Today we tell the story of a medical office’s journey to the cloud. This particular client was facing their server operating system reaching end of support (a HIPAA violation) in the near future. They had begun by looking at their electronic medical records software company’s online offering, which didn’t have all the functionality of their on-premises software and was very expensive (this is typical).

They next decided to look into moving their current on-premises software into the cloud and we were asked to help with the testing. We determined that it would be best to move the file portion of the server to SharePoint / OneDrive to increase their mobility and flexibility. We also determined that it would be best to move them away from on premises Active Directory into Azure Active Directory / Intune to allow authentication and security policies. Finally we began testing the on-premises software hosted on a server in Azure with a VPN connection to their office.

The SharePoint / OneDrive and Azure Active Directory portions went through with little issues. The server, however, was not as we had hoped. The Azure VPN connection was expensive due to it always being on and no way of turning it off outside of business hours. The performance of the SQL database that the on-premises software used was basically unusable. The other option would be to create virtual desktops on Azure for this purpose but the cost and functionality was not what the customer was hoping for.

This has lead them back to searching for an online EMR software that will meet all their requirements. This will be tough because most companies are good at some things, but not all things and compromises usually have to be made. Our hope is that this story is a lesson to other companies. The cloud may sound like the newest and best way to work, but the costs and functionality are often worse than expected.

If your company is going to use full disk encryption or has compliance requirements that you need consulting for, then contact us for assistance.