A Practical Use Dictation and EHR Solution

…Unlike Any Other

But there are so many EHR’s already out there…

“the software-sold by hundreds of health IT firms- is generally clunky, frustrating, user-unfriendly and inefficient. For instance, a doctor looking for a patient’s current medications might have to click and scroll through many different screens to find that essential information.

Dr. Stephen Soumerai, WSJ Sept. 2012

KLAS Research

KLAS Research, the most respected independent EHR/EMR research firm, had the following research statics published in their January 2013 report on some of the top Ambulatory EHR’s available in the market today:

KLAS Research (Cont.)

ALLSCRIPTS SUNRISE CLINICAL MANAGER • “Poor Execution and Integration Pull Ratings Down” • “Customers reported poor execution on promises”• "The biggest disappointment with Allscripts was that

while they spoke about how things would integrate, that was never a reality. Even with the two systems integrating, we still had to maintain a large amount of external software, so we would never have had a truly integrated medical record."

KLAS Research (Cont.)

CPSI CLINICALS"I continue to be disappointed with each new release; I dread to find out what will now be broken because of it. The most recent release, which was v.18, was one of the worst I have seen in recent years. CPSI has been talking for years about changing to a better platform, so I don't know why they don't just do it."

KLAS Research (Cont.)

HMS CLINICALS

• “41% of Customers Would Not Buy HMS Again”• Respondents cited challenges with product stability

and ease of use, often describing the product as unintuitive.

KLAS Research (Cont.)

SIEMENS SOARIAN CLINICALS

• “Disappointments with Siemens’ Delivery”• “KLAS has seen an increase in the percent of

customers who reported that they would not buy Siemens Soarian again if they started fresh”

• “Siemens always seems to be a day late and a dollar short. We haven't gotten our money's worth."

KLAS Research (Cont.)

GE HEALTHCARE CENTRICITY EMR

“While GE Healthcare Centricity EMR customers saw progress, many still reported high incidences of system slowness and code-quality issues—even in the latest versions”

KLAS Research (Cont.)

MCKESSON PRACTICE PARTNER

• “Nearly 1 in 4 McKesson Practice Partner EMR customers reported product stability/code-quality challenges, rating the overall product quality 5.4 (out of 9).“

• "Practice Partner EMR is plagued by poor architecture. But what makes it even more challenging is McKesson's service. When we call in with a product that is down, we get stuck on hold for four hours; that is just absurd."

KLAS Research (Cont.)

CARECLOUD CENTRAL

“CareCloud Central is not what I expected it to be. I have been disappointed by the system since we implemented it. I feel that I was lied to by the company because it is incapable of doing all that we need it to do. We were told it could do certain things, and it cannot. It just isn’t customizable at all."

Our Vision…

• Make it easy and affordable for physicians to create, store and share clinical notes in electronic format.

• Make it easy for a practice to stay on top of changes in technology, Medicare incentives and more.

• Preserve the ability of physicians to dictate a narrative note, while still capturing the essential data required for meaningful EHR use.

• Do all this in a manner that offers a customized, incremental approach to change.

Our Products…

• MimeMT© – Medical Transcription Module• MimeMC© – EHR Module• MimeREV© – Revenue Cycle Management Module

Application Suite

Four Areas Of Key Value…

• Efficiency - We enable dictation, which is the most efficient way for physicians to document patient care

• Clarity- We produce narrative notes that tell a patient’s story and enhance clinical decision making

• Accuracy- We find and correct documentation errors made by physicians, resulting in 98+% accuracy

• Usability- We help eliminate barriers and enable meaningful use of EHRs

MedicalMime’s Workflow Solution…

• We started with the Physician by emulating their years of refined efficiency in patient clinical encounters and charting.

• We developed a platform that lends itself to the unique workflow of each individual office.

• We can protect a Physician’s workflow before, during, and after EHR Implementation by using our dictation based platform.

• Seamless integration into other major EHRs with our MimeMT© product.

Why We Are Successful…

• Unique product based on transcription that mimics the doctor’s existing workflow.

• Unique iPad interface for physicians with upcoming enhancements for pagination (the only one perhaps)

• Interfaces split into front end (physician) and back end (staff)

• Partnership with Fluency (NLP), M*Modal for automated code generation

• Minimal up-front cost while immediately saving the physician time and money

Is It Scalable?

• The overload of available solutions is actually providing an overwhelming opportunity for our unique solution.

• It is cloud based allowing for quick adoption• MedicalMime has demonstrated that you can have

national exposure relatively quickly. • If you build a company based on world class service,

they will come. No one has that market cornered.

Address The EHR Adoption Pain…

• It takes an estimated 2.5 hours per day extra work for doctors to “point and click” discreet data in template-based systems.

• Doctors, who don’t want to disrupt their quality of life, see an estimated 30% fewer patients.

• Doctors don’t want to abandon the incentive money but they also don’t want the major disruption…it really is a tough decision.

• Upcoming juggernaut of ICD-10

Why Worry About October 1st, 2014?

• The next generation HIPAA transaction standards (5010) and the ICD-10 code sets—will result in many potential costs to physicians. Among these costs are staff education and training, changes in health plan contracts, coverage determinations, increased documentation, changes to superbills, information technology system changes, and possible cash flow disruption.

Why Worry About October 1st, 2014?

• The AAOS along with 11 other healthcare organizations, released a study conducted by Nachimson Advisors, LLC, which suggests that HHS has underestimated the cost of implementing the ICD-10 code set. According to the study results, the implementation cost for a three-physician practice could be as much as $83,290, while a 100-physician practice might pay more than $2.7 million (Table 1). (View the full study)

(Cont.)

Why Worry About October 1st, 2014?

• Training clinical and administrative staff to use the new ICD-10 code set may require up to 16 hours for coding staff, 8 hours for administrative staff, and 12 hours for providers, according to the analysis. Costs may vary depending on the type of training materials used and the resources available.

(Cont.)

Our Partnerships…

Say goodbye to printing, signing and manually faxing medical records. We have partnered with Sfax the only cloud based fax service designed for the rigors of healthcare and other industries that demand business critical services.

Our Partnerships…

Surescripts operates the nations largest e-prescription network and supports a rapidly expanding ecosystem of healthcare organizations nationwide.

Our Partnerships…

Helps healthcare professionals make safer and faster decisions with easy to use clinical information, advanced technology, and superior customer service.

Our Partnerships…

Gives physicians a meaningful boost with the richness hidden inside the narrative. M*Modal fluency is a major step forward, providing a technology platform that lends contextual understanding of the physicians narrative.

Our Partnerships…

DrFirst is the nation’s most decorated standalone electronic prescribing (e-prescribing) vendor, having earned over 12 awards, certifications and industry accolades. Their ISO 27001 certification ensures our clients have the most advanced security protecting their patient data.

EHR Login Screen

Intuitive Scheduler

This can be customized to mimic their current Practice Management scheduling system

New Appointment

Easy to use drop-down boxes as well as drag & drop capabilities

Superbill Options

Printing customized superbills directly from the new appointment window saves office staff time

Insurance Scanner

Our OCR insurance scanner scans the front & back of insurance cards and drops the info into the scheduler eliminating typing errors and saving time

View Information Quickly

Hovering over a scheduled patient brings up the appointment time, the purpose for the visit and the room number

Patient Dashboard

The MimeMC© Patient Dashboard shows the attending physician the following information:

•General Information•Smoking Status•Vital Signs•Medications

•Allergies•Diagnosis•Meaningful Use•Alerts

Patient Dashboard (Cont.)

Patient Demographics

Patient Insurance Information

Patient Visits

Each patient visit is located on the left-hand side of the screen. The following information about that patient is shown on the right:

•Clinical Notes•Vital Signs•Medications•Acute Diagnosis

•Orders•Chronic Diagnosis•Medication Allergies

Patient Visits (Cont.)

Patient Vitals

The ‘Vitals’ screen gives a graphical display of patient height, weight and BMI

Patient Medications

Easily view current and past medications

Patient Medications (Cont.)

When adding or editing medications physicians are notified of Drug Interactions, Drug Monitoring & Drug Management information

Patient Labs

Patient labs can be received via Sfax, our preferred efax partner, or scanned and automatically placed into a patients records

Physician Fax Records

Physician Fax Records (Cont.)

All Received faxes can be viewed easily with a simple click, which pulls up the fax image

Physician ReviewThe Physician Review tab gives the physician:•Patient Info•Allergy •Medications•Family History•Social history•Review of Symptoms•Impressions•ICD9 Codes•ICD10 Codes &•CPT Codes

Automatic Code Generation

Automatic Code Generation (Cont.)

The Physician’s dictated clinical notes are transcribed and automatically placed into M*Modal’s code generation engine.

Automatic Code Generation (Cont.)

Now watch the beauty and magic of natural language processing. The physician no longer has to choose the ICD-9 or ICD-10 codes, they just have to approve it! We also automate CPT Procedural Coding© & HCPCS Procedural Coding; creating exceptional efficiency and time-savings for the physicals and their office staff.

Meaningful Use Reporting Tool

Assigning Patient Access

With a click of the mouse, Mr. Smith has been sent his login credentials for the Patient Portal.

Passwords can be self-generated or user-chosen

iPad Interface

iPad login screen

Dashboard

Once logged-in, you are directed to your ‘Patients’ tab where the physicians patients are located

Patients / VisitsTouching a patient’s name on the ‘Patients’ tab brings up ‘Visits’ which includes that patient’s:

•Patient Visits•Clinical Notes•Vital Signs•Medications•Acute Diagnosis•Lab Results•Chronic Diagnosis &•Medication Allergies

Patients / Demographics

Touching the ‘Demographics’ header in the ‘Patients’ tab allows the physician to view:

•General Information•Contact Information•Demographics•Emergency Contact &•Employer

Patients / E-Prescribing

Through our partnership with Doctors First, physicians are able to e-prescribe medications directly from their iPad

Patients / Medications

Touching ‘Medications’ allows a physician to view all current and previous medications their patient has been prescribed

Patients / Allergies

The ‘Allergies’ section gives a thorough overview of a patient’s allergies including:

•Type•Description•Reaction•Status•Location &•Severity

Patient / Labs

From the ‘Labs’ section, all patient lab-work ordered by the physician can be seen and reviewed

Patient / Dictation

The ‘Dictation’ section is arguably the most powerful component of our EHR. Here a physician can dictate their clinical notes, upload them and review the transcriptions the very next day

Scheduler

The ‘Schedule’ tab allows a physician to view up-coming appointments or create a new appointment through a drop-down scroll widget

Reviews

The ‘Reviews’ tab allows a physician to review a patients incomplete file and further allows them to sign-off on a patients chart

We are Developers,We are Partners,

We are MedicalMime