Very few of us are IT experts, though I have run across quite a few who claim to be, and who have let me down. Being pragmatic and something of a DIYer I have learrned something about IT, and have had help from Sandeep and others on this board -- that hardly makes me an expert, but I mostly manage my own network. It is hardly the finely tuned Ferari that I would prefer, but it works. AC has made that possible, and I don't think any other EHR out there could make the claim to be user-based and oriented to that degree.
The cost of IT has never been explicitly recognized by Medicaid, Medicare or the insurance companies. They just keep adding unfunded mandates, so we have to keep increasing efficiency read "see more patients in less time") to pay for it. With MIPS/MACRA we have reached the continental divide -- one way down goes to the corporate ocean, the other to the desert wilderness of independent practice.
