Having used the VA's system as a physician a few years ago, I must say it's probably my favorite. Epic, Sorian, etc add a lot of worthless gloss with minimal in

Having used the VA's system as a physician a few years ago, I must say it's probably my favorite. Epic, Sorian, etc add a lot of worthless gloss with minimal increases in functionality, in my experience (probably doesn't have good billing modules but those could be added). I've always thought it was a shame that this wasn't govt mandated EMR ... Im usually for competition, but in this case, we've spent millions (billions?) to reinvent the wheel. It's not at all uncommon for me to print labs off of a screen, then fax them to a different facility, where the values are then input by hand back into a (different) EMR. Completely insane, like something out of Terry Gilliam's Brazil. I also must say that I've seen hospitals make absolutely terrible decisions when it comes to EMRs. Choice of EMR should be treated as if the hospital is constructing a new building, as its costs and lasting impact can be that massive.