EMR/Databases

Consider a database that you use in your professional life. Share your thoughts about this technology including comments such as:
Who controls the design and use of the database? Where can you access the information from (home/work/mobile)? What type of reports do you access from your data? How useful are they to you? What types of searches would be helpful to your daily work If you could change one thing about your database, what is it and why would you change it?