DrJay,
It is a work in progress. We have 8 physicians. 3 internists, 4FP's, one pulmonologist.
One has been using e-clinical since about 2003, and still uses it. 5 of us have been using AC for about a year. And 2 others soon to start AC.
We are not in the cloud, but each have our own license and own server/data base on computer, for the EHR portion.
One is completely hardwired, the rest hardwired/encrypted wifi combo.
Our practice management/scheduler is lytec 11, on a common server.
Personally, I only have 3 computers for my "pod", medical dragon-11,updox, scansnap s1500 fujitsu scanner, and 4 HP laser jet p1102w printers--one in each exam room, one for my nurse and one for my desktop, and can't imagine practicing any other way, this past year has been the most stressful and fun year of practice since Aug 1993 when I started.
It can be done.
I did not do the cloud thing because I like having the EHR and practice management info on site, it is worth the hassle, because as an internist is about the only power I yield these days, having control of my data.
This sounds like a hodge podge, and is to a degree, but hopefully will allow me to practice another decade or so, but has definitely improved efficiency tremendously for me this past year.