If you’re a mid-sized hospital using or planning to implement Epic, this guide breaks down what you need—and what you can skip. Epic may offer over 40 modules, but most hospitals only benefit from a focused set that aligns with their care delivery, billing, and patient engagement goals.
Here’s what you’ll walk away with:
This isn’t about chasing the full Epic suite. It’s about choosing the right tools to fix what matters most: billing gaps, fragmented workflows, and patient drop-offs.
Epic is the largest EHR vendor in the United States, and for good reason. It offers a comprehensive ecosystem of modules that support nearly every aspect of clinical, operational, and financial performance. But here’s the reality: most mid-sized hospitals don’t need all of it.
Buying into the full suite without a clear rollout plan often leads to more problems than solutions. For hospitals working with limited budgets, staff, and implementation bandwidth, excessive technology can lead to underutilized systems, frustrated teams, and duplicated processes.
According to Kaufman Hall, the average operating margin for hospitals remains around 1.4%. When you’re working with that kind of constraint, every dollar spent on tech must lead to operational gain. Yet we often see hospitals overcommit early—signing on for more modules than they need—only to discover that their teams still rely on Excel sheets, paper lists, or manual billing workarounds months later.
Let’s take a typical example. A hospital implements Epic’s core clinical modules but skips the mobile extensions or patient-facing tools. Nurses end up charting at desktop stations long after rounds. Schedulers still manage patient visits via spreadsheets because front-desk workflows weren’t aligned with Cadence during rollout. That’s not a tech limitation; it’s a gap between what was implemented and what was needed.
This mismatch is most evident in billing. Without Resolute or clean Prelude workflows, claims get delayed. Coders have to reconcile charts manually. Denials increase, and cash flow suffers a setback.
The real challenge isn’t whether Epic has the tools—it does. The problem is knowing which modules move the needle for your hospital size, services, and patient population. And that’s where most mid-sized hospitals hit a wall.
What you need is clarity. Which Epic Modules should you prioritize? Which can wait? What will deliver measurable ROI in year one?
That’s what this guide is here to answer.
Epic Modules are individual software components that plug into the broader Epic EHR platform. Each one is designed to handle a specific operational or clinical workflow from patient registration and surgical scheduling to lab reporting and population health management.
Think of them like building blocks. You don’t need all of them to run a hospital, but you do need the right ones to make sure your departments aren’t working in silos or relying on manual workarounds.
For a small health system or a 200-bed regional hospital, buying Epic as a platform is only the beginning. The real work starts in choosing which modules align with your hospital’s care model and revenue goals. Pick the wrong ones or too many too soon, and you’ll end up with unused software, frustrated users, and duplicated documentation.
So, how are Epic Modules structured?
These modules support frontline providers. They’re responsible for everything from documenting a primary care visit to managing an inpatient stay, a surgical procedure, or an oncology infusion cycle.
Examples:
These tools focus on how care is documented, coded, and ultimately billed. They cover registration, claims processing, eligibility checks, and denials management.
Examples:
Modules in this category help patients stay connected to their care team, access information, and manage their health digitally—either through portals or in-room systems.
Examples:
These handle everything in the background—reporting, forecasting, population health analytics, infection tracking, and more.
Examples:
If your team plans to extend Epic’s functionality, whether with AI-assisted documentation, external devices, or new analytics layers, you’ll likely rely on SMART on FHIR. It’s a standard that allows secure, scalable app development on top of Epic without touching the core codebase.
Hospitals utilize it to develop tools for various applications, including remote monitoring, rehabilitation dashboards, and automated symptom screening. It’s a major enabler for hospitals that want to innovate without waiting for the next Epic upgrade cycle.
Implementing an EHR like Epic is one thing. Using it well is another. For mid-sized hospitals, the difference often lies in the selection of modules and the rollout strategy. The right modules can help a lean team move faster, document better, and bill more efficiently. The wrong ones—or too many at once—can lead to frustration, rework, and poor adoption.
Below is a breakdown of common issues we’ve seen when hospitals implement Epic Modules without a clear match to their existing workflows or infrastructure.
If your care teams are still printing patient lists, using sticky notes to track procedures, or updating Excel manually to reconcile billing, it’s not a training problem—it’s a module gap. These workarounds emerge when hospitals bypass modules like Cadence, MyChart Bedside, or Cogito due to budget constraints or unclear priorities during the purchasing process.
Over time, this creates inefficiencies that hurt clinical quality, increase documentation burden, and delay reimbursements.
Unlike large health systems, mid-sized hospitals don’t have layers of admin staff or dedicated IT analysts to patch process holes. Every gap in documentation, coding, or scheduling gets absorbed by overworked teams, and the ripple effects are real: claim denials, longer LOS, and lower HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores.
Epic’s strength is its modular architecture. That means hospitals can (and should) implement only what they need. However, without an internal Epic roadmap—driven by clinical and operational priorities, rather than just IT—many mid-sized hospitals end up with a solution that appears complete on paper but is fragmented in practice.
⚠️ If you’re not using modules like Resolute for billing or MyChart for patient access, you’re likely duplicating work that Epic already solves.
Some hospitals have found success in embedding clinical decision tools directly into Epic to streamline high-stakes processes, such as those related to surgical readiness. One example is a preoperative platform that integrates with Epic using Clinical Decision Support (CDS) hooks, allowing care teams to automate lab and test orders without toggling screens or re-entering patient data. The result was fewer missed labs, less clinician frustration, and a smoother pre-op workflow.
With over 40 modules available, Epic can feel like a massive toolbox. But for mid-sized hospitals, the goal isn’t to use everything—it’s to use what drives real outcomes. Whether you’re focused on improving cash flow, reducing ED wait times, or enhancing the patient experience, some modules have a greater impact than others.
We’ve organized the 20 most effective Epic Modules below by functional area, with context on what they do and why they matter.
These modules directly affect how care teams deliver and document treatment.
Tailored for outpatient and specialty clinics, this module allows providers to chart quickly, manage chronic conditions, and handle referrals without navigating multiple systems. Built-in decision support reduces unnecessary tests and improves care coordination.
Supports the full inpatient journey—from admission to discharge. Providers can track vital signs, medications, and care plans in real-time. It reduces redundant charting and allows multi-disciplinary teams to collaborate within the same workflow.
Epic ASAP is an emergency department module designed for high-speed decision-making. It includes tools for triage, orders, and rapid documentation, helping to reduce door-to-doctor time and improve throughput without sacrificing safety.
Epic OpTime handles everything from OR scheduling to case tracking and post-op documentation. When paired with the Epic Anesthesia module, it supports anesthesiologists with intraoperative charting and medication management. These modules are essential for hospitals with moderate to high surgical volume.
Epic Bones is focused on orthopedics. This module includes templates for joint replacements, sports injuries, and post-op rehab tracking. It simplifies documentation for ortho-specific visits and integrates with imaging and surgical planning tools.
This supports oncology care by managing treatment protocols, chemotherapy dosing, and follow-up schedules. Epic Beacon helps teams avoid medication errors, streamline infusion scheduling, and track patient response over time.
Built for labor and delivery units, Epic Stork includes tools for fetal monitoring, prenatal documentation, labor tracking, and postpartum discharge. It integrates tightly with inpatient and nursery systems, helping OB teams improve safety and satisfaction.
For hospitals with in-house dental services or affiliated dental clinics, Epic Wisdom supports streamlined charting, coding, and scheduling in a way that mirrors core ambulatory workflows.
These modules are essential for hospitals running internal diagnostic departments.
Handles everything from imaging orders to report distribution. Radiologists can view images, dictate findings, and send structured reports directly into the patient chart. Epic Radiant improves coordination between radiology and referring providers.
Epic’s lab information system (LIS), Epic Beaker, supports both clinical and anatomic pathology labs. It automates specimen tracking, result posting, and regulatory reporting, reducing manual errors and accelerating turnaround times.
Designed for GI, pulmonary, and surgical specialties, Epic Lumens streamlines endoscopy workflows. It includes procedure templates, scope tracking, photo capture, and post-procedure notes. It’s especially helpful for hospitals performing frequent outpatient endoscopic procedures.
These modules are crucial for reducing denial rates, effectively managing claims, and enhancing cash flow.
Epic’s main billing engine, Epic Resolute, supports hospital and professional billing, including charge capture, insurance verification, denial management, and collections. It provides billing staff with real-time insights to shorten revenue cycle timelines.
Built for hospitals managing payer contracts or at-risk populations, Epic Tapestry supports claims adjudication, capitated payments, member management, and utilization tracking. It’s particularly useful for ACOs or integrated delivery networks.
To streamline financial assistance processes, some hospitals are integrating external tools into Epic that utilize HL7 and FHIR standards to retrieve patient data securely. This enables real-time eligibility checks and faster approvals for financial aid, improving patient retention and billing efficiency. For a client, we integrated Epic with a financial navigation platform, resulting in a 90% reduction in manual data entry, which freed up staff time and reduced errors. Integrations like these help extend the reach of modules like Resolute and Tapestry without requiring additional manual effort from frontline staff.
Epic Prelude handles patient registration and insurance details, while Epic Cadence manages scheduling across departments. When combined, they help front-desk and registration teams avoid eligibility issues and appointment delays that slow down billing.
Some mid-sized systems managing both central hospitals and independent practices opt for Epic Garden Plot. It provides a scaled-down method for extending Epic access to affiliated providers without overloading the core instance.
These modules support digital front doors, self-service, and the in-hospital experience.
Patients can view their records, request appointments, refill prescriptions, and send messages to their providers. MyChart also supports proxy access for family caregivers and integrates with third-party applications, such as Apple Health.
“If messages go unanswered… patient portals can do more harm than good.”
— David D. Bennett, CEO of PCare. Source – YouTube
An inpatient-facing extension of MyChart that runs on tablets. Patients can view their schedule, identify who’s on their care team, access educational materials, and even request comfort items—all from the comfort of their room.
When paired together, these modules enable patients to schedule appointments and receive reminders directly through MyChart, reducing missed appointments and easing the pressure on scheduling staff.
Some organizations have taken patient engagement even further by layering predictive tools into their Epic instance. For example, a maternity care platform integrated with Epic enabled clinicians to predict expected delivery windows with 94% accuracy based on real-time vitals, such as cervical dilation, BMI, and fetal station. The system synced seamlessly with Epic using MRNs and pushed finalized delivery notes directly into the EHR, cutting post-delivery documentation time by over 40%.
These modules provide decision-makers with the data needed to improve care quality and operational efficiency.
Supports population health management by aggregating data across visits, providers, and systems. Epic Healthy Planet identifies care gaps, stratifies patient risk, and enables outreach, making it ideal for managing chronic diseases or implementing value-based contracts.
Epic Cogito provides real-time dashboards and quality reports that are integrated within the EHR. Clinicians and leaders can track performance metrics without relying on external analytics platforms.
Epic’s enterprise data warehouse, Epic Caboodle, stores structured and unstructured data from across the system. Analysts use it to build reports on utilization, clinical trends, and financial KPIs.
A public health and infection control module. Epic Bugsy supports surveillance, outbreak tracking, and antimicrobial stewardship. It helps hospitals meet infection prevention standards and report directly to public health agencies.
Buying Epic modules isn’t the hard part—rolling them out correctly is. Too often, mid-sized hospitals attempt to go live with too much at once, or they choose modules based on vendor recommendations rather than operational priorities. The result? Missed adoption, delayed ROI, and staff who still default to paper or spreadsheets.
Here’s how to make sure your Epic rollout delivers.
Don’t build around features. Build around your most-used workflows.
Q) Do you bill patients?
A) Start with Epic Resolute and Epic Prelude. These modules give you the foundation for claims, insurance eligibility, and collections.
Q) Do you run an Emergency Department?
A) Epic ASAP is built for rapid documentation, tracking, and throughput. It’s faster than trying to customize an inpatient tool for ED flow.
Q) Do you operate an OR or surgical clinic?
A) You need Epic OpTime + Epic Anesthesia. These streamline OR scheduling and ensure that your surgical teams aren’t required to document across two systems.
Q) Do you offer primary or specialty care?
A) Begin with EpicCare Ambulatory and Epic MyChart. These support outpatient visits and patient self-service, reducing the need for calls and missed appointments.
Q) Do you care for complex populations or value-based contracts?
A) Look at Epic Healthy Planet and Epic Tapestry. These support population health, chronic care, and bundled payment models.
Modules like Epic Healthy Planet or Epic Bugsy often align with federal programs and reporting initiatives. That means:
Rollouts work best when they’re phased, focused, and team-driven.
Rolling out Epic successfully isn’t about having more features. It’s about connecting the right ones—and ensuring your people can use them effectively. That’s where Mindbowser comes in.
We’ve worked with care teams and health tech vendors to implement Epic-integrated tools ranging from surgical decision support and maternity care models to financial assistance automation and patient transport coordination. These projects have helped mid-sized hospitals reduce friction, strengthen compliance, and scale smarter—without having to rebuild their workflows from scratch.
Whether you’re adding a new module, fixing a broken one, or trying to build functionality that Epic doesn’t offer out of the box—we’ve done it.
We work with your existing Epic setup to build custom modules, extensions, and workflows that reflect how your teams work—no forced templates. No workarounds. Just clean, effective EHR experiences for the people who use them every day.
Examples:
Epic supports SMART on FHIR, which means you don’t have to wait for upgrades to roll out innovation. We build apps that integrate directly with Epic, delivering functionality that aligns with your strategy.
What this looks like:
HealthConnect CoPilot is our integration accelerator. It helps you connect Epic to third-party systems—such as labs, imaging, RPM platforms, or payer APIs—without spending months rebuilding HL7 or FHIR interfaces.
Use cases:
Sometimes the data’s there—it just needs to be useful. We build custom dashboards, alerts, and automation layers on top of modules you already have.
Examples:
We build everything to meet HIPAA and SOC 2 standards, with built-in audit trails, access controls, and secure data exchange, retrofitting needed.
From population health templates to billing error alerts, we’ve already built the components most hospitals need. That means shorter build times, smoother go-lives, and predictable outcomes.
Epic is one of the most powerful EHR platforms in healthcare, but power without precision can become a problem. For mid-sized hospitals, success with Epic isn’t about how many modules you install. It’s about whether those modules solve real problems—such as billing delays, fragmented care, missed revenue, or patient drop-off.
The truth is, you don’t need 40 Epic Modules.
You probably need 10 to 20 that align with your hospital’s care delivery model, operational workflows, and growth goals.
The smartest hospitals are doing two things:
1. Rolling out Epic strategically, not reactively
They focus on core workflows—ED, OR, registration, outpatient visits—and bring in other modules as adoption builds.
2. Using tools like SMART on FHIR to fill the gaps
Instead of waiting for new features or building in-house from scratch, they’re using extensible apps that plug directly into Epic, improve staff experience, and reduce time to value.
Connect with us and we’ll help you build a Custom EHR with Epic Integration Capabilities
Epic Modules are individual components within the Epic EHR system. Each module is designed for a specific function, such as billing, patient scheduling, surgery, labs, or care coordination. Hospitals select the ones they need based on their services and priorities.
Epic Resolute is the core module for billing and financial management. It helps manage claims, track payments, reduce denials, and gives finance teams visibility into the revenue cycle. For scheduling and registration, Prelude and Cadence work alongside it.
Yes. Using SMART on FHIR, you can build and plug in apps directly into Epic. These apps can handle tasks such as AI documentation, remote monitoring, or chronic care tracking—without modifying the core Epic setup.
MyChart gives patients access to their health records, lab results, upcoming appointments, and secure messaging. It also enables online scheduling and telehealth, which helps reduce no-shows and enhances patient satisfaction.
Yes. With workflows like Mindbowser’s HealthConnect CoPilot and Epic’s FHIR/HL7 interfaces, hospitals can integrate Epic with external labs, imaging systems, wearable devices, and payer platforms.
Join us for “Building AI & FHIR-First Clinical Platforms with Medplum”
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