I think that this is a two-edged sword: it is good that AC CAN be DIY for many of us, but it is a barrier to more widespread use of the program. I am hopeful that someone (Indy?) will develop a straightforward, turnkey approach to installing and implementing AC that will not require so much time, energy, and IT knowledge from all of the docs afraid to jump into the EMR pool.
As my Italian Grandmother used to say, "Were your ears burning this morning?" I just had to read further up the thread. Such wisdom, I miss her dearly.
While I wouldn't have guessed it three years ago, our client base is far more geographically diverse these days, and I have become accustomed to helping folks in facilities I have never seen.
I had an epiphany as a result of ACUC and the interactions this year, and I understand better a calling on me for this season of life - I'm in the Provider Care business.
IT is pretty common to take delivery from a hardware vendor (Dell, HP, Cisco, etc), configure for a client particulars (location, network, software, remote support)and ship it on to the client where they can "plug & play".
We'll have an announcement next month about some things that we will be offering for folks who want to use AC but find technology a frustration/distraction/hindrance.
In the mean time we have actually found an interesting [and unintended] use for the secure computing environment that we have built - testing AC conversions of practice data so that Providers can try out the new version remotely with their data. It is easy enough for us to recycle/re-provision as necessary, and it doesn't impact the operation of the practice.
Here I was thinking that I was going to RI a couple of years ago to give a quick presentation on basic security and enjoy the waterfront.