Pros.
- Less up-front costs for licensing
- No server hardware or software to purchase/house/maintain
- Possibly easier to transition to a different system
- More cost effective for solo/small group practices
- Better support
- Easy to set up hot-site in case of disaster
- Host companies typically have more sophisticated security measures/data protection
- Vendor more likely to meet HIPAA regulations than the practice can
- Onus more on vendor to meet Meaningful Use
- Good for physicians who are not office-based or travel a lot
- Customizability limited
- Latency or lag time accessing information across web/ slower response time
- Patient information may be compromised if co-mingled with other clients
- At the mercy of the vendor regarding backups, security
- More expensive over the long haul
- Captive client – host controls your data
- Practice is dead in the water with internet outage
- May not be viable for rural practices with limited internet options
- Practice can lose data if vendor goes out of business
- May be impractical for uploading larger imaging files
- Bandwidth limited by practice’s internet connection
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