Let me jump in.
I started AC at pre-version one. Downloaded it on a Friday. Trained staff on Monday morning. No "go live" crap. I looked at a ton of EMRs. Just like anything else it would have been good in the government had seen this coming. Total integration.
Hospital and EDs use the fancy Cerners and EPICs and Centricity, not because they document well, but because for CPT coding and HIPAA. They documented everything, you know that a two-year-old isn't smoking. I can't even read them. They are longer than
H & Ps. There are so formatted, they take around six pages for an ear infection. It is rather easy to document an ear infection in AC, although I wish the note formatted better. But, due to reconciliation of meds, they list them three times. And, where they are going, and who is picking them up and the color of the pill. And, not only that the patient understood, the patient must read back now.
The same mistake I made with template physicals was sending a kid to cardiology for a murmur only to have COR: RRR, no S1 and S2, no murmurs. They do the same. Eleven physical categories for a splinter. Now they also put the HPI at the bottom with MDM at top. Kinda like someone telling you the ending of a movie. It is twice as long as the HPI at the bottom.
The best ED notes I used to read were dictated. SOAP note style. Not APSO. I have received the CXR report from radiology, so I know it is there, but I have to look everywhere.
AC is great. There are some workflow issues that could be better. But, if you notice, the same people talk about AC on here all the time. It is far less used now I think partly because the network debates of servers, etc. died off especially with the cloud.
Do you know how many of my suggestions have made it into AC. 0. Yes zero. Do you know how many have gone into NewCrop. Five. LOL.
It's my fault. But, every time I talk about something and complain about a feature, I don't take the time to enter it correctly. I guess I can't expect AC to sift through the board.
One thing I think they miss (and development has improved tremendously), but going by how many people want a feature that is good but not necessarily game-changing, it gets done. But, if three people recommend something that would make a HUGE difference, it is not looked at. You know, like using first initial, last name; first name, last name; last name, first initial; last name first name all one one screen is just silly. Searching on first names. Where else in the world is that done? And, my favorite are messages with Re Re Re Fw Re Re: message. But, that will never, ever change. Ever.
If you are using Dish network and you want to switch to Direct TV, you call Direct TV, and you are done in two days. EMRs sort of have you trapped. Difficulty changing data over.
