No we have not because we are the Libertarians I spoke of who don't want to give our patients' as well as Her Professional charting style and habits of Data over to goodness knows who to do goodness knows what with it. We are going to take a good sized "hit" for not connecting to the Health Exchanges in protection of both doc and patients.
I was just reporting to Jon my observations as a member of IMP who was very involved with their member board and friends still with some good member docs, family staff and the like. Without the PM component no less the cost differential for those who do NOT believe as well do, that the outside access to doctor data and patient info to ANYBODY practically is Unethical and should be illegal, not mandated, are moving mostly to Practice Fusion. Also the lack of concern about upkeep and back-ups for so many folks is a real plus, as opposed to us who accept the hassle and costs of such things as part of our larger job and responsibility to protect our patients PHI and data.
The idea of double entry to have a FREE PM has started to cross my mind though. I'm just tired of the repeated delays and retreats, all with the Offering of Dates, Created Expectations, which then we make use of as info to make personal business choices, to wait one more 3 to 6 month period. At some point one has to go with the old adage I think though: "that the best predictor of future behavior is previous behavior". These constant and repeated dates set followed by let downs, and the lost time, lost money and Locus of Control of it all, both the PM finally coming to life as well as finally having better control over this present "Black Box" like outsourced situations... Is very hurtful, disappointing and depressing, and yes "Frustrating" too.
Make statements you can hold to and if not don't make them, and instead be open and square that you really have no idea where and when the final end game is at and let people know, let people GO (and is that the real problem here? Who know and it would be rude to assume, but with the AC black box one's mind does tend to wander around attempting to answer the questions, figure out the puzzle, make sense of what one is experiencing) to fill their needs elsewhere. Yes this would be potentially hurtful or harmful to AC in lost intro, new client sales as well as potential old customers make choice which could be purchase of interface as well, so not complete loss there....
But in the final analysis this constant set backs and re-setting of the goalposts for such a long time and so many times really does feel like perhaps we're the ones making the mistake for believing the previous ones as well as "Here We Go Again...."
In all honesty, I am very baffled as to why AC, Jon and whoever else might be part of the inner circle brain trust there these days, have not chosen to put some serious resources, to bite the bullet, put money aside as they did for Meaningless Use, and make it a strong Priority to Save some Face and Good Will with new and old clients and make sure this gets done already, and that it gets done pretty darn well to boot.
I have not a single idea of what this takes to do or get done and from what little I do understand of database programs I believe it to be a real time and resource consuming PIA and therefore I do not envy Jon and Staffs rough days previous or ahead for sure. But as the client who has needed a solution to this ever changing and growing problem of Screw the Doctor who already provided the services We, both personal and general WE need a clean and well functioning solution before we literally have the last piece of furniture and network cable taken out of here.
So if you can be that solution GREAT, I would Really like that, and clearly after all this waiting Obviously AC was our First Choice By a mile or more. But if you can't deliver and or delivery is going to get here when it gets here, and that is not a quantifiable, predictable thing then simply let us know so we could have started to solve this huge problem a few years ago now already. Its frustation combined with the all too real poverty from not having any sense or actual control over this Black Box situation. We need that to change Very Fast, as we have waited long enough on to be given temporary, one or two more Quarters as I stated above.
We need to save our lost claims and cash that nobody in the billing business side seems to give a rat's behind about besides the doc, their PM who are getting slaughtered over. So the question is super Clear, Can you Help or Not and if so When? And if you can't give pretty firm answer to those questions then please be kind and considerate enough, understand enough, concerned about all of us enough to simply say, Don't Know, Not Sure... Please my good friends and customers, go find other fairly long, or mid length solutions to hold you over and keep your businesses afloat, your families fed, your debt paid if and until I get back to you with Firmer, confident answers.
That's my stance here...
Paul
