Thanks so much to all of you experienced users for listening and helping.
As one small voice in the "simple vs. complex" arena, I would offer the following. We got into the EHR only because we felt it would allow us to do better. Governmental inducements don't mean anything to us. Now, "better" unfortunately comes with more complex; we were already dictating using Dragon and storing in a database, and using electronic prescribing. What will make it better is a program that keeps me from doing stupid things, and that is not here even yet. I want a program that stops me from prescribing metformin for a patient with a creatinine of 2.0. I want a health maintenance program that is simple, complete, and reminds me when vaccinations and tests are due. I want a drug interaction program that does NOT report every possibility found in laboratory animals.
I don't see that those things are going to go hand in hand with the "dictate into a field and call it good" philosophy of early programs including what I used to do, at least until there is some artificial intelligence built in. Do I wish the program were really simple? You betcha... dropping in V5 de novo and attempting to master all its parts was getting hit by a freight train. But, if those things are not there then really; why bother?
Last edited by dgrauman; 07/13/2010 2:31 AM.
