
Epic supports specialty-specific workflow across cardiology, oncology (Epic Beacon), orthopedics, OB-GYN, family medicine, internal medicine, pediatrics, psychiatry (Epic Cogito for behavioral health), emergency medicine, surgery, and more. MyChart patient portal integration. Epic Dorothy for genomics. Epic Limerick for clinical research.
For comparisons with other platforms: Epic vs. Cerner. For alternative platforms: NextGen, athenahealth, eClinicalWorks, Allscripts, Greenway. For the broader platform landscape: cloud EHR vs. on-premise and EHR vs. EMR.
Epic Geographic Coverage
We support Epic-affiliated practices across Bergen (HUMC/HMH flagship), Hudson (Jersey City Medical Center/RWJBarnabas), Essex (Newark Beth Israel, Saint Barnabas, University Hospital), Morris (Atlantic Health Morristown flagship), Middlesex (RWJ New Brunswick flagship, Cancer Institute NJ), Union (Atlantic Health Overlook, RWJBarnabas Trinitas), Somerset (RWJ Somerset), Monmouth (Jersey Shore UMC/HMH, Monmouth MC/RWJBarnabas), Ocean (Community MC, Ocean MC), Mercer (Capital Health, Penn Medicine Princeton), Passaic (St. Joseph's Health). For complete EHR platform support, see our platform overview.
How an Engagement Starts
Our process is structured, documented, and starts with listening — not pitching.
Step 1 — Discovery call (30 minutes, no obligation). Practice owner or office manager. We listen. What's working, what's broken, what's the immediate pain point. No pitch, no vendor pressure, no slide deck.
Step 2 — Scoped assessment. On-site or remote — we inventory infrastructure, EHR environment, cybersecurity posture, vendor contracts, and clinical workflow patterns. Typically 2-5 business days depending on practice size. Deliverable: a written assessment with findings and prioritized remediation recommendations.
Step 3 — Proposal and engagement structure. If Epic EHR practice-side support is a fit, we propose an engagement — scope, pricing, timeline, measurable outcomes. No long-term lock-in contracts on first engagement. If we're not the right fit, we'll tell you directly.
Step 4 — Onboarding and delivery. Structured 30-60 day onboarding with clear milestones. Documentation, tooling deployment, knowledge transfer, and operational handoff. You know exactly what's happening and when.
For practices currently with a generalist MSP, see our Qventive vs. generalist MSP comparison. For practices evaluating internal hire vs. managed services, see managed IT vs. internal hire. For questions on the MSP landscape generally, our resources and FAQ pages cover common questions.
Why Qventive, Specifically
Not a pitch — a factual description of how we're structured differently.
Healthcare-exclusive since 1994. Every engineer, every helpdesk technician, every account manager works only with medical practices. No retail, no law firms, no logistics companies. That focus has operational consequences — our on-call engineer at 2 a.m. knows what a downtime toolkit is for Epic. Our helpdesk understands that “the EHR is slow” is an emergency, not a ticket.
Steve Gerbino founded this company in 1994. The founder still answers questions. The depth of specialty and clinical workflow knowledge compounded over three decades is genuinely hard to replicate — and it's why we serve solo practices, group practices, multi-location practices, FQHCs, ASCs, concierge medicine, hospital-adjacent practices, and PE-backed platforms with equal depth.
Observe-Improve-Prevent methodology. Every engagement starts with observation — shadowing providers, auditing infrastructure, reviewing documentation. We don't assume. Then we improve based on what we actually see. Then we monitor continuously to prevent drift. This isn't a marketing slogan — it's an operational pattern baked into how our engineers work.
Geographic proximity. Our Bergen County headquarters in Hackensack means fast on-site response across NJ. We're not a 50-state remote-only MSP. When something needs hands-on work — new infrastructure, physical troubleshooting, device deployment — we send people. Learn more about us, our why Qventive positioning, and read testimonials from practices we serve.
Frequently Asked Questions
Detailed answers from 30+ years of healthcare-exclusive IT.
Does Qventive do Epic builds?+
No. Full Epic environment builds, major upgrades, and enterprise-level Epic configuration require Epic-certified consultants with direct Epic training (typically through Epic UGM). Those engagements go through Epic or specialized Epic partners. Our work is practice-side — workflow optimization, training, adoption, and the layers around Epic that are the practice's responsibility.
What if our practice is on Community Connect?+
Common engagement pattern. Hospital manages the Epic platform; practice manages its own operations on it. Our role: practice-side user support, local workflow optimization within practice-controllable settings, training and onboarding, endpoint and network support, practice-specific cybersecurity, and coordination with hospital Epic operations when platform-level issues arise.
Can you customize Epic templates and SmartLists?+
Within the practice's scope of control, yes. Community Connect practices typically have limited customization authority (Epic configurations largely inherited from host hospital), while independent Epic-licensed practices have more. We work within whatever customization authority the practice has — we don't bypass governance.
Do you support specialty workflows in Epic?+
Yes. Specialty workflow work includes review of current configuration, identification of optimization opportunities (templates, order sets, common workflows), implementation within Epic's customization framework, training on optimized workflow. Specialty expertise across cardiology, orthopedics, dermatology, GI, and more.
How do you coordinate with hospital Epic teams?+
Clear communication patterns. For practice-side issues, we act as the practice's technical representative. For platform-level issues (bugs, cross-organization workflow disputes, licensing), we facilitate escalation to the appropriate hospital Epic contact. We don't pretend to own what we don't.
What about Epic-to-non-Epic integration?+
Common work area. Examples: Epic to specialty PACS, Epic to billing platforms (when practice uses non-Epic billing), Epic to state registries, Epic to patient engagement platforms, Epic to specialty device workflow. Interface work on the practice side is within scope. See HL7/FHIR interoperability.
Can you help transition to hospital Epic?+
Yes. Transitioning from a separate practice EHR to hospital Epic (as part of affiliation, acquisition, or Community Connect) is a common engagement. Scope: data migration planning, workflow transition, staff training, endpoint transition, cybersecurity migration, go-live support. Transitions typically take 6-18 months. See EHR migration services.
How is Epic different from Cerner?+
Both are major hospital-focused EHRs with different architecture and market position. Epic has ~40% U.S. hospital market share; Cerner (now Oracle Health) has ~25%. See Epic vs. Cerner for detailed comparison.
Last Updated: April 2026 · Reviewed by Qventive Healthcare clinical technology team
