Great answer Angela! I am new to ALLNURSES.com so my response may be very untimely... however pertinent to todays dilemma of integrating disparate and even non-disparate applications, regardless of which vendor application it is. At MUSE three weeks ago there was a vendor present that discussed the steamlining of our clinical workflows where all we had to do was log into our stations with a single password that would provide us access to "all" applications within and outside of Meditech, presenting a single window to view all of our patient data from the Lab, Radiology, PACS, etc. Led me to believe I could knock-off 2 hr's of my day looking for patient information. As for the price and services to make this happen that is always a consideration and nothing is as simple as it seems to be. All HIS vendors want us to believe in the single vendor solution as being the answer to all of our problems at a $10 million price tag, but in reality they only put the desktops at our stations with limitations on how we access our patient information across those applications. There are vendors out there who are agnostic to the various applications on the market with their open architecture that can make our lives easier... your comments are accurate, we just need to determine the associated ROI in doing our due diligence in determining what's real and affordable. This vendor cited a Meditech facility of theirs who has accomplished what we are looking to accomplish.