Those are good points Joseph.

My belief is that there should never be a time when a program should stop updating and upgrading. I guess I can't think of any application out there that doesn't. Granted some of these upgrades are for the bottom line. A lot of upgrades are to keep compatible, i.e. my backup program's newest upgrade is compatible with SBS 2008 whereas the current version is not.

The percentages is an interesting point as well. A little like 20% of your patients take up 80% of your visits or time. I certainly don't use more than 5% of Word, but I do always like the newest versions.

The perspective on here gets blurry, because everyone is either used to or expects Jon to listen to and try to implement the suggestions they have. I can't think of any other major application where you can do that. You can email Microsoft and Adobe and whatever, and they will even email you back, but NO feature other than Service Packs and security patches and bug fixes will be changed until the brand new version, i.e. 2007 for Office. That was four years. But, that being said, Jon could work well over a year implementing things that have been suggested. I also think he could be the only EMR (I know of) that is pseudo-open source. Not truly open source, but where the EMR is constantly changed and shaped based on not only his vision but the needs and vision of the users as well.

As an FYI on upgrades, the biggest reason for Jon to put out upgrades (from 3 to 4 to 5 -- the actual new numbers) is to insure that users continue to pay for them otherwise, he would have no way of receiving continuous revenue short of the infamous subscription service. Oops!! There's that dirty word again.

Bert
Pediatrics
Brewer, Maine