I think I went to Omaha once to interview at Creighton. I guess one of those 12 medical schools I mentioned above.
I hear you on all of your ideas. Reading between the lines, I think you are saying there should be "minimum requirements" like a lot of software programs do. Such as this much RAM and this much hard drive space, etc. I am sure there are still a lot of people out there still running with 1GB on workstation. I was until I upgraded to 2GB RAM which is the max on the workstations. I, of course, have a lot more on the server. But, if someone is running WIN7 or even XP plus SQL Server Express that is way over 1GB. So, rather than spend weeks trying to figure out why everything is slow, you could have started with 2GBs. A lot of those minimums will say minimum of 2GBs for the main computer. We recommend at least 3GBs.
I think of lot of my frustration stems from the fact that we have this incredible EMR designed by a physician that, due to government regulations and a PM (that a lot of people want) is going to be neglected. There is simply not enough time.
Speaking of new users, I feel terrible having to tell them, sorry, the letter writer is not going to improve, etc.
I guess I don't understand business and Jon certainly knows more about the direction of AC than I. It just seems like there must be two schools of thought. One would be that you already have your niche market making AC the fastest growing EMR in the country. So, you could go back and just tweak it until it is near perfection. The other would be that if you don't continue to evolve you will get left behind. Don't know.