IOS Update Best Practices for Business Devices

We're trying to figure out some best practices for doing iOS software updates to business devices.  Our devices are scattered across 24 hospitals and parts of two states. Going forward there might be hundreds of iOS devices at each facility.  Apple has tools for doing this in a smaller setting with a limited network, but to my knowledge, nothing (yet) for a larger implementation.  I know configurator can be used to do iOS updates.  I found this online:
https://www.youtube.com/watch?v=6QPbZG3e-Uc
I'm thinking the approach to take for the time being would be to have a mobile sync station setup with configurator for use at each facility.  The station would be moved throughout the facility to perform updates to the various devices.  Thought I'd see if anyone has tried this approach, or has any other ideas for dealing with device software updates.  Thanks in advance. 

Hi Bonesaw1962,
We've had our staff and students run iOS updates OTA via Settings -> Software Update. In the past, we put a DNS block on Apple's update servers to prevent users from updating iOS (like last fall when iOS 7 was first released). By blocking mesu.apple com, the iPads weren't able to check for or install any iOS software updates. We waited until iOS 7.0.3 was released before we removed the block to mesu.apple.com at which point we told users if they wanted to update to iOS 7 they could do so OTA. We used our MDM to run reports periodically to see how many people updated to iOS 7 and how many stayed on iOS 6. As time went on, just about everyone updated on their own.
If you go this route (depending on the number of devices you have), you may want to take a look at Caching Server 2 to help with the network load https://www.apple.com/osx/server/features/#caching-server . From Apple's website, "When a user on your network downloads new software from Apple, a copy is automatically stored on your server. So the next time other users on your network update or download that same software, they actually access it from inside the network."
I wish there was a way for MDMs to manage iOS updates, but unfortunately Apple hasn't made this feature available to MDM providers. I've given this feedback to our Apple SE, but haven't heard if it is being considered or not. Keeping fingers crossed.
Hope this helps. Let us know what you decide on and keep us posted on the progress. Good luck!!
~Joe

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