Practice management system

Also called PMS, clinic management software, practice management software

A practice management system is the software that runs the business side of a clinic — appointments, patient contact details, invoicing and payments, staff, stock and reporting. It is distinct from a clinical record, which holds what was found and done, although most products today contain some of both.

The term is used loosely, and the looseness costs money at the point where two quotes are compared. A product sold as practice management may include clinical notes or charge for them separately; a product sold as a clinical record may include a calendar or expect you to keep using the one you have.

What it usually covers

  • The diary — booking, rescheduling, working hours, leave, and the rules about who can be booked for what.
  • Patient administration — contact details, consent to be contacted, documents, and the history of visits.
  • Money — a price list, invoices, payments, what is still owed, and reports on all of it.
  • Communication — reminders, recalls, and whatever the clinic sends between appointments.
  • The clinic itself — staff, permissions, multiple sites, consumables where the treatments use them.

What it does not have to cover is the clinical record. A clinic can run practice management in one system and notes in another, and plenty do — usually badly, because two systems eventually disagree about who is coming on Thursday.

How it differs from an EMR and an EHR

Answers
Practice management systemHow is the business running?
EMR — electronic medical recordWhat have we done for this patient?
EHR — electronic health recordWhat has anyone done for this patient?

The line between the last two is portability rather than quality, and the line between them and the first is a different axis entirely. The full untangling is a subject of its own, and it is worth twenty minutes before you compare quotes.

Why the label matters when buying

Because it decides what is in the price. Ask each vendor which of six things is included at the number they quoted: booking, the clinical note, invoicing, stock, patient communication, and reporting a manager rather than a clinician would use. That question produces a clearer comparison than any amount of arguing about what the product "really" is.

Note

In the United States the terms carry regulatory weight, because certification programmes attach to them. Elsewhere they are largely descriptive — which is exactly why a vendor can pick whichever one sounds more serious.

Common questions

Is a practice management system the same as an EHR?
No. Practice management runs the business of the clinic; an EHR holds a clinical record designed to be shared with other providers. Many products do some of both, so read the list of functions rather than the label on the box.
Does a small clinic need one?
Most clinics past a single practitioner end up with one, because the alternative is a calendar, a spreadsheet and an accounting package that disagree with each other. The question is usually which one rather than whether.

Read next

Clinic+ is a practice management system for clinics

Scheduling, patient records, billing and stock in one place, with an assistant that answers your website and books real slots. Free to start, no card.