I remember, before we had heard of AC, I had started to write my own EMR for our Mac computers. I laugh to think of it now, as the HIPAA requirements alone would eventually have presented quite a challenge to my programming skills, never mind an interface to electronic prescribing, Meaningless Use, etc. :-)
For years I was the developer for a medical billing software company. It never ceased to shatter my soul how the people who owned the company, and my own boss at the time, would happily try to ignore government developments and instead try to focus on adding features to make the software more money (or clients more happy).
Government stuff is hard to keep up with. Often requiring reading through hundreds, if not thousands, of pages of documentation. And we aren't talking about flipping through pages of Motor Trend magazine where all you do is mostly glance at the pictures, we are talking about some very technical stuff that you have to read AND COMPREHEND with often little to no help available out in the world.
The company that sold that software went belly up not long after I left.
JamesNT