One of the biggest new buzzwords is “cloud computing.” Some dentists are already familiar with this term. In fact, many dentists already use websites like Facebook and Flickr that use the cloud. Some dental practice management software (PMS) manufacturers are just beginning to use cloud-based software as an alternative to traditional client-based dental PMS software, such as Eaglesoft, Softdent, or Dentrix. Before we go any further, it’s time to clear the clouds and find out exactly what cloud computing means.
Cloud-based software is also known as “SaaS” (Software as a Service), Web-based Software, or ASP (Application Service Provider). Cloud computing is essentially computing delivered as a service rather than a product. It is where shared resources, software, and information are provided to computers and other devices (tablets, mobile phones, etc.) over a network. Users can access this network from anywhere in the world as long as they have a compatible device and Internet service.
Proponents of the cloud-based system say it offers several advantages over a localized, client-based computing system.
1) Data Storage and Backup – Since data is stored over the Internet on large servers located off-site, you have much larger and more reliable storage capacities. In addition, there is less need to back up your data locally (via CD, DVD, hard drive, or remote/external companies) since it is constantly and reliably backed up on company-maintained servers that supplies the software.
2) Cost: No need to buy expensive data storage servers, minimal upfront costs for software, no cost for upgrades, and lower fees for IT support. In addition, service provider costs can often be spread across users, making access and software upgrades cheaper.
3) Access and Security: Users have the ability to access their data or software from anywhere (office, home, and remotely) with a PC, tablet, or mobile device. Instead of having to configure individual firewalls and antivirus programs locally, security is provided by software and exists within the network. Cloud-based software companies claim to offer HIPPA-compliant levels of security and are as secure as most banking websites.
Several concerns have been raised since cloud-based dental practice management software first hit the market.
1) Difficulties in transitioning from an existing client based system (Dentrix, EagleSoft, etc.). The practice is discontinued and the verification process to ensure accurate data transfer can be time consuming.
2) Problems with digital imaging capabilities. This problem has been the biggest hurdle for cloud-based software companies.
3) A continuous monthly fee. Using cloud-based software is like renting a car. You never own the software for free and clear, but you always pay to use it.
4) The need for high-speed Internet access. There are some areas of the country that do not have fast enough internet access to do cloud based services.
dental software has a viable option.
5) Dental offices still need to back up internal documents that they store on their local hard drives.
One of the new cloud-based dental software is Curve Dental and their web-based PMS Hero. They currently offer one of the most comprehensive cloud-based dental software packages. Other cloud-based dental software options include Denticon (planetdds.com) and MediaDent (gazellecloud.net). These companies offer all the features that Dentrix or EagleSoft have (charting, patient education, billing, staff training), but also image and data backup.
The biggest challenge facing cloud-based dental software companies is the integration of radiology using digital sensors. Each software company is tackling this problem in its own way. Denticon has its own web-based imaging software called Dentiray that integrates with your Denticon software. Their website states that the Dentiray software will work with a “sensor system that uses a standard TWAIN driver” and they state that they are “currently involved in adding support for other sensor systems.” Curve currently works with Schick, Gendex and Suni sensors; Kodak coming soon. Dexis sensors will not work with Curve at this time.
A local Colorado dentist recently set up his practice using Curve and ran into some problem areas. He said that digital X-rays were problematic for a while and that the software is not set up to send UCR rates to insurance and at the same time create a real-time estimate of a patient’s copay. His main office has to manually calculate most treatment plans, which leads to frustrating human errors. He said that if Curve can fix the current problems, he would pick them up again, but currently he feels that Curve is charging a premium rate without providing a premium service. He enjoys the ease of access and the ability to have all patient information at his fingertips, no matter where he is. He also stated that the software is very aesthetically pleasing.
It is likely that in the future we will see most client based software offer a cloud based system. Software companies like Curve and Denticon have a head start, so it can be challenging for traditional client-based dental software companies to catch up.
It’s no mystery that the computing world is moving towards a cloud-based environment. However, with all the major advantages it offers (cost, storage, and access), as with most software revolutions, there will be hiccups and headaches along the way. Client-based software will continue to be the vast majority, but at some point, dentists will probably ask themselves, “Do I want to work in the clouds?”
