{"id":338648,"date":"2026-03-20T05:39:07","date_gmt":"2026-03-20T05:39:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/338648\/"},"modified":"2026-03-20T05:39:07","modified_gmt":"2026-03-20T05:39:07","slug":"orion-health-founder-ian-mccrae-launches-ai-health-tech-start-up-including-new-tool-to-stop-deadly-prescription-errors","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/338648\/","title":{"rendered":"Orion Health founder Ian McCrae launches AI health-tech start-up, including new tool to stop deadly prescription errors"},"content":{"rendered":"<p class=\"LolVegRJp\" style=\"display:none\">\u201cThe family would be at the beach, swimming, and I\u2019d be jammed in the corner, AI\u2019ing,\u201d he says.<\/p>\n<p><img  alt=\"McCrae sees AI on a par with major public-health breakthroughs such as antibiotics and modern hygiene. Photo \/ Sylvie Whinray \" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/>McCrae sees AI on a par with major public-health breakthroughs such as antibiotics and modern hygiene. Photo \/ Sylvie Whinray <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">McCrae Tech was founded by McCrae with proceeds from the $205m sale of Auckland-based Orion Health to Canada\u2019s Healwell in late 2024. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">His daughter Lucy Porter is playing a key executive role.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">The Auckland-based firm includes the patient health record system created by Orion and used by every public hospital in the South Island, plus others around the world. It\u2019s now spruced up with new features and rebranded as Amalga.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Then there\u2019s McCrae Tech\u2019s Orchestral platform, based on Orion R&amp;D work, which McCrae also kept rights to in the Healwell deal. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">The idea is that Orchestral\u2019s AI scours existing data, sitting across administrative, clinical and community systems, often in complex and fractured fashion, then turns it into \u201chuman-digestible\u201d nuggets.<\/p>\n<p>Founder &#8230; and guinea pig<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">McCrae Tech\u2019s 110 staff include Dr Jack Vojack, charged with feeding Ian McCrae\u2019s medical files \u2013 several inches thick and pulled from far and wide \u2013 into Orchestral systems as the founder doubles as the start-up\u2019s guinea pig. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Vojack\u2019s efforts include pulling real-time data from a patch on McCrae\u2019s left upper arm, which measures his body\u2019s level of ketones, the better to monitor the strict keto diet that forms part of his treatment. <\/p>\n<p>\u2018Road toll\u2019-level prescription errors<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">The firm is releasing its first standalone product today: Orchestral for Prescription Safety, which will check for mistakes when medication is prescribed.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cIt\u2019s not well known, but there\u2019s over 200 people in New Zealand who die every year due to prescription errors,\u201d Porter says.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cThat\u2019s actually more than our road toll.\u201d<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Last year, a week-long audit of 68 pharmacists in Health NZ\u2019s Midland region <a href=\"https:\/\/www.nzherald.co.nz\/nz\/pharmacists-pick-up-1257-mistakes-in-prescriptions-in-a-week\/H3PQIAR53ZHW3PWKSBEK2UIZEA\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.nzherald.co.nz\/nz\/pharmacists-pick-up-1257-mistakes-in-prescriptions-in-a-week\/H3PQIAR53ZHW3PWKSBEK2UIZEA\/\">found 1257 problems in prescriptions<\/a> sent by GPs, specialists, midwives, dentists and other prescribers \u2013 with <a href=\"https:\/\/www.nzherald.co.nz\/nz\/pharmacists-pick-up-1257-mistakes-in-prescriptions-in-a-week\/H3PQIAR53ZHW3PWKSBEK2UIZEA\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.nzherald.co.nz\/nz\/pharmacists-pick-up-1257-mistakes-in-prescriptions-in-a-week\/H3PQIAR53ZHW3PWKSBEK2UIZEA\/\">26% of these mistakes having a high risk of patient harm<\/a>. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">The College of General Practitioners complained none of the software systems available were fit for purpose.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Extrapolating this across the rest of New Zealand means there are probably one million problem scripts per year across 1154 community pharmacies nationwide, with 250,000 having a \u201chigh risk of patient harm\u201d \u2013 and this is not a problem limited to New Zealand.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Research published by University of Auckland Emeritus Professor in Population Health Dr Peter Davis and colleagues in the New Zealand Medical Journal in March 2006 found 1.3 preventable deaths per 1000 hospital admissions. <\/p>\n<p><img  alt=\"Orion Health founder Ian McCrae gained a stake in Healwell when the Canadian firm bought his company in 2024. He remains on its board ,while his son-in-law Brad Porter is Orion chief executive and Healwell chief operating officer. Daughter Lucy Porter also has a key executive role. Photo \/ Sylvie Whinray \" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/>Orion Health founder Ian McCrae gained a stake in Healwell when the Canadian firm bought his company in 2024. He remains on its board ,while his son-in-law Brad Porter is Orion chief executive and Healwell chief operating officer. Daughter Lucy Porter also has a key executive role. Photo \/ Sylvie Whinray <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Davis said the exact number was hard to quantify. The situation was not black-and-white when patients were old or frail or hard-to-anticipate side effects were in play. But he estimated that around a quarter of the preventable deaths were medication- or therapy-related. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Extrapolating the rate from Davis\u2019 earlier research to contemporary admissions across public and private hospitals would imply around 375 preventable deaths per year from medication errors, which would be higher than last year\u2019s road toll of 272 (the Ministry of Health could not immediately supply any prescription error figures. The Herald was asked to file an Official Information Act request).<\/p>\n<p>\u2018AI should eliminate mistakes\u2019<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">A 2023 World Health Organisation <a href=\"https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/f208903d-b47d-4a8c-9fac-d8136c2bdbb6\/content\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/f208903d-b47d-4a8c-9fac-d8136c2bdbb6\/content\">survey<\/a> found medication-related harm also poses a major financial burden on healthcare systems worldwide. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cGlobally, the cost associated with medication errors has been estimated at US$42 billion [$72.2b] annually.\u201d <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">It says in the US alone, 1.3 million people experienced preventable medication-related harm.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Orchestral for Prescription Safety will cross-reference a patient\u2019s age, sex and other characteristics, and what they have already been prescribed. <\/p>\n<p><img  alt=\"McCrae Tech has already made its first sale, to an unnamed customer in the US. Orchestral CEO Lucy Porter says she's fielding interest from around the world, including the Middle East. Photo \/ Sylvie Whinray \" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/>McCrae Tech has already made its first sale, to an unnamed customer in the US. Orchestral CEO Lucy Porter says she&#8217;s fielding interest from around the world, including the Middle East. Photo \/ Sylvie Whinray <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">It will also check The New Zealand Formulary (a national database that includes information on pharmaceuticals and their use), among other safeguards, Porter says.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cAI will make it a lot better,\u201d Davis told the Herald, talking about artificial intelligence in health in general. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">The new semi-retired academic says any electronic system is a step-up from the mistakes that used ot be caused by doctors\u2019 handwriting.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">By automating multiple cross-checks, \u201cAI should make it impossible\u201d to make a prescription mistake,\u2019 Davis says, if it\u2019s implemented correctly.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Porter says all Orchestral\u2019s AI agents are \u201cgoverned\u201d or operating within strict rules and builds on decades of data storage engineering, first within Orion and now sput into McCrae Tech. Orchestral has three components:<\/p>\n<p>Health Information Platform (HIP): Ingests data from any source and delivers trusted, structured, standardised, and compliant health data;Health Agent Library (HAL): Provides a governed registry of AI building blocks for the entire health system andHealth AI Tooling (HAT): Empowers data analysts and scientists to build agentic workflows, business intelligence reports and more.<\/p>\n<p>NZIER sees billions in AI gains<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cAI, if used correctly in healthcare, can double, triple or quadruple the throughput in primary care,\u201d McCrae says. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">A New Zealand Institute of Economic Research (NZIER) report, commissioned by McCrae Tech, says \u201cAI can lift system-wide productivity by improving the accuracy and timelines of prediction, diagnosis, treatment and surgery, reducing avoidable costs and downstream complications\u201d.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Porter says prescriptions are just one of 50,000 healthcare workflows that could be improved by her firm\u2019s software.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">And research indicates possible big gains from those improvements.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cAI adoption could generate substantial fiscal savings, with international evidence indicating a 5% to 10% reduction in health system costs,\u201d NZIER says. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Approximately a third of the gains would stem from reduced administrative expenditure.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Over 10 years, the cost-savings would be $15 billion to $31b, NZIER said. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cThis is equivalent to the cost of providing an additional six months to a year of health system services.\u201d<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">NZIER also says AI productivity gains could address barriers to healthcare access at a time when \u201cnearly half of all general practices have closed their books to new patients\u201d.<\/p>\n<p>AI taking jobs?<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Porter says there should be no fears about AI taking jobs in the badly overstretched health system.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cWe see a lot of articles about burnout and clinicians moving offshore,\u201d she says.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cMy hope is that AI will not only improve outcomes for patients but enable clinicians to do the things they really love, and that a lot of their paperwork will be removed.\u201d<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">McCrae adds, \u201cYou still want a clinician to deliver you terrible news or guide you on a health journey. These are tools that support those clinicians. AI is a clever assistant.\u201d<\/p>\n<p>\u2018Down to AI\u2019<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">He sees AI on a par with major public-health breakthroughs such as antibiotics and modern hygiene.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">It\u2019s still early days, but the start-up has garnered global interest, McCrae says. A yet-to-be-named customer has been signed in New Mexico.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">McCrae, who had his most recent brain tumour surgery just weeks ago, is now 60 months post-diagnosis.<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cI\u2019m still going for quite good runs,\u201d he says. <\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">\u201cI\u2019m not quite as fast as I used to be. I\u2019ve lost a few clicks. But I\u2019m feeling healthy and a lot of that\u2019s down to AI. It\u2019s the most impactful technology I\u2019ve seen in healthcare in 40 years.\u201d<\/p>\n<p class=\"LolVegRJp\" style=\"display:none\">Chris Keall is an Auckland-based member of the Herald\u2019s business team. He joined the Herald in 2018 and is the technology editor and a senior business writer.<\/p>\n","protected":false},"excerpt":{"rendered":"\u201cThe family would be at the beach, swimming, and I\u2019d be jammed in the corner, AI\u2019ing,\u201d he says.&hellip;\n","protected":false},"author":2,"featured_media":338649,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[3255,365,363,364,9442,54058,8604,6659,15166,12474,63726,311,134,27783,57505,8454,1739,5983,1044,100657,117,111,139,69,52862,1597,32221,43296,1314,11590,312,8183,1037,1324,6211,145,210,61,42032,6305,5977,2963],"class_list":["post-338648","post","type-post","status-publish","format-standard","has-post-thumbnail","category-artificial-intelligence","tag-address","tag-ai","tag-artificial-intelligence","tag-artificialintelligence","tag-better","tag-billions","tag-caused","tag-deadly","tag-deaths","tag-dollars","tag-errors","tag-founder","tag-health","tag-healthtech","tag-ian","tag-including","tag-launches","tag-levels","tag-management","tag-mccrae","tag-new","tag-new-zealand","tag-newzealand","tag-nz","tag-orion","tag-patient","tag-prescription","tag-puts","tag-road","tag-save","tag-says","tag-software","tag-startup","tag-stop","tag-system","tag-technology","tag-through","tag-to","tag-toll","tag-tool","tag-which","tag-zealands"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/338648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=338648"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/338648\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/338649"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=338648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=338648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=338648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}