The above discussion, although fascinating is potentially discouraging. I would not want to go through what Cary just described. It would drive me to entertain the SAAS EMR options. I appreciate "the voodoo that you doo soo well..." but I do not have the passion for another learning curve and dedicated IT support I suspect would be expensive. Please tell me all that tech voodoo was necessary b/c you were trying to get a vintage system to perform at today's performance expectations.
I would like to demonstate to my collegue that AC5 on a server is cost effective, more secure, robust and feature rich than some of the "free" SAAS based offerings. He and I are discussing PracticeFusion.
You should read Jon Bertman's response to the question of SaaS-based EMRs, posted recently
here. It's the third from last question.