what happens when Pri-Med gets acquired by an even bigger company, or when Pri-Med acquires even more niche companies, and then insists on "standardization" across their product lines
I think it is almost inevitable that many of the present EHR companies will be absorbed by the larger companies, who all have stockholders to answer to. Just as many of our colleagues practices have been absorbed by for-profit mega-groups, hospitals and insurers. The moment of truth occurs when priorities conflict between customer and board room. Most companies (see the ongoing discussion on Nuance's policies on Dragon Dictate elsewhere on the board) take the low road and screw their customers. Every once in a while there are companies that are successful meeting both goals (Zappos, USAA and Southwest Airlines come to mind).
I think that the role Jon B chooses to play, and how long, will be telling.
