Metcalf's rule. The value of a network is a function of "n" where n = the number of things hooked to the network. Peer to peer vs Server: We have three Docs, 11 employees and on a good day, all are here. The Fax comes and goes Via the server. Access to the lab, ordering the lab, Viewing X-rays and retrieving Medical records from two hospitals. (and signing charts), Authorizations from the HMO, and checking on the status of other peoples authorizations. The security camera access, (which I look at to see the waiting room, and the operator looks at to see the Dr's at their desks. Epocrates on line, The AC users forum, Netflix and probably somebody is ordering lunch. The server never breaks a sweat. I don't know how that would run on a peer to peer.


Martin T. Sechrist, D.O.
Striving for the "Outcome Oriented Medical Record".