Great to have the resident geniuses offering SQL upgrade knowledge if needed. Over 10 users sounds like SQL upgrade may be a factor.
AC does a pretty good job overall, given MU and ICD10 requirements that have taken their development focus for the last 3+ years.
There has to be code optimization that will help, no? That's "free" with no SQL nor hardware upgrade. Hopefully AC has some time and resources to do that as mentioned in other posts. We should gently but firmly ask for it more than any "feature" add.
A lot of us run small scale (<10 users) on modern, fast server/clients, SSDs, plenty of RAM and still hit pauses/lags. They are tolerable but interface snappiness makes the computer transparent to workflow. Small lags disrupt concentration and cause frustration and clinically proven slow buildup of physician computer rage;)
AC in my office under my control is far better than the alternative. My local hospitals run EPIC on VMs. They allocate resources just fast enough to run the program but not fast enough to be snappy: 1-20 second pauses and delays all over the place not to mention the repeat RSA key password signins for every order. They just don't care - it "works" and didn't cost them too much... I'm dreading the day I might have to use EPIC on a VM connection for daily office use.
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