You might be glad you have a server based EHR when you retire.
The cloud always seemed pretty expensive to me, and in our area, quite unreliable. The reliability problem has improved in recent years.
My wife and I retired and closed the practice about 2 years ago. No one wanted to even assume the practice, let alone buy it -- local hospitals are paying double what we could pay ourselves, and even they seem to be having trouble recruiting family doctors.
We still have to maintain the records, of course -- but Amazing Charts lets us keep our server and use it for records storage without paying anything --since we aren't entering new patients or prescribing meds, we don't even pay the annual maintenance fee. The clout based systems I have encountered are not generous in this regard.


Tom Duncan
Family Practice
Astoria OR