Reducing The Cost of Admin in Australian General Practice

Reducing The Cost of Admin in Australian General Practice

“I get home an hour early every day.”

That line belongs to an Australian GP describing what an AI tool changed about her working day. Admin is usually costed in minutes – a few lost per consultation, tallied up at day’s end into an operational inconvenience. That accounting is comfortable, since it keeps the issue small enough to live with, but three studies published across 2025 and early 2026 – one from the American Medical Association, one a survey of general practitioners in the United Kingdom, and the Australian focus groups already quoted above – suggest the real figure sits differently. 

Across all three, documentation is the task doctors nominate most often for automation, ahead of diagnostic support, referral drafting and patient communication combined.

Where the burden concentrates

The American Medical Association’s 2024 survey of nearly 1,200 physicians found that 57% named reducing administrative burden through automation as the single biggest opportunity AI offered them, ahead of diagnostic accuracy and personalised treatment. 

Actual use nearly doubled over the same period – 66% of physicians reported using AI in 2024, up from 38% the year before, a rise of 78% in twelve months. Asked what they used it for, physicians pointed to documentation more than anything else too, with use of AI for billing codes, charts and visit notes rising from 13 to 21% of physicians in a single year, the fastest-growing application in the survey.

The same pattern holds in the United Kingdom, where Charlotte Blease and colleagues’ 2025 survey of 1,005 general practitioners, published in Digital Health, found that 25% now use generative AI in clinical practice, and that among those users, 35% applied it to documentation after patient appointments – the largest single use case, ahead of differential diagnosis (27%), treatment options (24%) and referrals (24%). 

A whopping 71% of those users said that the AI tools reduced their overall workload

“Physicians are increasingly intrigued by the assistive role of health AI and the potential of AI-enable tools to reduce administrative burdens, enhance diagnostic accuracy, and personalise treatments.”

The knowledge gap outranks the fear of error

Adoption remains fairly uneven, and Australian research by CSIRO and Avant Mutual shows why. Asked what stopped them from using AI, or what still concerned them as existing users, doctors in both Sydney and Melbourne ranked not knowing enough about how the technology worked or where their patients’ data went above every other issue, including the risk of the software producing an outright error. 93.3% of users and 94.4% of non-users raised it, ahead of AI error itself at 86.7% and 83.3% per cent respectively. 

A doctor who had adopted the technology, asked the same question, admitted she had never been told the answer either. “I can’t say exactly how it works, because no one’s told me.” 

The knowledge gap, on both sides of the divide, is not a training deficiency sitting at the margins of the job. It sits at the centre of whether a doctor can use the tool with a straight face.

“If patients ask me, is the data encrypted, where's it stored, is it in Australia or overseas, I don't have the confidence to say yes, this, this and this. And if I don't have that confidence, they'll look at me and say, well, can I trust your advice then.”

Nor is that deficit evenly distributed. In the UK survey, 95% of GenAI users had received no formal training from their employer, and 85% said their employer had not even encouraged them to use the tools they were already relying on. The Australian focus groups found the gap bites hardest for doctors in small or solo practices, who have to select and assess AI software themselves, against doctors in larger organisations with an IT department to do that research for them. 

When vetting AI tools, who carries the risk?

Doctors with an IT department behind them are better placed than most, but they are not fully insulated from this cost either, since institutional support of that kind usually buys due diligence on one additional piece of software rather than the removal of the category of work altogether.

An AI tool bought as a separate product, however well built, still asks someone in the practice to vet it as a new piece of software before it can be trusted with a patient record. Software that reads or writes the note as a function already sitting inside the system a doctor uses, by contrast, removes that requirement at the point it would otherwise arise, since the practice assessed the record system’s governance once, when it adopted it.

None of this is particular to documentation, either. The same calculation applies to whichever category of AI a practice adopts next, whether that is filing incoming correspondence, summarising a patient’s history before an appointment, or something not yet built.

The object being processed changes but the underlying question does not. A capability bought from the vendor that already holds the record answers that question before it is asked. A capability bought from anyone else asks it again.

MediRecords’ two AI tools to date, Evolve Direct and Evolve Patient Summary, are built on that logic rather than around it. 

Evolve Direct files incoming correspondence, referral letters and results into the right patient record automatically, without the documents ever leaving the practice’s own MediRecords environment, and is credited with saving up to two hours a day on that category of admin alone. Evolve Patient Summary works the other side of the same problem, generating a summary of a patient’s last three consultations, recent correspondence and investigations within seconds, so a doctor opening a file before an appointment is not the one doing the collating. 

Neither asked a practice to onboard a separate vendor, since both run inside the record the practice had already assessed when it adopted MediRecords in the first place.

The pattern beyond documentation

Each new category of clinical AI will keep arriving promising time saved, and each time, what decides whether the promise holds is not what the software can do but where responsibility for vetting it sits once deployed. A practice that treats every new AI capability as a fresh procurement decision, weighed against a new vendor’s claims about security and data handling, pays that vetting cost again for each one. A practice that expects its record system to extend natively, function by function, pays it once. The saving the AMA and Blease surveys measured, and the hour the general practitioner quoted at the outset got back, hold only under the second model. Otherwise the burden changes shape, from typing to due diligence, without shrinking.

Rather than take the argument above on faith, the more useful test is a practical one. For the next piece of AI a practice is weighing up, ask whether it sits inside a system already vetted, or asks the practice to start that process again from a new vendor.

Nor is that deficit evenly distributed. In the UK survey, 95% of GenAI users had received no formal training from their employer, and 85% said their employer had not even encouraged them to use the tools they were already relying on. The CSIRO focus groups found the gap bites hardest for doctors in small or solo practices, who have to select and assess AI software themselves, against doctors in larger organisations with an IT department to do that research for them. 

Sources

Considering a move to MediRecords?

Choose your current system and enter your details into the form below. We’ll show your full migration breakdown, and if you’re ready to proceed, our team will be in touch with your timeframe.

Can't see your system? It can usually still move across. Reach out to our team to organise a sample data review.

Cloud vs On-Premise Practice Management Software

Cloud vs On-Premise Practice Management Software

Choosing the right practice management software involves more than comparing features like appointments, clinical records, billing and integrations. One of the most important decisions is understanding how the software is built, accessed and maintained.

Practice management systems generally fall into two categories: on-premise software, managed by the practice or its IT provider, and cloud-native software, designed to operate through secure online infrastructure.

This article compares cloud and on-premise practice management software, covering infrastructure, costs, security, telehealth capabilities and the key considerations when choosing the right solution for your practice.

What is the difference between cloud and on-premise practice management software?

On-premise practice management software is installed on servers located within the practice or managed by an external IT provider. The practice is responsible for maintaining the technology behind the system, including hardware, backups, updates, security and troubleshooting.

Cloud practice management software enables authorised users to access patient information securely from anywhere, making it easier to support multi-site teams, telehealth services, electronic prescribing workflows, and hybrid models of care.

The difference is more than simply where data is stored. It impacts how easily a practice can scale, support remote work, introduce new technology and manage the day-to-day responsibilities of running a system.

Some traditional practice management systems were originally built for local servers and later adapted for cloud access. Cloud-native platforms, such as MediRecords, are designed around cloud technology from the beginning, allowing practices to benefit from infrastructure built specifically for secure online access.

Cloud practice management software vs on-premise software comparison

Feature Cloud practice management software On-premise practice management software
Infrastructure costs
lower upfront hardware requirements
Requires investment in local servers and hardware
Server maintenance
Managed by the software provider
Managed by the practice or IT provider
Access
Secure access from anywhere
Usually limited to locations with local infrastructure
Software updates
Delivered automatically
Often requires manual installation
Scaling
Easier to add additional users, providers and locations
May require additional hardware and configuration
Telehealth support
Designed to support connected, remote workflows
May require additional setup and integrations
IT requirements
Less reliance on internal IT expertise
Greater responsibility for managing technology

The true cost of practice management software

When comparing software options, it is easy to focus only on subscription fees or licence costs. However, the true cost of a system includes the technology, time and resources required to keep it running.

On-premise systems often require additional investment in areas such as:

These costs can add up over time and are not always considered when practices first compare software options. Based on a five-year cost comparison, moving to cloud practice management software, such as MediRecords, could save organisations up to $216,900 (approximately $43,380 annually), representing a 64% reduction in total cost of ownership (TCO) compared with an on-premise system.

For smaller practices, these additional responsibilities can create unnecessary complexity and cost. Whether you’re a GP practice, specialist clinic or allied health practice, a cloud-based solution allows you to get started quickly without purchasing servers, managing infrastructure or coordinating ongoing IT support.

Cloud practice management software reduces many of these barriers by providing access to the system through a secure online environment, helping practices focus on delivering care rather than managing technology.

Understand the potential value for your practice

Explore the potential cost savings and benefits of moving to cloud practice management software with our ROI and pricing calculator.

Is cloud practice management software secure?

Security is one of the most common considerations when choosing cloud-based software.

A common misconception is that storing data on a local server automatically provides greater protection. In reality, security depends on how systems are designed, maintained and monitored.

Australian healthcare practices must protect personal and health information in line with the Privacy Act 1988 and guidance from the Office of the Australian Information Commissioner (OAIC). Cloud-native practice management software supports these requirements through secure infrastructure, controlled access, regular updates and ongoing monitoring managed by specialist technology teams.

With on-premise systems, practices are responsible for security updates, backups, access controls and disaster recovery. Cloud-native healthcare software allows these responsibilities to be managed by specialist technology teams, helping practices maintain strong security processes without requiring extensive internal IT knowledge.

This gives practice owners greater peace of mind, knowing critical infrastructure and security are managed by specialist technology teams.

Supporting modern healthcare workflows

Healthcare is becoming increasingly connected, with clinicians working across multiple locations and patients expecting more flexible care options.

Cloud practice management software enables authorised users to access patient information securely from anywhere, making it easier to support multi-site teams, telehealth services and hybrid models of care.

See how healthcare organisations are using cloud technology to support flexible care delivery, with examples from our customer case studies.

Benefits of cloud practice management software for growing practices

Whether you’re starting a new practice or expanding an existing one, cloud practice management software makes it easier to grow without investing in servers or complex infrastructure. Solo practitioners can get started faster with lower upfront costs, while larger practices can easily add users, providers and locations as they expand.

This allows practices to adopt connected tools such as patient communication, online bookings and other digital health capabilities without the complexity of managing additional local infrastructure.

Ready to move your practice to the cloud?

MediRecords is cloud-native practice management software designed for Australian healthcare practices, bringing appointments, clinical records, ePrescribing, billing, telehealth and patient communication ( via Engage) together in one connected platform.

Whether you’re a solo practitioner starting a new practice or a growing organisation looking to simplify operations, MediRecords provides the flexibility, security and scalability to support the way modern healthcare teams work. Our data migration process helps practices transition smoothly from their existing system, making the move to MediRecords simple and supported. Learn more about our data migration process here

Frequently Asked Questions

What is cloud practice management software?

Cloud practice management software is hosted online rather than installed on local servers. It allows healthcare practices to securely access appointments, clinical records, billing and other workflows while the software provider manages infrastructure, updates and maintenance.

Cloud practice management software is hosted online and managed by the software provider, while on-premise software is installed on local servers managed by the practice or its IT provider. The main differences include infrastructure costs, maintenance responsibilities, accessibility and scalability.

Yes, cloud practice management software can provide strong security when built and managed correctly. Cloud providers typically manage infrastructure, security updates, monitoring and backups, reducing the technology burden on practices.

Yes. Cloud-based practice management software supports connected healthcare workflows by enabling secure access to patient information, digital communication tools and telehealth services from different locations.

Yes. Cloud software can be a practical option for solo practitioners because it reduces upfront technology costs and removes the need to purchase servers or manage complex IT infrastructure when starting a practice.

No. One of the key benefits of cloud practice management software is that the provider manages much of the underlying technology, including hosting, updates and infrastructure. This allows practice owners and GPs to focus on running their practice rather than managing IT systems.

The cost of cloud practice management software depends on factors such as practice size, users, features and requirements. When comparing options, practices should consider the total cost of ownership, including hardware, maintenance, IT support and upgrades. Access our online pricing calculator here

Cloud practice management software can typically be implemented faster than on-premise systems because practices do not need to purchase or configure servers and supporting infrastructure before getting started.

Check what moves across from your system, and how it looks in MediRecords

Choose your current system and enter your details into the form below. We’ll show your full migration breakdown, and if you’re ready to proceed, our team will be in touch with your timeframe.

Can't see your system? It can usually still move across. Reach out to our team to organise a sample data review.