HISTalk nailed it on the head in this post when they said:
“Some of the most frustrated employees I’ve seen were clinical people who went to work for vendors — they had always thought the problem was lack of company knowledge, not lack of company interest in doing anything beyond the minimum required to sell systems.”

Now that’s the real problem with most EMR companies.

You should also go check out Dr. Jeff’s answer to the question “When will Doctors Enthusiastically Get and Use EMR Software and EMR Systems?“