I've been sole proprietorship since July 2005. I had PM before I had any EMR. In fact we had the PM in place before we assembled one single patient chart. PM is key, you can't function without it. I've been using AC since January 2008. If I had been waiting for a PM, I would have gone bankrupt by Feb 2008. I really don't understand how anyone could attempt to practice one day without PM, let alone 3 years??? Is that even possible???
I use a great little PM software package called Medware by Sage. It's affordable, robust, customizable, and most importantly it works. Customer support is fantastic and for the rare problem we've had, support remotes in and fixes the issue right on the spot. I've never once had to fix a problem myself, they literally always remote in a fix it. Even if I have an issue with an upgrade, they go right in and fix it.
No offense to the hard working staff at AC when I say this, but I don't care if it takes another 3 years to make a PM component to AC. For my practice, it's not something I'm going to use. No offense intended to Jack when I say this either, but I just can't understand how you could wait another 3 hours, 3 days, 3 weeks, or 3 months for a PM.
My advice may not be welcome, but for the sake of your business, just get a PM and stop being frustrated.