e-MDs Chart, e-MDs Solution Series (integrated EHR/PM)

CCHIT Child Health
CCHIT Cardiovascular Medicine
Meaningful Use – Stage 1 (ONC-ATCB Certified 2011/2012)
CCHIT 2008

e-MDs develops all components.

No

1998

Product development: 90
Sales: 24
Implementation: 46
Support and maintenance: 49

1–3 physicians
4–10 physicians
11–25 physicians
>25 physicians

Academic Medical Center (AMC)/Medical School
Community Health Center/Clinic
Multispecialty Clinic
Private Ambulatory Care Office
Other

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
Hepatology
Hospice and Palliative Medicine
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
Public/Community Health
Pulmonary Medicine
Rheumatology
Sleep Medicine
Sports Medicine
Surgery - Cardiothoracic
Surgery - General
Surgery - Oral & Maxillofacial
Surgery - Other
Surgery - Vascular
Urology
Clinical - Other

North East
Mid Alantic
South
Midwest
South West
West

Microsoft Windows Operating Systems (virtual, ASP, network workstations)

Server - Microsoft SQL Server

No, however we do work with the customer's internal IT support or 3rd party support in the design, installation engineering and maintenance aspects of supporting e-MDs Solution Series.

Yes. Since e-MDs is neutral in terms of hardware preferences however e-MDs does work with Dell and a number of HP and IBM resellers on the engineering aspects of e-MDs Solution Series in support of our customers.

Yes

Yes
802.11 a/b/g/n compatible; recommended highest available encryption available such as WPA/WPA2

Yes

Yes
Directly and through VAR's.

Yes
e-MDs works closely with its partners.

Yes
e-MDs is able to provide ASP services hosting the Solution Series

Yes

The practice always retains ownership of their data.

e-MDs has several clearinghouse partners with primary office locations in North Carolina and also Arizona. In turn, these have redundant sites which can be located in different geographic areas.

A combination of technologies are used including SQL, C# .NET .ASP, Delphi, etc.

Yes
There is no additional cost.

No
Clients can elect to use 3rd party components depending upon their specific needs and workflows.

Currently we use ICD-9, CPT and can accept LOINC codes. SNOMED codes are slated for the MU version end of 2010.

October 2013 (When required)

To have diagnosis links to SNOMED for CCD in the e-MDs MU version available last quarter of 2010.

Yes
ORM^O01 export; ORU^R01 Import

Yes
Charges may be paid by the lab at their discretion.

Yes
Yes. This typically depends upon the elements the lab is prepared to underwrite for a practice.

Yes
Yes, bi-directional with ORM^O01 export and ORU^R01 Import

Yes
e-MDs has bi-directional interfacing with LabCorp at additional cost. Charges may be paid by the lab at their discretion.

Yes
Yes. This typically depends upon the elements the lab is prepared to underwrite for a practice.

Yes
e-MDs offers an integrated EHR/PM system which can also be sold in separate modules (EHR only, or PM only).

Yes
e-MDs is a single integrated database using Microsoft SQL Database server technologies

Yes
This can be provided using HL7 interfaces. e-MDs Chart EMR is capable of receiving ADT, SIU, and sending outbound DFT.

GE, Epic, IDX, etc.

Yes

Yes
Typically an automatic process.

No
We built our own interface product.

e-MDs has offered numerous services including:
- Real time Meaningful Use Dashboard report which can be run at any time for any period. This shows status against each criteria at a particular point in time.
- Clinical Quality Measures reports with drill down to compliant/non-compliant patients (e-MDs certified on all 44 CQMs)
- Meaningful Use Resource Center in the online support system each client accesses.
- Free online training videos.
- Meaningful use attainment guide (a technical specification document describing how data is queried for reporting)
- Meaningful use workflows guide with screenshots for how to capture information
- Free Meaningful Use webinars
- Client specific training sessions

e-MDs currently provides a staffing and workflow analysis online and/or onsite.  This includes analysis of current processes and workflows and redesign and change management guidance and training for the clinic staff.

e-MDs recommends a split implementation (graduated implementation) to lessen the business interruption and ensure a stable foundation for each module. A typical split implementation will begin with the PM module and clinic staff. Ensuring claims are processing smoothly stabilizes the revenue cycle management of the clinic while the EMR module is implemented. If the clinic uses a centralized billing office, that is the group that is often implemented first.

Some clients have opted for a big-bang and have achieved this with success. For example, new practices or those converting to e-MDs from a system that is no longer available have immediate needs on both the PM and EHR functionality.

On Site
At Corporate Facility
Web Based
Web Based interactive
Other

Yes
Varies by practice size. At a minimum we recommend 2 days EHR and 2 days PM.

Yes
MU Guarantee may be included as an Addendum to the Terms of License Agreement. The detailed wording of the MU Guarantee can be obtained directly from eMDs.

Yes
e-MDs commits to keeping up with regulatory requirements that impact our customers.

Yes
In general, the training occurs for approximately 2 days. Facility training in Austin, Tx can be provided or an e-MDs trainer can be onsite on the customer premise.

e-MDs offers post go-live training and practice optimization consulting. These will be based upon practice needs and will be tailored to match the practice's requirements. Additionally e-MDs also offers free online webinars for customers, such as for meaningful use readiness.

Yes
There is a setup charge for basic e-Prescribing, and if formularies are desired a nominal monthly fee. e-MDs has attained Surescripts White Coat of Quality status in 2010 and 2011.

e-MDs uses Surescripts and is also the top 10 volume aggregator. e-MDs received Surescripts White Coat of Quality Awards for both 2010 and 2011, demonstrating our commitment to eliminating electronic prescribing errors and dedication to supporting the efficiency and safety of the electronic prescribing process.

Yes
Users can create their own formulations or add medications that do not exist in the database.

The system stores both patient allergy and patient adverse reaction information and then uses that information to provide automatic notifications to users if a medication is prescribed to which a patient has an allergy or adverse reaction, drug-disease interactions, etc.

Yes
Information for each alert is listed separately, but in a single window to prevent "pop-up fatigue".

Yes
Users can choose if they want intrusive (pop-up) alerts at different severity levels, or just visual cues.

Yes
Physicians can elect to show intrusive alerts for certain levels or higher.

The system comes with preset content which becomes the default for each, although users can override this. Episodic medications automatically age off the patient's current medication list into a past medication list. Long-term medications remain in the current medication list until manually stopped. Users can also modify these defaults at the drug level, or at the patient level.

Yes
Options are available for users to turn Active interaction warning messages off or to limit the active messages however passive interaction indicators are always present.

Yes
There are multiple medication views and grids which give users the ability to view the data according to their preference (including the level of detail).

Clinical documentation (Chief Complaint, HPI, ROS, Exam, Results, Plan). Templates have built in pathways and evidence based structure and ability to create order/charge sets. e-MDs provides a very significant body of core content, and users have ability to easily modify these without coding/programming expertize needed. - Differential Diagnosis - Vitals - Flow sheets - Immunizations

No

Yes
Users can customize these on-the-fly (with appropriate security privileges) including the ability to integrate coding/charge capture, clinical hints, best practices, variable outputs, age/gender appropriateness, etc.)

Yes
There is a built in template editor that does not require programming skills.

Yes
There is a fee for this service. Typically practices have been able to build templates themselves without needing company resources.

Yes
e-MDs has sophisticated template content management to ensure customer content is not affected by upgrades.

e-MDs customers can initiate a support request through e-Mail, telephone, chat or themselves via the e-ticketing system.  All requests have a ticket assigned which the customer can monitor. Tickets are routed to appropriate staff based upon the ticket type and staff competencies. all e‐MDs customers have access to the e‐MDs Support Center. e‐MDs Support Center is an online
CRM system that has knowledge base (KB) articles, troubleshooter wizards, downloads, forums and online ticketing. All e‐MDs customers are provided with access to the e-MDs Support Center.

Yes
Different Service Level Agreements (SLAs) are available. Pricing is available upon request.

e-Mail, self-ticketing, web-chat, toll-free telephone, internet monitoring (Webex), online knowledge base.

An e-MDs trainer will be onsite for go-live however the number of days will vary based on size, locations and complexity of the practice.

Yes, e-MDs customers have access to e-MDs Support Center. This includes user forums. e-MDs also has an Advisory Council comprised of customers representing different roles (doctors, staff) and different organizations (small practices, larger enterprises). There are also numerous smaller, more informal user groups in various regions that are driven by clients.

8am to 8 pm ET /7am to 7pm CT/6am to 6pm MT/ 5am to 5pm PT. Additional SLAs with extended coverage are available.

The client can request access to managers. There are no barriers to this avenue.  In additional e-MDs also has an internal escalation process as well as automated alerts via our CRM system which will notify staff if an issue needs attention.

No
e-MDs technical support staff is located in Austin, Texas

Yes

Customers can submit enhancement requests via multiple channels including through a specifically designated link in e-MDs Support Center.  These are then routed to our product teams who will investigate the request and prioritize it for a future release.  Customizations are handled by project teams who will work with the client to develop requirements and then create a proposal and project timelines.

Drug content updates are provided on a regular basis at least quarterly. These updates can occur more frequently based on need. The updates are provided via the e-MDs support website and there is no additonal cost for these updates.

e-MDs provides content and also gives users free access to Krames. Krames content is updated automatically. e-MDs content, which can be edited is done periodically based upon new guidelines, etc. Users can also create their own content.

Dependent upon nature of the request. Interface and custom reports are tasked to a technical project manager who will work with the client and/or third party to develop specifications in concert with product specialists. In the event that the project will incur a charge, this is done based upon a mutually agreed specification. Many requests are simple training questions since the system offers a great deal of customization options. These would be handled by the support and/or training teams.

No
Third party option provided by some e-MDs business partners.

e‐MDs recommend a rotating backup scheme (disk to disk or tape) of a Full back up every Friday and differential backups every night. It is further recommended to have the backups vaulted external of the physical location of the clinic for a period of 1
week. e‐MDs provide script to perform a nightly backup with the SQL server application. Backup files, back disks or physical backup media can be encrypted and password protected using common industry backup software such as Symantec, IBM Tivoli, or Arcserve. These applications can also be used to restore either the e-MDs EHR Database or DocMan document imaging files from backup in the event a restore is required. For hosted solutions, e-MDs also offers a disaster recovery tool which saves a local copy of the provider’s schedule as well as patient health summaries in the event that access to the internet is disrupted by a natural disaster or other reasons.

Hosted systems have backups managed for clients.

No
Third party option offered by some e-MDs business partners who may charge additional. For a hosted solution, this is a provided solution which is part of the service.

Information is not lost when an interface goes down. Messages queue up on either vendor's system.  Once the interface or connection comes back up, messages transfer would resume.

Yes
e-MDs provides pre-defined reports with multiple filtering and other options that give users the ability to look at their data in many different ways. Many reports also have export options (Excel, csv, PDF, etc) and some can be automatically tasked on a periodic basis.

1.Yes
2.Yes
3.Yes
4.Yes

Yes
There is no additional cost. This includes for the Registry Processor which allows the creation of custom patient lists based upon numerous data points.

Yes
e‐MDs is accepted by CMS for EHR certification for PQRI/S. As a demonstration of our experience, e‐MDs was also one of the first vendors to validate DOQ‐IT reporting in several states states during that program.

Yes
A closed-loop order tracking system is included at no extra charge. Users can define which orders to track. When results are received electronically they are automatically reconciled. Users are prompted to reconcile letters and faxes manually.

Yes
The system includes a complete document management system (DocMan) that allows practices to go completely paperless. An integrated faxing solution is also provided with no extra cost. Faxes that are received electronically do not generate any paper.

Yes
Tracking Board: Tracks patients through clinics from waiting room, to treatment, to check out.
TaskMan: Tasking and messaging system which is used for in-office messaging.
Refill requests queue
Chart sign off queue
Dashboard for outstanding notifications

Yes
e-MDs provides a Patient Portal with some PHR functionality.

Yes

Billing data
Demographic data
Clinical data
Metadata

Yes, cost is dependent upon system, level of complexity and amount of data. The company works with the customer up front to develop a proposal.