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Why Remotely Hosted Services are so much better

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lroman Posted: Thu, Jul 16 2009 10:36 AM

Why Remotely hosted Services are just plain Better.

You can eliminate the expense of buying, installing and maintaining a server where the application resides

If you lack capital for upfront investment in technology, a remotely hosted option is more appealing

Client-Server Systems installed locally require upfront licensing fees that can run in the tens of thousands of dollars per physician.

No need to purchase/obtain an air-conditioned data center, power loss protection, backup provisions and enhanced security.

Remotely hosted EHRs generally offer more system redundancy and backup than many smaller practices could afford to install on their own.

Remotely hosted EHRs get immediate updates, versus having to install them locally

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gchiu replied on Thu, Jul 16 2009 4:47 PM

Well, we agree with a lot of the above.

And we can offer Synapse Server hosted in Amazon's cloud for 20c an hour.  And unlike most SaaS offerings, you have complete control over your data.

I think that is within most people's budgets.  HITECH funding would pay for over 20 years of hosting with enough left to buy some medical equipment.

 

 

Graham
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lroman replied on Fri, Jul 17 2009 10:45 AM

If it is a cloud, how can you have complete control over your data? Does control mean that you can access it anytime you want? If so that's pretty obvious. Or that you actually OWN your data?

 

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CEOMike replied on Fri, Jul 17 2009 11:43 AM

lroman:

If it is a cloud, how can you have complete control over your data? Does control mean that you can access it anytime you want? If so that's pretty obvious. Or that you actually OWN your data?

 

Sorry dude, but you need to study up on ASP, Cloud, SAAS etc. Medscribbler Cloud is a hosted client server that gives access anytime you want with customer ownership of data respositories. Webdmemr is an ASP system running in a browser. This means in all likelihood there are serveral doctors databases on one server with security (physical, financial as well as hacker) of the web server a major issue. Running in a browser also limits technological advances to the capabilities of the browser. BUT, this is a good and viable alternative for some doctors, if they have confidence in a reliable ASP company which I am sure yours is.

Medscribbler Getting you there sooner!

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lroman replied on Fri, Jul 17 2009 12:00 PM

CEOMike:

Sorry dude, but you need to study up on ASP, Cloud, SAAS etc. Medscribbler Cloud is a hosted client server that gives access anytime you want with customer ownership of data respositories. Webdmemr is an ASP system running in a browser. This means in all likelihood there are serveral doctors databases on one server with security (physical, financial as well as hacker) of the web server a major issue. Running in a browser also limits technological advances to the capabilities of the browser. BUT, this is a good and viable alternative for some doctors, if they have confidence in a reliable ASP company which I am sure yours is.

~sigh~    Firstly, I am not a dude.  Secondly, thank you for clearing that up. I watched a special on the news recently about cloud software and that one of the major concerns was the ownership of data. I was under the impression that cloud software was located on servers and is shared by various companies. If these companies own their data, do they own the servers too? And if so, do they all own the same servers that software comes from. You are right, perhaps I should study more on the subject, because I by no means call myself an expert on it.  On thing you could study up on is indentifying gender based on symbols.

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CEOMike replied on Fri, Jul 17 2009 12:26 PM

gchiu:
HITECH funding would pay for over 20 years of hosting with enough left to buy some medical equipment.

I never thought of this, just the interest would pay for Medscribbler Cloud for 6 months of the year - amortized it would probably mean totally free - server bandwidth, management, software for over 10 years!

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CEOMike replied on Fri, Jul 17 2009 12:33 PM

lroman:
I watched a special on the news recently about cloud software

I guess my authoritative sources are not as good as yours, dudette

Seriously, as you use the WebDmemr logo as your avatar I probably assumed wrongly you were an executive with the company. There are many doctors who post because they like their EMR, and they may not have all the technical information which is OK because that's what EMR vendors are suppose to provide.

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mchasemd replied on Fri, Jul 17 2009 12:48 PM

Good point above.  As I wrote earlier, a physician wanted to switch to our product from his current EMR remotely hosted on a hospital systems server farm.  The cost to get his data out would have been just short of a gazillion dollars because the hospital would be forced to hire a database expert to export his co-mingled data for the reason described above--  all practices being hosted to use that EMR shared a large database and drive (where the images were stored).  Parsing out a single practice's data would have been very difficult.  Further, they would only allow one particular consultant "with a trusted relationship with the hospital".

....something to consider.

Matt Chase www.medtuity.com "Practice medicine, not paperwork" ™
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lroman replied on Fri, Jul 17 2009 1:31 PM

CEOMike:

Seriously, as you use the WebDmemr logo as your avatar I probably assumed wrongly you were an executive with the company. There are many doctors who post because they like their EMR, and they may not have all the technical information which is OK because that's what EMR vendors are suppose to provide.

I'm not sure what you mean by this CEOMike. I DO have the technical information regarding WebDMEMR and our standards for data security. What I do NOT have is a clear understanding of is how a cloud based software can offer ownership of data repostiories to its clients.

 

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CEOMike replied on Fri, Jul 17 2009 1:48 PM

lroman:
I do NOT have is a clear understanding

You must be in sales, this is a brutal place for the less than clear. Good luck, dudette, your going to need it.

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lroman replied on Fri, Jul 17 2009 2:27 PM

CEOMike:

lroman:
I do NOT have is a clear understanding

You must be in sales, this is a brutal place for the less than clear. Good luck, dudette, your going to need it.

 

I guess your interpretation of the english language is just as questionable as your mastery of biology 101. In the posts above I happen to be ASKING YOU {( ? ) This is a question mark.} Since you seem to have the knowledge that you so readily deny others of having. I am genuinely curious about this matter. But of course sometimes people find themselves not able to answer a question and find other, not so cunning ways, to save face. Just try to answer the question. Or just ask one of your tech guys CEO.

 

oh and BTW

Forum - an assembly, meeting place, for the discussion of questions of public interest.

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gchiu replied on Fri, Jul 17 2009 4:06 PM

lroman:

If it is a cloud, how can you have complete control over your data? Does control mean that you can access it anytime you want? If so that's pretty obvious. Or that you actually OWN your data?

 

With hosting on Amazon's EC2 and S3, the user owns their own data.  They run the Windows 2003 server themselves, and have full access to the data which they can copy tp local storage at any time if they so wish.

 

Graham
http://www.synapse-ehr.com/
Synapse - the EMR for the superior physician
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lroman replied on Fri, Jul 17 2009 4:28 PM

So they DO own the server?

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gchiu replied on Fri, Jul 17 2009 5:08 PM

Ironman, would you explain clearly what you think cloud based computing services are.

Amazon basically invented this concept so I use their definitions.  Google and Microsoft  (Azure) are late comers and offer complementary services but the ideas are similar.

Once I understand what you think cloud computing is, then we can progress.

 

Graham
http://www.synapse-ehr.com/
Synapse - the EMR for the superior physician
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elidan replied on Fri, Jul 17 2009 5:45 PM

lroman:

So they DO own the server?

Let's say you have a bunch of family jewels and you keep them in a safe deposit box (jewels = data, box = server)

  1. Option 1: Buy a safe, install it in your home and lock your jewels in it. You own the box and you own the jewels = client/server
  2. Option 2: Go to the bank, rent a safe deposit box and put your jewels in it. You do not own the box, but you still own the jewels = ASP

Option2 has variations ranging from pure SaaS, to cloud, to client/server where the server is located at the vendor site (some will make you buy the box in this case).

For all options, you own the jewels = data.

You may give the bank owner permission to wear your jewels (sell data) for a break in safe deposit box rental fees. However, you need to remember that those jewels really belong to the entire family (patients) and you (doctor) are only the gurdian, or trustee, so it may be a good idea to ask them first.

Margalit Gur-Arie

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