HockeyRef,
Please do not try to "poison the well" by attempting to cast the ASP Model as any different from the current licensing model in terms of the ownership of YOUR INTELLECTUAL PROPERTY. The ONLY DIFFERENCE between the ASP Model and the installed software model is the POINT OF DELIVERY. Everything else is the same.
While AC has a wonderful licensing model, like any other EHR program it is still a charge per provider. Yes the charge is low; however, it is still "metered!"
You do not OWN AMAZING CHARTS, you license it from the software developer. YOU OWN THE DATA YOU CAN CREATE WITH IT.
The same is true of Word, Excel or any other software program you use. Your argument about ASP vendor retention rates that it is simply due to the fact that "they own your data" is a canard. Because the same holds true for ANY EHR program you buy. You remain loyal to that program, WARTS and all, because you simply cannot TRANSFER YOUR DATA into another system without prohibitive costs.
That you find a discussion of architecture, usability and delivery OFFENSIVE and insulting is something for you to ponder. I, on the other hand, am sufficiently curious, that no exposure to knowledge offends me.
You wrote: "If you start messing with that, you will have a rebellion on your hands, so back off, OK???" I am a potential user of AC, I do not know the owner, the programmers or anyone in the company. I do not have the capacity to alter the direction of the development in any way, so how does simply DISCUSSING what I see as potential for change lead to in your words "a rebellion?"
This much I do know, "When the sun comes up the lion it knows it must outrun the fastest gazelle or it will starve; when the gazelle wakes up it knows it must outrun the fastest lion, or it will be eaten. It does not matter if you are a lion or a gazelle, when the sun comes up, you better be running."
I use that metaphor to point out that software development NEVER STANDS STILL. AC has competitors who will constantly look at what they are doing and try to do it better. One cannot be in the software business and be averse to change...just ask WordPerfect, which was once the largest software company in the world!
