e-mds summary overview

e-MDs: Charting the Future of Healthcare

Company Background

• Founded in 1996 by David L. Winn, M.D.• Headquartered in Austin, Texas• Over 160 proud employees• The e-MDs Team is a collaborative mix of physicians,

nurses, pharmacists, practice managers, developers, & seasoned software professionals

• Over 2,000 e-MDs practices and counting (ambulatory clinics, urgent care, FQHC/RHC, residency programs, community health networks, RHIOs, IPAs, MSOs, GPOs, integrated delivery networks, etc...)

Company Background

e-MDs original 30,000 square foot facility shown above was used as the primary development and testing center until March 2006.

What Makes e-MDs Unique?

• Development guided by physicians, for physicians• Single database solution• Financial strength allows us to be customer-

driven, without investor pressures• Consistently high industry ratings among EHR

users• Corporate ethos of honesty, integrity and

accountability • State-of-the-art, agile, next generation

technologies• e-MDs cyber clinic provides real-time, real world

feedback on our software

HIT Standards

• Active nationally in EHR promotion and technical specifications development.– Appointed to CCHIT (Certification Commission for Health

Information Technology), an organization tasked by HHS to establish EHR standards. CCHIT was awarded 7.5 million dollars in November 2005 to help fund the project.

– Nominated to the HL7 Technical committee by members of CCHIT to serve as technical liaison.

– Founding member of the EHRVA (Electronic Health Records Vendors Association).

• Started CCR Acceleration Task Force, voting member ASTM E.31 for CCR

• One of 5 Pilot sites for ELINCS (EHR lab interoperability and connectivity standards)

e-MDs: On The Leading Edge of HIT

• Actively contributing to American Health Information Community (AHIC) efforts to accelerate EHR adoption– HITSP, CCHIT, NHIN interoperability,

• 2008 IHE Connectathon Certified– Allows information exchange between clinics,

hospital, labs, pharmacy, and patient (via web portal and PHR)

• Population reporting, real-time usage of evidence-based medicine, DOQ-IT, and registry reporting.

Interoperability

• Labs (Multiple Vendors)

• Radiology (SMIL)

• Vitals

• Immunization Registries

• CDC Reporting

• DOQ-IT/PQRI Reporting

• e-Prescribing (Sure Scripts)

• CCR

• Online Patient Records

• Holter, Spirometry, EKG

• Tread Mills

• TeleVox

Financial Position

• Privately owned and operated with no venture capital or outside investment

• Debt free• Reinvesting in continued R&D and

enhanced support services – still profitable • Untapped $5 million line of credit at Bank

of America• Professionally managed growth

Managed Growth

e-MDs Endorsements and Affiliations

e-MDs Strategic Relationships

• Rose Medical Center – Denver, CO-based IPA with over 400 physician members

• Resurrection Health Care/PPSA IPA – Chicago, IL-based IPA with over 3,600 physician members

• HealthSpring/NewQuest– One of the nation’s largest managed care organizations – Over 100,000 Medicare members, over 5 major markets – Over 12,000 physicians in extended network

• Genesis Physicians Group – Dallas, TX-based IPA with over 1600-members

• Children’s Physician Network– Minneapolis, MN-based GPO with over 250 provider members

• Volunteers in Medicine– Nation-wide, 200+ provider volunteer clinics

e-MDs Hospital Affiliations Nation-Wide

•Westcare Healthcare Systems •Rutherfold Hospital •Novant Health •Lexington Medical Center •New Braunfels, TX•Valley Regional Hospital •Citizens Medical Center •Uvalde Memorial Hospital •Hendrick Medical Center•Yoakum County Hospital•Coon Memorial Hospital •Moore County Hospital•…and counting

•Dewey County,•El Paso Community •Saline•Natchitoches•Bingham Memorial Hospital•St. Mary’s Choice Medical Group•EXCITA RHIO•Wood County Hospital •Armstrong Memorial •Galion Community •Sunlink Health •Providence Memorial Hospital•Tenet Health System

Why is CCHIT Important?

• e-MDs Solution SeriesTM among 89 Products to receive CCHIT Certification in 2006

• e-MDs Solution SeriesTM among only 22 Products (19 companies) to receive CCHIT Certification for 2007

• CCHIT’s mission: accelerate the adoption of HIT by creating an efficient, credible and sustainable certification program. Criteria focuses on functionality, interoperability and security.

• Over 300 products, thousands of marketing claims• Over 200 functional requirements must be met each year• CCHIT has identified & certified real-world, essential functionality criteria

– Data security, protecting patient information, necessary features• The only federally recognized standards body• A nationally accepted check list for buyers to ensure legitimacy• Eligibility criteria for higher reimbursement (CMS P4P), Stark subsidies (via

hospitals, lab vendors, etc.), malpractice insurance reductions, RHIO memberships

e-MDs Awards

e-MDs Two-Time Champs – AAFP User Satisfaction Survey

By 408 Physicians By 422 Physicians

2005 2008Rated #1

2005 Functionality Ratings

* Chart and Statistics compiled by AAFP 2005 User Satisfaction Survey

Highest Rating in Functionality & Ease of Use


Excellent Service and Support


Recommended #1 for 1-30 Physician Practices


Praxis EMR (N = 12)

e-MDs Chart (N = 29)

Amazing Charts (N = 27)

Practice Partner EMR (N = 38)

SOAPware (N = 15)

EpicCare (N = 20)

eClinicalWorks EMR (N = 30)

HealthMatics EMR (N = 24)

All 422 Responses)

Centricity (formerly Logician) (N = 53)

TouchWorks (N = 21)

Misys EMR (N = 21)

Cerner PowerChart Office (N = 12)

NextGen EMR (N = 35)

e-MDs Chart (N = 29)

EpicCare (N = 20)eClinicalWorks EMR (N = 30)

HealthMatics EMR (N = 24)

Misys EMR (N = 21)

NextGen EMR (N = 35)

2008 Ease of Use and Flexibility Survey Results

Strongly agree

Agree

Disagree

Strongly disagree

No opinion

2007 CCHIT Certified Ambulatory EHR Products

e-MDs 2008 Functionality Ratings


300% more #1 rankings than the next best product!

-20

-15

-10

-5

0

5

10

15

20

Ratings

e-MDs Praxis Prac Partner Centricity Epic HealthMatics eCW Amazingcharts

SoapWare NextGen Touchworks Cerner Misys

Functionality Items

2008 AAFP Functionality Ratings

Top Honors

Lowest Rankings

e-MDs 2008 Functionality Rankings

“Top Performer”Award

1st

Place

1st

Place

1st

Place

1st

Place

1st

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1st

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1st

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Place1st

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Inter-office tasking

Review of Chart information

Entering/Reviewing Test Orders

Patient Education Materials

Health Maintenance Alerts

Create & Review Scanned Documents

Telephone Messages* Statistics compiled by AAFP 2008 User Satisfaction Survey

Ease of Use Defined by the AAFP

• EHR allows individual, user-specific customization

• EHR minimizes data input• EHR offers multiple note creation options• EHR is FAST

-Minimal wait times between screens-Minimal boot times, etc.

Ease of Use translates into faster documentation, more efficient clinical workflow.

EHR Partner Satisfaction Site Visit 2007 CCHIT

Pricing

e-MDs Pending Yes Low

McKesson Pending Yes Medium

GE Pending No Would Not Provide

Medinformatix N/A (n=5) Not Avail No High

InteGreat N/A Not Avail No Would Not Provide

iSalus N/A Not Avail No Low

Glenwood N/A (n=1) Not Avail No Low

American College of Physicians (ACP) EHR Partner Study Summary

American College of Physicians (ACP) EHR Partner Study Summary

Product Flexibility & Clinical Content

Primary Care65%

Specialty35%

Multi-specialty15%

Surgical9%

Other76%

Designed for large enterprises

Architected for multi-specialty, multi-site deployments

Specialty Sampling

Family MedicineNeurosurgeryDermatologyEndocrinologyObstetrics & Gynecology Orthopaedics Rheumatology NeurologyPsychiatryPsychologyPhysical Medicine &Rehabilitation Urology

GastroenterologyVascular SurgeryCardiology Pulmonary MedicineOphthalmologyOtolaryngologyGeneral SurgeryPain ManagementHand SurgeryNephrologyInternal MedicinePediatrics and more..

e-MDs Support Portal

Research and Development

• 2 Major Releases Per Year• 35% reinvestment back into R&D• Thorough Q/A testing, Alpha, Beta, Charlie, GA• e-MDs “content update manager”• Active e-MDs User Community• e-MDs National & Regional Users Group

Meetings• e-MDs Customer Advisory Board

• Every customer has Input• Users help determine new functionality

e-MDs Rounds Mobile Charge Capture

Mobile Scheduling and Hospital Charge capture solution for the Pocket PC which integrates with e-MDs scheduling, billing, and charting modules.

DOQ-IT guidelines are clearly identified and come pre-packaged with all related visit templates.

Helpful hints and decision support related to each DOQ-IT measures present themselves at critical times during the patient encounter.

e-MDs DOQ-IT Initiatives: Compliance at the point of care

e-MDs DOQ-IT Initiatives: Patient Monitoring Tools

Provides tools to monitor and manage a clinic’s entire patient population based on all DOQ-IT Guidelines

Not only can the provider measure compliance, they can also take immediate action to remedy situations with particular patients that are non-compliant directly from the monitoring tool.

e-MDs DOQ-IT Initiatives: Health Maintenance Guidelines

DOQ-IT protocols are built into our clinical rules engine and present themselves throughout various areas of the application and allow the clinician to take action as needed.

e-MDs Patient Portal – Features Patient Access to Medical History

e-MDs Testimonials….

“The fact that all integrated components work so well together, the entire staff can perform multiple tasks at the same time.

The greatest feature is the ease of use... The fact that all four integrated components work so well together, the entire office staff can perform multiple tasks at the same time.

This has improved our efficiency tremendously... I have not dictated once in over 800 patient encounters!

My overhead is much lower from not requiring charts, chart racks or a dictation staff..."

Tim Duffin, M.D.Urologist - TN

e-MDs Testimonials cont…

“e-MDs is the first vendor I’ve discovered that really understands the economic aspects of practicing medicine”

Martin Basaldua, M.D.Houston, TX

“We just upgraded yesterday and I must tell you how happy we are. We really think the system is great.

We now are running our office extremely efficiently. Our employee to doctor ratio is almost 1 to 1. In our old office it was 4 to 1. You can really emphasize overhead savings by going with e-MDs.

Please pass our appreciation on to anyone involved. You are great! Thanks,”

Debbie Conley & Dr. GonzalezDes Plaines, IL


"...The user interface is intuitive and structured in the same way a physician's work flows during patient care. Chart documentation is enhanced and made more efficient by the flexibility of the template design with easy click data entry. Our office staff has rapidly grown to appreciate the powerful tools contained in e-MDs.

J. Steven Polsley, M.D.Family Physician - OH

"My income is 25% higher today than when I worked for a large group... and that is directly due to the practice efficiencies of Solution Series

Michael Bogdonavich, M.D.Family Physician - TX


"...I finally found a system that ... is integrated for all aspects of a medical practice. From scheduling, charting and billing, all of my staff have found e-MDs to be easy to use. I've been extremely happy with the support and responsiveness of e-MDs technical and sales staff. My patients have been impressed with education handouts and prescriptions..."

John E. Schloff, M.D.Family Physician - Holland, MI

"I've looked at a lot of EMR products... rows of tiny buttons... bad designs... E-MDs not only lived up to my expectations, but exceeded them."

Dee McCrary, M.D.Family Physician - Greenville, TX

e-mds summary overview

Documents

emds practices

emds endorsements

emds unique

proud employeesthe emds

members of cchit

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community health networks

health information technology