Hello Jeff, I'll be as helpful as I can. I have used many of the "heavy hitters" and a few small systems and have several opinions. Kronos - This system is a halfway decent timeclock system. When they installed the scheduling system in our facility it was a nightmare. it never completely worked. We lost schedules every once in a while, I never understood that, where did they go?! We entered them didn't we? It took you on average of 10+ steps to do basically anything and every time we asked for a customized feature it was never fully addressed. I always thought we were simply brushed off. Kronos was not a win for us and despite the problems management kept them for 2 years, I heard that they replaced them recently though. Don't know who with, sorry. Concerro - I only had a limited amount of use with this one. The system was sooooo much better than Kronos or Clarvia but still had problems of it being down often, or just not accessible and it being really hard to use. The system was trialed in my facility and within 3 months kicked out due to lack of staff usage. My department at the time used it for two schedules and then stopped using it. Cerner - Their EMR is great. I thought it was extremely nice of them to do custom configuration for us several times. Often times it didn't work and had to be pulled back and fixed but when it was working it was very efficient. The scheduling system was a nightmare though. I also used Shift Hound and found that the decision to use them was obviously made by IT because they purchased a system that couldn't do self scheduling. With an industry going to that type of system how can you pick something like that. I don't agree with classicdame that anyone can create a software. I have no idea how to program but I know that an ED is complex and with all of the shifts my current hospital has there is no way someone can throw together something to use. I hope this helps.