I'm glad to be rid of paper. It has taken 2 years for the last of the paper charts to go away. AC works fairly well. I hate the trend to template use, but if they are used very judiciously and sparingly, AC is capable of producing an accurate, useful, clean, coherent and legible record unlike paper. It is not especially more efficient for me than paper due to all the clerical requirements, but along with those comes some opportunities for better care and more patient involvement, which I do believe is an advancement. We did not do Meaningful use.. I see it as generally income negative all in all, never mind the frustrations. AC is much less costly than, say, eClinical works, but has some modules that are still pretty crude, like the letter writer. There is a promised third party fix for that in the wind, however. I'd give it one and a half thumbs up.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands