Been using for about 6 months now...the screens are too complex, data entry of information doesn't flow naturally. For example, one side of the screen on the mid-upper right corner of the Vital Signs tab has Respirations, then you have to tab down and backwards to the Left to get the the HR, etc. Going right to left doesn't help either, it's worse...My biggest complaint is you spend more time, literally putting data into the computer, and less time with patients. I spend an 8 hr day seeing patients, then have 2 hrs. work of computer work ahead of me (w/o overtime pay, BTW). I understand it's useful to track data, handle Medicare billing and whatnot, but, practically speaking it's done nothing to make Hospice nursing any better. To make it worse, we in LTC must leave one copy of our assessment in the cart when we leave. We end up having to write one paper copy assessment and leaving it the chart, then going home and entering same data into the computer. We've tried various solutions, i.e. having printer in the LTC facilities to print and file assessments while there (didn't work - LTC didn't have the extra space to give us )to printing back at the office (still had to do dual entry). Basically, we're just flying by the seat of our pants rights now with no solution in site. It has seriously affected morale in our office. Here we are, hospice nurses, supposedly dedicating quality time to our patients, and we spend more time inputting data into the computer :angryfire than being with them. Having had a 20+ career in business prior to nursing, I would see this all the time. Organizations would be sold on the "latest and greatest" software would pay gigantic sums of money only to find out the software was, basically, garbage. I even heard one local agency ditched Misys entirely in favor of going back to the drawing board, at great expense .....If I seem irritated it's just because I've finished a 50+ hour week and look forward to hours of computer time!