Escape your legacy systemwith zero data lossand zero downtime
We migrate healthcare organizations from aging on-premise EHRs to modern cloud-native platforms — with a parallel run safety net, encrypted data migration, and full FHIR compliance. You see both systems live before you cut over. No big-bang risk, ever.
Eight signs your legacy system
is holding your organization back
Most healthcare organizations wait too long to modernize — until a vendor sunset announcement, a compliance failure, or a security incident forces their hand. By then, the migration happens under pressure instead of on your terms.
The organizations that plan their migration proactively choose their timeline, their target platform, and their pace. The ones that wait choose nothing — they react.
The hidden cost of staying on legacy
Organizations running on-premise legacy EHRs typically spend $150K–$300K annually in IT maintenance, licensing, and workarounds — for a system that still can't support AI, mobile access, or modern payer integrations. That budget could fund a full modernization in 12–18 months.
Vendor reducing or ending support
Your EHR vendor has announced a sunset date or is clearly deprioritizing your product line.
No mobile access for field clinicians
Field staff complete notes in their cars, on paper, or hours after visits — because your EHR has no mobile app.
Can't integrate with AI tools
No FHIR API, no REST interface, no modern integration layer — your system is an island that blocks every AI initiative.
Security vulnerabilities accumulating
Unpatched vulnerabilities, outdated OS, no encryption at rest — your legacy system is a liability in the most breached industry in America.
IT costs climbing for less functionality
Maintenance contracts, hardware refresh cycles, and IT staff time are consuming budget that could fund actual improvements.
Can't support remote or multi-site teams
On-premise systems require VPN, lag, and IT workarounds for remote staff and multi-location operations.
Manual OASIS, MDS, or claims submission
If your team faxes or manually enters OASIS assessments, MDS data, or claims — your system is generating compliance risk and costing hours every week.
Data trapped in silos nobody can access
Years of patient data locked in a proprietary database format with no export capability — preventing analytics, AI training, and reporting.
Six phases of a
zero-risk legacy migration
Every migration follows the same disciplined process. No phase is skipped. No cutover happens until both systems have been validated side-by-side.
Audit & assess
We map your current system — data structures, integrations, custom workflows, compliance requirements, and dependencies. We identify every risk before touching a single byte of production data.
Design target architecture
Cloud-native architecture designed for your specific needs — HIPAA-compliant, FHIR-enabled, mobile-first, and built to support AI integrations. AWS or Azure US regions only. No data ever leaves US jurisdiction.
Build & configure new system
New platform built and configured in a staging environment — templates, workflows, integrations, payer connections, and compliance controls all validated before any patient data is migrated.
Secure data migration
Every patient record migrated with encrypted transfer, full audit trail, and validation checksums. Every field mapped. Every record verified. The migration is complete only when 100% of data is confirmed accurate in the new system.
Parallel run
Both systems run simultaneously — your legacy system stays fully operational while the new system is tested in real clinical use. Your team builds confidence over weeks or months before cutover. You decide when you're ready. We never rush this phase.
Cutover & decommission
Clean cutover on a date you choose. Legacy system decommissioned on your timeline — not immediately. Full support for the first 90 days post-cutover. Long-term maintenance and optimization ongoing.
The six most common legacy
migrations we handle
Each migration type has different technical challenges, data complexity, and compliance considerations. We've handled all of them.
On-premise to cloud EHR
The most common migration — moving from an aging on-premise EHR (often 8–15 years old) to a modern cloud-native platform with mobile access and FHIR support.
Infrastructure to cloud
Moving from physical servers and on-premise infrastructure to HIPAA-eligible cloud — dramatically reducing IT overhead while improving reliability, security, and scalability.
Proprietary DB to FHIR
Unlocking years of patient data trapped in proprietary database formats — converting to FHIR R4 resources that can be used for analytics, AI model training, and interoperability.
Post-acquisition consolidation
Healthcare groups that have acquired multiple practices often run 2–4 different EHRs across locations. We consolidate onto a single platform without disrupting clinical operations at any site.
Paper to digital
Organizations still running paper charts or hybrid paper-digital workflows — including home health agencies with paper visit notes and SNFs with paper MDS forms.
Billing system replacement
Replacing a legacy billing system while preserving the full AR history — open claims, payment histories, payer contracts, and denial records — without losing visibility during transition.
The reason our clients
aren't scared of their migration
The biggest fear in any healthcare system migration is the cutover — the moment you turn off the old system and hope everything works. We eliminate that fear entirely with a structured parallel run.
Legacy system fully operational
Your team continues using the legacy system normally. All patient care, documentation, and billing continues as before — zero disruption.
New system live alongside legacy
New system is live and active. Selected staff begin using it for real clinical workflows. Data flows between both systems. Issues identified and resolved in a live environment — but with a safety net.
Confidence building — your pace
Rollout expands department by department or location by location. Legacy system remains available as the fallback. You decide the pace. Parallel run can last weeks or months — whatever you need.
You call the cutover
When your team is confident — not when our timeline says so — you cut over. Legacy system decommissioned on your terms, on your schedule.
Our parallel run promise
“We ran both systems in parallel for 6 months and gave us complete confidence before cutover. Our field clinicians now finish notes in the home, not in their cars.”
— VP of Operations, Home Health AgencyWhat you get when you modernize with Metricoid
Your new system is built on proven, enterprise-grade healthcare technology — not experimental tools. Everything is HIPAA-eligible, FHIR-compliant, and designed to last 10+ years without another migration.
Cloud infrastructure
Security & compliance
Interoperability
Mobile & access
Every record. Every field.
Validated twice.
Data migration is where most healthcare modernizations fail. A missed field, a format mismatch, or an incomplete record can create clinical and compliance risk that surfaces months after cutover. Our migration process is designed to eliminate that risk entirely.
Encrypted extraction
Data extracted from legacy system using encrypted connections. No PHI ever travels unencrypted — not even within your own network.
Field-by-field mapping
Every field in your legacy system is mapped to its equivalent in the new system before migration begins. Custom fields, non-standard codes, and legacy-specific data structures all handled.
Dual validation
Every record validated twice — automated checksum validation followed by manual spot-check audit. Migration doesn't close until 100% validation rate is confirmed.
Full audit trail
Complete migration log: every record migrated, timestamp, source value, destination value, and validation result. Available for compliance review indefinitely.
Data migration success rate — zero record loss across all engagements
Largest historical dataset migrated — home health agency, 22 branches
Encryption standard for all data in transit and at rest during migration
Every record validated twice before migration closes — automated + manual
Legacy modernization in action
12 years of patient data. 22 branches. Zero loss. Clinicians now finish notes in the home.
A 12-year-old on-premise EHR running on hardware approaching end-of-life. No mobile access — field clinicians completed notes on paper or returned to the office. Manual OASIS submissions by fax to CMS. No ability to connect AI tools or modern payer portals. The vendor had reduced support to email-only with week-long response times. Leadership knew they needed to migrate but were terrified of losing 12 years of patient records.
“We were terrified of migrating 12 years of data. Metricoid ran both systems in parallel for 6 months and gave us complete confidence before cutover. Our field clinicians now finish notes in the home, not in their cars.”
— VP OF OPERATIONS, HOME HEALTH AGENCY, MID-ATLANTIC USOASIS first-pass acceptance after automated validation and submission
Faster field documentation — notes completed in the home, in real time
Patient records migrated with zero data loss — dual validated
Annual IT cost reduction from decommissioning on-prem infrastructure
New system live in 14 weeks.
Legacy decommissioned on your timeline.
The migration timeline depends on your system's complexity, data volume, and the length of parallel run you choose. Below is our standard framework — we adjust for every engagement.
System Audit
Map legacy system, data structures, integrations, and compliance requirements. Identify every risk and dependency before any build begins.
Build & Migrate
New platform built, configured, and validated. Patient data extracted, transformed, migrated, and dual-validated. Integration connections built and tested.
Parallel Run
Both systems live. Staff onboarded to new system. Clinical operations validated in real use. Parallel run continues until your team calls it — no artificial deadline.
Cutover & Optimize
Clean cutover when you're confident. Legacy decommissioned. 90-day hypercare support. Ongoing optimization and AI layer additions as needed.
Built for the regulatory complexity
of US healthcare from the ground up
HIPAA
Full Privacy & Security Rule
HITECH
Breach notification compliance
BAA Available
Signed before any data moves
42 CFR Part 2
SUD record data segregation
SOC 2 Aligned
Security & availability
FHIR R4
Modern interoperability
AES-256 + TLS 1.3
Encryption at rest & in transit
US-Hosted Only
AWS / Azure US regions
Full Audit Trail
Every migration step logged
Rollback Plan
Documented before cutover
Tell us about your legacy system.
We'll tell you exactly what migration
looks like.
Free 15-minute assessment. We'll review your current system, identify migration complexity, and give you a realistic timeline and cost estimate — before any commitment.
- 100% data migration success rate
- 6-month parallel run standard
- You own everything we build
- BAA signed before any data moves
