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Nuesoft Technologies, Inc.

Product Profile
Product name NueMD
EHR Certification Meaningful Use – Stage 1 (ONC-ATCB Certified 2011/2012)
History of development and product ownership NueMD Complete is developed by the Sevocity division of Conceptual MindWorks, Inc. (CMI)
Was the product known by any other names in the past three years? No
Year that a fully functional version of this EHR product was first implemented in a medical practice in the US 2009
Number of full time equivalent (FTE) staff fully dedicated to this product
Product development: 62
Sales: 10
Implementation: 9
Support and maintenance: 13
Typical size of practice in which this EHR has been implemented
1–3 physicians
4–10 physicians
Typical setting in which this EHR system is used
Community Health Center/Clinic
Multispecialty Clinic
Private Ambulatory Care Office
What specialties does this EHR support?
Addiction Medicine
Adolescent Medicine
Allergy and Immunology
Cardiology - Invasive/Interventional
Cardiology - Non Invasive
General Internal Medicine
General Practice/Family Medicine
Hospice and Palliative Medicine
Infectious Disease
OB/Gyn & Women's Health
Orthopaedic Surgery
Osteopathic Medicine
Pain Management
Physical/Rehabilitation Medicine
Plastic Surgery and Aesthetic Medicine
Public/Community Health
Pulmonary Medicine
Sleep Medicine
Sports Medicine
Surgery - Cardiothoracic
Surgery - General
Surgery - Oral & Maxillofacial
Surgery - Other
Surgery - Vascular
Areas of the United States in which this EHR product is sold North East
Mid Alantic
South West
Hardware / Network
Operating system platform(s) supported
1. Client (Desktop)
Windows 7, Windows XP, Mac, Linux,

2. Server
Internet based, no server required
Does the company resell any hardware? No
Preferred list of 3rd party hardware suppliers No
Preferred list of 3rd party IT Support vendors? No
Does the product work over a wireless (WIFI) network? Yes
Workstations need only any internet connection with at least 128 kbps.
VARs - Value Added Resellers
Do you use value added resellers to sell and distribute this EHR? Yes
Can customers purchase your product directly from your company or only from your VAR’s Yes
Customers can purchase either directly or through VAR's with no limitations.
Can customers who have purchased your product through a VAR contact your company for support? Yes
All customers can contact NueMD for support.
Application Service Provider
Do you offer an ASP version of your EHR product? Yes
Can you use Dragon or MS voice tools on your ASP solution? Yes
Company policy regarding data ownership for the ASP EHR The customer owns all data.
Location of data hosting centers We store data across multiple servers in multiple, Tier-Three data center structures. For security reasons, we do not disclose the number or location of those data centers.
Software & Database
What programming language were used to develop the application? Java
Do you provide a test version of your EHR product for training and quality assurance(QA) purposes as well as the full production environment that is installed in the clinic? (The test version is a segmented area where users can make changes to templates or forms without it affecting the live environment) No
Are 3rd party applications required to use your EHR? Yes
Adobe Acrobat Reader and Java.
Do you use standard terminologies, e.g., SNOMED-CT, LOINC, ICD9, ICD10 in your program? HCPCS and CPT (Procedures), ICD9 and 10 (Assesments) and LOINC (Labs)
Expected date to be in compliance with ICD10 coding We are currently compliant with ICD-10
Expected date to be in compliance with SNOMED-CT We currently do not have plans to use SNOMED CT. Feedback from our providers has been consistently that SNOMED CT would limit and/or overly complicate their documentation. However, we will implement SNOMED CT if it is selected by ONC or CMS as a national standard for EHRs.
Interfaces / Interoperability
Does this product have existing lab interfaces with Quest? If Yes, please explain whether the interfaces are uni or bi-directional. Yes
Interfaces are bidirectional
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain. No
If the lab company picks up the costs, will the practice be charged maintenance and support fees? If Yes, please explain.
Does this product have existing lab interfaces with Labcorp? If Yes, Yes
Interfaces are bidirectional
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain. No
If the lab company picks up the costs, will the practice be charged maintenance and support fees? If Yes, please explain.
Does the company offer an integrated EHR/PM system? (i.e. a combined EHR/PM system) Yes
NueMD Complete is an integrated solution.
[If yes to the previous question] Does your system used a single shared database (not interfaced) for the EHR/PM system? No
There is an HL7 interface between the two systems.
Can your product be interfaced with a different PM system if the practice chooses to do so? No
List of Practice Management systems with which you have existing interfaces NueMD PM
If you do not have an interface with a particular PM system, are you willing to develop a custom interface? No
If an interfaced PM system is used, does your EHR product transfer billing and coding data captured during the encounter to the PM system? If yes, is this a one-step or multi-step process? Yes
Does the EHR use an interface engine? Yes
NueMD Interface Module v 3.11
Implementation and training
Tools and/or services offered to clients in order to achieve meaningful use of their EHR? The system contains all of the reports required for meaningful use. A portion of the implementation process is dedicated to consulting the practice on achieving meaningful use. We have also written a detailed guide for clients to reference.
Tools and/or services offered to clients for current workflow analysis and redesign when using an EHR? One of the first steps in the implementation process is a NueMD implementation expert evaluating the current workflow of a new client, then discussing possible modifications that might best align with the use of an electronic system.
Do you recommend a graduated implementation or a big-bang implementation (all live at the same time) for your EHR? We recommend a big-bang implementation, but will customize based on the individual practice if necessary. There are also components of the system, such as e-Prescribing, that many clients start using immediately.
What training mechanisms are used by the EHR Vendor? On Site
At Corporate Facility
Web Based
Web Based interactive
Is there a minimum amount of training required by your company in order to satisfy the support and maintenance contract that we would sign with you? Yes
10 Hours
Do you provide any guarantees regarding the ability of a practice to meet meaningful use requirements? Yes
We guarantee that the software will maintain any and all certifications needed for clients to meet meaningful use requirements.
Does your company provide any guarantees that your EHR product will comply with Stage 2 and Stage 3 meaningful use requirements? Yes
Is there a minimum amount of training required by your company in order for our practice to satisfy compliance with meaningful use guarantees?
12 Hours
What services do you offer for post-implementation optimization of the system with respect to training and system customization? Additional training, custom template building and meaningful use consultation.
Does your product support ePrescribing? Is there an additional charge for this service or is it included in the overall cost? Yes
Which formulary does your product use? SureScripts formulary
Does the system allow users to add drugs that may not be in the original database? Yes
How are drug allergies and adverse reactions recorded and integrated into the prescribing module? Through SureScripts
When prescribing multiple medications, am I presented with an ability to separately acknowledge or document individual alerts? Yes
Is there an ability for the physician or practice to modify preset alerts? (e.g. Severe vs. mild or moderate) No
Is there an ability for the physician to filter the display of alerts? No
How are episodic and long-term medications tracked in the patient’s record? Users can add and review pre-existing or current medications to patient charts through an easy-to-use Meds HX tab.
Does the system allow users to switch drug interaction checking on or off? Yes
Drug interaction checking is always active.
In the medication list, is a user able to sort medications by multiple parameters including date prescribed, diagnostic code, active or discontinued? Yes
Users can sort by a number of parameters, included active, historical, assessment and formulary.
What pre-defined templates do you provide?

Definition: A template is a pre-defined structured capability to rapidly record content including information on clinical conditions or vital signs through mechanisms such as menus, predefined fields or checklis
We provide template "starter sets" based on the specialty of the individual practices. Each template set contains 5 - 10 templates that have been designed by physicians, office staff and implementation consultants for specific specialties.
Do you charge additional fees for any of templates? No
Can clients customize existing templates? Yes
Can clients use tools provided through the system to develop their own templates? Yes
Will your company build custom custom templates to the practices specifications? Yes
Included in the implementation fee is creation of up to 5 custom templates. Additional custom templates can be created for a fee.
If a doctor has created a custom template in their EHR, will the templates and custom rules be maintained when new full releases and patches are installed?
Support & Maintenance
What is the process for managing questions and service requests? We have live customer support that uses an issue tracking system that is integrated in the system.
Are different tiers of support offered (including pricing information)? Yes
If clients complete our training program, support is free. If clients choose to forgo training, then there is a nominal charge for support calls.
What are the options for a client to contact your company for support? Email, phone support and in-product live chat.
What level and type(s) of support are provided during go-live? All support options are available (on-site, remote, self-paced, coach led). Our most popular is remote coach led training sessions performed though the internet using a virtual network connection.
Is a formal users' group, online community forum or other form of social networking community available? We do maintain a users group
What are the standard hours of operation during which support is provided? M-F 9am-5pm EST
What are the steps for a client to escalate a support request? Contacting support through any chanel. Because we used a centralized issue tracking system, all support agents have access to all the data surrounding the particular client and their problem.
Do you use off-shore technical support? No
Are software upgrades provided as part of the software maintenance contract? Yes
How are customer requests for enhancements and customizations handled? All enhancement requests are reviewed by our product team. After review, clients are informed via system message whether the enhancement has been approved for the next release, added to a future release, or declined.
How are drug interaction tools updated in your system? Updated through SureScripts. There is no additional charge.
How are patient education materials updated in your system? Through the Medline Plus Connect web service. There is no additional cost for this.
How are requests from clients handle for customizations of their system post “go-live”? Template and other basic customizations are handled by our Client Support team. More complex requests are sent to our Product Management department.
Is remote monitoring available with the ability to alert clients about system problems? No
N/A - As a cloud-based system, Nuesoft maintains the application on its datacenters.
What is your recommended backup strategy? As cloud-based system, we have multiple servers in multiple datacenter structures throughout the country. Our servers are configured according to Redundant Array of Independent Disks (RAID) architecture, which distributes data across several hard drives and provides for its recovery if it is lost. In addition, we continuously perform backups, security and fault tolerance checks.
Do you offer remote backup for a client's system? Yes
As a cloud-based system, we provide backup and recovery services for all clients at no additional cost.
When an interface goes down, how is that information recovered? Our servers are configured according to Redundant Array of Independent Disks (RAID) architecture, which distributes data across several hard drives and provides for its recovery if it is lost.
Reporting Tools
Does your system provide a reporting tool with pre-formatted reports? Yes
Is your reporting tool able to create the following reports?

1.Generate a list of all patients with a chronic condition (e.g. Diabetes, COPD)
2.Generate a list of all patients with a specific condition who have not been seen within a defined period
3.Generate a list of all patients with a specific condition and lab result who have not been seen within a defined period. (e.g. diabetic patients with a HbA1c=9 not seen in the last 4 months)
4.Generate a list of all patients on a specific drug with an active medical problem
Are these reporting tools bundled with the EHR system or provided as add-ons? Yes
Reporting tools are bundled with the system at no additional cost.
Does your system support PQRI (Physician Quality Reporting Initiative) reporting? Yes
Order Management Tools
Does your program provide any order management tools? Yes
At no additional cost.
Does your program provide any document management tools? Yes
Faxed documents are manually assigned to patients, but Lab Orders are automatically attached to patient records.
Does your program provide any other workflow management tools? Yes
System includes task and message routing rules.
Patient Health Record (Portal)
Do you offer a Patient Health Record that integrates into your system? No
Data Conversion
Do you offer data conversion services from other products to your product? Yes
Data conversion is available for: Demographic data
Clinical data
What are the data conversion and transfer costs? Yes. Prices vary depending on type and number of records to be transferred.
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