I have been using AC since 2002 in a FP office and feel that is great.
Good features -
- lab interface for major national labs allows import and manipulation/analysis of data
- e prescribing at no cost
-easy functional templates and ease of making your own templates
- intra office messaging
- the orders section is actually evolving and works well for generating, printing, faxing orders. the reconciliation is still a pain but in conversations with one of the programmers they are working on it.
Issues.
- lab interface for your local hospital can be difficult and costly but my small hospital hosts their labs with PAML and it worked out, if more than one practice in your locale uses AC then you might be able to get your hospital to work with AC and get an interface to keep your business if there is competition.
-reconciling orders is still an issue but I have no doubt it will improve
-pm program is on horizon and should be great integration.
I have used medisoft since 2002 also and it is now I believe owned by mcKesson and it's service is very expensive (bought 2,000 upgrade and would not install -they wanted 3-4 hundred for assistance). they cone out with frequent expensive upgrades.