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#72399 - 02/06/18 05:21 PM AC in the cloud vs. server based
tceg Offline
Member

Registered: 04/25/10
Posts: 129
Hi,

Opening a second site. Have issues deciding what to do. Can someone give me pros and cons of AC in the cloud (who actually uses/used both cloud and local).

Have used logmein from 2nd site to 1rst site server with some connectivity issues and thinking about changing.

Thx
_________________________
Neil
Rheumatology

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#72401 - 02/07/18 01:12 AM Re: AC in the cloud vs. server based [Re: tceg]
Indy Offline
Member

Registered: 06/23/09
Posts: 1744
Loc: Western US
We have administered local AC servers for over 10 years, and we are the ones who who started providing a hosted environment for AC almost 7 years ago.

Since you need one AC DB to support multiple locations, here is the short & sweet.

The positives of running local servers are:
<> You have direct control of the hardware, software, infrastructure and network
<> Potentially lower direct costs

The positives of outsourcing (with us or another non-AC third party)
<> You choose what version you want to run
<> More responsive, more available support, including nights and weekends
<> You don't have to implement, manage and maintain the hardware, software, infrastructure and network
<> Support experts that know AC and can also solve other problems
<> More time to see patients or live life - you choose

Since you are going to be dependent on Internet-based connectivity to keep both locations on the same DB, it becomes a question of whether what it will cost you per month can be made back with greater efficiency and/or the quality of life of not doing all of your hardware, software, infrastructure, and network.
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Indy
"Boss"

Indy's Blog

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#72408 - 02/07/18 07:02 PM Re: AC in the cloud vs. server based [Re: tceg]
jimmie Offline
Member

Registered: 10/16/11
Posts: 1446
Loc: Montana
I have done both local and AC in the Cloud. I prefer AC in the Cloud. Just easier for me with little or no need for my local IT guy to ever get involved much anymore and upgrades much easier. The only issue with AC in the Cloud is the dreaded black box if my nurse or I click too fast and double click and freeze the cloud server. Then I have to get AC support to unfreeze the cloud server, easy fix but sometimes especially if on a Holiday or weekend may be tough to get IT support quickly.
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jimmie
internal medicine
https://twitter.com/jimmie_vanagon

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#72412 - 02/07/18 09:08 PM Re: AC in the cloud vs. server based [Re: jimmie]
Indy Offline
Member

Registered: 06/23/09
Posts: 1744
Loc: Western US
Originally Posted By: jimmie
I have done both local and AC in the Cloud. I prefer AC in the Cloud. Just easier for me with little or no need for my local IT guy to ever get involved much anymore and upgrades much easier. The only issue with AC in the Cloud is the dreaded black box if my nurse or I click too fast and double click and freeze the cloud server. Then I have to get AC support to unfreeze the cloud server, easy fix but sometimes especially if on a Holiday or weekend may be tough to get IT support quickly.


A valid point being made - we have been taking calls on nights and weekends from Doctors for over seven years, so who provides your services is a key decision to make. We even sometimes go to bat for Doctors who host with someone else on long weekends because we can - we do.
_________________________
Indy
"Boss"

Indy's Blog

www.BestForYourPractice.com
Our Name is Our Creed

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#72446 - 02/11/18 02:19 AM Re: AC in the cloud vs. server based [Re: tceg]
ryanjo Offline
Member

Registered: 11/02/06
Posts: 2004
Loc: Central Florida
Another advantage of a local AC server is being logged in on multiple workstations (in my office plus a few exam rooms) at the same time. I realize I could carry around an ultrabook, but I can't type well and Dragon needs major CPU muscle to run well.

I don't know whether multiple logins are possible with cloud AC or third party solutions, but that (plus the per login monthly cost) are big considerations for me.
_________________________
John
Internal Medicine

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#72448 - 02/11/18 12:58 PM Re: AC in the cloud vs. server based [Re: ryanjo]
Indy Offline
Member

Registered: 06/23/09
Posts: 1744
Loc: Western US
Originally Posted By: ryanjo
Another advantage of a local AC server is being logged in on multiple workstations (in my office plus a few exam rooms) at the same time. I realize I could carry around an ultrabook, but I can't type well and Dragon needs major CPU muscle to run well.

I don't know whether multiple logins are possible with cloud AC or third party solutions, but that (plus the per login monthly cost) are big considerations for me.


We offer the practice the option of multiple logins on the same account, as they only pay for the connections that they use. So, that is entirely possible and we help the practice figure out what is best for their practice.
_________________________
Indy
"Boss"

Indy's Blog

www.BestForYourPractice.com
Our Name is Our Creed

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#72480 - 02/14/18 02:31 PM Re: AC in the cloud vs. server based [Re: Indy]
DanARS Offline
Member

Registered: 02/13/18
Posts: 3
Indy, what is the price for the Cloud base storage? What is the size of the storage? Is it easy to switch from a server based AC to a cloud based AC?

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#72482 - 02/14/18 02:44 PM Re: AC in the cloud vs. server based [Re: DanARS]
Indy Offline
Member

Registered: 06/23/09
Posts: 1744
Loc: Western US
I've sent you a Private Message so that you can reach me to discuss your specific situation if you so desire.

Storage is not really the performance constraint; I summarized in replying to your post what drives performance.
_________________________
Indy
"Boss"

Indy's Blog

www.BestForYourPractice.com
Our Name is Our Creed

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#72531 - Yesterday at 08:49 PM Re: AC in the cloud vs. server based [Re: tceg]
Boondoc Offline
Member

Registered: 01/13/10
Posts: 1018
Loc: Alaska
My biggest concern would be speed and the user feel. I really don't like Updox in the cloud, the web app as it's just not as easy to use as the desktop version. It's not as fast or responsive. Who has used both, and how do they "feel" in comparison?
_________________________
Chris
Living the Dream in Alaska

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#72538 - Today at 06:07 AM Re: AC in the cloud vs. server based [Re: tceg]
jimmie Offline
Member

Registered: 10/16/11
Posts: 1446
Loc: Montana
I have used both desktop and cloud versions of Updox, and prefer the cloud version. I really like to hover the cursor over the document without clicking to enlarge the document. Makes it much easier to read and find the place to sign with minimal clicks. My nurse who does most of the heavy lifting with document management however prefers the desktop version of Updox. I do very little with Updox other than look and sign, and she sends it where it needs to go.
_________________________
jimmie
internal medicine
https://twitter.com/jimmie_vanagon

https://jimmievanagon.wordpress.com/about/






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