1. If near-term market momentum in the acute-care segment is the primary procurement criterion and vendor market perception is a decisive factor, consider alternatives with documented recent net gains in your peer cohort.
2. If the organization cannot fund or execute a complex implementation program (training, integration, governance, optimization), because enterprise Oracle Health deployments can be resource-intensive.
3. If clinician usability is the dominant decision factor and stakeholder groups have negative prior experiences with legacy Cerner builds; perform rigorous usability testing and reference checks.
4. If tolerance for downtime or outages is extremely low, require detailed reliability history and contractual uptime SLAs and clear change management commitments before procurement.
5. If procurement requires fully public, product-environment-specific security attestations without NDAs, expect additional review time; public documentation may be insufficient for immediate procurement decisions.