I can see both sides of the issue. Fact of the matter is that local IT at small hospitals and doctor's offices simply are not capable of maintaining a high availability and secure EMR system until and unless you get it all the way to "here's your half rack of server appliances - plug it in, done". Losing network is a major problem in other ways as well, of course. But either and both are cases that need to be carefully thought through as part of the facilities' BCP. A cyber attack taking down your local servers can kill your availability same as a network outage.