OK Bert--
All fine on the upper left edge (NW Oregon).
I do wonder how many larger practices are adapting AC to their needs rather than going to more complex programs.
Compared to everything else I have seen it is so refreshingly straightforward and puts out reasonably sensible notes for improved medical communication. Trying to read notes from almost any hospital is an exercise in pure frustration.
But even in a 3-provider office it slows down if there is a lot of traffic on the Ethernet (like if several clerks are scanning imported items at the same time), so I can imagine that by the time you got to 5 physicians you would have to do some fancy workarounds.
And of course, small offices will be dead in the water soon if Medicare and United HealthCare have their way.