I'm glad to hear that some using the cloud are very happy. We too had very high hopes for moving to the cloud for all of the reported advantages. However, it has not been good for us.
We have a 2 Doc and 2 mid-level in the practice. Probably 13 users overall with 16 different workstations. Have been on AC since about 2007 with a dedicated server, use most of the AC services like backup, Updox, guardian angle, etc. Have midmark vitals, spirometry, ekg, script writer, HL7 with Quest labs/Labcorp, Radiology, and FL shots registry. Use MTBC for our billing. Converted to cloud almost 2 months ago and now we are converting back to an in-house server.
Problems include:
1. We have hard wired computers in every room. When moving to the next patient you have to log off and log on to the next computer every time. In our previous in-house server setup we had all of our client computers connected to the server and my AC profile was open in every exam room. This allowed me to just move to the next room and open the next chart without any delay. You pay for each user to have a connection to the hosted server, so when the user moves to the next computer he logs off and logs back on. One of our docs has converted to carrying a laptop from room to room, connected on Wifi which seems to work better because it eliminates this issue all together.
2. RDP will freeze intermittently. Sometimes will correct itself. Other times will require AC support to restart the hosted computer in the cloud. Prior to going to the cloud, AC had us do connectivity tests throughout the day for a couple of weeks and the tests came back as adequate. If you need help on the weekend, you cannot get guardian angle to restart the hosted computer for you.
3. Print issues: AC support has been unable to correctly configure the script printer.
Those are the big problems I have have been struggling with.
Jay
