Wendell,
While you certainly list a number of laudable changes, these are mostly, in my opinion, either "tweaks" to correct existing flaws in the program, or movements towards meaningful use.
What frustrates me, however, is not these corrections, it is the lack of movement to a "bigger picture" , a vision to make this a program that truly soars with versitility. Such changes could include an improved letter writer, and easily accessible problem list, a place to easily store and access interventions or drug experiences (ie pt became hypotensive on inderal), chart fields that expand to show their full contents, an accessible drug history that documents precisely what Rxs were written by the provider, etc.
These, IMHO, are the changes that would lead AC to become a great program. Instead, the changes that seem to be taking place are incremental to keep the program competent, and from sinking into awful, but they don't necessairly make it a great or flexible program, just one that floats above mediocrity.
This program, as it evolves, seems to lack precisely what Steve Jobs was lauded for: Vision and Innovation
. .. and that is what frustrates me, and has me and my office actively searching for a different EMR.
Bruce Morgenstern (Neurology)
Denver, CO
