The upshot, according to InSo, is our network is hopelessly inadequate, and rather than getting beefed up, it needs to be tossed out and an entirely new network constructed. In the proposed scheme, each office would be directly connected to the Internet.
Furthermore, because our practice is located in so many locations, all that connectivity will be costly.
We also discussed options for where to keep the data servers for the EHR: at Tri-County, at Noyes (which we do now), at a data center (probably in Rochester), or at eClinicalWorks in Massachusetts. InSo argued that a professional data center would be the best option, which InSo claimed would give us the best combination of security, reliability, control, and access.
The technical terms and concepts discussed are daunting. Evaluating the recommendations and costs will be challenging. The plan is to at least get input from Noyes' IS people regarding the proposed network scheme.
One thing that became clear to me is that because Tri-County is located in so many places, our EHR implementation will be much harder than those local offices with one or two locations. Launching at seven locations is not seven times harder. It may be seven-squared, or 49 times harder!
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