“…Due to privacy, reliability, or security concerns, and control issues, hospitals may prefer their in-house systems to manage their EMR rather than the use of a third-party provider. Perhaps once EMRs are supported by integrated IT architecture and Health Information Exchanges, they will be interoperable and may be outsourced by hospitals [Blechman, Raich, Raghupathi, and Blass, 2012;Venkatraman, Bala, Venkatesh, and Bates, 2008].…”