Sorry if I got way too out there, but when I hear about the taximeter crowd I go balistic. There is no way to compare the two lease, and less on someone else's server no less verses own the disks in your hands as anywhere near the same. They are lightyears apart. Instead of you and I butting heads here, two guys who both care for their wives and their repective practices, please really search this site for all our CCHIT, ASP type posts for the last year at least and then lets talk again.
There is no way in hell unless we are the legal owners of a working copy of the EMR will you ever get me and my wife to buy into the lie that is ASP style programs. If I can't run it on my own if and when we want to part ways, then it is a hostage situation and how anyone can not see that is beyond me.
And don't forget, AC is the low budget side of town. We just can't have it all and we have accepted that. Matter of fact we don't even want it for the most part. The road to hell is paved with good intentions. CCHIT was probably conceived by a few folks who thought they were doing people a favor, a good thing, and then the greedy enterprise software vendors along with the insurance carriers got their grimmy little paws on it, and now it has little to do with medical outcomes, quality of care or the better handling of medical data, and everything to do with sleaze, power and greed. All while violating every citizen's once respected rights of medical privacy while at the same time spying full time on doctors like both of our loved ones.
Have a good night and try to remember it is not what people or vendors say to you in the honeymoon phase as they are trying to get you to buy into their horseCCHIT, it is what legal rights in a contract or by the rights of posession and ownership do you have if and when you get divorced. No relationship like this lasts forever, ya need something concrete that you can hold onto. Not a taximeter to be held over your head like some tightening noose for 7 years after your last visit with your last patient. Don't just react, stop and think about your wife, without her knowledgeable tech husband, and every patient and their family who depends on her and how these two situations are obviously lightyears apart.
be well.....