The EMR Challenge, Part 2 - Current Situation

The current situation is that potential, new users contact an EMR vendor; an EMR is sold with almost no assessment of clinician/practice readiness and with little matching of implementation/training to the practice needs. The end result is that we have an industry situation where greater than >10% new users are less than pleased with the whole EMR thing.
It is also prudent to be aware that recent surveys by both the NEJM and CDC reveal < 10% of medical practices are using EMRs in a comprehensive fashion.
From More on EMR Failures:

"Under these conditions, the relatively small number of very successful installations is not enough to pull the average EHR return into positive territory, and the CBO is right in concluding that “By itself, the adoption of more health IT is generally not sufficient to produce significant… savings”.

Most clinicians just don't recognize it is impossible to expect to be able to use simpler, free text and narrative documentation in a comprehensive fashions, and only a handful of EMRs manage both narrative and structured data well. Unfortunately, almost all EMR solutions designed primarily for comprehensive use (i.e. structured data entry) experience 20-40% de-installation rates, and >80 of their clinician users are not actually using them, comprehensively, at the point of care. The most miserable group of clinicians tends to be those that are using the comprehensive systems, are forcing themselves to troll in the structured data, and typically are experiencing an average of 30% loss in productivity. This has all but become the norm in many (most?) situations where decisions are made by someone other than those in the trenches. Who cares if the doctors are having to spend 2 more hours, daily, creating documentation? As long as they don't see a lot fewer patients, and as long as they are shuttling patient's into the delivery system's profit centers, isn't everyone happy? I wonder if fewer will be happy once the profit centers become less profitable with the coming "reforms," and the practices are then seen more vividly as cost centers? Will we see another cycle of integrated systems unloading acquired clinics again (as was the cycle in the 1990s)? Do you think patients will end up even having access to their own data when this next shake-out happens? When will control of the data become an epic question?
A key challenge, for SOAPware, and the handful of other multi-capable EMRs, is to make efforts to not be seen as less desirable by both clinicians looking for "paper behind glass" solutions and by those looking for an EMR to collect structured data. We have our work to do to demonstrate how SOAPware is an ideal transition tool from simple to comprehensive, and to help end users understand why that even matters.
Due to this confusion by potential EMR users, several industry “experts” are suggesting that SOAPware do what many other EMR vendors are doing and just raise our prices and guarantee the practices will get $44k for meaningful use over 4 years. In order to make this work, we would have to triple our software price and charge around $15k per year for just the software. Then, we could simply plan to pay back $11k to the practices yearly for 4 years if they can't change their styles in order to meet M.U. We would actually be more financially profitable, while costing less than most other comprehensive EMRs, and might even end up with patient data controlled by something that is a little less enamored by their profit centers.
Pretty cleaver... No?