Again, I am in full agreement with Bert. If I were mentoring a physician considering an EHR, I would council them to NOT factor in reimbursement to their decision, but to view the EHR as a way of doing things better.. AC does that wonderfully.

I have also been dismayed that the entire system has deliberately crippled the one thing that would REALLY help; the smooth integration of records among providers. As it stands now, EHR's are like the early days of word processing, where Wordstar, WordPerfect, Apple writer and others created documents that could not be read my any other program. Why didn't the government insist on a common format, so that a patient could authorize a records release and all the records from one physician were then imported seamlessly into another's EHR? The COC record is less useful than the 3X5 card I used to carry as an intern.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands