Thanks Ryanjo - Jon's article and tireless responses to field questions were very helpful.
Bert, thanks for your comments. I do plan on
- SBS (Small Business Server). I am assuming I will do just fine with the SQL Express that comes with AC so no need to purchase the full SQL version.
- My "server" vocabulary is still developing. "Swapping Hard Drives" to me is the capability to each night easily take off premises an *.ENC fully backed up drive - I don't know what else to call this feature.
- I'm now thinkng a T410 with 4 GB running a 32-bit OS is likely plenty good for a 1-2 doc practice seeking server capabilities.
- Broadband limitations? There are some - not saying the technology doesnt exist - just that there are factors limiting wide spread use of the offerings needed to run an EMR properly. Cost, infrastructure, availability...I could get all kinds of bandwidth if I were willing to pay a lot and if the hospital allowed me to run line... (tried 4G mobile broadband - terrible upload speeds).
- this year my internet service has been down no more frequently than my workstation has been down due to some OS, hardware or application hiccup. I believe AC is a superior EMR because it is simply a more effective medical charting tool with the least admin/business distractions (Practice Fusion may actually post advertisements ... ?!) - I believe AC is a better vendor because I believe Jon has my back as a physician. Now, If AC had a "SAASy" twin ... what a pair! I do recall some products offering both hosted and local platforms. I have NO idea how hard a programing task this is and Jon is obviously spread thin perfecting the old while forging ahead with the new.
Thanks
Gino
