The best relative option
Value for Money
After reviewing two dozen home care software systems Procura remains my first choice. The ability to customize data combined with fluid visit/schedule navigation make it a must for volume operations. That said, it is a dressed up dos program with a high learning curve. It is not designed for intuitive use and does little to assist in educating new users. Help documentation has improved but the system language is often confusing. Most importantly, the scheduling module is not a reflection of the scheduling process. The scheduling system creates a counterproductive and superficial perspective of the scheduling process and does little to support or explain employee resource logic. Despite the drawbacks, it remains one of the few viable options for high volume home care and should be considered by operations of any size if they can afford the entry cost.
This is one of their strongest selling points and cannot be understated. The learning curve of Procura is high but the accessibility and navigation for basic functions are immediately accessible and user focused. Static display panes vs pop-ups allow the user to develop muscle memory reactions and remove hover delay common in a cloud application. A consistent right click navigation and adjustment menu allows speedy access to related data across most working spaces. Excessive windows and poor window organization tools are a relatively small penalty although administrators will also have a high learning curve figuring out where dozens of separate maintenance settings are kept and how they relate to other modules.
Less important for smaller operations but crucial for government and larger employers; Procura shines in its ability to meet a wide variety of operating and reporting needs. Accessibility and report design could use significant attention but what you want is probably possible although you may have to pay to get it just the way you'd like.
Cloud and Desktop accessible
Cloud based is fine for smaller operations but for volume home care you need the speed and responsiveness of a desktop application. Most newer home care programs are cloud-based and would not be suitable for larger operations.
Cost and cost
With a 20k+ startup cost, Procura is out of reach for most start-ups and smaller agencies. The monthly subscription and EVV costs are competitive so it's unfortunate that the barrier to entry makes it so inaccessible. Many comparable competitors have much lower startup fees; with newer systems often charging nothing. In small part, this cost is a reflection of the knowledge and time it takes someone from Procura to customize a new installation because the system is both robust and inaccessible.
The second cost is the monthly fee per device for the mobile portal and point of care applications. The cost per month per caregiver has to be recouped from use and many employers faced with ever tighter margins will not pay for the monthly cost for part-time employees under a certain number of hours per week. Employers who choose this course of cost control are creating two communication channels with high hidden costs from miscommunication and change management that result as well as the potential culture impact between have's and have not's. It would be preferable if Procura would find a costing option that did not create a disincentive to consistent communication.
Procura's scheduling perspective was undoubtedly very astute in many respects at one time. The search filters are individually toggled, accessible during decision making and are relatively robust. However, there are no effective tools for broad resource management and the tools for managing geography are meager which leaves the most challenging aspects of coordination with little support. Many client/caregiver needs you would wish to filter do not exist and the filter/requirements system suffers from maintenance and usability challenges. The lack of development in scheduling perspective and tools are a reflection of an industry problem that is not limited to Procura. There is little critical scheduling perspective industry-wide and unfortunately, most competitors are markedly worse.
The reporting options in Procura are extensive, confounding and inaccessible. For broad operational info at the department level, there is probably a solution available. Many reports have dozens of checkboxes and multiple date ranges, quite a few of which conflict without providing user notification or removing options. Even if you do not select conflicting report options it may take some time and finessing to get the reports to provide the right information. Making use of the template function to save recurring reports and limiting users global report creation rights will save a lot of time and headaches. Custom reports can be created but require coding knowledge or at a cost from Procura. The lack of operational reports to assist with daily scheduling context is very disappointing and a crucial gap when trying to manage performance or communicate with scheduling from a place of mutual understanding.