Dr Alan Brookstone posted an excellent article How Important is EHR Usability today at AmericanEHR partners. Below is the comment I had posted in response that discusses how usability has guided me over the years and why it is now the prime factor when selecting among the large choice of EMR/EHR solutions.

“In the US,  payment is based on CPT codes which are determined by how many items are recorded in the examination.This results in a system where “more is better”. With EHR, the ability to “default” normal items into the record can lead to 3 and 4 page eye examinations with elaborate descriptions of normal findings. The ability to extract the pertinent material is hampered by the amount of useless verbiage."