It's easy to use from both end of provider & patients point view! We have an excellent relationship between our organization as well us being able to see each other very easily compared to some others where you may not even know who your doctor or nurse are until after they've been there 30 min if that!! Not much really - it works great but I wish we could send pictures directly through instead having go back home then come here again so this option would be ideal :) Great system overall just needs more options especially when talking about medical devices like pulse oximeters because sometimes those need special software etc..