Is anyone using UPDOX or UP TO DATE, and do any of these affect your speed or responsiveness of Amazing Charts on the cloud? We are trying to decide how much bandwidth is needed by our group if more than one doctor and staff go on to the cloud at the same time. Currently, we are getting uploads speeds around 5 Mbps and download speeds between 50 and 90 Mbps. We're investigating microwave transmission at 30/30.
Mel,
With Updox, the latency will be about the same, and I have never heard about Up-To-Date being a performance issue; I think Bert uses it, but he runs dark fiber, so ymmv.

The two issues that you are going to run into are upstream network contention, and network latency with Dragon.
We have a group practice that uses Dragon extensively, and we are moving them from our managed environment to a new server in their office to improve the Dragon experience for the group. If your bandwidth is limited, the Dragon experience will suffer for remote users.