RECORD ELECTRONIC HEALTH (EHR) PATIENT SYSTEM CARE WORKFLOW MANAGEMENT AN INNOVATIVE AND

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1 AN INNOVATIVE INTERNET-BASED ELECTRONIC HEALTH RECORD (EHR) AND PATIENT CARE WORKFLOW MANAGEMENT SYSTEM 717 Ponce De Leon Boulevard, Suite 301 Coral Gables, Florida Phone: Fax:

2 MDFlow is an innovative internet-based Electronic Health Records (EHR) and Patient Care Workflow Management System. It is designed to help practices streamline and enhance the flow of information throughout the patient's medical care lifecycle. All the medical information of the patient is accurately recorded and electronically stored in MDFlow. Healthcare providers could access patient s medical information from office, home, hospital, or from multiple offices using any computer via secured internet connection at anytime. With MDFlow, practices can go paperless and consequently save the costs of having paper charts. MDFlow offers a winning combination of cost reduction, operational efficiency and revenue enhancement, as well as increase patient s safety and satisfaction. MDFlow serves many functions as an electronic repository of medical data. It also addresses the needs of pre-visit functionality, visit functionality and post-visit functionality for the solo practitioner and small to large physician groups as well as, single and multi-location practices. MDFlow EHR system is fully certified to meet EHR standards, enabling healthcare providers to qualify for incentive funds under the American Recovery and Reinvestment Act (ARRA). CHPL Product/Certification Number: We not only provide our clients with a certified EHR system, but we also assist our clients in demonstrating meaningful use of health care information technology.

3 KEY FEATURES OF THE MDFLOW SYSTEM: Capture detailed and legible patient demographics and medical records electronically Maintain Active Medication Allergy List Maintain up-to-date Problem List Maintain Active Medication List Computerized Physician Order Entry (CPOE) Electronic prescribing, check drug-drug and drug-allergy interactions and check for drug formulary compliance PBM Hx (Pharmaceutical Benefits Management) history which allows you to view and record patient s previously filled medications even if these were not prescribed by the current physician Medication reconciliation Submission to immunization registries and health surveillance Patient specific education resources Clinical decision support Automatically retrieve patient lab test results and incorporate laboratory test results to patient s chart Exchange electronic health information (HL7, CCD and CCR) Document management and scanning HCC (Hierarchical Condition Categories) disease group and MRA (Medicare Risk Adjustment) score management HEDIS, Star Ratings & quality and clinical quality measurement Appointment Scheduler Patient portal Electronic health information protection (privacy and Security) and HIPPA compliance

4 HOW PRACTICES CAN BENEFIT FROM MDFLOW: Receive CMS EHR Incentive payments Paperless practice. Improve health care efficiency and safety. Substantial savings in paper chart costs, office space, transcription, supplies and related staffing costs. Minimize paper-based redundancies and mistakes Expedite speed of charting and vastly improve turnaround time for patient visits Increase the time doctors can spend with patients and ability to see more patients. Interface with major laboratories to retrieve test results automatically. Greater profitability because staff hours can be shifted to revenue-generating activities instead of pulling/filing charts, chasing lost charts and lost lab results. Interfaces with billing systems to eliminate redundant data entry and increase coding compliance. Facilitate HIPAA Compliance Streamline Communication within your practice

5 PRE-VISIT FUNCTIONALITY: To prepare for the patient office visit, physicians and office staff gather significant information to ensure that all the medical information on the patient is available during the office visit, and physician has an effective dialogue with patient. MDFlow serves the single source of patient medical information and provides physicians and office staff with the following functions. Scheduling and Registration Gathering patient medical information Electronic messaging within physician practice or other connected providers Preview of patient medical history, medications and diagnostic tests Conversion of scanned paper medical documents to electronic attachments Patient referral and treatment status tracking and management Reports of patients due for follow-up visits or periodic check-ups. Patient reminders related to disease management Population management and reporting for patients with common conditions Patient referral and treatment status tracking and management Patient portals allow patients to view test results and request followup visits.

6 VISIT FUNCTIONALITY: MDFlow provides users with the capabilities to track patient movements at every stage (i.e. check-in and into waiting room, exam room, various stages of care to check-out) of the patient care during office visit. While the system manages the flow of care, all the medical information of the patient is collected and stored. MDFlow clinical documentation uses SOAP (Subjective, Objective, Assessment and Plan) note format to standardize medical evaluation entries made in clinical records. Patient intake, past medical history and vital signs Physical examination and ROS Pre-configured and user-defined assessment and evaluation forms Electronic clinical documentation Electronic prescribing Disease management protocols incorporated into documentation templates Health Maintenance Guidelines Electronic ordering of treatment plan Clinical coding of patient care Automated encounter form generation, including charges Patient education materials

7 POST-VISIT FUNCTIONALITY: Just because the patient left the office doesn't mean the patient s care is done. Here's how MDFlow system supports the post-visit monitoring and care of a patient. Conversion of scanned paper to electronic attachments Electronic messaging within physician practice or other connected providers Electronic prescribing (refills, fill status notification) Electronic review of test results. Encounter data and immunization data submission Inpatient and hospital discharge tracing and post discharge care Patient reminders related to disease management Patient health maintenance routine exams/tests tracking and management Population management and reporting for patients with common conditions Patient referral and treatment status tracking and management Patient portals allow patients to view test results and request followup visits.

8 OB/GYN PRACTICES: ACOG ante-partum record Estimated Due Date Calculator. Features of delivery, including length of pregnancy, duration of labor, complications of delivery and delivery method. Fetal Measurements. Fetal Ultrasound analysis: Head Circumference, Estimated Fetal Weight, Femur Length, etc. Graphics of relevant anatomy for rapid charting. Imaging functionality including Ultrasound, and its interpretation. Genetic Counseling. Contraception History OB GYN Specific templates and code sets. Maintains data sets unique to OB Weeks of gestation. Signs of Labor. Fetal Presentation. Fetal Heart Rate. Fetal Movement. Birth Weight. Gender of Baby. Prenatal Laboratory Studies Postpartum visit PEDIATRIC PRACTICES: Unique patient identifier methodology, which allows entire families to be indexed together. The ability to deal with various family structures, including adoption, step-children, foster care and child abuse, etc. Growth charts, allowing for graphical representation of a child s growth curve, in a dynamic fashion. Immunization tracking. Age based normal findings, such as for Vital Signs, BMI and other laboratory tests. Time of birth as well as date of birth, allowing for important distinctions to be made during the first days of life. Medication Prescribing information including dosing assistance (age and weight based). Maintenance of genetic information, including assistance with genetic counseling. Pediatric Specific Templates (Well Kids Visits). Interface with Department of Health, Florida SHOTS

9 CLIENT TESTIMONIALS MDFlow is a great system and it is also very affordable. We get all of the advantages of a great EMR without extra IT headaches. MDFlow takes care of the technology. When we have questions, MDFlow supporting staff always goes the extra mile to help us. I really like that I can check my patient information in the hospital through MDFlow. On top of everything, I am paperless; I don t have paper charts any more. Ruben J Ayala, MD I had the opportunity to know MDFlow System during the implementation of their EMR system in our medical centers. My staff and I really enjoyed working with MDFlow. Their staff is a group of well-trained and experienced professionals, and their system is exactly what we need and more. Ezequiel Conil, IT Director, Community Medical Group MDFlow is a user-friendly and easy-to-use system. The screens are intuitive and easy to customize. After using MDFlow, I am more productive and able to see more patients. My practice's overall workflow has dramatically improved, and patients are handled much more efficiently. My family cannot believe how early I come home. Wilson Lopez, MD

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11 2014 Edition ONC Health IT Certification Program Certificate of Compliance ONC-ACB 2014 Edition Modular EHR Ambulatory Presented February 16, 2015 to HHT International Consulting, Inc. DBA MDFlow Systems MDFlow EHR and Patient Care Workflow Management System version Ponce de Leon Blvd, Suite 301 Coral Gables, FL US ICSA Labs is pleased to announce that the product named above attained 2014 Edition Modular Ambulatory EHR Certification from the ICSA Labs ONC Health IT Certification Program. Certification was granted following rigorous and thorough testing against the following ONC Approved Test Procedures by ICSA Labs, an Accredited Test Lab (ATL): Criteria: (a)(1) (a)(3) (a)(4) (a)(5) (a)(8) (a)(9) (a)(11) (a)(12) (a)(13) (a)(14) (b)(1) (b)(2) (b)(4) (b)(5) (b)(7) (c)(1) (c)(2) (c)(3) (d)(1) (d)(2) (d)(3) (d)(4) (d)(5) (d)(6) (d)(7) (d)(8) (e)(1) (e)(2) (e)(3) (f)(1) (f)(2) (f)(3) (g)(2) (g)(3) (g)(4) CQMs: CMS#50v3 CMS#68v4 CMS#122v3 CMS#123v3 CMS#138v3 CMS#139v3 CMS#156v3 CMS#165v3 CMS#166v4 George P. Japak, Managing Director, ICSA Labs This Ambulatory Modular EHR is 2014 Edition compliant and has been certified by ICSA Labs, an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Certificate number: R00