Great post Jon!
MLH: I've been using AC for 6months. I'm not very tech savvy and it was hard at first--but that's to be expected. One of the great things about AC, as Jon said, is that you can ease into it. We started just doing simple patients, 1 or 2 a day. As my staff an I got comfortable we started using it for more patients each day and using more features (eRx, Health Maintenance, Imported Items, etc).
I'm a solo doc and have had to take a lot of time to set things up and get them going. I have an IT guy I can call, but he can't help with AC itself. It's taken a lot of time and effort to learn the system, but I have a sense of control. I am not totally at the mercy of an outside vendor. That's important. In a larger office with a couple of docs like yours, it might not be you that would have to manage everything. You might consider having one of your office staff persons be your in-house computer guru.
Be flexible, be persistent, be patient and you'll get there. But remember to smell the roses along the way. :-)
