I disagree that "Part of problem is that there isn't much feedback going to AC as to what to do next." I think many people have tried to communicate their needs, and to a limited extent, AC has been willing and able to cooperate with them -- certainly more so than EPIC or Cerner-- but it isn't enough.
I've been to a few of the AC conferences. Very few attendees at the big conferences with the major decision makers. I think the last AC/Harris conference had maybe 4-5 AC users present. Inlight, ACPM, etc. weren't exactly big hits. AC Reminders can be pretty big for some practices. It's the little things here and there.
What we need is either one universal EMR (like thay have in Sweden, according to my Swedish cardiology friend) or at least a uniform set of file formats so that data from one EMR can be imported directly to another without going through cumbersome PDF files and an intermediate service like Updox. My "imported items" folder now is at 37GB -- in in some of the charts indexing is a nightmare.
That was the original goal but insurance and pharma execs jumped in and turned the whole EHR thing into mass data collection. That data is extremely valuable for them but does nothing to make practicing easier.
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