I certainly agree with Wendell that I am "often critical of AC's shortcomings". In fact, as a member of the Clinical Advisory Board, I view that as one of my responsibilities. I am also not shy about touting AC strengths, either. As I said, the installation process is much improved. I am also excited that AC is finally turning to addressing some of the old, long-term complaints from users. On the other hand, that should not come at the expense of a much slower EMR. Fortunately, it appears that AC agrees, and is working to address the issue.
Another point regarding speed is that different processes matter to different users. Wendell is not bothered by slow opening and closing because of the way he uses the program. It does seem to bother several people writing above. As a specialist, the completion of every note is followed by (automatically) opening the letter writer to either cc the referring doctor or send a letter. Waiting 8 seconds to sign-off and then more to open the letter writer is hard to overlook.
