To answer your questions, this is with a completely rebooted server. I have also run it standalone in a VM. It is nearly as fast on the VM as on the server. The client is connected to the server.
There is also slowness such as 2.5 seconds vs less than 1 second on opening ePrescribe.
Yes, definitely, using HDDs and not SSDs. I would expect a significant performance boost with SSDs anyway, although I understand your point that it may solve the issue.
The problem is if you have a BMW that is running well, and you upgrade to a Ferrari, and suddenly you can only go 0 to 60 in 15 seconds, then they need to fix the Ferrari and not expect me to repave all of the roads.
Not all 8,000 users are going to have performance issues for whatever reason. But for those that do, you can't expect them to all run out and get SSDs.
My time schedule is October 1st for implementing ICD-10. I plan to purchase a new Dell T420 soon, which will run all SSDs likely in a RAID 10. But, that will be on my time schedule and not on ACs.
