The Conditions That Make 2026 the Right Time to Switch
Calculate Your Current Total Cost of Ownership
The comparison above doesn't include the opportunity cost of IT-mediated analytics — the clinical questions that don't get asked because the answer takes three weeks to arrive. That's harder to quantify but represents the largest real cost of the current model.
DAX Formulas Don't Know What a MIPS Denominator Is
Building a MIPS composite score dashboard in PowerBI requires a BI analyst to write DAX formulas that correctly handle healthcare-specific logic: denominator identification from ICD-10 and CPT codes, numerator calculation with specific documentation requirements, exclusion criteria that vary by measure, inverse measure scoring, and benchmark comparison against CMS-published percentiles.
When the BI analyst building this doesn't have healthcare background — which is most BI analysts — the result is a dashboard that looks right but calculates wrong. A MIPS composite score that uses a simplified denominator produces a number that doesn't match what CMS will calculate. That miscalculation doesn't surface until the official feedback report arrives, after the performance year has closed.
Vizier's clinical data model is built around healthcare's actual data structures — ICD-10, CPT, NPI, HCPCS, and the quality measure specifications published by CMS and NCQA. The clinical context isn't layered on top; it's the foundation.
The Objections We Hear — and the Honest Answers
A Complete BI Environment Transition
The BI environment assessment is where we define exactly what the replacement involves: which data sources need to be mapped, which reports need to be recreated, which staff need training, and what the migration timeline looks like given your organization's complexity.
Most organizations complete the full replacement in 6–8 weeks: one week for the audit, two to three weeks for migration, one to two weeks of parallel running, and cutover in month two. License cancellation and savings realization happen in month three.
The 60-day transition support is the period when you most need us available — during parallel running and immediately after cutover, when staff are encountering real use cases that weren't covered in training. We're present for that period, not just at implementation handoff.
Audit, Migrate, Train, Cutover — Then Cancel the Old License
What to Expect and When
The full replacement timeline is three months: one month to migrate and run in parallel, one month to train and cut over, and month three for license cancellation and savings realization. The two-to-six month implementation timelines organizations experienced with PowerBI or Tableau aren't repeated here.
Start With a BI Environment Cost Analysis
Schedule a 30-minute consultation. Tell us your current BI setup — number of licenses, EHR system, how many people actually use analytics — and we'll calculate your current total cost and the Vizier alternative.