If you have decent bandwidth the changes from one window or page to the next is nearly instantaneous. The formatting is light years ahead. Some allow direct communication with the pharmacy so if they have Zoloft 50 mg, it shows up Zoloft 50 mg in the EMR. IT HAS A FACE SHEET FOR EVERY PATIENT. Medication reconciliation is more robust and automatic. While 11.2 is supposed to do the following, I have not used it yet: but many EMRs allow one to send three of one script at a time. The list goes on and on.
I talked with one physician group who was working with an EMR company that would make independent features for independent practices/customers. In testing, one could have support on withing one minute of asking via chat and one hour via email and nearly instantaneously by phone.