I have read through this whole thread -- it is very instructive, but several questions pop up:
1. I have used whatever cheap box computer is available at the moment, along with the latest (starting with Windows 3.x)peer-to-peer networking for medical billing for the last 16 years, and for EMR for the last 6 months. We have had crashes, but none un-recoverable, and backup gets easier and easier. I'm sure that in a multi-doctor environment this would not work, but it does for me. The slowest part is not the hardware, it is me! How could I improve my experience with a server/client setup?
2. After reading about all the advantages of "server class hardware" I went to my favorite supplier, Newegg
http://www.newegg.com/Product/Produ...ctSimilar-_-59-115-007_1_AG-_-59-115-006 who offer the Fujitsu PRIMERGY TX100 S2 Intel Xeon X3430 2.40 GHz 4GB Memory Tower Server with Windows Server 2008 for $1000. Is this what the experts on the user board have in mind? Would I be better off if I got that and put AC on it? Could I also put my billing program and "accounting" program (Medware and Quickbooks)on it, and would it improve performance or reliability? Maybe I am satisfied because I have just adapted to poor performance -- I'm certainly willing to spend a little money if it would really help.
3. What is the difference between RAID 1 and RAID 5?
For the record, I don't have any serious problems with speed in AC6.09, although there are some really strange bugs, which I have generally learned to avoid (for example, you can't print the "daily batch" file because every note prints with the name of the first patient in the queue, and if you try to resize the window with a mouse while looking at an imported file the whole program freezes.)
The most serious flaw for me in e-prescribing is the fact that you can't transmit any controlled substances -- even schedule 4 or 5. This is a DEA issue, not AC.