Time to put my foot in it again, I guess.

1) Yes, AC ITSELF is easy to learn, at least for the big, basic functions. If it had been just me and a standalone computer starting a practice it would have gone very easily and quickly. However, it is the permutations and combinations of users, networks, work flow, patient re-education, faxing, importing, patient notification systems, etc. that is daunting. And, no, it doesn't always work to do just a little bit here and a little bit there; once we pulled the plug on our old semi-automated system we HAD to get the new system up and running to fill its place, and we had to pull the plug to start with AC. You can't always jump off a cliff in easy steps. And, it does somewhat discourage me from sharing my problems here when, after yet another session with my IT folks or one of the users who has just had some function crash there is yet another posting on the board telling everyone how EASY this all is, or how grateful I should be that it is not lots worse.

2) I can't imagine how Bert can do what he is doing. Somehow "thank you" just is not sufficient.

3) Even a poor manual is better than none.


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