Structured discovery across Sunrise (or Altera Sunrise), TouchWorks, Professional EHR, Practice Fusion, FollowMyHealth, dbMotion, Veradigm Network and ePrescribe. PHI classification per domain. State retention matrix. 2022-split contract map. Costed phased plan signed by CIO, CFO, CHRO, CMIO and privacy officer before a single row is extracted.
Allscripts split itself in 2022 — Sunrise went to Constellation (now Altera Digital Health), the rest rebranded as Veradigm. Any assessment that treats Allscripts as one company is already wrong.
Before the assessment scopes a single domain, it has to map the product-to-owner reality. Sunrise acute-care customers may now operate under Altera Digital Health contracts with separate support, separate roadmap, and separate API surface — but the underlying Sybase or SQL Server schema and Sunrise Financial Manager overlay continue to operate as they did pre-split, so extraction paths still work. Ambulatory customers (TouchWorks, Professional EHR, Allscripts Practice Management) remain under Veradigm contracts. Practice Fusion sits as a separate cloud tenant with its own REST API surface. FollowMyHealth (patient portal) runs as its own store. dbMotion (the population-health / interoperability platform, now branded Veradigm Connect) bridges the EHRs. ePrescribe and Payerpath sit as discrete platforms. Veradigm Network and Veradigm Health Insights are payer/life-sciences analytical assets.
A real allscripts / veradigm migration assessment inventories all of this on day one. Which products are live in which facilities. Which products are under Altera, which under Veradigm, which under separate cloud subscriptions. Which products have renewal cliffs in the next 18 months — those become natural cutover windows that procurement uses to capture switching leverage. Which products have already been retired or replaced. Which products are still firing into the legacy GL, the HRIS, the supply chain stack and the asset register that Fusion is going to consolidate. The 2022-split exposure analysis is not optional; it is the first chapter of the deliverable and it shapes every downstream decision.
The assessment also takes a position on the post-2024 acquisition pressure. Veradigm has been spinning off and selling assets — the hospital business already went to Altera, and the remaining ambulatory + life-sciences-data Veradigm has been under continuing M&A speculation. That instability is itself a migration driver — CFOs and CIOs want a single trusted Oracle Fusion finance/HR backbone that survives whatever happens next to the Allscripts/Veradigm vendor entity. The allscripts / veradigm migration assessment names that risk explicitly and produces a plan that decouples Fusion's financial backbone from whatever Veradigm's corporate trajectory does over the next 24 months.
The findings that consistently appear in week two of an assessment and that consultant decks never warned the team about.
Health systems carrying both lines often discover that their Sunrise support has quietly moved to Altera Digital Health under the 2022 sale, while TouchWorks and Practice Fusion remain under Veradigm. Two vendor relationships, two renewal cycles, one Fusion landing zone.
Allscripts provider tables, the HRIS and credentialing systems disagree on clinician identity in 8-20% of records. The assessment surfaces this so the migration produces a single resolved Fusion HCM worker per clinician, signed off by the Medical Staff Office before extraction.
Customers who joined the Veradigm Network for de-identified-data monetization sometimes don't have current visibility into who's receiving the data or under what authorization. The assessment surfaces every active data-use agreement and the privacy officer signs off on the migration path.
Massachusetts adult medical records require 30 years of retention. Pediatric records run to age of majority + 5 to 10 years in most states. The assessment quantifies the multi-decade retention liability and sizes the cloud archive — typically 70-85% cheaper than keeping Allscripts-adjacent finance stacks alive for retrieval.
Many IDNs use dbMotion (now Veradigm Connect) as the cross-EHR interoperability fabric between Sunrise, TouchWorks and external EHRs. Extracting from dbMotion gives unified patient identity across the footprint — a domain most teams forget to scope until week six.
Joint Commission demands 7-year financial substantiation. SOX demands 7-year financial-controls retention. State retention demands more. The assessment scopes the archive once for all three audit families — one retention engine, three audit answers.
A structured discovery that produces a signed, costed, phased plan ready for execution. Single-site scopes complete in 2-3 weeks; multi-facility in 4-5 weeks.
CIO, CFO, CHRO, CMIO, privacy officer and biomed director kickoff. Inventory of every Allscripts and Veradigm product line currently live: Sunrise (or Altera Sunrise), TouchWorks, Professional EHR, Practice Fusion, FollowMyHealth, dbMotion, Veradigm Network/Health Insights, ePrescribe, Allscripts Practice Management, Payerpath. Contract owners, support owners, renewal cliffs documented.
Privacy officer walkthrough per data domain. Limited Data Set / Safe Harbor / KMS-pseudonymization / aggregate-only decisions documented per domain. State retention obligations mapped per facility — HIPAA 6-year floor, state extended retention, pediatric age-of-majority+. Joint Commission + SOX + CMS overlay.
Allscripts charge master walked through with CFO and the revenue cycle team. Fusion natural-account / sub-account crosswalk drafted. Department crosswalk to Fusion cost centers. Provider tables walked through with CHRO and Medical Staff Office. Asset registry walked through with biomed director. Crosswalk register drafted for sign-off.
Sunrise (Altera) vs Veradigm vs Practice Fusion vs dbMotion contract owners mapped. Renewal cliffs documented. Procurement reviews for switching leverage opportunities. Acquisition-pressure risk explicitly scoped. Dependency graph signed by CIO and procurement.
Phased cutover dates per facility. Fusion FBDI/HDL emitter effort sized. Compliance archive sized per state retention matrix. Veradigm Network workstream optional add-on scoped. Costed phased plan signed by CIO, CFO, CHRO, CMIO, privacy officer, biomed director. Ready for procurement and execution.
Not a slide deck. Signed files that drop directly into the execution phase.
JSON + PDF: every Allscripts/Veradigm/Altera product line in your environment with owner, contract, renewal cliff, API surface and Fusion-module target.
CSV + PDF, signed by privacy officer: every data domain classified Limited Data Set / Safe Harbor / KMS-pseudonymization / aggregate-only, with HIPAA citation.
Spreadsheet + JSON: Allscripts charge master → Fusion natural accounts, departments → cost centers, providers → HCM workers, asset categories → Fusion Assets.
CSV + PDF, signed by privacy officer and compliance counsel: per-state, per-record-type retention with HIPAA + state + Joint Commission + SOX + CMS overlays.
Visual diagram + JSON: Sunrise/Altera vs Veradigm vs Practice Fusion vs dbMotion contract ownership with renewal cliffs for procurement sequencing.
Gantt + budget breakdown signed by all six stakeholders: cutover dates per facility, FBDI/HDL effort, archive sizing, Veradigm Network optional workstream.
An allscripts / veradigm migration assessment is a 3-4 week structured discovery that produces six artifacts: a complete inventory of every Allscripts and Veradigm product line in your environment (Sunrise acute, TouchWorks ambulatory, Professional EHR, Practice Fusion cloud, FollowMyHealth portal, dbMotion HIE, Veradigm Network/Health Insights, ePrescribe, Allscripts Practice Management, Payerpath); a per-domain PHI classification signed off by your privacy officer (Limited Data Set / Safe Harbor / pseudonymization / aggregate-only); a Sunrise–TouchWorks–Practice Fusion–dbMotion crosswalk register mapping charge masters to Fusion natural accounts, departments to Fusion cost centers, provider tables to Fusion HCM workers; a retention-policy register per state and per record type covering HIPAA 6-year floor through Massachusetts 30-year and pediatric age-of-majority+ windows; a 2022-split exposure analysis (Sunrise under Altera vs ambulatory under Veradigm); and a costed, phased timeline with cutover dates per facility.
The split is its own assessment workstream. In 2022 Allscripts sold the Sunrise acute-care EHR business to Constellation Software's N. Harris Group (now Altera Digital Health), kept the ambulatory and payer/life-sciences book and rebranded it Veradigm — so a typical multi-facility health system today may have Sunrise under Altera support contracts, TouchWorks and Professional EHR under Veradigm contracts, Practice Fusion as a separate cloud tenant, dbMotion as an interoperability platform, and Veradigm Network as a data-monetization arrangement. The allscripts / veradigm migration assessment maps every product to its current owner, current support contract, current renewal cliff and current data-extraction API surface. The output is a single dependency graph the CIO, CFO and procurement use to plan when each contract becomes a switching opportunity — and which Fusion modules each Allscripts/Veradigm product feeds.
Single ambulatory practice on TouchWorks or Professional EHR: 2 weeks. Single hospital on Sunrise (or Altera Sunrise post-2022): 3 weeks. Multi-facility IDN with Sunrise + TouchWorks + Practice Fusion + dbMotion + ePrescribe + Payerpath: 4-5 weeks. Veradigm Health Insights / Veradigm Network analytical-asset assessment adds 1 week for the life-sciences data-use review. The assessment runs in parallel with no impact on clinician workflow because all source-system reads are read-only and off-peak. The deliverable is a costed, phased plan: a single-site cutover at 14-18 weeks, multi-facility at 22-32 weeks, with named PHI-handling decisions per domain and named state retention obligations per facility. That plan goes into procurement and budget cycles before any extraction work starts.
Six stakeholders, named on day one. CIO or CTO owns scope and the 2022-split contract dependency map. CFO owns the close-cycle pain (legacy GL reconciliation against Allscripts charges) and approves the financial-history retention boundary. CHRO owns the clinician-master conflict between Allscripts provider tables, the HRIS and credentialing systems. Chief Medical Information Officer (CMIO) signs off that the clinical workflow on Sunrise / TouchWorks / Professional EHR / Practice Fusion stays untouched. Privacy officer signs the per-domain PHI classification table. Biomed director signs the medical-device asset registry crosswalk. The allscripts / veradigm migration assessment also typically invites the Allscripts/Veradigm or Altera technical account manager for source-system context and the Galen Healthcare or Forian implementation partner if one is already engaged for clinical workflow support.
Fixed-price by scope: $35K for single ambulatory, $55K for single Sunrise hospital, $95K for multi-facility IDN, $120K with Veradigm Health Insights analytical-asset workstream. ROI shows up in three places. First, avoided rebuild — most teams that skip the assessment hit a Fusion FBDI Journal Import failure on missing department codes in week 12 and burn 4-6 weeks rebuilding the crosswalk; that rework is typically $300-500K of consultant time. Second, retention-archive savings — the assessment scopes the retired-Allscripts data archive at 70-85% lower cost than keeping legacy Allscripts-adjacent finance stacks alive purely for retrieval. Third, contract-cliff leverage — the assessment surfaces Veradigm and Altera renewal dates so procurement can sequence the cutover to capture switching savings. Customers typically recover the assessment cost in the first quarter of operation.
Compliance is its own assessment chapter, not an appendix. HIPAA 6-year floor is the baseline. State medical-records laws extend that — Texas 7 years post-last-encounter, California 7+ years (longer for pediatrics — typically age of majority + 7), Massachusetts 30 years, Illinois 10 years for ambulatory, New York 6 years post-last-encounter or until pediatric patient turns 28, Florida 5 years post-last-encounter. The allscripts / veradigm migration assessment produces a per-state, per-record-type retention matrix signed by your privacy officer and your compliance counsel. Joint Commission record-retrieval (typically 7-year financial and operational substantiation) and CMS Conditions of Participation audits are scoped against the same matrix. SOX retention (7-year financial-controls) is co-scoped. The deliverable is the retention engine's policy file — not a slide deck.
Yes, as an optional workstream. Veradigm Health Insights and Veradigm Network are payer/life-sciences analytical assets — claim datasets, de-identified clinical datasets, real-world evidence cohorts — that some Allscripts customers monetize through data-sharing agreements. If your environment has these arrangements, the allscripts / veradigm migration assessment scopes the data-use authorization (which research partners receive what), the de-identification mode applied (Safe Harbor / Expert Determination), the contractual retention window, and the migration path — either to Oracle Fusion's analytical layer or to a separate research data platform. The 2022 Veradigm rebrand emphasized this data-monetization business, so the workstream is increasingly common in assessments. Deliverable is a Veradigm-data architecture plan signed by your privacy officer and life-sciences research lead.
The signed assessment goes straight into execution. Week 1 of the build phase starts with crosswalk implementation against the assessment's signed register — no more discovery work, no more privacy-officer review cycles, no more 'what does Sunrise actually do' questions. The assessment's per-domain PHI-handling decisions configure the Syntra ETL extractor's per-column handling mode. The retention matrix configures the archive policy file. The contract-cliff dependency map drives the cutover sequencing per facility. The Fusion crosswalk register drives the FBDI/HDL emitter configuration. Most importantly, the allscripts / veradigm migration assessment binds the CFO, CHRO, CMIO, privacy officer and biomed director to a single signed plan — so when week 12 produces an awkward question, the answer is already in the signed plan and no one's reopening the scoping debate mid-build.
3-4 week structured discovery across Sunrise / TouchWorks / Practice Fusion / dbMotion / Veradigm Network. Signed by CIO, CFO, CHRO, CMIO, privacy officer and biomed director. Fixed price by scope. Ready for procurement and execution at the end of week five.