Not yet but this is a topic for the discussion in Branson. Amazing Charts (and everyone with or without an EMR) is going to have to deal with this and very very soon. I had the privilege of talking with Jonathan Thurs and today (at the Pri-Med West conference)and it sounds like he has two goals. One is to do the job for P4P. The second part is to do it in a way that will allow the flexibility to be ready for the next thing they may throw at us AND to be able to add things of our own, (individually) as we identify the strategies that will allow us to really practice better medicine. (This is what I keep calling the "Outcome Oriented Medical Record", and yes I bugged Jonathan about it, and he was very polite and attentive.)