> The problem isn't going to be solved because doctors are not the primary customer for these systems Agreed! > the procurement department is. But I disagree

> The problem isn't going to be solved because doctors are not the primary customer for these systems Agreed! > the procurement department is. But I disagree here. From what I’ve seen in ambulatory EHRs, they are finely tuned for billing workflows. The key outcome is that a patient encounter is tied cleanly to an ICD. Actually tracking patient information in a useful way seems to be an afterthought.