4.
Don't assume initial software cost represents TCO.
Be sure to evaluate the "total cost of ownership" (TCO), which includes the initial cost of software, installation, training, and ongoing costs. Ask a few colleagues what their annual IT support cost is (independent of software support and updates). In my experience, there can be wide variations. For example, while some midsized dental practices report $8,000 to $13,000 per year for onsite IT PC support, other similar-sized practices using Macs report $300 to $500 per year.
5.
Don't assume the cloud is right for everyone.
We estimate only 2% of dental practices in the US use a cloud solution. Why so few? There is a strong argument that client server is easier, more proven, and safer for patient data. I'm sure you've heard of companies like Google, Anthem Health, AOL, Target, Home Depot, etc., having their data hacked, and cloud outages for Microsoft, Amazon, Verizon, Google, Apple, etc. If you're considering a cloud solution, investigate the availability, reliability, and monthly cost of a primary high-speed Internet connection plus a redundant high-speed connection. Don't assume that five to 15 computers in your office can share a cellular modem connection as a backup with acceptable performance.
6.
Don't assume cloud software will work natively with your imaging equipment.
If you prefer Apple computers and Mac devices, make sure you know the differences between an OS X "native" solution like MacPractice and a cloud solution that runs in a browser on a Mac. The differences are huge.