A Comprehensive Web Based Electronic Health Record Solutions for Ambulatory Care Practices. Enable Healthcare Inc.

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1 A Comprehensive Web Based Electronic Health Record Solutions for Ambulatory Care Practices Enable Healthcare Inc.

2 eprescription Mobile access on all Smart Phones for commonly used functions Personal Health Record & Physician Portal Patient Physician Communications - Phone Board & Patient Self Checkin. Clinical, Financial and Management Reporting Tools Electronic Health Records Comprehensive Document Management System & efax Capabilities Interface w/ Labs, Hospitals and other facilities Automated Practice Management System HIE and ACO Ready Enable Healthcare Inc., delivers a comprehensive, web based Electronic Health Record Solution to the Ambulatory Care Settings in 17+ Specialties Comprehensive Physician Portal & Personal Health Record Portals

3 Enable Healthcare (EHI) projects to be one of the top 10 Health IT Solution Providers in US by 2016 providing Health IT Solutions to Ambulatory Care as well as Hospital Settings EHI Formation 2006 EHI Develops Transcription Platform w/ Process Automation Established offices in New Jersey, US and New Delhi, India Develops web based EHR 2007 Completes development of EHR Opened Support Center in Chennai, India Deploys EHR at Clients 2008 Deployed at couple of non-profit clinics and many private practices Started Development Center in Baroda, India Completes Development of Integrated Practice Management System EHI s MDnet-EHR goes mainstream 2009 Customized for Endocrinology, Cardiology and GI Specialties Acquired Clients in NJ and NY; successfully implemented EHR in 20+ practices. MDnet-EHR ONC-ATCB Certified 2010 Opened up a Support Center in PEI, Canada One of the first EHR Vendors to be Certified by Drummond Group for Meaningful Use Establishes Presence in 10+ states 2011 Expands w/ presence in NY, NJ, MD, DC, VA, AL, AZ, CA, IL, PA Created Template Libraries to address requirements of 17+ Specialties Expanded Client Base to 400+ Member of ONC s Standards & Interoperability Framework Group

4 Enable Healthcare s (EHI) target is to have 10,000+ Providers on MDnet Platform by year EHI s goal is to provide exemplary services to each and every one of the Providers and Practices. Achievements To Date 2012 One of few providers of web based unified EHR (SaaS) Have 820+ Providers on EHR Presence in NY, NJ, MD, DC, PA, AL, AZ, CA and IL Leading EHR vendor in North Jersey Registered vendor with Regional Extension Centers for RI, CT, NJ and MD. Successfully demonstrated inter-operability at HIMSS Committed member of ONC s Standards & Interoperability Framework Community EHR is available on all mobile platforms including iphone, Android, etc. One of the few EHRs - ACO and HIE Ready In Partnership with VIP Business Solutions, successfully deployed Physician Portal and Personal Health Record Portal HQ in East Hanover, NJ. Have 3 offices in India - for development, support and training; additional Support Center in Canada Started Revenue Cycle Management Services for selected Clients as of Q2 of 2012 Started technical services for building Interfaces to Hospitals, Diagnostic Laboratories and Imaging/MRI Centers Presence in many states across US

5 Scheduling Clinical Charting Electronic Billing Management Reports MU Measures Calculator Mobile Platform Physician Portal & PHR Single & Multi Physician View Multi Location View Patient Self Scheduling, Self Check-in & ELIGIBILITY Verification Point & Click Template Libraries for 17+ Specialties Inherit Encounter Feature Single Click for common Chief Complaints & Voice Activated Integrated Electronic Billing Complete Claims Tracker w/ real-time information Automated Posting for Participating Payers Customizable Analytics and Reports Financial, Productivity and Clinical Reports accessible Real-time 80+ Canned Reports readily available Automated Measures Calculator Tracks Meaningful Use Facilitates corrective action on non-compliant charts Features Health Maintenance for Preventive Care Available on iphone, Android, Microsoft & RIM Phones Complete Charting Capabilities & Voice Activated Real-time Financial and Clinical Reports Comprehensive Physician Portal w/ Physician Bio HIE Capability in the Physician Portal Full Featured Personal Health Record Portal Working with ONC on Meaningful Use Phase II Requirements

6 Comprehensive EHR Multi-Physician and Multi Location Scheduling Patient Photo Feature Easy Scan Feature for scanning Photo IDs Comprehensive Document Management System efax Capabilities elabs Connected to 25+ Labs HL7 Interface w/ most commonly used medical devices Automated Bi-Directional Interface with Hospitals Interoperability embedded into architecture Built-in Transcription & Work Flow Engine Integrated Health Management System Automated Measures Calculator to monitor MU Complete Access Control Hierarchy Configurable Workflow to suit Practice requirements Advanced HPI Feature to facilitate INHERIT functions Continuous Enhancements and Upgrades to EHR Solutions

7 Specialties Family Practice Obstetrics Gynecology Pediatrics Cardiology Endocrinology Gastroenterology Otolaryngology Pulmonology Chiropractic Physiotherapy (PT) Podiatry Neurology Nephrology Pain Medicine Immunology Orthopedics Internal Medicine, Geriatrics, Urgent Care w/ ACOG Forms, High Risk Obstetrics Including GYN-Oncology w/ Growth Chart, Denver Dev., Immunization/State Registries Intervention Cardiology, Electro Physiology & Cardio-vascular Surgery w/ Preventive Care Plans Interfaces and templates for Scopes/Procedures Extensive Template Libraries Template Library includes Sleep Studies and more Chiropractic Specific workflow Comprehensive Template Library incl. Hand Rehabilitation Podiatry specific workflow and templates including graphics Templates and interface w/mri & CT equip. Includes Dialysis Templates and Kidney Disease Management Complete Pain Management Template Library Allergy History, Shots Recording/Scheduling & Health Management Skeletal Images, Range Motion Tables Growing Repository of Templates in all Specialties

8 Why Enable Healthcare Inc.? Salient Differentiators

9 Customizable to suit workflow of individual practice Templates & Workflow customized for 17+ Specialties Well defined & adaptable implementation process PROCESS PEOPLE & SERVICE Continuous Support and Training Periodic updates and upgrades Consult and guidance on Best Practices in all aspects of Operations Customizable to suite practice work flow; 17+ specialties addressed. Mobile Ready Support & Training through life of usage w/ periodic upgrades and enhancements Committed member of ONC S&I Framework Community Physician Portal & PHR ACO and HIE Ready Mobile platforms PLATFORM - RESEARCH & DEVELOPMENT Working with ONC on Meaningful Use Phase II Requirements; HIE and ACO Ready PRODUCT Web based (SaaS) EHR integrated Practice Management System. Financial, Management & Clinical Reports Ready Web Based - EHR Minimal Cap. Investment Integrated w/ PMS Financial, Management and Clinical Reporting Low monthly cost Committed to continuous upgrades and enhancements

10 EHI Offerings. Products, Solutions and Services

11 PORTALS & PLATFORM Physician Portal & Personal Health Record Portal; Additional value added services related to ACO and HIE PRODUCT COMPREHENSIVE EHR Electronic Health Records & Practice Management Web Based, ONC-ATCB Certified Solution for Ambulatory Care Practices Products, Solutions and Services Offerings HEALTH IT SERVICES Healthcare Information Technology Integration Services including but not limited to consulting and best practices in Standards & Interoperability Frame Work, building & maintaining interfaces, etc. BUSINESS SERVICES REVENUE CYCLE MANAGEMENT Complete Revenue Cycle Management Services for Ambulatory Care Advisory Services related to Best Practices and Revenue Enhancement EHI s Healthcare IT offerings include Product, Services and Solutions

12 EHR Product Road Map Road Map 2012

13 Product Road Map for 2012 Practice Insight Reports Gallery (Released) 2012 Q1 EHI Practice Insight (Reports Gallery) provides rich features of dynamic reporting and analysis with drill-down and customizable capabilities. Practices can perform granular analysis on financial and clinical performance. Business Intelligence tools are incorporated for what-if scenarios. EHI Mobile(Released) 2012-Q2 EHI Mobile platform allows providers to access EHR through all smart phones. User interface is optimized for efficiency and interaction. Access schedules, write prescriptions, and access past encounters and complete chart. EHI Mobile leverages speech recognition for charting. Financial Reports are also available on Smart Phones EHI Reach 2012-Q3(Sept) A complete patient communication and engagement system integrated with EHR and PMS. EHI REACH provides multiple options for communication with patient - Voice, SMS and . Real time integration with the EHI s EHR & PMS Appointment notifications through preferred mode - Voice message, SMS or Ability to confirm appointments with single touch or single click Customized Messages Practice Specific. Normal Lab results can be notified to the patient Patient call-back on LAB results Group messages to multiple Continuous Product Enhancements

14 Product Road Map for 2012/13 EHI Self Service Check-in Kiosk 2012 (Q4) On-site self-service check-in kiosk enables efficiencies. Patients can pre-register Users can check-in by authenticating themselves thru ID card reader (magnetic stripe and/or bar code), biometric / fingerprint reader, and user login IDs Patient can verify and update demographic data Insurance verification can be done through the kiosk Patient can pay account balances Patient Education Material Content Delivery from Thompson Reuters Patient Education Material for more than 3000 Chief Complaints Includes Diet, Exercise and Life Style Education 2012 Q4 Hands Free Eyes Free Voice Activated Commands Complete Voice Recognition and Transcription capabilities Ability to complete Clinical Charting through Voice Commands Uses Nuance s 360* Platform 2012 Q4 Ease of Use a continuous exercise; R&D - a core function in EHI

15 Health IT services Custom Interfaces and development

16 Health IT Services Interface and Integration Primarily focused towards providing integration and interfaces between disparate health IT platforms and facilities based S&I framework interoperability standards i.e. Hl7 C32 CCDA standards for Transition of Care requirements Bi-directional Lab interfaces for Lab Orders and Lab Results between Providers and Labs Hl7 version 2.x and 3.0 Business Intelligence solutions Proactive Business Intelligence on CARE, COST and COMPLIANCE quality Pre-Built standard of care quality measures Rich Visualization for Hospital CXO ( dashboards) Rich domain expertise in Healthcare Built-in KPI and configurable

17 Integration and Interfaces Mdnet HUB

18 MDNet HUB Data Transformation and Exchange Focused towards Clinical Integration Lab Interfaces and Connectivity Health Information exchange Imaging Centers Interfaces and Connectivity Vendor neutral clinical data exchange for: Hospitals Hospital systems EMR systems Labs and Radiology Physician and Patient Portals Health Information Exchange HL7 version 2.x and 3.X, Dicom, CCD and CCDA

19 MDnet HUB LAB Interface and Integration EMR System1 Physician1..999x Physician1.999.x EMR System2 Lab Orders(HL7-ORM) or (Proprietary) Lab Results(HL7-ORU) or (Proprietary) Lab Orders(HL7-ORM) or (Proprietary) Secured FTP Web-service MDnet HUB Validate Transform Map Route LAB-LIS Physician1.999.x EMR System X Lab Results(HL7-ORU) or (Proprietary) LOINC Vocabulary

20 LAB-Integration Services and Procedures Enable physicians to enter orders from EMR / HIS or via a Hub Portal page and send orders directly to lab systems via MDnet HUB (web-services or SFTP) interface with existing EMR / HIS systems for patient identification / medical record number (MRN) and billing information when submitting orders to lab systems. Able to interface and receive lab orders using HL7 or Proprietary order transactions from different EMRs/HIS. Handle several types of orders electronically, e.g. General lab tests, Microbiology orders, Blood Bank Orders, Pathology orders, Blood Gas orders, DermPath tests, Molecular tests etc. Provide pre-printed lab labels for blood work and/or other types of specimens collected in the office Provide a custom list of tests to physicians based on individual specialty of practice Where required forward surveillance data required to public health agencies (microbiology data, other reportable diseases, tumor registry data and other significant findings) Complete end-to-end by liaising with EMR Vendors and LIS vendors On-boarding and certification process to ensure data integrity and HIPAA compliance

21 Radiology-Integration Services Enable physicians to enter orders from EMR / HIS or via the Mdnet HUB portal Web page and send those orders directly to Diagnostic Services systems (RIS/PACS systems) Interface with existing EMR / HIS systems for patient identification / medical record number (MRN) and billing information when interfacing and receiving diagnostic services orders. Specify orders for different modalities and procedures, e.g. General radiology tests, Nuclear Medicine tests, MRIs, CT Scans Provide reports electronically with ability to view diagnostic images with DICOM viewers

22 Comprehensive Physician and PHR Portals EHI enabling transition from Fragmented Care to Patient Centric Care

23 EHR, Physician Portal and Personal Health Record Portal VIP Patients Store Health Information Share Personal Health Records Oversee a Family s Health VIP Doctors Efficient Patient-Centered Cost-Effective EHR Integrated and Comprehensive Product and Platform

24 EHI & VIP: Leading Innovation Enhanced Practice Visibility Practice Efficiency Physician Collaboration Complete Connection Performance Improvement Physician Collaboration Improved Patient Care Physician Profiling Real-Time Patient Scheduling Marketing & Business Dev. for Practices Intuitive - Smart - Efficient

25 VIP Doctors: Physicians Network Doctor Network Online Patient Appointments Listing in online Physician Directory Health Information Exch w/ Standards Care Coordination Quality Improvement Metrics Standards of Excellence Measureable Outcomes Patient- Centered Care Primary & Specialty Care Facility Health Care Intelligence Patient Centric Care made easy

26 VIP Patients: Complete Control - Total Integration Find a Doctor Online Appointment Scheduling Share Join Personal Health Record Chronic Disease Management Health Information Sharing Online Discussions Manage Repeat Store Prescription Refills Emergency Access Card Absolute Security Organize One Place One Stop Several Options

27 Current State Fragmented Care Patient Record Pharmacy Specialist Radiology Spouse & Family Primary Care Fragmented Care Home Care Laboratory Hospital Hospital Readmission Health IT Quality Chronic Disease Fragmented Care As Is Today

28 Physician Portal - VIP Coordinated Patient Centric Care Enable Healthcare - MDnet-EHR Primary Care Laboratory Laboratory Home Care Hospital Specialist Hospital Patient-Centered Care Health Information Chronic Disease Spouse/Family Hospital Readmissio n Chronic Disease Personal Health Record Portal - VIP Pharmacy Quality Radiology Radiology Patient Centric Care w/ Health IT playing a key role

29 Offices Across Globe Enable Healthcare Inc Head Quarters 100 Eagle Rock Avenue, East Hanover, NJ Tel: /5472 EHI Maryland 10801, Lockwood Dr., Suite 170 Silver Spring MD EHI Canada Holman Building 250 Water Street Summerside, Prince Edward Island, Canada EHI India Head Quarters A-92C, II Floor, Taimoor Nagar New Delhi India EHI R5, A/2 Srichakra Imayam Colony AnnaNagar W Ext Chennai, Tamilnadu, India EHI F207 Silver Tower Vadodara, Gujarat India Offices in multiple cities and continents

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