The honeymoon period didn't last long for some healthcare providers and their electronic health records (EHRs). As providers become more sophisticated and informed, and IT departments grow more comfortable recommending alternatives to long-established vendors, demand for replacement electronic health record (EHR) systems continues to expand. By 2016, almost 50% of large hospitals will replace their current EHR, health IT research firm KLAS reported. In the first quarter of this year, 40% of buyers said they want to swap out their EHRs, according to a survey by Software Advice. Twelve months prior, 30% sought alternate EHRs, the review and consulting site found. Most providers wanted better performance and integration, the study showed.