Going way back, I think the survey was to get a sense of where AC users are. Many of the things in the survey are future requirements of Meaningless Use. As they raise the bar and increase the complexity of the reporting, they decrease the reimbursement. At some point, it just ain't worth it... but then again, once enough people drink the kool aid, it will make it mandatory.
So the goal should be to include those that are needed to get MU without changing the overall program. Some things such as portals are a major change (they would require external to internal linkages - much easier if it were simply a hosted program than a stand alone.) Again, what do you develop internally and what do you either link or merge?
From talking to the people at AC recently several things became clear:
There is NOT a major change in the management structure. They are refocusing and looking to the best direction, but they are poised to move aggressively.
They did feel it was better to outsource PM, but that PM should be an option for AC. Now it could be argued that there are already links for PM but I would suspect that a more closely linked PM is a goal. AC wants to offer a complete package and PM should to be in that package.
They are dedicated to fixing a lot of the problems that have been on the back burner.
They are interested in input from the AC community. They value the support and the wisdom of those in the trenches.
They are exploring ways to make 3rd party linkages easier.
