Complete Electronic Medical Records system (EHR/EMR) Medisoft Clinical

· Open multiple charts at the same time

· User-definable chart summary field

· MPI capabilities

Progress Note Functionality

· Documentation by: free text, pre-defined, or user defined clinical templates, clinical macros, and/or dictation

· Automatic updates on different sections of chart

· Review allows providers to review unsigned notes, incoming lab data, reports, and letters

· Over 200 clinical templates (configurable on site)

· Clinical templates include E&M codes and AHCPR guidelines

· Easy attachment of images to notes

· Electronic signature documents author of progress note

Prescription Writer

· Over 700 prescription templates provide dose, alternatives, and prices for the prescribed medication

· Drug interaction and automatic allergy/intolerance checking 3 medication lists: Current, Ineffective, and Historical

· Formulary checking

· Fax prescriptions from Patient Records directly to the pharmacy

Health Maintenance

· Overdue health maintenance reminder

· Vital Signs data capture

Laboratory Data

· Lab data can be imported from outside or in-house lab using industry standard formats

· Abnormal data flag

· Practice Partner has built hundreds of lab interfaces to such labs as Labcorp, Quest Diagnostics

Messaging

· Intra-office messaging

· Chart info can be e-mailed to consulting physicians

Reporting

· Missing progress notes

· Unsigned progress notes

· Unsaved progress notes

· Print chart summary

· Print complete patient chart

Awards

· Best EHR Software – TEPR 2006, 2005, 2004

· Top Rated EHR Software – AC Group 2007, 2006, 205, 2004

· CCHIT Certified 2008

· Best Integrated System – InvestMed 2004

· Technical Support Asware – InfoWorld “Top IT Projects 2005”

· AAN Five-Star Rating in 2006

American Recovery and Reinvestment Act of 2009

President Obama has signed the American Recovery and Reinvestment Act into law. The legislation includes $19 billion to accelerate the adoption of electronic health records by physicians and hospitals. Beginning in 2011, under the Medicare and Medicaid reimbursement portions of the plan, physicians who meet certain criteria for meaningful use of a certified electronic health record could qualify for significant reimbursement, up to a maximum of $64,000.

As part of President Obama’s economic stimulus package officially known as the American Recovery and investment Act of 2009 (or ARRA) approximately $20 Billion has been allocated to incentivize hospitals and physicians to adopt Healthcare IT technology such as Electronic Health Records and E-Prescribing. While the specific rules for administrating this program are still in development, we do know that the program will operate much like the CMS/Medicare incentives now in place for E-Prescribing. Similarly, Physicians must use a “certified” EHR, and will have to show “meaningful use” of that EHR software on an on-going basis through yet-to-be-established reporting procedures. EHR’s will require certification.

Certified Commission for Health Information Technology (CCHIT) is expected to be the criteria for approved EHRs. If they meet these requirements, physicians would receive substantial incentive payments through the Medicare and Medicaid reimbursement systems. Also like the E-Rx incentives, doctors that do not participate will begin to see penalties after a certain amount of time (beginning in 2015).

This money will be available as incentives through the Medicare and Medicaid reimbursement systems to assist providers in adopting EHRs. Payments can be substantial if a physician fully participates in the program, starting at $18,000 in 2011 (for participation in year 2010) and over $40,000 over the life of the program. Medicare incentives will reach $44,000 with a 10% royalty in areas where physicians are in short supply. Medicaid incentives will reach $64,000 with 20% incentives for Pediatricians. Physicians cannot participate in both Medicare and Medicaid programs. You must choose one.

While provisions around the incentives will take time to clarify, we are encouraging doctors to begin planning now to make sure they are ready take advantage of the maximum reimbursement. We expect the demand to initiate and deploy a comprehensive EHR to escalate over the next 12 months. In order to accommodate all practices, you are encouraged to begin the process before the demand delays your implementation. There are over 200,000 practices in the 1-10 doctor range with only 4% using EHRs in a “meaningful way”. If a practice doesn’t implement in the next 12 months, they will not be eligible for the first year payments.

McKesson has responded to the legislation with an Achieve HIT program for physicians. Achieve HIT is designed to help healthcare providers optimize and accelerate their efforts to improve care delivery as they put plans in place to achieve meaningful use and qualify for the new government incentives. As part of the Achieve HIT program, McKesson has provided an online information resource for physicians at www.mckesson.com/doctors. The company is also offering a free physician hotline at 1-877-EHR-1MCK, providing physicians or their staff the ability to talk with McKesson representatives about their electronic health record (EHR) requirements.

Practice Partner® Patient Records is one of only few ambulatory electronic health record systems to have met CCHIT certification requirements every year since the inception of CCHIT in 2006. Most recently, Practice Partner Patient Records Version 9.3 became a CCHIT Certified® product for CCHIT Ambulatory EHR 2008 and Child Health. CCHIT Certified product certification designates that a health information technology product has been tested against a set of functionality (including electronic prescribing,) interoperability and security criteria and has passed inspection of 100 percent of the criteria.

We are excited to let you know that McKesson has applied for CCHIT certification for Medisoft Clinical as well. Medisoft Clinical combines Medisoft and McKesson Medisoft Clinical/Practice Partner EHR. Medisoft Clinical/Lytec Clinical and Practice Partner are now CCHIT certified 2009. McKesson Medisoft Clinical/Lytec Clinical/Practice Partner Patient Records Clinical also offers complete quality reporting capabilities through its dynamic processing technology that allows physicians to quickly search and report on clinical information. And, PPRNet, a practice-based quality improvement and research network, offers quarterly, practice-specific reports that measure clinical performance. This information is provided as an outline of the ARRA program. Specific details will require further government clarification and doctors are advised to read and understand the terms under which ARRA will operate.

For a more detailed summary of the ARRA, go to: http://www.himss.org/content/files/HIMSSSummaryOfARRA.pdf