How can doing this in purely in "the cloud", "the web", possibly be a good idea?<p>Yes, there's a real problem this is solving ... until a shift change happens at the same time the hospital's Internet connection is down. Surely you could put a small, generic machine or two running your own software on the hospital's net that does the local work, or takes over if the Internet connection is down, etc.<p>Or do you depend on cell phone tech as a backup for the hospitals? In that case, the infrastructure at your end had best have some serious redundancy ... which is fortunately fairly easy and not that expensive to arrange nowadays.<p>Why I'm obsessing on this detail, besides normally rock solid AT&T have a long outage that might have covered our entire town or more yesterday? I live in tornado country, and know how easily services can get knocked out by weather of all sorts. Here's an extreme case I avoided by luck and preparation: <a href="http://stormdoctor.blogspot.com/2011/06/first-response-mode-may-22-2011-joplin.html" rel="nofollow">http://stormdoctor.blogspot.com/2011/06/first-response-mode-...</a>