For me this was a temporary situation. When I first started using ac, I had to enter Pmhx, allergies and meds at home the night before or my office hours the next day would be a disaster. I did this work at home in the evening for about 2 months. After that, many patients were in the database. I had most of my 3 inch thick paper charts summarized and entered. Now new patients and even old patients who are not in yet don't slow me down and I can manage to get all my documentation done during office hours. Easy, easy. I still use a thumb drive and back up because I have two offices and right now this is the easiest way to deal with it. We are looking into a virtual private network that will make this unnecessary.....I think. I am really computer illiterate. I have been walked through this.