I work for a large regional provider of EMR hardware and software and I can tell you first hand that you should be afraid, very afraid, of anything your Dr. does with health records that involve a computer. Anti-virus is the tip of the iceberg. You install it for them and their brother in law who's a burger flipper helpfully uninstalls it to "speed things up." Hilarity ensues. Entire offices are implementing EMR that refuse separate usernames and passwords because it's "just too damn hard to remember all that" so everyone logs in as user with some simple password; that's if they even bother to log in or off at all. Of course they have to have admin rights because it's their hardware and they know what's best.
Since most of the offices that are being force-fed EMR because of the lure of up to $44,000 in "stimulus" funds are smaller practices, they don't have domains that can be used to enforce universal security policies.
The larger ones, sure, but most of them already use EMR and have on site servers etc. along with the requisite firewalls and VPNs. The vast majority of the new ones though are being sold "cloud" based systems with no local servers at all, so it's a friggin' free for all in terms of security (or lack thereof). They're just lining up for a swipe at the stimulus golden ring but half of them shouldn't even be entrusted with anything as complicated as a TV remote, let alone computer systems.
You can't have everything... where would you put it? -- Steven Wright