I appreciate your comments in "the emperor has no clothes" discussion. It seems you use an Adobe product as your primary document management tool... I have been using Updox and AC... perhaps that needs to change.

with AC, I can print a requisition/order form however I havnt figured out how to have my staff do so without their names appearing at the bottom ... and if I forward mine to them ... they can not print it and have it appear in the same form as it would if I printed it.

I have targeted 3 areas where I spend more time now than before EMR adoption:

1. at the begining of the visit (entering hx otherthan HPI or ROS), updating medication list

2. at the end of the visit - finding the ICD-9 code,selecting grouping and printing labs, determining which lab facility based on insurance, providing that GI docs name and contact info for a colonoscopy and do they need a "universal form" etc... etc.

3. Medication renewels, Referals for HMOs, preop consultations, handling any form requiring a signature.

these are the areas i intend to either delegate or significantly improve.

for #2, I'm finding AC difficult... everything was easy when I did everything ... and now I'm swamped in "electronic paperwork" so I want to delegate.

I was hoping I simply was not properly utilizing group tools or functions native to AC - it seems you and others have found work arounds with other document management software.