EPIC works just fine (Score 1)

It's the people that use it that suck.You are talking about hospital scale (read around 10000 people) numbers of people who, even coming from another EMR, are supposed to all interact with the new system in the correct way or they have failed it. The system is fine, the users are what fails. You might argue that the users shouldn't be able to fail the system, but you cannot argue that you can create a system to deal with such a complex issue and then also address all issues a user introduces from all of the ancillary systems that are introduced. This is not possible without an extended period of troubleshooting in a live environment for such a complex set of solutions. Then there is the bureaucracy and that is where the majority of the errors firm into real life persistant issues instead of user errors. At this point, people are making decisions on a transition from whatever system, paper or otherwise, that will affect system operation. Also at this point, comes the territorial attitudes, the jillion "what about this?" questions, many of which are from stupid people, the never ending issue of who decides how what is done. We haven't even walked into EPIC territory yet and already we have a swamp of stupidity on deck. We just made the transition to EPIC from the hodge-podge homebuilt EMR that we were on and there are still issues months later. I could solve most of them by going straight to the cause: the doctors. They HATE fully documenting anything. That's too bad for them, they won't get paid for a lot of work because of that. They are doing things on the front end that make the back end not work properly. They haphazardly enter information into the records. They use unspecified dx codes for everything. How is anyone supposed to treat you other than that exact same doctor when your documentation is generic copypasta from the last note you wrote? No, the problem isn't the system, it's the doctors and their hatred of documentation. They are extremely obstinate about it, too.