Yet one of the most significant barriers to achieving this is traditional middle- and back-office systems. Too often, workforce management, scheduling and payroll systems and processes are disconnected, outdated and inefficient – directly impacting the delivery of sustainable, patient-first care.
As 2cloudnine’s Head of Healthcare, David Sinclair is dedicated to helping disability and aged care providers drive operational efficiency throughout their organisation. Ahead of Digital Health Festival 2025, he explains why connecting schedule-to-pay processes on one platform holds the key to running a high-care, profitable healthcare business.
What’s your take on the challenges facing disability and aged care providers in Australia?
DS: Across the sector, providers are grappling with regulatory changes, increasing cost pressures and workforce shortages – making financial sustainability one of the biggest concerns for care providers. They’re operating in an incredibly tight labour and fiscal environment.
The revenue or funding providers receive for each service is capped. They also face difficulties finding people to deliver care, which increases the need for costly temporary staff and paying overtime. In fact, labour accounts for nearly 90% of all expenditure for disability and aged care providers.
All of this leads to higher operational costs and potential revenue losses. To improve long-term profitability, providers need to operate more efficiently and keep their service delivery costs as low as possible.
If labour is their biggest expense, how can payroll help providers manage these costs more effectively?
DS: Payroll accuracy and compliance is imperative for any organisation. However, when it comes to healthcare, the award and compliance environment is one of the most complex and ever-changing in Australia. The SCHADS Award – which is the most common award in healthcare – is difficult to manage, particularly around overtime or broken shift penalty clauses. If your payroll system and processes can’t keep up and prevent inaccuracies, the cost and compliance implications to your organisation are significant.
What many providers don’t realise is that payroll data can do so much more; it can provide insights into the cost of delivering care and business operations. It can help you to better understand and optimise your workforce planning – effectively matching skills to care needs, avoiding unnecessary overtime and reducing labour costs.
For most providers, overtime costs account for 6%-12% of their total payroll. Imagine if you could reduce that cost just with better insights and planning.
How can providers use payroll to maximise performance?
DS: You can streamline your entire schedule-to-pay workflow by bringing your workforce management, scheduling, award interpretation and payroll onto one platform.
Right now, providers are using a combination of outdated, disconnected systems and manual processes to manage this – so there’s no single source of truth.
When your workforce supports numerous patients and works thousands of shifts, manually tracking who delivered care and ensuring accurate payroll is incredibly time-consuming. Relying on manual calculations at this kind of scale is inefficient and increases the risk of mistakes.
A schedule-to-pay process running on one platform will eliminate legacy technology, reduce costly errors, and improve payroll compliance and business performance.
How is 2cloudnine helping providers to address these challenges?
DS: 2cloudnine is transforming the way providers run their payroll processes. Our game-changing unified schedule-to-pay platform is empowering organisations to remove inefficiencies and improve profitability and care.
We provide the only schedule-to-pay solution for healthcare on Salesforce. Not only can you schedule care, manage client information and accurately pay your staff in one place, you can do it all on Salesforce. As an ISV partner, 2cloudnine connects with the whole Salesforce healthcare ecosystem solution – providing an end-to-end workflow for healthcare operations, finance, HR and business functions.
Adopting a single unified platform, backed by Salesforce’s continued investment, will help deliver the innovation healthcare providers need to meet evolving compliance obligations and ensure the best possible care.
What product innovations does 2cloudnine have in the pipeline?
DS: Leveraging the power of a single unified schedule-to-pay platform solution, we’ve built a new budgeting and analytics solution to provide game-changing visibility of your true healthcare service costs.
This feature will deliver powerful profitability insights into care plans, shifts and client revenues. It uses payroll data to provide accurate costs for every shift and worker scheduled to deliver any type of in-home or location-based patient care.
Having worked in the Salesforce ecosystem for over 12 years, it’s fantastic to see a ground-breaking feature that will empower providers to schedule the right resource, at the right cost, to deliver the right care. I’m incredibly excited for this to make a real difference to the financial sustainability of in-home disability and aged care providers across Australia.
Discover more
If you’d like to find out more about 2cloudnine’s healthcare solutions, you can catch David and the team at the Digital Health Festival or book a 30-minute discovery call.