I have done incremental upgrades. 6.3.3 to 6.5.? to 7.0.?, etc. I have done some beta testing and some were simply moving to the next stage.

Because of this, I have not always remember some of the changes along the way. A good example would be the letter writer. I have been using it for so long that I don't think about the learning curve to how it is different.

Another is the time differences. I have always stated that V8 felt slower. But was it that much slower than 7? It was, but not by a whole lot. I go back to V1 and will tell you that it will blow all other versions out of the water in terms of speed. But it didn't have an Rx writer, orders, MU or any of the myriad of things we now use. It's good to see a detailed description from 6.3.3 (which I would call one the last of the "old" system (i.e SQL 2008)) to the most recent version.

While I have said that V8 is slower, I have also said "Well, it's not really all THAT slow." Actually opening and closing is not all that bad. What's annoying to me is going from current charts to demographics. Glaciers move faster. Opening the program is slower but doesn't happen all that often so not really a big deal. The other issue is Account Information (the last tab) which seems to have always taken longer than reasonable, now it is more unreasonable, but again, not by much.

Some of it I take in stride. I chart while I am in the room, so closing the chart is no big deal, I am still talking when opening and closing the charts. I get the process going or ending and the focus is more on the visit at the time. When I am changing screens to check on either demographics or summary for immunizations, now THATs annoying. If I were charting later, I thing the opening and closing would be more of a nuisance.

I understand that speed increases are in the works. I sincerely hope so, but it's not really a game changer. There are a lot of improvements from certainly V6 to make it worthwhile, perhaps more for a PCP than specialist like Jon, but even true in his case. There truly have been a lot of changes.

Another thing. I know Jon, he is often critical of AC's shortcomings (often with good reason.) He is on our Clinician Advisory Board. While he comments on some timing issues, it would appear the road to 8.2.2 was rather positive. Let's see how it goes in with longer use.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them