Sorry everyone. I know this is a bit out of order.
What never made sense to me is that doctors and managers didn't demand trial periods before purchasing. EMR use affects every aspect of and has the potential to change the workflow of an office.
Mario, this is in no way a criticism of your statement. I agree with you. But, in a more global sense, can you name any time in the past 20 to 30 years that doctors demanded anything?
Whenever I make these type of implicit questions, I try not to pass judgement. More than anything, I want to know the "what are the reasons for which x accepts y." Like "why are people okay with getting bullied into data plans for smart phones?" or "why aren't more people vocal about how they feel about the banking crisis a few years ago."
Most people are busy living their lives (work, groceries, kids, recreation). I get that. In fact, that's why we appoint leaders to handle the behind-the-scenes details. It would be ineffectual for a solitary doctor to stage a one-man protest for an issue (e.g. against EHRs that don't have easily accessible trial periods). Public, grandstanding demands only work for visceral issues. Rather, the doctor/office manager should contact his/her representatives. Congress. The AMA. Other medical organizations/associations. Certainly, these entities could have put weight on CME to make x a necessary requirement for ONC-ACTB certification.
But back to your original question, I honestly have no idea when doctors have made demands; I know not of the behind-the-scenes things (where I imagine is where most medical policy is determined).
Hm. I should probably write my congressmen some emails.
