A little tech goes a long way
The problem with using e-discovery tools to bring down costs is that the personnel making the buying decisions (medical staff/hospital Admins) are very often clueless as to anything IT/software related. Consequently, the software being purchased ends up costing millions of dollars b/c the software company (cough Oracle cough) banks on the fact the company contact doesn't know much about tech thereby ensuring a rather large cha-ching payout.
Note here that the ability to text and/or download/install an app to a smartphone does not equal a proficiency in tech. I have witnessed this issue first hand in the legal industry itself. I don't hold out much hope for the medical industry either. But it was a nice thought.