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Hosted Vs SAS version

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Hi all

Good morning

We are an Internal Medicine practice with 3 providers using ECW since 2010 The response time is too slow for us to see patients despite having the highest bandwidth that we can in our area. We are pondering the following:

1. Should we host ECW in an in house server
2. What will be the initial cost be ?
3. How do you manage back ups cloud back up or physical back up?
4. Any other issues in hosting
5. Any recommendations for a vendor for maintaining the server

Thanks for your insight.


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