Robynne,
I should explain our office is a conglomerate of 8 docs, and we transitioned to a faster internet service about a year ago with a licensed microwave of 30/30. I had one partner try the AC in the cloud, didn't like it and now back on local server.
In my little pod I only have two computers, my nurse & I, hooked directly via hardwire. Both still on Windows 7.
I also use a chromebook at point of care with VNC viewer Enterprise Version, to access my office computer, a dual monitor set up, so the chromebook is like a virtual desktop, plugged into wall mounted large screen TVs with HDMI cords to share the EHR visually as educational tool.
So my hardware is simple only two computers, and a dummy proof chromebook.
I do not like to futz around with all the computer stuff, so upgrades, backups all done with minimal work on my end.
For me, I do not notice any difference in speed when using local AC service, other than when my nurse has to print imported items from updox or scanned item, can take up to 45 seconds. So if she has to do any significant printing, often does on slow time, such as Fridays when not seeing patients or just fits it in, but this has not disrupted my workflow.
I have done three upgrades since moving to cloud, and very painless. I just have to make sure my nurse and I are logged off with the upgrades, easier than before going to cloud IMHO.
Also, I use updox and works well with AC in cloud and can use a laptop from home with RDP to cloud & Updox, can do everything I do in office with my laptop from home.
I do like AC in the cloud and do not see going back to using local AC in the future.
