I contract with an IT company that handles IT for 100 small and medium companies, some of them physicians. I do not know what kind of "boxes" they use but they have 8MB RAM and are way beyond anything commercially available. I believe the "box" my computer is on costs 10-20K. I connect to it via thin client. When I initially installed 609 on my dell inspiron laptop, it did and still blazes away without errors. But as soon as 2 or more people connect to our "cloud" application server (the database is on the database server), all hell breaks loose. Yesterday, I canceled my patients and sent my 2 workers home because it was taking 15 minutes to read a .pdf attachment on email, esign it, and fax it back. We use ring central as our VOIP phone, terminal server for outlook (2008). When one looks at the task manager, AC starts chewing up the CPU resources until the whole system disintegrates. This did not happen with the same set up in version 5. Version 609 worked well except the Rx portion UNTIL the dot net updrage and now nothing works at all as soon as two or more users are on. My IT company restarts the server at 3 AM and depending on how early I get up I can then do the previous days notes, emails and faxes without a problem. Then I take two valium and wait for the new nightmare to begin as my office staff arrives.
To repeat:1- 609 works well on my stand alone laptop--even the surescripts part, which is why I upgraded.
2-As soon as 2 or more try to work with it, it causes major headaches and crashes as it starts hogging more and more CPU resources until it completely stops.
My IT company is now telling me that I need to get a bigger "box" with 8 processors to handle the demands they see that AC is demanding.
My choices are to either get a new EMR, get a new IT company, or give up private practice and get a new job. I would appreciate any comment from anyone from AC. When I try to get tech support and go to the online chat, if there is nobody available, my email gets sent back as rejected for security reasons. I guess they know me....