I am definitely NOT in the medical profession, but came upon this fantastic user board while helping my wife's boss (doctor) start with AC.
He's also my doctor (cardiologist) and they are currently on all paper charts. I've asked my wife, and she said that whoever enters information into the paper chart initials their entry (licensed or not). So, as far as I know, there were at least a handful of employees who must have entered information on me over the last 20+ years that have long since terminated. But, I would think that if you go into my chart, every entry is still there along with their initials. I would think this is a good audit trail, at least. What is being suggested, which is to totally remove the user from AC, is equivalently "erasing" the initials from my chart. As I've said, I am NOT in the medical profession, but I would think that erasing the initials of the employee that entered the information is NOT a good thing, even if the information is retained. Also, my wife thought that "white out" on a medical chart is not an acceptable practice. I guess I'm coming from someone that has only seen paper charts... so far... [my 1/2 cent from an outside observer]