Health In Sight: February 2025
 
 

Health In Sight: February 2025

Developments to watch for in healthcare this year

Artificial Intelligence — whether you’re converted, concerned, conflicted or all of the above, there will be no avoiding it this year. All the technology pundits and prognosticators say 2025 will be the year A.I. technology takes root in healthcare and everywhere. 

Part of the push to introduce A.I. and other machine learning tech comes from the need to do more with less. Many governments have empty coffers, having spent big to save as many lives as possible during the coronavirus pandemic years. As treasurers resort to budgetary belt tightening, public hospitals are feeling the squeeze. 

The pandemic continues to affect global production and supply chains, too. There’s less stuff available and it costs more. Vital medicines and hospital supplies are among the items difficult to access. Workforce shortages are ongoing. 

The cost crunch is also hitting consumers and there are daily reminders that hip pocket pain is a key driver of election results. Apart from toppling governments, cost of living pressures has led to people either abandoning private health insurance or cutting back their cover. The domino effect here is putting private hospitals at risk. The 2024 Australian Private Hospitals Association conference was warned of imminent hospital closures, with private maternity hospitals potentially facing extinction. 

While the financial headwinds swirl, populations are aging, driving up demand for healthcare, and increasing wait times and costs. So, it’s little wonder healthcare is looking to smart technology to save the day.  

While the overall proportion of people surveyed who delayed or did not use health services when needed fell over the past year, this did not apply for people with long term health conditions, or people living in areas of most socio-economic disadvantage, who were more likely to forgo care.

Here are other factors likely to impact healthcare in 2025.
1. America the brave

The return of President Trump has global repercussions for healthcare. Halting foreign aid funding – temporarily or otherwise – has already resulted in a shortage of HIV medications in third world countries. President Trump has repealed legislation making medications cheaper for Americans, withdrawn the USA from the World Health Organization, and appointed a man with anti-vaccination (but pro-A.I.) views to lead the Department of Health and Human Services. Change is coming. 

Significant gender gaps on service usage suggests Australian men do not prioritise their health, with women more likely to present at all the healthcare services listed in the survey. For example, 87.3% of women saw a GP in 2023-24, compared to 77.7% of men. Use of telehealth fell, with the data revealing women are significantly more likely to use telehealth services than men.

To read more of the Patient Experience survey results, go to Patient Experiences, 2023-24 financial year | Australian Bureau of Statistics.

2. A.I everywhere

President Trump has removed restrictions that he and his advisors perceived to be hindering rapid development of A.I. technology. Despite many calling for safety and ethical guardrails on machine learning tech, it looks like it’s full steam ahead in the USA. In healthcare, the enterprise medical records systems could be under threat from A.I-powered assistants and countless new use cases for A.I. pop up daily. A few that caught our eye recently include: 

  • cameras over hospital beds to trigger falls risks warning and calculate risk of bed sores, 
  • patient-worn A.I.-powered sensors that take observations and supplement staffing in a hospital ward making do with fewer nurses, and 
  • A.I. algorithms to detect patients who are likely to be frequent fliers at Emergency Departments and trigger intervention prevention programs. 

A.I. diagnostic tools are delivering increasingly accurate data in trials, but there’s justified caution about letting the machines serve as primary decision makers.   

The United Kingdom’s National Health Service (NHS) is also committing to AI technology, introducing a tech bundle called Humphrey after the character from Yes Minister, to increase NHS productivity, and make it easier for consumers to find and book appointments. Judging by the resources linked below, this approach will typify AI adoption in 2025 – deployment to reduce the administrative burden of repetitive tasks, reporting and, potentially, clinical coding. The catchphrase, “let doctors be doctors” is echoing through the halls of healthcare and resonating with time-poor clinicians complaining they spend more time on paperwork than patient care. 

This project is an example of focusing on opportunities to improve health equity, rather than just outcomes data. Cleveland’s Metro Health Institute for Hope recently posted on this issue, suggesting that asking communities how to change health outcomes may be more effective than monitoring distressing data. More detail on the Institute’s logic can be found here: Why health equity’s goal shouldn’t be outcomes

3. Virtually everywhere

The cost of keeping patients in hospital and aged care beds beds is rising so insurers, governments and healthcare companies are looking more closely at the price to keep patients in their own homes. Virtual care in the home, supported by virtual and mobile nurses, telehealth advisors and health coaches, (or South Korea’s A.I.-powered robot grandchild) is not a new concept. But the tide seems to have shifted, partly due to the competitive pricing of scalable, interoperable cloud technology supporting real time data exchange. Safe virtual care depends on finding the right patient, home and carer combinations, and the on-call ability to respond quickly to changes in health status – or patient anxiety levels. Scalability and success of this model of care will hinge on whether governments and funders can find cost-effective funding models that adequately compensate clinicians for their work.  

4. Bad actors

An increasingly digitised healthcare world attracts cyber-criminals like flies to a barbecue. Hospitals are increasingly seen as soft targets; its estimated ransomware attacks have cost US hospitals $21.9 billion in downtime since 2018. There’s also concern the introduction of A.I. systems may provide a wormhole for the crooks to tunnel through. Just as hospitals must consider ‘interactions’ between medications, they now have to look into how all their information technology systems interact and counteract cybercrime. 

5. Consumer data

Like virtual care, wearable health monitoring technology isn’t a new idea, but it is getting smaller, smarter and less intrusive. Watches and rings now offer real time insights into stress levels, oxygen saturation, pain scores, sleep patterns, menstrual cycles, infection risks, and much more. With all this extra data available, the unwell and worried well will want it to be actionable and shareable with their health teams. Health records systems with true connectivity are increasingly important. 

6. Healthcare as a community

Greater connectivity of data – enabling predictive research from aggregated, anonymous ‘data lakes’, is increasingly realistic in 2025. But secure sharing of data requires co-operation and collaboration between humans. Software and technology vendors, government procurement teams and healthcare businesses can no longer keep their heads in the sand when it comes to adopting industry data standards and thereby future-proofing interoperability. The CSIRO-led Sparked community in Australia is an excellent example of getting this right.  

Community health is holistic – social issues such as homelessness, addictions, health literacy, family and domestic violence, and access to mental health care, all impact our primary and tertiary care systems. Being able to share timely information that enables earlier interventions and more appropriate care from multidisciplinary healthcare teams, is ever more important in an ecosystem of tight budgets and time poor clinicians. 

Can technology save the day? We’ll leave the last word with the CEO of the ever-innovative Mayo Clinic, who spoke at the World Economic Forum in Davos. Doctor Gianrico Farrugia is reported as saying the following: 

“I personally would not want to have my healthcare, in some specialties, without A.I. because I firmly believe I will get a better outcome… Shame on all of us, shame on government, if we cannot, at this moment in time, come together and create the pathways and the architecture to be able to do what we already know we can do: provide better outcomes for patients at a scale that was unimaginable a few years ago.” 

At MediRecords, we believe technology should empower healthcare professionals. That’s why we’re building AI-powered platform capabilities designed to optimise workflows, reduce administrative burdens, and make critical patient information more accessible. Contact our Sales Team to learn more about our expanding suite of AI features.

References

The US Halt In Foreign Aid ‘Could Mean Life Or Death For Millions’ 

How the US foreign aid freeze is intensifying humanitarian crises across the globe | CNN 

https://www.mobihealthnews.com/news/elon-musk-confirms-trump-agrees-shut-down-usaid 

Reevaluating And Realigning United States Foreign Aid – The White House 

President Trump orders US to exit World Health Organization 

https://www.beckershospitalreview.com/ai/trump-issues-order-to-remove-ai-barriers-4-things-to-know.html 

https://www.mobihealthnews.com/news/robert-f-kennedy-jr-touts-ai-address-problems-facing-rural-hospitals 

Health insurance: a horror week bodes ill | Health Services Daily 

Healthscope teeters one step closer to the brink | Health Services Daily 

UCSD explores AI cameras for hospital rooms 

Sibel Health to provide wireless monitoring to hospitals in Denmark | MobiHealthNews 

NHS using AI to predict frequent emergency service users 

Why Classic EMR Vendors Will Be Replaced by openEHR and AI Agents Architectures 

Providence CEO ‘totally blown away’ by OpenAI’s healthcare work 

Reducing clinicians’ administrative tasks with artificial intelligence | MobiHealthNews 

https://www.beckershospitalreview.com/ai/whats-next-for-healthcare-ai-in-2025.html 

https://www.beckershospitalreview.com/digital-health/what-are-health-systems-top-digital-priorities.html 

‘Humphrey’ AI tool launched to streamline NHS and public services 

AI Scribing in Healthcare: Why Some Hospitals Are Pulling Ahead 

Driving momentum in healthcare technology amid dramatic change | Wolters Kluwer 

Executives forecast AI’s place in healthcare in 2025, part one | MobiHealthNews 

Executives forecast AI’s place in healthcare in 2025, part two | MobiHealthNews 

How Kaiser Permanente quadrupled its advanced-care-at-home program 

Could virtual hospitals be the solution to the broken NHS? | Digital Health 

AI care robot doll from Korea eyes US entry in 2025 | MobiHealthNews 

https://www.beckershospitalreview.com/news-and-analysis/dont-cannibalize-virtual-nurses-nurse-leaders-say.html 

No Going Home. Hospital at Home is a Hype Machine 

https://www.healthcareitnews.com/news/what-will-ai-do-telemedicine-2025-more-you-might-think 

The dark side of AI for hospitals 

Ransomware attacks cost healthcare $21.9B in downtime 

Two new smart rings unveiled at CES | MobiHealthNews 

QALO unveils new silicon smart ring | MobiHealthNews 

2024 predictions: Health tech suppliers on what’s in store 

7 Healthcare Trends That Will Transform Medicine In 2025 

8 must-have digital technologies for health systems in ’25 

‘Shame on all of us’ if we can’t get healthcare AI right: Mayo Clinic CEO 

7 reasons to rethink technology decisions
 

7 reasons to rethink technology decisions

Tim Pegler

Tim Pegler

My household recently purchased an electric vehicle (EV) – a complete backflip on what we had intended. So, what happened to change our decision?

When it comes to choosing a car, I’m more worrier than warrior. Going electric seemed a bridge too far. Vehicle ‘range anxiety’, trip planning and recharging hassles were big barriers for me to overcome before getting on board EV technology. I’m also brand loyal and very hard to shift.

We were so close to buying a hybrid vehicle. We drove it and loved it. So, what changed? Here are seven factors that influenced our household decision:

1. Conversations with trusted users, ranging from brave and wacky early adopters to recent converts, changed our lens. Discussing pros, cons and compromises with actual users, backed by extensive reading and watching product reviews from balanced, independent sources, was influential.

2. Smart and safe tech: A significant injury has changed our household and how we experience accessibility, mobility and usability. The safety features bundle in the selected vehicle appears to be a usability gamechanger. 

 3. Change management considerations: Many of us are time poor, set in our ways, and disinclined to change. I pessimistically overestimated the change process. But, as one existing user pointed out, “Tim, you already plug in devices every evening so what difference will another make?” To advice from a childhood bakery, I had to ‘Look at the doughnut and not the hole’. 

4. Soft sales technique: The salesperson answered our questions about product features, implementation and onboarding, respected our pre-research, didn’t argue against our confessed biases, and let the product sell itself in an unaccompanied test drive. At no point did we feel pressured or pursued. 

5. Alternatives have not advanced – enough: We tried the latest version of our incumbent vehicle. It was familiar and convenient, and we wanted it to win. There were noticeable improvements but going hybrid felt half-cooked. There would be fuel economy gains but we’d still be paying for servicing old tech, oil and petrol, and not eliminating emissions.     

6. Price: No product is perfect, so we looked at the big picture. In a tabular comparison of safety, product features, economy, run costs and price, we had a clear winner, much to our surprise. Cost comprises more than ticket price.

7. Sustainability: Our home largely runs on solar energy and we’re fortunate to be able to act on environmental concerns and minimise our consumption footprint. We watch the news and are acutely aware people like us have a responsibility to walk the walk, not just talk the talk

As someone with a technology sales role, I have been thinking about how I learn from this consumer experience and apply it to my work in 2025. 

I’ve seen the LinkedIn posts from tech buyers bemoaning people connecting, then pitching and spamming them ad nauseum. Fair enough. Cold calls are like lotto tickets; not many win.  

So in the aim of not hitting your inbox uninvited, here’s how I think my family’s car buying conversion aligns with MediRecords cloud technology: 

1.Trusted.  I encourage would-be buyers to check who has trusted MediRecords with their health records and practice management information. We’re trusted by the Defence Force and other major government clients. Just as importantly, we have loyal clients ranging from sole practitioners to mixed multidisciplinary clinics to large telehealth businesses. You’ll find them on LinkedIn, our website and elsewhere. 

2. Safe. MediRecords’ cloud technology is ISO 27001 and 9001 certified and HIPAA compliant for privacy, security and data safety. We are continually working to improve usability; there’s a big list of user-requested enhancements and innovations going live over the next few weeks. 

One of the key reasons doctors switch to our software is accessibility. You can securely access MediRecords anywhere, without struggling with remote desktop login systems. Cloud tech means no more IT drudgery scheduling updates and backups. And we’re leaders in interoperability — smart ways to exchange data safely. 

3. Outstanding change management. Our team is experienced in change management, with data migration experts and an excellent onboarding and training crew. But the real magic happens when the buyer is as excited as we are about doing business on next generation cloud technology, and the possibilities this creates. Change management is a partnership. 

4. Customer-centred. Our team do not engage in pressure selling. Like the EV dealer, we believe in our product. Our role is to understand your workplace needs and bugbears and then explore together how we can help make your work life easier. 

5. New tech. Traditional server technology still dominates the Australian medical software market, but some vendors are using hybrid technology to bridge the gap to cloud data. If you want the benefits of true cloud connectivity, it’s not the time to go halfway. Governments are on the record stating healthcare data needs to be accessible 24-7; cloud technology needs to be the present, not just the future. 

6. Priced to save you money. MediRecords pricing is competitive but even more so when you look at the big picture. The ability to slash spending on server technology and associated office and electricity costs, along with IT consultants who take you offline for countless software patches and security updates and bill you for storing massive backup files… there are big savings to be made here. 

7. Sustainable. There’s mounting evidence that cloud technology is more sustainable than server tech, thanks to reductions in hardware and energy requirements, and centralisation of data centres and security resources.*  

Like many other consumers, I don’t want to be harassed by sellers. I appreciate good information and timely, accurate responses to questions. I like to stay aware of technological developments so I can work with the best fit solution for the betterment of my family, colleagues, and planet. Selling in this environment is the challenge for sales professionals in 2025. 

My team is committed to goodwill, integrity and a willingness to walk away. We will approach you if we think we can help. If we can’t, thanks for your time and please let us know if things change. 

And yes, I’m self-aware. I’m now an ex-journalist, salesperson who drives an EV. No more dinner party invitations for me. 

Sizzling summer updates
 
 

Sizzling Summer Updates

The MediRecords team is turning up the heat this summer with a range of exciting product enhancements!

Inspired by user feedback and our team’s appetite for innovation, the enhancements include streamlined prescribing and clinical workflows, centralised billing for multi-practice sites, user customisation options and much more. These sizzling updates are designed to boost efficiency and enhance your experience with MediRecords!

Check out the enhancements below, and stay tuned for even more enhancements that will supercharge your productivity and elevate your care this summer. Releases for these new features will start from 27 January 2025. Please refer to the table for the scheduled release dates. Note that these dates are subject to change, so we recommend checking back regularly, as the table will be updated as features go live.

Enhancement Name

Enhancement Description

Availability

Status

Prescribe menu labelling update

The prescribing drop-down menu options are being renamed to provide clearer, more intuitive labels, ensuring prescribers can easily understand their actions. There are no functional changes, just improved labels for ease of use:

  • E-Prescribe → Save Draft (eRx)
  • E-Prescribe and Print → ePrescribe
  • Prescribe → Save Draft (Paper)
  • Prescribe & Print → Prescribe (Paper)
  • Prescribe and New → Save and New (Paper)

This update aims to enhance user experience by offering more transparent and descriptive button labels.

All customers

(Standard and Premium)

Release Completed

Enhanced dose list & search function

The Dose menu in the prescribing window will soon include additional options and a search feature. This update will support prescribers, particularly in medicinal cannabis clinics, by offering more accurate dose choices, such as 0.5ml or 1 puff, and saving time when creating prescriptions. The new search functionality allows providers to quickly find the doses they need and easily save them to their Favourites, eliminating the need to manually enter doses for each prescription.

All customers

(Standard and Premium)

Release Completed

New medicinal cannabis forms in Drug Recipes

The Drug Recipe form list will soon be expanded to include Dried Herb, Dried Flower, and Cartridge options. This update will provide medicinal cannabis clinics and prescribers greater flexibility, allowing them to describe medications more accurately and streamline the prescription process.

All customers

(Standard and Premium)

Release Completed

PBS/RPBS filter enhancement

Easily filter out non-PBS/RPBS medications to streamline prescribing for patients eligible for reduced pharmacy costs. The filter can be applied across drug searches, Drug Recipes, Drug Classes, and Favourites, ensuring you only see PBS/RPBS-listed medications, saving time and improving prescribing accuracy. Ideal for providers who prescribe predominantly from the PBS/RPBS list, such as GPs who bulk bill.

All customers

(Standard and Premium)

Release Completed

Enhanced medication view: Added Prescribed As, Days Between Repeats and Annotations

The Expanded Medication View will soon include Prescribed As, Days Between Repeats, and Annotations, allowing prescribers to easily review key prescription details and how medications were prescribed, all within the Medications grid.

All customers

(Standard and Premium)

Release Completed

Extended Prescription Preview Area

The Prescription Preview display area will be expanded and headers added, enabling users to easily view prescription information from any page in the prescribing workflow, at any time.

All customers

(Standard and Premium)

Release Completed

AIR Claim Status & Failure Messages in Immunisation Grid

AIR Claim Status and Failure Messages will be added to the patient’s Immunisation Grid, allowing users to quickly view the status of outstanding claims or check if an immunisation has been successfully claimed, all within the patient context. This update will help streamline the process of managing immunisation claims.

All customers

(Standard and Premium)

Release Completed

Admission Notes Custom View

The Admission Notes Custom View allows users to personalise their experience by choosing between the existing summary view (the new default option) or a new detailed preview option. This enhancement eliminates the need to open each individual note, enabling users to quickly navigate through patient notes. By saving time and reducing clicks, this feature streamlines the workflow and improves overall efficiency.

Admissions Customers (Premium)

Release Completed

Enhanced Route List & search function in Drug Recipes

The Drug Recipe Route list now aligns with Medications for improved accuracy in electronic prescribing, with a new search function to streamline recipe creation.

All customers

(Standard and Premium)

Release Completed

New Clinical Templates

Discover a comprehensive suite of new clinical templates designed to enhance assessments, streamline care delivery, and support informed decision-making. These include:

  • Observations: Range of Motion (ROM) Upper Limb, Range of Motion (ROM) Lower Limb, Audiogram
  • Examinations: Absolute Cardiovascular Risk Assessment (CVD), Pain Scale Assessment, Glasgow Coma Score/Scale, Eye-Enhanced, Anthropometry, Sharpened Romberg, Neurovascular
  • Health Assessments: Alcohol Use Disorders Identification (AUDIT), Post-traumatic Stress Disorder Checklist (PCL-5)

All customers

(Standard and Premium)

Release Completed

Enhanced Centralised Billing for multi-location practices

MediRecords recently introduced Centralised Billing, enabling users to easily create and manage multiple practices within a single MediRecords customer account. This feature simplifies payment management for organisations with multiple locations. In our upcoming release, you’ll be able to select the desired practice directly from the Invoices, Quotes, Adjustment, and Payment screens. This update will save you time, reduce clicks, and create a more efficient billing process.


For instructions on how to enable Centralised Billing, visit our Knowledge Base article here.

All customers

(Standard and Premium)

Release Completed

Invoice Notes enhancement

Invoice Notes will soon be updated regardless of the invoice status. Previously, the Notes field was disabled once the invoice transitioned away from 'On Hold,' preventing users from capturing important updates like payment delays or awaiting cheque details. With this enhancement, users can maintain a running commentary and add any relevant information about the invoice at any stage, ensuring full visibility and better tracking throughout the payment process.

All customers

(Standard and Premium)

Release Completed


New Account Notes feature

A new feature for adding, updating, and managing account-related notes will soon be available in the billing section of the Accounts Tab. With the upcoming Notes feature directly in the Accounts tab, you’ll be able to capture and access account-specific notes without leaving the billing area. This update will streamline your workflow, keep patient records organised, and ensure important account details are always easily accessible.

All customers

(Standard and Premium)

Release Completed

Credit information added to Invoice

The credit and balance due information will be added directly to the invoice, providing increased visibility of the patient’s account. This enhancement streamlines billing by making it easier to track payments and balances when billing from an appointment or the Waiting Room.

All customers

(Standard and Premium)

Release Pending (Estimated w.c. 24.02.25)

New Patient Header Expand/Collapse feature

A new Collapse/Expand Header feature will soon be introduced in the Patient Header Section, allowing users to manage screen space efficiently. With clearly visible buttons, users can toggle between a full or condensed view, improving navigation and maximising vertical viewing for Patient Records.

All customers

(Standard and Premium)

TBD

New Customisable  Patient Header Widget

The new Customise Patient Header Widget feature will soon allow users to tailor the Patient Header to their unique preferences. With the “Customise Patient Header” toggle, users can personalise the widget and adjust header settings to display the most relevant information. Practices can enable this feature by contacting their Customer Success Manager. Once enabled, users can access the 'Customise Patient Header Widget' in the top right-hand corner of the Patient Header and select up to eight Patient Indicators for a more streamlined and personalised view.

All customers

(Standard and Premium)

TBD

Ability to send an email to multiple recipients

The new multi-recipient email sending feature will allow users to send emails to multiple recipients simultaneously using the ‘Copies To’ field in Email on Demand. The enhanced ‘Recipient’ field under the Contact tab will also support multiple contacts, ensuring secure and efficient communication. This update streamlines workflows, reduces manual effort, and strengthens audit capabilities.

All customers

(Standard and Premium)

TBD

Want to know more about the upcoming features?

Current customers can contact their Customer Success Manager or email  success@medirecords.com for more details.

New to MediRecords? Click the button below to schedule a demo with our Sales team!

Deposits in MediRecords: A Smarter Way to Manage Pre-Payments and Patient Credits

Deposits: A smarter way to handle pre-payments and patient credits

Deposits is now live in MediRecords, providing practices with an easy and organised way to manage pre-payments and payment plans.

Designed for practice managers, billing agents, administrative staff, surgeons, and specialists, Deposits offers an intuitive way to handle funds from the initial quote, right through to the final payment.

With Deposits, users can easily record pre-payments, hold credits in a patient’s account, and apply funds directly to invoices as needed. This dedicated space for deposits in each patient’s account eliminates the need for manual tracking, creating a clear and easy payment process. Deposits provides flexibility to distribute funds across multiple invoices, making it ideal for a range of scenarios—from pre-paid sessions to payments for high-cost surgical procedures.

A new Centralised Billing configuration allows practices with multiple locations to create deposits for different practices within the same MediRecords customer account, without needing to change the viewed practice. This is a game-changer for multi-location practices or practices with central billing teams, providing a more streamlined experience across locations.

MediRecords Product Owner Megan Harker said, “Deposits is designed to be streamlined and flexible. Our goal was to create a feature that could support all service offerings—whether it’s capturing a booking fee when scheduling an appointment or maintaining a record of an incremental payment plan leading up to a procedure. We also prioritised making Deposits information-rich, ensuring that every transaction is recorded in real time, both in the patient record and in reporting.”

Key Benefits of using Deposits
  • Easy tracking: Record and track deposits within the patient’s account. A detailed transaction history is available at a glance.
  • Flexible application across invoices: Apply funds to one or multiple invoices, or combine deposits into a single payment when covering multiple services.
  • Refund and credit options: Refunds can be issued to the patient or held as a credit for future use, providing flexibility for various patient payment preferences.
  • Detailed reporting: A dedicated Deposits Report tracks every movement throughout the deposit’s lifecycle, from creation to allocation and refunds. This ensures your practice’s financial incomings perfectly match the bank statement.
  • Centralised billing for multi-location practices: Create and manage deposits across multiple practices within the same MediRecords customer account, simplifying payment management for practices with multiple locations.
What makes MediRecords Deposits unique? 

MediRecords Deposits goes beyond traditional deposit management by allowing deposits to be shared across multiple providers. This is especially useful for surgical procedures that involve multiple billing parties. A single deposit can be used to pay the primary surgeon, assistant, and anaesthesiologist—all from the same payment.

Our platform also clearly distinguishes between patient credits and outstanding balances, enabling practices to view unpaid invoices alongside available credits in real-time. This structure reduces guesswork in financial reconciliation and promotes more accurate, efficient practice management.

Ready to start using Deposits in MediRecords? 

If you would like to read more on how to use Deposits, please visit the following Knowledge Base articles:

Example use case: General practice 

Emma books a consultation with her GP and makes a $50 deposit to secure her appointment. After the consultation, the clinic generates an invoice for $120, applies the deposit, and Emma pays the remaining $70 with her credit card, all in one seamless transaction.

Alternatively, if Emma books an appointment and pays a deposit, then needs to cancel, the clinic’s no-show policy allows them to refund $30 while retaining $20 as a cancellation fee, all tracked and processed through MediRecords’ Deposits feature.

 

Example use case: Surgical procedure 

John needs a $10,000 surgical procedure but can’t pay the full amount upfront. The practice uses MediRecords’ Deposits feature to set up a payment plan, allowing John to pay in instalments leading up to the surgery. Once the procedure is completed, the practice consolidates these instalments and allocates the funds across invoices for the primary surgeon, assistant surgeon, and anaesthesiologist.  This streamlined process ensures that the practice can easily track payments and maintain accurate financial records while offering flexibility to both the patient and the healthcare team.

Frequently asked questions

Deposits is designed for practice managers, billing agents, administrative staff, surgeons, and specialists who need a reliable method to handle pre-payments, especially for high-cost procedures or multiple-session treatments.

You can record a deposit directly in the patient’s account. Detailed instructions are available in the Knowledge Base under “How to Create a New Deposit?”. 

Yes, deposits can be distributed across multiple invoices, making it easy to manage payments for multi-service scenarios or complex billing cases.

Yes, MediRecords offers a dedicated transactional report for deposits, so every deposit’s movement is recorded and can be easily reviewed.

While there is a field available to earmark a deposit for a particular provider, this does not restrict the deposit to only that provider when it is applied to a payment. This flexibility allows a single deposit to be shared among all applicable staff members. For example, a primary surgeon, assistant, and anaesthesiologist can all be invoiced using the same deposit.

Yes, with Centralised Billing configuration, users can create a deposit for a different practice within the same MediRecords customer account, without switching views.

A deposit is a holding of funds, so it will not appear on any financial reports as “income” or “payment” until it is allocated to a payment. Similarly, it will only appear on the Banking Report once (on the day it is received) and not again when it is allocated to a payment.

The deposit portion of the payment will be reallocated to the patient’s credit pool, making it available for allocation to a new payment, if desired. If a full refund is needed (meaning the money is returned to the patient) a refund of the deposit can also be processed.

Health in Sight: November 2024
 
 

Health in Sight: November 2024

MediRecords reads healthcare news from around the globe so we can be well informed on innovation, developments and decisions that may affect future delivery of care. Here are some of the items that stood out in the inbox recently.

Impatient experiences

A data dump from the Australian Bureau of Statistics has shown some Aussies are delaying or doing without healthcare because they can’t afford it. While two thirds of people surveyed (66.4%) could access their preferred GP when needed, 11% of people in disadvantaged areas had to forgo medication or delay it due to the costs involved. And one in five Australians delayed or did not see a mental health professional because they couldn’t afford it. Significant as it is, this data may underestimate the growing gap in access to care. The Patient Experience Survey only interviewed people aged 15 or older who were usual residents of private dwellings, with the effect that people experiencing homelessness, in temporary or public housing are unlikely to have been counted.

While the overall proportion of people surveyed who delayed or did not use health services when needed fell over the past year, this did not apply for people with long term health conditions, or people living in areas of most socio-economic disadvantage, who were more likely to forgo care.

The survey shows GPs remain at the heart of Australian healthcare, with the proportion of people who saw a family doctor up slightly to 82.6% in 2023-24, from 82.3% in 2022-23. In contrast, only 53% saw a dental professional and 39% a medical specialist in 2023-24. Numbers of people seeing a GP for after hours care (5.2%) or urgent medical care (8.8%) were very low, while 15.3% of Australians visited a hospital emergency department in 2023-24. In outer regional, remote or very remote areas, (presumably with fewer GPs and options for after hours care,) 20.4% of people sought care at their local ED.

Significant gender gaps on service usage suggests Australian men do not prioritise their health, with women more likely to present at all the healthcare services listed in the survey. For example, 87.3% of women saw a GP in 2023-24, compared to 77.7% of men. Use of telehealth fell, with the data revealing women are significantly more likely to use telehealth services than men.

To read more of the Patient Experience survey results, go to Patient Experiences, 2023-24 financial year | Australian Bureau of Statistics.

Housing-health linkages

On the subject of doing without, a Victorian Council of Social Service (VCOSS) Health and Energy Hardship project has sounded the alarm that utility bills are no longer affordable for some households, resulting in people living without heating or cooling. VCOSS says energy hardship has demonstrable impacts on health and lists signs for healthcare professionals to watch for here: Health and Energy Hardship | VCOSS

This project is an example of focusing on opportunities to improve health equity, rather than just outcomes data. Cleveland’s Metro Health Institute for Hope recently posted on this issue, suggesting that asking communities how to change health outcomes may be more effective than monitoring distressing data. More detail on the Institute’s logic can be found here: Why health equity’s goal shouldn’t be outcomes

Cultural connections count

With Australian governments generally failing to achieve progress towards Closing the Gap targets for the health and wellbeing of Aboriginal and Torres Strait Islander Australians (see Closing the Gap targets and outcomes | Closing the Gap), fresh approaches are clearly required. Recent University of New South Wales research may be a step in the right direction, with researchers finding that opportunities to practice culture on Country has a positive impact on “stress relief, inter-generational healing, and the journey to overcoming trauma, which in turn had a positive impact on … overall health and wellbeing.” Further details can be found here: The role of culture and connection in improving Aboriginal health :: Hospital + Healthcare

Season for change

The man who puts the flavour in demographic data, Bernard Salt, has added to the growing body of commentary suggesting the future of Australian Healthcare is in our own homes. Mr Salt told a Perth symposium that healthcare is about to be hit by the “baby boomer freight train” and “we will see the care sector redefined, re-imagined and repurposed” by this numerically and financially influential sector of our population. Health Services Daily reported the respected Mr Salt saying: “They will make it clear how their care should be delivered and the vast majority will want in-home care.” (Read more here: https://www.healthservicesdaily.com.au/future-of-care-is-in-the-home-salt/21895)

Spending to save

Whether you call them DNAs (Did not attend) or FTAs (failed to attend), a no show for a medical appointment means lost revenue and longer waitlists for patients who could have utilised the available timeslot. A partnership between Uber Health and Veteran Affairs in the US has made it easier for people to attend medical appointments by removing transportation as a reason for non-attendance. Veterans Health Administration report that 1.8 million appointments are missed annually due to transportation hurdles. Since inserting the Uber option, they say attendance has risen significantly, saving an estimated $196.7 million in missed appointments. (See VA finds medical transportation fix with Uber Health | TechTarget)

MediRecords at the coalface

As an access-anywhere cloud software system purpose-built for multidisciplinary care, MediRecords is used in a multitude of ways in Australian healthcare. These include use by paramedics; a remote mining camp; street, clinic and hospital care for people experiencing homelessness; Aboriginal health services; telehealth businesses; virtual emergency departments; alternative medication businesses and many more. Please reach out to us if you have a unique or innovative use of MediRecords you would like to showcase.

Tim Pegler

Senior Business Development Manager

AI tools: What GPs think
 
 
 

AI tools: What GPs think

Most GPs believe innovation improves patient health outcomes, yet only eight per cent of them identify as innovators and 35 per cent as early adopters, a new report has found.

TheRACGP’s Health of the Nation 2024 report revealed that while the majority of GPs regularly use digital technologies — such as electronic prescribing — only 13% felt well-informed about innovations within general practice.

The report, in its eighth year, surveyed 3006 practising GPs.

This year, GPs were asked about their perceptions, attitudes, and behaviours regarding innovation in general practice, including:

  • adopting new care delivery methods, such as telehealth;
  • improved communication between healthcare professionals, including interoperable health records; and, 
  • new mechanisms to enhance patient care, such as patient enrolment schemes like MyMedicare.

GPs identified funding incentives as the most significant enabler of innovation in general practice, with 60% highlighting this factor.

While one survey respondent enthused, “Innovation has significantly enhanced general practice, particularly through technology”, 83% of GPs reported that they rarely or never use artificial intelligence tools.

GPs were asked, ”What new innovative practices or methods do you believe should be adopted to positively impact the care you provide?” They said:

  • electronic health records, which improve care coordination and reduce errors
  •  telemedicine, which increases accessibility
  • AI-driven tools 
  • systems that talk to each other/improved interoperability
  • streamlined administrative systems that analyse business data
  • new models of care
  • multidisciplinary care
  • a health status dashboard for patients to see what is recommended for their age
  • remote monitoring, including wearable devices and health apps that empower patients to monitor their health

“Overall, these advancements save time, enhance accuracy, and enable more personalised healthcare, ultimately improving patient outcomes and the efficiency of general practice,” a GP summarised.

Regarding using AI scribe tools, one GP expressed increased job satisfaction after adopting the technology: “A happy GP is a good GP, and I’m even reconsidering my retirement plans.”

Founder and CEO of MediRecords Matthew Galetto commented that the report’s chapter on innovation “notably omits discussion of cloud and related technologies as a key enabler of digital innovation in primary care practices”.

“The report also lacks mention of the government’s initiative to promote real-time information sharing using FHIR (Fast Healthcare Interoperability Resources) standards, which are essential for interoperability and seamless patient care,” Mr Galetto said.

“FHIR is also a key enabler of digital innovation.”

MediRecords is a leading digital innovator in healthcare, delivering cloud-based solutions built to FHIR standards across a diverse range of medical environments, from primary to tertiary care. Its recent integration of Heidi AI Scribe, an advanced AI tool powered by Heidi Health that streamlines clinical documentation, reinforces MediRecords’ commitment to digital innovation. Learn more about the partnership between Heidi Health and MediRecords here.

Experience Heidi AI Scribe in MediRecords

Reduce administrative burden and focus more on patient care with Heidi Health's AI-powered scribe tool, integrated seamlessly with MediRecords clinical dashboard.

MediRecords teams with Heidi Health for smarter clinical notes
 

MediRecords teams with Heidi Health for smarter clinical notes

AI note-taking technology to streamline clinical documentation will be available in MediRecords from October.

 

The leading cloud electronic health record and practice management system will offer an integration with Heidi Health’s AI Medical Scribe, enabling clinical consultations to be transformed into notes or documents in seconds. Doctors will not need to log into a separate software system, or cut and paste across browser tabs, thanks to embedded Heidi capability inside MediRecords.

Supporting millions of sessions per month, Heidi generates documents such as referral letters, clinical notes and Care Plans. With Heidi scribing, doctors can type less and reclaim time for patient care — or better work life balance.

MediRecords Founder and CEO Matthew Galetto said: “Everything we can do to improve working conditions for clinicians helps them provide better patient outcomes. We are excited about partnering with Heidi Health and our other AI initiatives on the way.”

Heidi Health Founder and CEO Dr Thomas Kelly said: “As a clinician, I recognise that doctors rarely experience benefits from introducing new tools. Heidi is the rare case where simply clicking a button can be life-changing, saving hours of work each day. We’re proud to be partnering with MediRecords, who have led the industry in cloud, interoperability and now, AI.”

Heidi Health data shows clinicians spend more than two hours per day on tasks other than patient care, losing up to $66,000 annually as a result. AI scribe technology means they can work up to twice as efficiently. Doctors who use Heidi report “getting home on time” and “taking their lunch break again.”

With a Heidi subscription, MediRecords users can launch AI ambient technology from their clinical dashboard, transforming consultations into templated notes for review by the user. Once reviewed, the notes are automatically added to MediRecords’ Today’s Notes field. Heidi Health technology is GDPR and APP (Australian Privacy Principles) compliant and ISO27001 and SOC2 accredited for security.

MediRecords is a multidisciplinary EHR and PMS system used by clients including Queensland Health, the Victorian Virtual Emergency Department and soon to be deployed by the Australian Defence Force.

Media inquiries

To arrange to speak with Mr Galetto, or for further information on MediRecords, please email Tim Pegler or call 0435 444 690.

To arrange to speak to Dr Kelly, please email leah@heidihealth.com.

Key features MediRecords customers can expect with Heidi AI Medical Scribe

AI Scribing

Rely on high-quality AI scribing for consultations lasting up to two hours, ensuring detailed and accurate notes.

Multilingual Scribing

Benefit from Heidi AI Scribe in 26 languages, supporting diverse patient communities.

Smart Transcription

Upgrade from traditional dictation to smart transcription. No need for manual commands like "Full stop. New line."

Custom Templates

Create your own note formats or choose from pre-built templates to suit your clinical workflow.

One-Click Access

Once configured, you can open Heidi AI Scribe directly within MediRecords without the hassle of separate logins.

Auto Documentation

Following clinical review, Heidi AI Scribe adds notes to Today’s Notes, streamlining your documentation process.

Interested in finding out more about Heidi AI Scribe in MediRecords?

Complete the form below, and a member of our team will be in touch. 


Aussies’ Sexual Health Trends: Insights for Sexual Health Month
 

Aussies’ Sexual Health Trends: Insights for Sexual Health Month

Sexual Health Month provides a timely opportunity to survey some of the recent research in the field of sexual and reproductive health — and report some news from the coalface.

Travellers

Travelling Aussies are mostly proactive about their sexual health before departure when they see a travel-medicine doctor or nurse, with 72% of those in the study requesting STI testing pre-departure.

Over 60s

A survey of 1840 people aged over 60 found patients want GPs to initiate sexual health conversations as part of routine care. It also found that barriers included patient embarrassment, uncertainty about finding solutions, and ageism. 

James Sneddon, co-founder of Stigma Health, said that while the largest age group accessing STI testing via his service is 20-30, the next biggest bracket is those aged 60-70, “with an influx of those who are pushing 80”.

Prostate cancer

Information on complications with sexual function following prostate surgery are the most commonly unmet need among men with prostate cancer, a study found. The researchers recommended sexual well-being discussions as standard care for all prostate cancer patients.

Women’s health

A special edition of the Australian Journal of Primary Health dedicated to optimising women’s sexual and reproductive health in primary care highlighted that:

  • There is a high level of unmet need for effective contraception in Australia and access barriers including the availability of services. 
  • The limited number of GPs who insert intrauterine devices presents a significant barrier to access.
  • Access to abortion care in Australia is inequitable, especially outside cities, and few publicly-funded abortion options are available in most states.
  • There is an urgent need for transparency around public abortion service availability and government commitment to expanding abortion care.
  • Most women did not receive in-depth contraceptive counselling antenatally or postnatally, but would have found this useful.
  • Women surveyed about over-the-counter access to the oral contraceptive pill were in favour, especially for repeat prescriptions.

Awkward

For sexual health month, the key message from Mr Sneddon is:  “Get awkward. Have a conversation with your mates or your partner about getting tested; the majority of STIs have no symptoms.” Among Aussies tested via Stigma Health, there has been a recent surge in Chlamydia numbers; it is 33% higher than the 5-year mean, Mr Sneddon said.

 

Further reading:

Ahmed, Z., Gu, Y., Sinha, K., Mutowo, M., Gauld, N., & Parkinson, B. (2024). A qualitative exploration of the over-the-counter availability of oral contraceptive pills in Australia. PloS one, 19(6), e0305085.

Bourchier, L., Temple-Smith, M., Hocking, J. S., & Malta, S. (2024). Older patients want to talk about sexual health in Australian primary care. Australian Journal of Primary Health, 30(4).

Charlick, M., Tiruye, T., Ettridge, K., O’Callaghan, M., Sara, S., Jay, A., & Beckmann, K. (2024). Prostate Cancer Related Sexual Dysfunction and Barriers to Help Seeking: A Scoping Review. Psycho‐Oncology, 33(8), e9303.

Dev, T., Buckingham, P., & Mazza, D. (2023). Women’s perspectives of direct pharmacy access to oral contraception. Australian Journal of Primary Health.

Haas, M., Church, J., Street, D. J., Bateson, D., & Mazza, D. (2023). How can we encourage the provision of early medical abortion in primary care? Results of a best-worst scaling survey. Australian Journal of Primary Health, 29(3), 252–259

Li, C. K., Botfield, J., Amos, N., Mazza, D. (2023) Women’s experiences of, and preferences for, postpartum contraception counselling. Australian Journal of Primary Health 29(3), 229-234.

Mazza, D., & Botfield, J. R. (2023). The role of primary care in optimising women’s sexual and reproductive health. Australian Journal of Primary Health, 29(i–iii).

Power, A., Tuteja, A., Mascarenhas, L., & Temple-Smith, M. (2023). A qualitative exploration of obtaining informed consent in medical consultations with Burma-born women. Australian Journal of Primary Health, 29(3), 284–291.

Srinivasan, S., Botfield, J. R., & Mazza, D. (2023). Utilising Health Pathways to understand the availability of public abortion in Australia. Australian Journal of Primary Health, 29(3), 260–267

Warzywoda, S., Fowler, J. A., Debattista, J., Mills, D. J., Furuya-Kanamori, L., Durham, J., … & Dean, J. A. (2024). The provision of sexual and reproductive health information and services to travellers: an exploratory survey of Australian travel medicine clinicians. Sexual Health, 21(1).

Stigma Health eliminates embarrassment by removing the need for in-person clinical consultations and allowing consumers to get a non-confrontational STI-test pathology referral online then take it to any of the 10,000 pathology collection centres Australia-wide.

 

Meditations on a National Conference with a conscience
 
 

Meditations on a National Conference with a conscience

The theme for the Catholic Health Australia National Conference that wound up in Sydney this week was ‘Rejoice Reimagine’. MediRecords has attended numerous innovation-focused gatherings over the years, but none where faith and belief have been so central to proceedings.

The theme for the Catholic Health Australia National Conference that wound up in Sydney this week was ‘Rejoice Reimagine’. MediRecords has attended numerous innovation-focused gatherings over the years, but none where faith and belief have been so central to proceedings. Here are four take-aways from the event.

Keynote speaker Dr  Gill Hicks  spoke with amazing grace about the events that led to her being critically wounded in a London terrorist attack and hospitalised for six months, initially labelled by rescuers as ‘one unknown, estimated female’. Dr Hicks said there is always opportunity in adversity; she used the loss of her legs as her chance to become taller, through longer than recommended prosthetic limbs. She said the thought of not being able to make a natural footprint on Australian soil had been confronting until she realised ‘how we leave each other’ is of more lasting importance.

Australian Government Department of Health and Aged Care Secretary Blair Comley said that in developing a strategic map for health and aged care nationally, the department was aware it should be thinking 15 to 30 years ahead. He said the strategy had four key priorities:

  1. Prioritise prevention and early intervention.
  2. Address health and aged care inequities.
  3. Enhance system integration, in part through private sector engagement.
  4. Leverage available health and digital technology.

Australian Medical Association federal president Professor Steve Robson said the recent introduction of electronic medical record (EMR) technology that was non-intuitive and complex for users had been a catastrophe. The transition period had been “really awful”, and several senior colleagues had left healthcare due to added stress and workload. Professor Robson urged politicians to spend less time cutting ribbons and announcing tech projects, when the focus should be on systems that enable patient-centred care.

Operations Manager at St Vincent’s Health Network Sydney Katya Issa spoke of how prison accelerates aging and exacerbates existing illnesses. Older people often enter prison without medications, mobility aids and glasses, and can face long delays getting these. She said St Vincent’s Health needed to keep advocating for sentencing reform, age-specific facilities and more transitional services for people leaving prisons.

Senior Peer Worker at the NSW Justice Health & Forensic Mental Health Network, Andrew Padayachy, who was arrested, charged and then had all charges dropped after several months in prison, spoke of the humiliation of being wheeled into a public hospital for a brain scan, handcuffed by hands and feet to a wheelchair. Mr Padayachy also called for greater support for people being released as many had become dependent on the justice system, having forgotten how to live in the community.

MediRecords welcomes opportunities to work with faith-based and social justice organisations. An alternative to larger EMR vendors, our interoperable, secure, cloud-hosted Electronic Health Records system provides a longitudinal view of care in the community and hospitals. Our new Admissions module, built to support 200 beds managed by the Australian Defence Force, includes electronic prescribing, progress notes, handovers, charting, and assessments. Medication management and a new patient portal are in development.

MediRecords welcomes opportunities to work with faith-based and social justice organisations. An alternative to larger EMR vendors, our interoperable, secure, cloud-hosted Electronic Health Records system provides a longitudinal view of care in the community and hospitals. Our new Admissions module, built to support 200 beds managed by the Australian Defence Force, includes electronic prescribing, progress notes, handovers, charting, and assessments. Medication management and a new patient portal are in development.

Homelessness Awareness Week: The housing-health nexus
 

Homelessness Awareness Week: The housing-health nexus

Tonight almost 122,500 Australians will have nowhere safe and secure to sleep, the most recent census data shows. One in seven of them will be children under 12.

In 2022-23, 273,600 people were assisted by homelessness services, with another 108,000 unable to be assisted due to insufficient staff, accommodation or resources. In the group who could not be supported by overstretched services, 80 per cent were women and children, many of whom were fleeing domestic and family violence, according to the Australian Institute of Health and Welfare.

This week, Homelessness Awareness Week, the national peak body for homelessness, Homelessness Australia, is calling for the changes that could turn the tide of homelessness, including:

  • Increasing social housing to 10% of all housing;
  • Increasing funding to homelessness services to meet need; and
  • Increasing income support payments to at least $80 a day.

This week also serves as a stark reminder of the health difficulties faced by people experiencing homelessness (PEH). Studies in Australia and internationally have found about 60% of PEH have a long-term physical condition or long-term mental health conditions – higher than the population who do not experience homelessness.

The health disparities of PEH and a revolving hospital door — PEH are 43% more likely to reattend emergency departments within 28 days — reflect the social circumstances that have contributed to the experience of homelessness.

A wide-ranging review study this year, led by Jean-Phillipe Miller at St Vincent’s Hospital Melbourne, argued that while PEH were often viewed by healthcare services as “hard to reach”, it is the services themselves that are difficult to access for this vulnerable group. 

By bringing healthcare directly to those in need, outreach programs, such as primary healthcare service outreach programs, offer a promising solution. A UK study found they can help bridge the gap between the homeless and essential health services. 

Homeless Healthcare in Perth is one such service, providing outreach health care to PEH on the streets, along with fixed site clinics and a 20-bed inpatient facility.

CEO Alison Sayer said Homeless Healthcare provides services where they are most needed, creating an alternative to busy public emergency departments.

She said Homeless Healthcare supported over 2500 people in 2023, many of whom had multiple health conditions.

Ms Sayer said, “People experiencing homelessness have an average life expectancy of less than 50 years, a stark contrast to the average Australian who can expect to live into their 80s.

“This disparity largely exists due to the many barriers preventing people experiencing homelessness from accessing healthcare. Health problems are among the most significant factors leading to and perpetuating homelessness.” 

MediRecords is proud to support the work of Homeless Healthcare as the electronic health record system for inpatient and outpatient care.

You can help make a difference by donating to Homeless Healthcare today – donate here

Sources and further reading:

Australian Institute of Health and Welfare. (2023). Health of people experiencing homelessness. https://www.aihw.gov.au/reports/australias-health/health-of-people-experiencing-homelessness

Homelessness Australia. (2023). Home. https://homelessnessaustralia.org.au/

Kopanitsa, V., McWilliams, S., Leung, R., Schischa, B., Sarela, S., Perelmuter, S., Sheeran, E., Mourgue, L., Tan, G. C., & Rosenthal, D. M. (2023). A systematic scoping review of primary health care service outreach for homeless populations. Family Practice, 40(1), 138-151. https://doi.org/10.1093/fampra/cmac075

Lee, S., Thomas, P., Newnham, H., Freidin, J., Smith, C., Lowthian, J., Borghmans, F., Gocentas, R. A., De Silva, D., & Stafrace, S. (2019). Homeless status documentation at a metropolitan hospital emergency department. Emergency Medicine Australasia, 31, 639–645.

Miller, J. P., Hutton, J., Doherty, C., & Holmes, C. (2024). A scoping review examining patient experience and what matters to people experiencing homelessness when seeking healthcare. BMC Health Services Research, 24(492). https://doi.org/10.1186/s12913-024-10971-8

Morrison, D. S. (2009). Homelessness as an independent risk factor for mortality: Results from a retrospective cohort study. International Journal of Epidemiology, 38(3), 877–883. https://doi.org/10.1093/ije/dyp160

Queen, A. B., Lowrie, R., Richardson, J., & Williamson, A. E. (2017). Multimorbidity, disadvantage, and patient engagement within a specialist homeless health service in the UK: An in-depth study of general practice data. BJGP Open, 1(3). https://doi.org/10.3399/bjgpopen17X100941

Wood, L., Wood, N. J. R., Vallesi, S., Stafford, A., Davies, A., & Cumming, C. (2019). Hospital collaboration with a housing first program to improve health outcomes for people experiencing homelessness. Housing, Care and Support, 22(1), 27–39.