My hospital had them 10 years ago. Leaving is, second to marrying my wife, the best decision I ever made. Hospitals are, much to my sincere regret, not able to attract much talent in IT. Mediocrity is the best you can hope for, and I wouldn't even count on that.
It is the same as the government IT problem: if you can make much more money in private practice, why would you work at a hospital or government? Selling software to the hospitals or government is a better deal.
