A change from local server to hosted by vendor occured with the hospital dialysis facility. Now that became a real pain in the butt...
Less than a year after "going live" with a CPOE/PowerChart system hosted by Cerner, one of our local hospital systems (5 hospitals totaling several thousand beds and dozens of local radiology, therapy and office affiliates) went completely down, no data, no records, nothing for days. Needless to say, it was a mess and no one even pretended that it didn't affect patient care. After it was all over, the hospital IT department and Cerner made a big deal over the fact "no data was lost".
They just don't get it.
