Product Profile
Product name
AMS Practice Management ULTRA
EHR Certification
CCHIT Child Health
Meaningful Use – Stage 1 (ONC-ATCB Certified 2011/2012)
CCHIT 2011 (Pre-Market or Fully Certified)
History of development and product ownership
We developed the product.
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
1991
Number of full time equivalent (FTE) staff fully dedicated to this product
Product development: 12
Sales: 4
Implementation: 5
Support and maintenance: 7
Typical size of practice in which this EHR has been implemented
1–3 physicians
4–10 physicians
11–25 physicians
Typical setting in which this EHR system is used
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
Dermatology
Endocrinology/Diabetes/Metabolism
Gastroenterology
General Internal Medicine
General Practice/Family Practice
Geriatrics
Hematology
Infectious Disease
Nephrology
Neurology
Neurosurgery
OB/Gyn & Women's Health
Oncology
Ophthalmology
Orthopaedic Surgery
Osteopathic Medicine
Otolaryngology
Pain Management
Pediatrics
Physical/Rehabilitation Medicine
Plastic Surgery and Aesthetic Medicine
Psychiatry
Areas of the United States in which this EHR product is sold
North East
Mid Alantic
South
Midwest
South West
West
Hardware / Network
Operating system platform(s) supported
Server: Windows 2003 Server or higher
Client: Windows 7 Professional/Home, XP Professional/Home, Vista (or Peer to Peer Network of 5 computers or less)
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
Administrators should choose only routers that have WPA2 encryption capabilities. WPA2 contains the necessary security to ensure PHI is not compromised (i.e. 256-bit AES encryption, SHA-1 hashing, password/key authentication).
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
Directly or through approved VAR
Can customers who have purchased your product through a VAR contact your company for support?
Yes
Application Service Provider
Do you offer an ASP version of your EHR product?
No
Can you use Dragon or MS voice tools on your ASP solution?
No
N/A
Company policy regarding data ownership for the ASP EHR
N/A
Location of data hosting centers
N/A
Software & Database
What programming language were used to develop the application?
VB, .net
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
Pervasive SQL 10.30 or higher
Do you use standard terminologies, e.g., SNOMED-CT, LOINC, ICD9, ICD10 in your program?
Yes, SNOMED-CT, LOINC, ICD9, ICD10, CPT4, RxNorm
Expected date to be in compliance with ICD10 coding
Currently
Expected date to be in compliance with SNOMED-CT
Currently
Interfaces / Interoperability
Does this product have existing lab interfaces with Quest? If Yes, please explain whether the interfaces are uni or bi-directional.
Yes
Results Only HL7 interface.
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain.
Yes
For additional implementation fee normally paid by Lab with no additional ongoing fee to client.
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
Results Only HL7 interface.
If Yes to the previous question, are the interfaces bundled or provided at additional cost? Please explain.
Yes
For additional implementation fee normally paid by Lab with no additional ongoing fee to client.
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
Our Practice Management Ultra is an integrated solution, also available as stand alone (EMR only)
[If yes to the previous question] Does your system used a single shared database (not interfaced) for the EHR/PM system?
Yes
Can your product be interfaced with a different PM system if the practice chooses to do so?
No
However, data can be accessed via an ODBC connection.
List of Practice Management systems with which you have existing interfaces
N/A
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
Encounter data can be accessed via an ODBC connection.
Does the EHR use an interface engine?
No
Implementation and training
Tools and/or services offered to clients in order to achieve meaningful use of their EHR?
Online training videos and documentation, as well as Meaningful Use Training seminars and Webinars.
Tools and/or services offered to clients for current workflow analysis and redesign when using an EHR?
During the sales process, account reps personally work with soon to be clients to see what areas in the practice need workflow improvements, then work with the trainers to implement workflow recommendations during the training phase. Online training videos on workflow are also available.
Do you recommend a graduated implementation or a big-bang implementation (all live at the same time) for your EHR?
That is dependent on the clients needs and goals, but normally a graduated implementation is preferred method.
What training mechanisms are used by the EHR Vendor?
On Site
Web Based
Web Based interactive
Other
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?
No
There is not a minimum amount or training required to satisfy our support/maint. contract. However, it is highly recommended that all support staff complete all training videos and documentation, and go through one on one training with a dedicated trainer that is included free with the software purchase.
Do you provide any guarantees regarding the ability of a practice to meet meaningful use requirements?
No
Does your company provide any guarantees that your EHR product will comply with Stage 2 and Stage 3 meaningful use requirements?
No
We plan to certify for stage 2 and 3 when testing period opens.
Is there a minimum amount of training required by your company in order for our practice to satisfy compliance with meaningful use guarantees?
No
Clients planning to attest should review all documentation and training videos relating to EMR and Meaningful Use. It is suggested they also attend our Meaningful Use Seminars.
What services do you offer for post-implementation optimization of the system with respect to training and system customization?
Online training videos are available to any active AMS client at no additional cost. Clients may also purchase online training sessions, online webinars, attend semiars or on-site training.
Prescribing
Does your product support ePrescribing? Is there an additional charge for this service or is it included in the overall cost?
Yes
We support e-prescribing through NewCropRx or RxNT. There is an annual subscription fee.
Which formulary does your product use?
Formulary is provided as part of the subscription.
Does the system allow users to add drugs that may not be in the original database?
Yes
But they will not be evaluated for Drug Interaction Checks.
How are drug allergies and adverse reactions recorded and integrated into the prescribing module?
Drop downs for severity level and additional comments section.
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)
Yes
Is there an ability for the physician to filter the display of alerts?
Yes
Settings are available in the software / e-Rx solution to modify alert levels.
How are episodic and long-term medications tracked in the patient’s record?
Medications can be entered with no termination date.
Does the system allow users to switch drug interaction checking on or off?
No
Not completely. However settings are available in the software / e-Rx solution to modify alert levels.
In the medication list, is a user able to sort medications by multiple parameters including date prescribed, diagnostic code, active or discontinued?
Yes
Date Prescribed, Active/Discontinued Meds, Medication Name, Sig, Termination Date.
Templates
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
Encounter note sample templates are provided by specialty, Vital sign templates, Vaccination templates, RHCM template, Common Script template, E&M coding template, Injection template, Test panel template, Clinical quality measure report template & Quality Reporting templates.
Do you charge additional fees for any of templates?
No
Can clients customize existing templates?
Yes
Clients can customize most sample templates via tools provided in their system.
Can clients use tools provided through the system to develop their own templates?
Yes
Clients can build their own encounter note templates via tools provided in their system
Will your company build custom custom templates to the practices specifications?
No
Clients can build their own templates via tools provided in their system.
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?
Yes
Support & Maintenance
What is the process for managing questions and service requests?
Clients call our help desk during normal hours. During the live support call, the AMS help desk technician will escalate the call to a level 2 or 3 dependent on what is required to resolve any issue.
Are different tiers of support offered (including pricing information)?
Yes
There is the standard level that includes all software updates and a limited number of hours of phone support, access to tech website, technical bulletins and newsletters. Optional priority level adds unlimted toll-free phone support and e-mail, messaging capability for an additional fee.
What are the options for a client to contact your company for support?
Live phone support for both levels of support, message/callback & e-mail for priority level only.
What level and type(s) of support are provided during go-live?
New client installations automatically include priority phone support for first 90 days. A dedicated trainer is assigned to guide clients through training videos then address practice specific questions during included phone/web training sessions.
Is a formal users' group, online community forum or other form of social networking community available?
There is a forum available to any client on active support.
What are the standard hours of operation during which support is provided?
Standard hours of operation for support are 9:00 am to 5:00 pm Central time Monday through Friday.
What are the steps for a client to escalate a support request?
During the live support call, the AMS help desk technician will escalate the call to a higher level based on what is required to resolve any issue.
Do you use off-shore technical support?
No
All technical support is provided directly by our highly trained in-office tech support staff.
Are software upgrades provided as part of the software maintenance contract?
Yes
The latest version updates are included.
How are customer requests for enhancements and customizations handled?
Clients may submit enhancement requests through the tech support website.
How are drug interaction tools updated in your system?
Drug interaction tools and updates are provided as part of the e-prescribing subscription service.
How are patient education materials updated in your system?
Patient education materials are defined and updated by the practice.
How are requests from clients handle for customizations of their system post “go-live”?
Clients may submit enhancement requests through the tech support website.
Is remote monitoring available with the ability to alert clients about system problems?
No
However , when the system recognizes a potential problem, it will alert with a specific error code that will help the support staff identify what corrective action needs to be taken.
What is your recommended backup strategy?
Full backups of the data can be taken with an integrated backup system. Daily backups are recommended on a rotating media schedule or uploading to an off-site storage facility.
Do you offer remote backup for a client's system?
No
When an interface goes down, how is that information recovered?
Backups can be restored using our integrated backup system or with any zip decompression tool.
Reporting Tools
Does your system provide a reporting tool with pre-formatted reports?
Yes
As well as the ability to create custom reports.
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
1.Yes
2.No
3.No
4.Yes
Are these reporting tools bundled with the EHR system or provided as add-ons?
Yes
Our reporting tools are included in the system cost.
Does your system support PQRI (Physician Quality Reporting Initiative) reporting?
Yes
Some PQRI reports and most NQF reports.
Order Management Tools
Does your program provide any order management tools?
Yes
Order tracking, prescription tracking.
Does your program provide any document management tools?
Yes
Manual matching to patients.
Does your program provide any other workflow management tools?
Yes
Encounter tracking to manage patient flow.
Patient Health Record (Portal)
Do you offer a Patient Health Record that integrates into your system?
Yes
Through Intuit Health Patient Portal subscription. As well as import CCR & CCD documents into the patient's chart.
Data Conversion
Do you offer data conversion services from other products to your product?
Yes
When applicable.
Data conversion is available for:
Billing data
Demographic data
What are the data conversion and transfer costs?
Yes, dependent on what data can be converted.