We've been up for about 5 1/2 years. I have about 20 workstations, three providers in-house, two providers that work in the field doing house calls using VPN/RDC, a domain controller, terminal services server and an application file server. We provide diabetes care primarily (70%) and do this using time-based medicare rates, so we can actually have the time to do a good job with our folks who have diabetes. Can't afford an IT person who would make more per hour than me, so I'm the (very) cheap alternative techie. Will keep exploring options and report back if I find something workable.

Bob Burr