About us. Smart Phone APP. Certified InPatient EHR. WebEHR Platform

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2 About us FutureNet began in 1996 with 100% dedication to the health information management industry. Through continuous service offering expansion, product development, and platform enhancements (including smart phone technology and certified inpatient and outpatient EHR programs) the company has firmly established itself as an industry leader for innovation, stability and flexibility. Today, the company provides a wide range of clinical documentation technology and BPO services supporting all work types and specialties for more than 500 hospitals and clinics nationwide - from small offices to large multi-campus regional hospitals and national clinic groups. Our technology is also branded for use by over 30 independent BPO service providers in support of their total solution offerings. Smart Phone APP The company s SaaS (Software-as-a-Service) solutions are deployed as HIPAA compliant webbased applications that help providers efficiently capture and manage the discrete health data elements required for meaningful use. Available as low cost virtual ASP technology with free applications for service clients, FutureNet solutions set the standard for outstanding value, quality and efficiency. We deliver Tomorrow s Health Records. Certified InPatient EHR WebEHR Platform 2011.FutureNet 01

3 FutureNet Smart Phone Apps Convenient, Easy and Reliable. Physician friendly app Easy to read graphics No per-user access fees Applications for iphone Blackberry & Droid devices iphone, ipad dictation app replaces handheld devices Patient record search & review from any smart phone Phone apps backed by our certfied in/outpatient EHRs No cost interfaces upload to any HL-7 compatible EHR HIPAA compliant apps with complete audit trails Virtual technology solution requires no onsite servers Optional free onsite servers available for larger clients True 24X7X365 operations & technical support All technology is complimentary for MT service clients True digital recording Free downloadable app Interface for patient list Uploads to voice servers HIPAA level encryption Presenting the health care industry s first free iphone app for digital recording: FutureNet is proud to offer no-cost technology solutions for our transcription service clients, including access to industry leading speech recognition applications to ensure optimal rates backed by our 100% domestic work force. In managing over 5 million lines of transcription per week for large and small reference-able clients coast to coast, we have the scale, experience and strength to help you meet your clinical documentation cost, quality and turn-around time objectives. Our state-of-the-art inpatient and outpatient certified technololgy solutions are also available for use by your inhouse staff or to integrate with other EHR technologies at rates well below the price points of traditional vendors. FutureNet s fifteen years experience delivering Software as a Service SaaS backed by our national Application Service Provider ASP technology infrastructure means we deliver more for less. Give your doctors what they ve been asking for: Free smart phone digital recording and virtual report access. Smart phone applications are fast becoming the expected and preferred method for physicians to record their dictation then access, review, and even electronically sign their clinical documents. FutureNet is proud to be among the e-health to m-health leaders with our state-of-the-art smart phone applications. Contact us today to learn how simple and cost-effective your move to smart phone m-health can be. 02 FutureNet FutureNet 03

4 Cloud-based EHR ideal for hospitals on a budget or with limited internal IT resources. Contact us today to arrange a personalized demo. Certified InPatient EHR Qualify for ARRA Funding Achieve Meaningful Use Report Quality Measures to CMS Chart Vital Sign Changes Maintain Problem Lists/Diagnosis Maintain Medication Lists Track Drug Allergies/Interactions Simple CPOE for Medication Orders Import Lab Tests as Structured Data Strict Privacy and Security Measures Interface to Health Info Exchanges Meet ALL Reporting Requirements 04 FutureNet FutureNet 05

5 WebEHR Platform Overview Flexible, scalable, low cost and more. Access our browser independent EHR from PCs, laptops, tablets or smart phones. iphone/ipad apps include secure digital dictation options. Industry leading mobile health technology Physician friendly mobile health apps Easy to read screen graphics HIPAA compliant security protection iphone, Droid & Blackberry compatible Free download for digital recording Makes traditional recorders obsolete Fully integrated with our own certified EHR HL7, CCD/CCR interfaces to other systems Software as a service/no onsite servers Mobile technology free for MT service clients The mandate for electronic health records has been made and the Health Information Management (HIM) industry has responded. Seamless workflow integration through HL-7 interfaces, speech recognition, electronic signature and online health records have all evolved beyond emerging technologies - they have become required tools of HITECH act and tomorrow s health records. Yet even with various companies offering their versions of such sought after features, substantial differences in reliability, flexibility, ease of use, and especially total solution cost still exist. It is in these practical ways that the FutureNet s WebEHR modular web platform distinguishes itself. As one of the first internet-based Application Service Provider (ASP) dictation / transcription technology companies, FutureNet Technologies Corporation launched in 1996 to meet the needs of a very large transcription service provider. Now after over a dozen years of continuous improvements, business scaling and day-to-day proven experience, we are proud to have earned the reputation as the most reliable ASP platform in the industry. HIPAA compliant and simple to personalize at the user level, the WebEHR platform provides all the functions, power and reliability you expect but rarely experience in today s HIM market -at a fraction of the cost of traditional server-based solutions. Powerful workflow and work pool management tools, fast and efficient typing platform, highly visible and flexible document routing - and all supported with exceptionally easy to understand reporting tools. Improved flexibility and reliability, no hardware expenses, no service contracts, no forced upgrade costs, no cost for unused system modules-those are the advantages that quality ASP platforms are expected to provide. That s what you get and more with the FutureNet WebEHR. 06 FutureNet FutureNet 07

6 Telephone A D T Input Options Optional Onsite Dictation Server Handheld Speech Mic. Smart Phones Orders FutureNet Dictation Server 3rd party HIM System Workflow Management System The most reliable platform in the industry. With FutureNet s WebEHR, physicians can dictate in their preferred method, quickly access reports via a HIPAA compliant web browser, and then optionally review, edit and sign documents prior to distribution, either through our application or through your existing HIM platform. As a Windows/SQL-based, Internet/intranet ready platform, the WebEHR modules seamlessly integrate digital dictation, desktop PC, and traditional manual transcription functions with optional speech recognition. Work Pools Speech Recognition Additionally, our optional scanning module can enable you to present all of the items found in the traditional paper folder as an online folder in our Electronic Health Record (EHR) database. Such no-risk access to state-of-the-art technologyis just one example of FutureNet s open bookpartnership. We are committed to deliver reliabletechnology that makes your job easier, not morecomplex. That s the philosophy behind FutureNet Cloud MT / QA ME / QA WebEHR Workflow Options E- Signature (optional) Output Options WebEHR.That s what you should expect in Tomorrow s Health Records. Our dedication to customer service and advanced technology delivered through uncomplicated and reasonable pricing has earned us long standing referenceable clients, representing some of the most recognizable chains and independent healthcare institutions across the country. From small physician practices to large multi-site hospital systems and even national medical transcription service providers with hundreds of transcriptionists on staff, the WebEHR platform helps you easily manage, accurately measure and independently verify the cost, quality and turn around time components of your workflow. Fax EHR Print Smart Phones Scan Input (optional) FutureNet Reliability Workflow visibility, security and control. Unlike server-based technology solutions that require access to separate systems for voice capture and workflow management, FutureNet s WebEHR delivers comprehensive volume statistics along with real-time job status visibility on a single integrated ASP platform. The operations monitor dashboard displays the number of jobs in each stage of the workflow process in realtime, making it easy to drill down into any stage and trouble shoot reports that may need to be reassigned or reprioritized. Dictation job listings also include color coded turn around time count down designators, enabling you to proactively monitor and manage your workflow to ensure compliance with work type requirements. Designed with role-based security levels, the WebEHR platform is HIPAA compliant, providing create, edit, distribute and view access audit trails per document. Additionally, security audits can be generated by document or by user to identify each and every action taken. And whether you compensate transcriptionists, speech recognition editors, and quality control staff members as part of an inhouse department or a multiple account transcription service, the WebEHR production volume pricing tools allow you to easily assign your preferred production rates and calculation methods by team member and role and, especially important for MTSO s, manage employee compensation completely independent Atlanta Data Center from your account billing rates. FutureNet maintains opposite coast data centers in support of the Health erecord platform -in southern California near company headquarters and in Atlanta, Georgia. Each data center serves as the primary location for daily workflow volumes for specific clients as well as the active backup for other locations. Beyond the inherent physical security, back-up generators and redundant infrastructure at each site, ongoing capacity balancing and site scaling, including phone line availability, database storage and processing capabilities are closely monitored and managed to ensure the ability to seamlessly migrate daily operations between sites in the event of a substantial natural disaster that would incapacitate any individual location. Real-time database synchronization between primary and back-up servers is managed through SmartSyn Pro and all fresh (yet-to-be-transcribed) dictations are automatically copied to backup servers in real time. Additional daily database and system configuration backups are generated for each client and transferred to sister data centers for further redundancy. Detailed IT development, security and operating policies and procedures are documented for each site and made available to active company clients. 08 FutureNet FutureNet 09

7 Optional Modules For Extended Functions. Specific features of the WebEHR platform may be supported by other installed HIM systems or simply not used within particular workflow schemes for a variety of reasons. Accordingly,the following modules are available for those who wish to use them but are completely transparent from the rest of the platform when not in use. Speech Recognition The key for cost effective deployment of speech recognition is accurately identifying physicians who will produce accurately recognized voice files, then seamlessly routing qualified files back into the normal editing and distribution workflow. With thewebehr platform, qualified voice files are routed from the manual transcription process into the speech recognition engine the same way jobs are routed to specific transcriptionists or work pools. Electronically generated drafts are then presented to the speech recognition editing team according to the same workflow management options available for manual transcription. Edited documents route back into the standard distribution module in a way that is indistinguishable to the physicians for which production method was used to generate the reports. FutureNet utilizes leading third party speech recognition applications for the voice to text conversion process. Pricing for this option is by processed volume, with no upfront expenses, volume requirements, hardware, software, or maintenance fees. Electronic Signature Upon online acceptance of the document by the physician, the WebEHR electronic signature module will insert a line of text in the signature block declaring the document has been electronically signed, or alternatively, a scanned image of the signature along with the electronic signature designating text can be inserted. In either case, once the document is signed, it is automatically locked from future edits in accordance with JCAHO regulations. Editing is allowed prior to signature by the physician or authorized transcription production staff members in a simple Microsoft Word editor. All access, editing, signature and distribution activities are controlled by security levels and reflected in the audit trails. Document Distribution Although some hospitals manage document distribution through integrated Electronic Medical Records system, the WebEHR distribution module is also capable of routing documents to a variety of destinations both inside and outside of the healthcare provider s network, functions required for ARRA funding qualification. When supported by a live ADT feed, documents can literally follow the patient through the hospital and print at the nurses station closest to the patient s room (and/ or any other IP addressable printer on the network). Documents can also be faxed or ed (often the preferred method for cc s) and interfaced with multiple HIM, radiology PACS, or other health data repository systems. Document Scanning Whether you are looking to electronically archive your cold storage paper reports or simply create electronic versions of what you are now placing into paper folders, FutureNet s WebEHR scanning, indexing and distribution application gives you a true Electronic Health Record, presenting online everything you previously handled as a hard copy. Fully integrated with the data repository of the platform s transcribed report database, the combined Electronic Health Record satisfies your electronic record requirements at a fraction of the cost of traditional Electronic Medical Record systems. Ideal for clinics or small hospitals with limited financial resources, FutureNet s WebEHR delivers through a HIPAA compliant web browser. Exceptional IT Infrastructure With Proven Reliability 10 FutureNet FutureNet 11

8 Transcription Tools Designed as a shell around Microsoft Word, the WebEHR typing platform is compatible with all word expanders and medical dictionary programs that work with Word. Editing functions, including those for speech recognized documents, are also completed within the Microsoft Word program. While typing all traditional transcription support functions, such as patient or physician searches, can be initiated with function key combinations, virtually eliminating mouse use. Report information screens (automatically pre-populated with all of the received voice file and ADT data) display when opening and closing jobs, providing the transcriptionists the opportunity to review, validate and/or update system data as necessary based on the dictation. Tomorrow s Health Records The industry s best workflow visibility. To effectively control transcription efforts, your platform needs to easily manage, accurately measure and be capable of independently verifying the cost, quality and turn around time details of your workflow. FutureNet s WebEHR management and reporting tools do that and more through a common integrated database that manages jobs from digital voice capture through electronic distribution of the completed report. Compatible with Windows 98 or newer operating systems (including Windows VISTA), the WebEHR typing module utilizes a standard nine pin or USB foot pedal supported by virtually any sound card connected to speakers or headphones. Workflow Dashboard The WebEHR operation monitor provides a real-time dashboard view of your transcription workflow for exceptional volume visibility and process control. The top level view displays a break down by department (or by accounts for MTSO s) for the number of pending dictations, jobs currently being transcribed, jobs assigned to speech recognition, reports awaiting QA, reports currently being reviewed in QA, and completed jobs queued to upload into the assigned HIM system or other distribution channel. Tallies of jobs displayed on the top level view which are out of turn around time are highlighted and link to detailed lists that identify the specific job numbers, work types, associated dictator ID s and current workflow stage of each job. This single click access to problem job details enables administrators to efficiently monitor their overall workflow volumes and reassign production efforts to trouble areas as needed. Dictation Management The WebEHR digital dictation module displays either pending or completed voice files sorted by job number, work type, medical record number, dictator ID or name. Pending voice files are color coded to reflect remaining available time by work type TAT and can be reprioritized or reassigned to different work pools or MT s with the click of the mouse. Historical voice files are stored for six to twelve months, depending on volume. Transcription Management Transcribed reports, including those awaiting editing, electronic signature and/or distribution, are accessible through an easy to use search function that can be customized by user to reflect the typical report data available to them when conducting searches (such as date range, patient name, dictator, medical record number, etc.). Those with appropriate security levels can review, edit (prior to signature) or distribute documents as necessary, including the release of jobs awaiting QA to satisfy the requests of the dictators. Administrative Support Tools Beyond the basic user, physician, security level, work type, and pooling list maintenance administrative functions, the WebEHR platform has an easy to use doctor s normal template generator and distribution logic module that allows you to customize completed report routing by physician and work type. Designated administrators are able to define and manage multi-layered signature, fax, , print and distribution schemes such as those required by many teaching hospitals. Additional workflow logic controls allow for multiple layers of editing, often applied when working with inexperienced QA team members or offshore labor sources. 12 FutureNet FutureNet 13

9 Exceptional Cost, Quality And TAT Control. Cost Control Independent volume calculation and pay rate assignment tools for transcriptionists and editors (and account billing rates for MTSO s) enable system managers to straightforwardly compensate team members according to their differing roles and calibrate production measurements. Configurable for Visual Black Character, 65Character Net (or other line length), gross line, page, or by report, measurements can include or exclude headers and footers or limit their credit to first page only. And since the WebEHR typing platform is based on Microsoft Word, calculations can be verified under Word s Tools menu bar. Quality Control A random sampling of each transcriptionist s reports can be directed into the editing pool based on a variable percentage of their overall production volume or transcriptionists can manually direct reports for editing along with notes to the editor for what needs attention. In editing mode, file markers sync the cursor position with the voice file location so editors can efficiently jump between defined trouble areas. Unique reporting functions also enable authorized users to review quality based on overall workflow sorting variables (date range, dictator ID, transcriptionist or editor, etc.) and directly compare the before and after iterations of the edited documents at the detail level. Turn Around Time Control Beyond the standard turn around time settings, tracking and reporting by work types, the WebEHR platform includes distinctive controls that, for example, can exclude specific documents from overall TAT statistics. These exclusions can be for extremely difficult dictators or jobs that are miscoded during dictation, necessitating extra steps that transcriptionists have no control over. Additionally, screens and/or reports with tallies of out of time jobs all link to detailed listing views for further analysis and efficient follow through. Electronic Health Record The online repository for all your transcribed reports and scanned images (if the document imaging option is used), the WebEHR electronic health record database can function as your paperless chart room. Internet accessible, secure and updated in real-time as transcribed reports are completed, the WebEHR patient chart offers an extremely low cost yet practical alternative to full blown electronic medical record EMR systems. And More... Transcriptionist and editor productivity measurement tools; deficiency reports (to be dictated, transcribed or signed, failed import or fax, etc.); HIPAA audits by user or document, and much more. Contact us today to upgrade your dictation, transcription and document imaging to FutureNet s WebEHR: Tomorrow s Health Records FutureNet 15

10 Dictation / Transcription / Scanning /SR/EHR Meet the industry s most reliable transcription team: 2011 WAP application for patient chart, available on Apple APP store 2010 M*Modal backend speech recognition integration 2009 PACS dictation integration with FutureNet platform ASP Platform for cost, quality & TAT advantages. Platform and process reliability takes more than years of experience or the ability to process millionsof lines each week, although we more than pass those tests too. It s about flexibility without failures,keeping up with the latest technologies without charging for every system enhancement, meetingdeadlines, easily audit-able invoices, and a long track record of platform, workforce, managementteam and overall business stability. FutureNet offers a feature-rich, mature platform with over a decade of no downtime, except for scheduled maintenance. Free technology for our transcription service and document imaging clientswith no hidden fees. State of the art speech recognition with no per-user or annual maintenance fees.domestic labor and industry leading cost, quality and TAT measurements visibility. Contact us today and see how the FutureNet team can improve your performance and peace of mindwith the industry s most stable platform and support team. We create tomorrow s health records. Product Development Milestones 2008 Online dictation with integrated PC dictation software on Web portal Online transcription with Web portal typing and management Online speech recognition editing under same Web portal platform 2000 Online quality assurance with multiple management control levels iview web-based document distribution system isign - web-based electronic signature software 2007 imr - web-based electronic patient chart system Integration with new module for patient information releasing Web-EHR as the new version of Web portal platform 1999 ivoice - digital dictation system 2006 imanager - document management & distribution system Full integration with Dragon 9.0 back-end server speech recognition igateway/iserver - Internet/intranet transcription gateway Web-CPR upgrading with new features and user graphic interface 2005 Real-time client software monitoring system 2004 iscan - document scanning and indexing system 2003 Remote monitoring system for technical support 2002 Referring doctor notification & CCOW compliance 2001 iconverter - for speech recognition engines ilink - HL7 bi-direction interface engine DICOM interface engine irefer - web-based electronic referring software 1998 itype - Windows-based transcription software iplayer - Windows-based dictation playback software irecorder - Windows-based PC dictation software 1997 NetVoice - digital dictation system NetChart - Windows-based electronic patient chart system 1996 NetView & NetSign - Windows-based document systems 1995 NetLink - HIS/RIS/CIS interface software 1994 NetMed - DOS-based document management system 16 FutureNet.2011

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