ChiroTouch is cloud chiropractic software offering an integrated EHR software built for chiropractors, top to bottom. ChiroTouch is an integrated system for payment processing and insurance claims management.
$159
per month
HCL Connections
Score 9.0 out of 10
N/A
Connections from HCL Technologies (formerly from IBM, acquired by HCL in 2018) is a collaboration tool and employee digital workspace with key features like social analytics, blogs, document management, and a social network.
ChiroTouch has helped us maintain more accurate records, notes, billing, and the text reminders help to ensure the patients remember their appointment which keeps our numbers good.
IBM Connections is well suited for larger organizations that need an internal social networking tool and are willing to deal with IBM and the complexity of the software. It is less appropriate for smaller organizations and those who don't want to deal with the complexity, or IBM's awful customer service and prices.
The plugin for MS Office/Explorer has made saving and sharing working documents extremely convenient for me and my close colleagues
The newsfeed feature conveniently aggregates updates from the communities/people you follow. It's nice not to have to jump from community to community to see what's going on in the organization
The various apps can be used for several purposes. A little creativity goes a long way when establishing what type of information the apps can be useful for communicating
There is quite a bit to learn, even if you have experience with other EHR systems like I did, and required our staff and providers time and patience to get accustomed to it. It may be helpful for the Chirotouch team to develop a curriculum of sorts to navigate practices through learning the system in a logical way.
The EHR system is higher in price than other comparable systems, especially with all the add-ons - it would be nice if Chirotouch were a little more transparent about what you get when purchasing the item off the shelf, and, more importantly, what features are not included without a package upgrade.
The graphic layout and color scheme isn't as "pretty" as other EHR systems I've worked with, and actually looks quite outdated. It might be worthwhile for Chirotouch to work with graphic designers to make the interface a little more aesthetically pleasing.
The lack of a note-taking tool became a bigger and bigger issue as time went on. Our pilot users felt Connections was a natural place to take and share meeting notes – including photos, drawings, recorded audio, etc. – and were always frustrated that there was no easy, organized way to do that. We tried using a Blog, Wiki, etc. but nothing really resonated as a good solution for this.
The Wiki tool is weak, providing rigid structure but with few options. A Community can only have a single Wiki, for instance. Wikis are weak in the mobile app as well; they’re not even easy to navigate. Users ended up ignoring Wikis completely despite our efforts to get them to convert documents like guidelines, policies, procedures, handbooks, etc. into Wiki form.
The Windows Explorer plug-in was useful but required a lot of manual intervention to setup. For instance, once a user joins a Community in Connections, the Community also has to be manually added to the Explorer plug-in so the user can find, open and edit files with it. We felt this process should be much more automated.
Tagging is only relevant in the web UI and, to a lesser extent, in the mobile app. However, in the Windows Explorer plug-in, Tags are not usable at all making it difficult to find things that were easy to find in the web UI.
IBM Docs was not included in the on-premises deployment; it was an additional license so we did not test it. Documents, mainly Microsoft Office files, are still the single most common way our user community creates, shares, edits and presents information. That proved to be a major gap for our users, and slowed user adoption considerably. We considered testing it, but IBM Docs would only work for about half of our users so we found ourselves wondering if we really wanted to support two document editing platforms. IBM Docs also offers no way to work offline as far as we could tell. This also meant we would need to keep licensing Microsoft Office which is not cheap.
Consulting costs are high because the back-end environment is complex. Installing, administrating and even patching Connections is a fairly complex process. We needed to hire consultants to install our test environment and any major upgrades would’ve required additional consulting fees. Any 3rd party add-ons we looked at were highly technical in nature meaning…you guessed it, more consulting costs.
Administrating IBM Connections requires editing XML files in a specific, secure way that is typically done in a console. I love consoles as much as the next admin, but when you only use a console once every 2 months it means looking up all the documentation and re-educating yourself. A single change could take me 2 hours to implement. 3rd party admin dashboards do exist, at an additional cost, but IBM really should provide a much easier way to manage the environment.
The lack of in-person or online training courses, materials, videos, etc. really discouraged a lot of users. The only decent training we could find (marketing videos aside) was a single video series on Lynda.com which, of course, was an additional cost. In the end that video didn’t really help our users much beyond introductory concepts.
IBM includes reporting, but it’s a massive Cognos system requiring some serious hardware and Cognos expertise. We had neither, and would have ultimately opted for a 3rd party add-on for reporting and statistics.
An often overlooked concern is eDiscovery. Our contracted eDiscovery service extensively works with various ECMs, but had no idea how they would handle Connections data. The cloud version of Connections offers an add-on for eDiscovery, but as far as we could tell IBM offered nothing for on-premises deployments.
Connections has continued to more than meet our needs from a collaboration point of view and we are currently working on integration with our IBM Websphere portal platform to provide an integrated collaboration solution. This scenario will provide our users the best both products have to offer in a single interface.
It is fine once it is up and running, but the customization takes a long time, does not have some things setup in advance that seem very straight forward, and for most people the learning curve is very high for learning the system even once it is properly setup and customized. However, it is "fine" not particularly impressive. Additionally, their customer support and training is substandard.
Connections combines all the most useful abilities from various social networks. This makes it useful of course, but it also reduces user adoption time initially by allowing users to get comfortable with basic features. Once they are comfortable, it's easy for users to start exploring. They find new people in the organization to contact, new sources of information, etc. Before you know it, about half of the users are contributing back in some form -- and all with little or no training needed by IT.
Sometimes we get weird error messages. We have been having a problem with our check-in computer and ChiroTouch hasn't been able to figure out the problem
Once Connections was installed, patched, etc. it was ALWAYS up. We only had to bring it down for OS updates to the servers. That seems to be typical of anything that runs on WebSphere; it's bulletproof and could probably run for months and years if the underlying OS didn't require constant patching.
Generally we never have problems with speed. If we have, it's been because we needed to perform software updates, and then it went back to working quickly.
IBM Connections web UI, mobile app (data sync to / from the device), and file transfer speeds were almost always very fast. It was rare for a slow-down of any kind, even when doing searches.
IBM Support has ALWAYS been quick to respond, regardless of the product. Even first level techs seldom provide "canned" responses and they really try to help. If they can't help, they don't wallow around but engage the right person immediately. It's very rare that the first level tech needs to escalate, and even more rare when they do escalate and the next person engaged cannot solve it. We have been more than satisfied with IBM support's quick and professional responses to our issues.
The particular person we were assigned was not very well versed in the software. Several things we asked about we were told we not possible, and then I later figure out how to do them by myself after getting to know the software. I guess that is what comes from trainers who use the system in theory but not in an actual office. They are basically reading off a script that guides you how to set things up, nothing more. If she didn't know the answer, she didn't research it, she just told us it wasn't possible. However, it was a multi-session training spread out over a couple weeks and they did walk you through all the basics. It does take a lot of customization, so this was appreciated. It would have been very intimidating to do without guided support sessions.
Try to understand you will never find a product which suites all your end user for 100%. IBM Connections is the best of all breeds but if you go look on each functionality on its own there are better example out there. But as IBM COnnections delivers it all in just one platform makes it the best example about integration of different functionality into one platform.
We had been using medisoft before and it wasn't organized enough or clear enough for insurance billing, coding and doctors notes. Chirotouch solved all of these problems with the additional bonus of being customizable
From the few times that I have used MS SharePoint, I can say that it doesn't seem to hold a candle to the robust features of IBM Connections. The out-of-the-box capabilities of IBM Connections are amazing and are more easy to access and use than what I've seen with MS SharePoint.
It's reliable, though occasionally has connectivity issues. Their support says it's our computing issue, not the software, but we don't have similar problems with other software. Definitely needs to be backed up daily. We use ChiroTouch's backup and it works well
Scaling UP is never an issue with IBM's core technologies like WebSphere, DB2, etc. as long as you have or can find the technical resources to implement it. Where IBM seems to fail is scaling DOWN for smaller organizations. Connections 5.0 on-premises would have required us to create 7 servers -- yes, they would be virtualized, but still that's 7 OS licenses, 40 virtual CPU cores, 80GB RAM, and a few TB of hard disk space. All to replace Quick which runs on 1 server with 1 OS license, 4 cores, 8GB RAM and 600GB of disk. Granted, there are major differences in capabilities between the two, but how do you get a CFO understand why features like a mobile app, file sync, and social sharing require 10x the back-end resources?
