this is a long, and very diffuse thread. I have been reading it since about Christmas, and I have yet to find much clarity here.
At least one doctor in town (a surgeon) uses practice fusion, and loves it -- mostly because it's free. He doesn't put out coherent notes, and doesn't use any of the features that make AC work well in a small FP office. He could care less if someone datamines his patients' info. He doesn't care if he has the data in his office-- doesn't really care if it all just goes away, I suspect -- and doesn't care if the Internet goes down -- which it does with some regularity out here on the coast. He is almost retired, anyway.
I am looking for V7.0 to be cloud-based with PM integrated and datamining by Pri-Med. That's what they do best, of course. V6.5 is likely to be the last of the versions we can actually have on our own servers, and I don't suppose it will be supported indefinitely, especially if 7.0 in the cloud actually takes off.
Medware works fine for a PM solution. Of course, there is some double entry involved, but for the most part it is just an alt-tab between programs. And of course, with Medware, you don't get a general ledger program, so you also have to add Quickbooks.
The three together (plus UpDox and Dragon) get us by quite efficiently -- full integration would entail a far more expensive program, constant glitches if my previous experience with the "integrated" programs is any guide, expensive updates, major problems every time Medicare needed to add or subtract a new field -- which they do all the time, and unpredictably.
I will take sure reality over an IT wet dream.
P.S. Our hospital is switching from CPSI/Chartlink to Cerner at $MILLIONS -- and the switchover is expected to take a YEAR! Anyone want to guess what things will look like in a year?
