It may be the blustery winds of Montana but I am of the opinion in 22 years of practice this is the best it has ever been.
I have decided to take an approach not unlike the world re-known paleontologist Jack Horner. All he wanted was a hammer to bust up the fossilized egg to enhance his understanding. He was continually being told no until he dug his own eggs, and took the hammer to work to revolutionize the theory of nesting dinosaurs being warm blooded. Now six books later, his TRex soon to be displayed at the Smithsonian & a new one in Bozeman, and third Jurassic movie (Jack being the dinosaur expert for Spielberg) to be released he has made his mark.
The fossilized egg is a bit like the exam room at the point of care. I decided to take the hammer to MU & PQRS and figure out ways to make the EHR work better for what I need. I think I have. But I have had to change my concept of what the EHR can do.