Migrate from Epic Ehr to Glass Health.
2 documentation-derived translation patterns — what carries over and what to watch for. Cited to the Feature Parity Map; the audit tells you whether the move is worth it.
Glass Health and Epic both capture the visit ambiently and draft the structured note. A practice on Epic can retire the standalone Glass subscription and move ambient documentation into the chart it already runs: enable Epic's native AI charting ('Art' / AI Charting) or a deeply embedded partner ambient (DAX Copilot or Abridge in Epic), which listens during the encounter, pulls live chart context, and writes the draft straight into the Epic encounter for clinician sign-off. Because the note lands in the system of record, it is immediately available to ordering, level-of-service coding, and billing on the same patient record — no Glass push-back or copy-paste hop. Migrate by recreating the Glass note templates and per-note-type preferences as Epic note/SmartPhrase formats, turning Art (or the licensed partner ambient) on for the clinicians, and validating a few specialties before cancelling Glass. Keep Epic (the system of record); cut Glass.
- Warning: Epic's ambient is a licensed/enabled capability — Art (Epic AI Charting) plus optional partner ambient (DAX Copilot / Abridge in Epic, which can carry their own per-clinician fee). Confirm it is live in your Epic build before cancelling Glass; do not assume every Epic org has ambient turned on.
- Warning: Glass overlays Epic via SMART on FHIR and only on its Max plan (listed at $200/month); cutting Glass removes that overlay across every EHR it touched (Epic, eClinicalWorks, athenahealth, Elation), so confirm no other site depends on the same Glass seat before cancelling.
- Warning: Glass does more than scribe — it surfaces a real-time evolving differential, suggested history questions, and exam-maneuver prompts during the visit. Epic's ambient drafts the note but does not reproduce that point-of-care reasoning layer; cover the diagnostic-support workflow separately (see the clinical-reference-decision-support pattern) before retiring Glass.
- Warning: Re-validate that Glass's note-template sections map cleanly to the Epic note structure and that any Glass coding hints are re-checked against Epic's NoteReader / level-of-service output.
- Warning: Export or retain any historical Glass notes, transcripts, or templates you must keep before the subscription lapses; the standalone Glass record is separate from the Epic chart.
Glass Health's clinical reasoning layer (a ranked three-tier differential — Most Likely / Expanded / Can't Miss — with supporting and opposing evidence and cited next steps) overlaps Epic's in-chart decision support. A practice on Epic can drop the standalone Glass CDS and lean on the support already in the chart: Best Practice Advisories fire in real time on the patient's own data (drug-interaction, allergy, evidence-based guideline checks), and 'Best Care Choices for My Patient' draws on Cosmos real-world data to show how similar patients were treated and what outcomes followed — at the point of care, with any resulting order placed on the same record. Move by mapping the case-review and guideline lookups your clinicians run in Glass to the equivalent BPA rules and Best Care views already licensed in Epic/Cosmos, and pointing clinicians to the in-chart workflow instead of an external tab. Keep Epic; cut Glass.
- Warning: Not a literal feature swap: Glass produces an open-ended, literature-cited differential (~5-10 diagnoses) grounded in physician-reviewed guidelines, whereas Epic BPA/Best Care is rules- and real-world-data-driven inside the chart. Some free-text 'work up this presentation' reasoning Glass did has no direct BPA equivalent, so confirm coverage before cutting.
- Warning: 'Best Care Choices for My Patient' depends on the Cosmos dataset and that module being licensed/enabled in your Epic build, and Epic has described the point-of-care embedding as rolling out from the Cosmos portal into the workflow — verify it is live for your org rather than assuming every Epic site has it.
- Warning: Glass's differential and Consult Q&A run during the encounter as a reasoning aid for the clinician; cutting Glass removes that interactive 'consider these possibilities' prompt. Plan a change-management step so clinicians use Epic's in-chart support rather than a retired external tool.