PATIENT MANAGEMENT SYSTEMS - UPDATE #2 - Technology Requirements and Integration with other systems - Nelson Bays Primary Health

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PATIENT MANAGEMENT
     SYSTEMS - UPDATE #2
Technology Requirements and Integration with
                              other systems

                                 Gordon Munro
                                  gordon@peritia.co.nz
Document Purpose
This document is the second in a short series being produced on behalf of Nelson Bays Primary
Health (NBPH) Trust. The series aims to provide an update to Practice Owners, Managers, General
Practitioners and staff on some of the information discovered during the work undertaken by the
PHO to select a Patient Management System for use within the PHO.
In Update #1 we examined Medtech Evolution and Indici PMS for their Patient Centricity,
Technology platform and Future focus. In this update we are going to discuss our findings on how
the two PMS work with other systems and some basic technology requirements for PMS users.

Integration with Other Systems
In Primary Care, Patient Management Systems interact with other systems for processes such as GP
Claims and Referrals. In this paper we look at how well Indici and Evolution interact with some of
the more common systems in use. The systems we considered were;

     •    HealthOne                    •   ERMS                          •   GP2GP

     •    HealthLink                   •   SMS Messaging                 •   Patient Dashboard

     •    DrInfo                       •   Xero Accounting               •   GP Claims

     •    Telehealth                   •   Patient Portals

We contacted Medtech and Indici asking for details on their ability to interact with the above
systems. The responses we received are tabulated in an Appendix in this paper.
Results
In general, and as you would expect, Medtech is currently compatible with more of the systems we
investigated than Indici. Indici has no General Practice sites in the South Island yet and therefore
systems such as HealthOne and ERMS are new to Indici and the integration with these systems
needs to be developed. That said, it is pleasing to hear that Indici has an aggressive development
program underway which has already delivered much of the required integration to systems with
more key capability due by February 2019. Medtech also has a development programme to deliver
more capability in 2018, such as integration with Xero and MYOB accounting software.
Some points of Interest
Our research uncovered some information which may be of interest to Practices.
HealthOne
The HealthOne system receives data from each General Practice via an integration between the
Practice PMS and HealthOne. Medtech has well established integration with HealthOne for both
Medtech32 and Evolution. Indici has the integration in development and expects it to be ready early
in 2018.
Practices must notify HealthOne of their intention to move to a new PMS if the Practice uses
HealthOne. Currently, HealthOne requires 6 weeks for the data cleansing and migration processes
for MedTech and Sirius, but has not completed this with Indici yet, so will need additional time for
testing and process creation.

Patient Management Systems - Update #2                                                                 1
Patient Portals
Both PMS systems offer patient portals. Medtech allows the use of their own portal, ‘Manage My
Health’ or practices can use 3rd party patient portals such as ConnectMed. Indici requires practices
to use the Indici Patient Portal. Third party patient portals are not compatible with Indici at this
stage. There is no indication of when that might change. Therefore, General Practices moving to
Indici will need to re-register their patients on the Indici portal.
GP2GP
Both Medtech and Indici support transfer of patient notes via GP2GP over HealthLink. In addition,
Indici enables GP2GP over HealthLink alternatives such as Medical Objects and Health Intelligent
Messaging. There have been reports of practices in North Island who are on Indici having issues with
HealthLink.
GP Claims
Halcyon, which is part of the GP Claims system, is fully integrated with MedTech Evolution and is live
in a number of sites. Karo Data Management has a proof of concept with the diabetes form (one of
the more complex forms) with Indici and is currently aiming for an end of February deadline for the
delivery of the rest of the Nelson forms on the Indici platform.

Technology Requirements
In the previous paper we addressed the different ways the two PMS could be deployed; Cloud,
Hosted or on Premise for Evolution or Cloud only for Indici. But, what does a user need to access the
PMS? The table below gives you some brief information.

                                         Medtech Evolution                        Indici
 Device compatibility              Windows only*                     Windows PC or laptop
                                                                     Apple iMac or MacBook
 Vendor recommended                Windows 8 or Windows 10           Windows 10
 operating system
                                                                     MacOS
 Required software                 Medtech published application     Chrome web browser
                                   or installed client or Remote     preferred
                                   Access software
 Mobile Access                     Evolution Mobile App (iOS or      Indici Web page or
                                   Android)
                                                                     Indici Mobile app
 Mobile functionality              Yet to be assessed                Yet to be assessed

*Evolution does not install on Apple MacOS. Mac users must use Remote access client to access
Evolution.
In summary, Medtech only installs on Windows PCs, Android or iOS devices. Medtech does not
operate on Mac devices. In contrast, Indici is more adaptable because it only requires a web
browser and does not install on your device.

Patient Management Systems - Update #2                                                                 2
What is next?
The analysis of the two PMS solutions is ongoing. We will be providing one or two more updates in
the New Year. If you have questions about the content of this bulletin or topics you would like
covered in future bulletins, please contact Gordon Munro.

Note
None of the information in this document should be taken as an endorsement of one PMS over
another.

Patient Management Systems - Update #2                                                              3
Appendix – Current State of System Integration
The table below summarises the information provided by both Medtech and Indici on the current
state of their system integrations as at 1st December 2018.

                                             MedTech                               Indici
 HealthOne                         Integrated                        In development.
                                                                     Expect to be in a position to
                                                                     upload data in Jan 2019.
                                                                     Alternative is offered within
                                                                     Indici
 ERMS                              Integrated                        In development.
                                                                     Expected release Jan 2019
 GP2GP                             Integrated                        Supported over HealthLink.
                                                                     Will also have support for HIM
                                                                     and Medical Objects as
                                                                     alternative to HealthLink soon.
 HealthLink                        Supported                         No response
 HealthLink alternatives such as   No Response                       Expect to have support for HIM
 HIM                                                                 and Medical Objects as
                                                                     alternative to HealthLink soon.
 SMS Messaging                     Medtech SMS only                  Choice of providers. All fully
                                                                     integrated
 Patient Dashboard                 Uses an application developed     Use Indici native functionality
                                   by Procon. The app is available   instead of Procon app.
                                   for Medtech only
 DrInfo                            Available or Evolution has        Can be activated anytime
                                   enhanced reporting capability
 GP Claims                         Integrated                        In development,
                                                                     Expected release Jan 2019
 Telehealth                        Available via Manage My           Integrated or can use Vidyo.
                                   Health app.                       Zoom support coming soon.
 Patient Portal                    Available via Manage My           MyIndici only. No 3rd party
                                   Health or can use 3rd party       option
                                   such as ConnectMed
 Xero Accounting                   In development.                   Available
                                   Expect release early 2019
 MYOB Accounting                   In development.                   Available
                                   Expect release early 2019

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