> I would prefer her not to be spending time transcribing her notes from one system to another.
Ok. But data needs to be entered in the system somehow and patients need care and attention; and it makes sense to me to focus on one thing at a time, especially with a mission critical field such as health care.
> You could employ someone else to transcribe her notes at a salary more reasonable for the work but it is still, or at least should be, an unnecessary overhead.
People differ philosophically concerning what is important in health care. Some want quality and some want cheap ( most probably want both ). I don't work in the health care industry but I am curious how doctors would want to have their jobs structured at HMOs; do doctors want less patients and more time spent with them or do they want less time and the ability to see more patients?