Table of Contents Company Profile 03 Product Vision & Strategy 05 Chairman’s Report 09 Operational Report 11 Board of Directors 15 Executive Leadership Team 17 Changing IT Perceptions 19 20th Anniversary Spotlight 21 Orion Health Timeline 23 Directors’ Statement 25 Financial Statements 26 Independent Auditor’s Report 63 Corporate Governance 64 Shareholder Information 65 Company Directory 67 Orion Health Annual Report 2013 2 3 Orion Health Annual Report 2013 Company Profile Orion Health Annual Report 2013 4 COMPANY VISION: Enable a better healthcare future through the pioneering use of information technology and knowledge creation. About Us Our Values Orion Health is a privately owned software exporter and a The following values of Orion Health articulate who we global leader in eHealth software. are and what we stand for: Founded in 1993, by CEO Ian McCrae, Orion Health has grown Enable Client Success from a specialist health integration vendor into a company that Acting in a client-centric fashion by ensuring clients sells a comprehensive suite of eHealth solutions. have great trust in Orion Health’s ability to deliver; get Orion Health has extensive experience in the design and on well with Orion Health people; and find dealing with installation of complex systems within demanding healthcare Orion Health an enjoyable experience. environments. With an inherent ability to interconnect the wide variety of information systems found in health, Orion Health Challenge The Boundaries has risen to be considered a global leader in its industry. Solving problems by being creative and having a ‘can do’ attitude and working with enthusiasm, commitment and Today, our products and solutions are currently implemented in passion. over 30 countries, used by hundreds of thousands of clinicians, and help facilitate care for tens of millions of patients. Do The Right Thing All dealings conducted with honesty, integrity, openness, respect and consideration. Collaborative Spirit (Ngatahi) A company working in unison both internally and with customers. Get Things Done Consistently delivering results. Learn and Grow Acknowledging failure, continual self-development, and encouraging the development of others. 5 Orion Health Annual Report 2013 Product Vision and Strategy Orion Health offers a comprehensive suite of health software, HOW OUR VISION DRIVES OUR PRODUCT STRATEGY with our products being grouped into three main areas: Orion Health’s vision is to enable a better healthcare future through the pioneering use of information technology and ä Collaborative Care: Our software enables health knowledge creation. professionals to see relevant information about their patients, no matter where it is collected. This allows The Orion Health product strategy supports our company doctors, nurses and other health professionals to work vision. By understanding the factors that influence healthcare together to successfully manage the health of patients delivery models today and in the future we are able to adopt outside of the hospital. and create the latest technologies, position our solutions to support trends and be a leader and key enabler in critical ä Hospital Solutions: Orion Heath is one of only a healthcare transformations. handful of companies globally that offers an extensive range of hospital software. We can help facilitate We believe the future of healthcare delivery will be influenced hospital automation, moving it away from paper-based by: systems, improving efficiencies and positively impacting ä Patient-driven healthcare; enabling greater collaboration patient safety. between hospitals, specialists, General Practitioners ä Healthcare Integration: We link together different (GPs) and community care providers and giving software systems, within a single organization or a individuals the information and tools to better manage across multiple, to improve the sharing of data between their own health, ultimately keeping more people out of healthcare professionals. This means that data that is the hospital. collected can be made available to those that need it ä Increased focus on mobile devices; in healthcare centers, most, to improve care for patients as well as run their the community and the home, using telemedicine organization better. and widespread provision of mobile technologies and We continue to develop creative and modern healthcare adoption of devices will be critical to delivering world- software that is fully integrated - meaning our software class healthcare. components complement and interface with each other ä Leveraging cloud computing; with software-as-a-service elegantly - positioning Orion Health apart from our (SaaS) the software and the associated data is hosted competitors and setting a new standard in healthcare outside the customers’ premises and accessed securely technology. through the internet, enabling a more efficient IT delivery model. Orion Health Annual Report 2013 6 Imagine a better healthcare future where you do not waste time answering the same questions when you visit your doctor, pharmacist or hospital nurse. With our software healthcare professionals, who could work at different organizations, can share the same information about you, to provide better care for you ä Gaining greater health insights; health IT is increasingly COLLABORATIVE CARE becoming a data science and we can use genetic data Our Collaborative Care Suite caters to all those such as a patient’s DNA sequence to predict health responsible for managing the healthcare needs of a risks across a population. With the increasing use of population, for example, regional health boards, private health monitoring devices, generating increasingly healthcare networks and insurance companies. Our large amounts of data, powerful data analysis helps us Collaborative Care solutions provide the capabilities to: uncover hidden patterns and enable better healthcare. ä Manage the exchange of information Our solutions are modern, user friendly and developed on the ä Collaborate together to provide coordinated care latest technologies, setting them apart from our competitors. experiences All of our solutions are modern stacks of modules or components and therefore can combine seamlessly, to ä Manage populations of patients provide a cohesive suite of products. We can quickly adapt ä Provide patients access to their medical records our components into new configurations that meet changing needs, and consistently enable previously disconnected care Orion Health software enables the secure exchange providers to work together as one. of any clinical information between organizations, ensuring that clinical staff have access to relevant, up- Orion Health has three distinct solution portfolios, each with to-date and accurate patient information - regardless different strategies, markets, customers, and benefits. of where care is provided or the clinician is located. By improving provider collaboration in this way, healthcare delivery is enhanced through reduced medical errors and the elimination of costs associated with duplicate procedures. COLLABORATIVE HOSPITAL HEALTHCARE Specific solutions included in this suite are: CARE SOLUTIONS INTEGRATION ä Health Information Exchange (HIE), a powerful clinical data exchange that enables healthcare provider organizations and clinical communities to coordinate care and share complete patient records. This US specific solution is slightly modified and sold as an Electronic Health Record (EHR) in the rest of the world. 7 Orion Health Annual Report 2013 ä Direct Secure Messaging (DSM) allows physicians HOSPITAL SOLUTIONS anywhere to quickly send accurate patient information The Hospital Solutions Suite caters to hospitals in order to to other healthcare specialists. help them automate key processes across both the hospital and the wider organization, as well as to improve patient ä EMR Lite, a Primary Care Electronic Medical Record safety and clinical efficiency within a hospital. We sell two (EMR) solution, provides GPs with secure, convenient main solutions: and low cost web-based access and functionality to manage patient records electronically. 1. Best of breed Electronic Medical Record (EMR) solutions ä Chronic Condition Management provides tools for 2. A fully integrated Hospital Information System (HIS) guiding the management of patients with chronic Many hospitals around the world have invested in multiple conditions (such as diabetes or heart disease) using leading specialist software systems, usually covering Patient evidence based guidelines and facilitating coordinated Administration, Radiology, Laboratory, Pharmacy and teams of hospital clinicians, GPs, specialists and corporate functions. Clinical Workflow, Electronic Orders, community providers. Care Pathways, Clinical Documentation and Mobile Clinical ä Breast Screening provides support for breast cancer Applications, however, are generally overlooked, not available screening programs to maximize participation and focus and never integrated. Orion Health EMR solutions can solve on early detection and assessment. This software can this problem by providing integration capabilities directly be used for large-scale region-wide programs as well as into existing hospital systems to provide these additional mobile screening. applications. Each core solution can be supplemented with optional In other instances a hospital may seek a single vendor to components including Clinical Referrals, Business provide a fully integrated hospital information system. Orion Intelligence, Mobile and Patient