There are a lot of factors that go into an EHR being good. One is the system itself. I agree that some look terrible (Meditech), but they do actually work very well compared to some that look nicer. Another is whether or not the organization has actually put in the effort to configure it well. This has nothing to do with the software or the government, but it makes a world of difference if it's not done or not done well. Then the doctors actually have to learn to use the system. Most hate the training, but learning how to use it effectively can really save them some time overall. My mentor wrote a really great paper on all of the sociotechnical factors that go into health IT implementation and evaluation.
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