The Total Economic Impact™ Of Microsoft Epic on Azure

Cost Savings And Business Benefits Enabled By Epic on Azure

A Forrester Total Economic ImpactTM Study Commissioned By Microsoft, December 2023

Epic has been an industry standard for providing hospitals and healthcare systems with comprehensive electronic medical and health record management. Administrators, physicians and other medical practitioners, and numerous other provider staff utilize many value-added aspects of Epic. However, providers more and more are moving to the cloud to increase productivity and manage significant costs associated with on-prem deployments, and thus utilize Azure as a viable option for cloud migration.

Microsoft commissioned Forrester Consulting to conduct a Total Economic Impact™ (TEI) study and examine the potential return on investment (ROI) enterprises may realize by deploying Epic on Azure.1 The purpose of this study is to provide readers with a framework to evaluate the potential financial impact of Epic on Azure on their organizations.

To better understand the benefits, costs, and risks associated with this investment, Forrester interviewed four representatives with experience using Epic on Azure. For the purposes of this study, Forrester aggregated the interviewees’ experiences and combined the results into a single composite organization that is a healthcare organization with a revenue of $2 billion per year.

Prior to using Epic on Azure, interviewees explained that their organizations hosted Epic on servers located in on-prem data centers. They would buy hardware they needed for the next five years of growth but would then need to refresh their hardware. After the investment in Epic on Azure, interviewees migrated their Epic environment to Azure cloud.

Key Findings

Quantified benefits. Three-year, risk-adjusted present value (PV) quantified benefits for the composite organization include:

  • Annual savings from sunsetting hardware, worth $10.3 million over three years. Hosting Epic on Azure frees the composite organization from needing to refresh its infrastructure every five years, so it can avoid having to buy additional hardware in advance to prepare for growth.
  • Increased productivity from reduction in effort to build and manage network and storage capabilities, worth $6.4 million over three years. Hosting the Epic system on Azure reduces the amount of redundant work for the composite’s employees, such as building and managing network and storage capabilities. This allows employees to spend that time on higher-value tasks and nonredundant work.
  • Reduction in effort to deploy virtual machines and projects, worth $329,000 over three years. The deployment of Epic on Azure enables the composite organization to rapidly deploy virtual machines (VMs) by leveraging automation that was not possible in an on-prem environment.

Unquantified benefits. Benefits that provide value for the composite organization but are not quantified in this study include:

  • Reduced risk. Interviewees reported that another benefit of migrating their Epic platform to the Azure cloud enabled their organizations to much more easily enact Zero Trust security since retrofitting legacy data centers with modern security features is more difficult.
  • Resource optimization. Hosting Epic on Azure cloud helped interviewees’ organizations to understand how their resources are being allocated.

Costs. Three-year, risk-adjusted PV costs for the composite organization include:

  • Initial implementation costs. The composite organization typically incurs initial implementation costs of $1 million for Epic on Azure.
  • Azure licensing costs. The composite organization typically incurs licensing costs of $3.7 million for Epic on Azure over three years.
  • Consulting and support expenses. The composite organization typically pays consulting and support expenses of $1.2 million for Epic on Azure.
  • Training expenses. The composite organization typically incurs training expenses of $914,000 for Epic on Azure.
  • Data storage expenses. The composite organization typically incurs data storage expenses of $305,000 for Epic on Azure.

The representative interviews and financial analysis found that a composite organization experiences benefits of $17.01 million over three years versus costs of $7.09 million, adding up to a net present value (NPV) of $9.92 million and an ROI of 140%.

“Azure provides benefits to physicians, patients, and consumers. It helps us reduce cost, improve, and facilitate better patient care through collaboration and interoperability."

CFO, healthcare

Key Statistics

  • icon icon

    Return on investment (ROI):

    140%
  • icon icon

    Benefits PV:

    $17.01M
  • icon icon

    Net present value (NPV):

    $9.92M
  • icon icon

    Payback:

    <6 months

Benefits (Three-Year)

Annual savings from sunsetting on-premises hardware Increased productivity from reduction in effort to build and manage network and storage capabilities Reduction in effort to deploy VMS and projects

TEI Framework And Methodology

From the information provided in the interviews, Forrester constructed a Total Economic Impact™ framework for those organizations considering an investment Epic on Azure.

The objective of the framework is to identify the cost, benefit, flexibility, and risk factors that affect the investment decision. Forrester took a multistep approach to evaluate the impact that Epic on Azure can have on an organization.

  1. Due Diligence

    Interviewed Microsoft stakeholders and Forrester analysts to gather data relative to Epic on Azure.

  2. Interviews

    Interviewed four representatives at organizations using Epic on Azure to obtain data about costs, benefits, and risks.

  3. Composite Organization

    Designed a composite organization based on characteristics of the interviewees’ organizations.

  4. Financial Model Framework

    Constructed a financial model representative of the interviews using the TEI methodology and risk-adjusted the financial model based on issues and concerns of the interviewees.

  5. Case Study

    Employed four fundamental elements of TEI in modeling the investment impact: benefits, costs, flexibility, and risks. Given the increasing sophistication of ROI analyses related to IT investments, Forrester’s TEI methodology provides a complete picture of the total economic impact of purchase decisions. Please see Appendix A for additional information on the TEI methodology.

Disclosures

Readers should be aware of the following:

This study is commissioned by Microsoft and delivered by Forrester Consulting. It is not meant to be used as a competitive analysis.

Forrester makes no assumptions as to the potential ROI that other organizations will receive. Forrester strongly advises that readers use their own estimates within the framework provided in the study to determine the appropriateness of an investment in Epic on Azure.

Microsoft reviewed and provided feedback to Forrester, but Forrester maintains editorial control over the study and its findings and does not accept changes to the study that contradict Forrester’s findings or obscure the meaning of the study.

Microsoft provided the customer names for the interviews but did not participate in the interviews.

Consulting Team:

Roger Nauth

Otto Leichliter

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