PRODUCT NAME: Mediadent

COMPANY:

SuccessEHS

Contact: Matt Holtzer, Chief Operating Officer/Director of CHC Sales

Office: 877.770.8514 Ext. 330

Cell: 770.337.8076

Fax: 770.867.5087

Email: [email protected]

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The Mediadent and integrated SuccessEHS product offering is considered a potential EDR/EMR solution for Health Centers by the NNOHA Workgroup. Mediadent demonstrated an excellent EDR solution and when integrated with SuccessEHS, an ONC certified EHR, dentists can register for Meaningful Use incentives. SuccessEHS 6.0 is a CCHIT Certified ® 2011 Ambulatory EHR, and additionally certified for Child Health, with a 5-star usability rating; this product received certification as a Complete EHR on September 30, 2010. The clinical quality measures certified include: NQF 0421, NQF 0013, NQF 0028, NQF 0041, NQF 0024, NQF 0038, NQF 0043, NQF 0031, and NQF 0034. Dental customers can benefit from the SuccessEHS hosting infrastructure, which includes Software as a Service (SaaS), Turnkey and Hosted Turnkey setups. SuccessEHS is one of the few vendors to offer independent dental practitioners a fully cloud-based EDR, including imaging, via its SaaS hosting option.

MediaDent has many strengths including:

• A Single Source Dental Solution that can provide all of the EDR and Imaging software as well as all of the imaging devices (sensors, pans, cameras, scanners) and computer equipment.

• Solid technological infrastructure and strong support staff

• SaaS hosting option; offers both hosted and server-based system WITH IMAGING capabilities • Robust reporting capabilities in the core EDR product, and also Data Miner custom report writer • A high level of integration and Open Architecture

The Workgroup did identify areas in product features that could be enhanced including integrated patient education, electronic remittance advice/posting, monitoring patient satisfaction with dental visit, voice activated dictation, customizable periodontal exam templates, clinical quality measure reporting for oral health, and clinical and financial dashboards.

NNOHA’s Workgroup ratings as shown in the table below are based on product demonstrations, responses to the RFI, surveys and supporting research. The NNOHA Workgroup rating scale follows:

3 – Completely satisfied 2 – Partially satisfied 1 – Not at all satisfied

ratings Of functiOnal anD Qualitative reQuireMents rating

Clinical Care Management and Treatment Planning Requirements 2

Productivity Measurement and Support Requirements 3

Tooth and Periodontal Charting 2

Office Administrative Requirements 2

Billing 3

Statements 2

Technical Requirements 3

Integration with Practice Management (PM)/EHR Systems 3

Integrates Records Among Sites that are Geographically Disparate 3

Imaging Requirements 3

Meets The Joint Commission (TJC) (formerly JCAHO) Standards 3

“Nice to Have” Additional Features 3

Implementation and Support Services 3

Compelling Reasons to Select Solutions 3

Meaningful Use (MU) Plans 2

Integration Capabilities 3

Conversion Capabilities 3

Ways to Purchase Solutions 3

Demonstration of Vendor – EDR/EHR Capabilities 3

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The RFI survey results for EDR/EHR system requirements are summarized below.

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Implementation and Support Services

• Implementation: Vendor’s response to the approach to define / implement systems to meet all requirements: – MediaDent assigns a Project Manager to work with the dental group to provide engineering support

and implementation support for the EDR and Imaging solution. The Project Manager will evaluate the configuration that is in place at each location and provide recommendations as to any additional equipment or software that is required that is not provided by MediaDent so that the clinic achieves a successful implementation. MediaDent has standard specifications that will be sent to the IT group working with the dental clinic and will typically include 10-15 hours of project management time for most installations. – Once the design is agreed upon, the Project Manager will coordinate with the IT staff to assist in the installation of the MediaDent software on the server(s) after verifying remote access of some sort for project assistance. MediaDent will schedule a technician to come to the customer site(s) for additional assistance, as necessary, and will also provide on-site assistance for installation support and testing of the imaging devices, as necessary. Once all of the installation services are completed, MediaDent will coordinate with the clinic’s EMR provider to implement the HL7 interface. If the member uses SuccessEHS or Sage Intergy, MediaDent will also configure for the API interface. After all of these steps have been completed, MediaDent will schedule the training and typically include 10-15 hours for most installations plus one day per site if the clinic(s) are planning to use sensors or pans.

– Training: MediaDent will assign an Implementation Specialist to the project. There are a number of different ways training services are provided and MediaDent will develop the best method for each clinic. Typically, MediaDent will work with each Dental Director before any on-site training to create their specific

workflows, fee schedules, progress notes, appointment book as well as a number of other features. Basic setup will be completed prior to on-site, and MediaDent can provide any number of days for each clinic based on their needs.

– Infrastructure/Disaster Recovery – MediaDent is a MS SQL 2008 and Windows Server 2008 product which can be setup as a server based solution or in a thin client configuration. MediaDent can also be setup in a virtual environment and uses VMWare 4.0. MediaDent recommends redundancy for all aspects of the system, especially for data storage and have successfully implemented RAID 1 and 5 server systems as well as redundant virtual servers in a data center. Furthermore, MediaDent offers a remote replication service so that a clinics data is being duplicated in a real-time environment instead of just performing a backup at the end of the day. A complete systems specification sheet is available to each customer to explain all of the details and the Project Manager will assist the IT group with their implementation.

– Implementation Hours – Our Implementation group is available from 8am through 7pm Eastern M-F and can also schedule after hours installations as late as 9pm Eastern.

• Support: Vendor’s resources assigned to customer support. Tools/approaches utilized to help diagnose and resolve customer issues, with remote diagnosis and on-site:

– MediaDent has a support staff of over 20 people who can assist the dental staff with any aspect of the EDR, Imaging or HL7 software as well as any of the imaging devices that are provided. MediaDent utilizes a triage system where when the customer calls, will usually speak with a Level 1 tech who can answer basic questions. If the issue is more advanced, it will be referred to a Level 2 tech that specializes in a more specific area. If it turns out to be a more advanced issue, it will be referred to one of our engineers. Each of our techs has the ability to remotely access the system, with the customer’s permission, with either NetSupport or RDP. In addition, MediaDent sometimes uses Go To Meeting for x-ray diagnostics. Most often, the issues can be resolved remotely, but MediaDent does provide on-site support for issues such as with a digital pan. The company offers loaner sensors and cameras in the event that a unit still under warranty needs further evaluation. MediaDent also partners with Dell to provide on-site network support.

– Support Hours – Our support group is available for 8am to 7pm Eastern M-F except official company holidays. In addition to support during regular office-hours, our after-hours support is from 7pm to 8am Eastern Monday through Sunday by leaving your name, company name, number and a description of the problem you have encountered. A support representative will return the call as soon as possible.

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Compelling Reasons to Select Solutions

• Vendor’s reasons for selecting their EDR/EHR and imaging solution:

– MediaDent Dental software has been providing top-quality products for over a decade. These solutions continually help practices become more efficient, productive, and inevitably increase their bottom line. We’ve incorporated new groundbreaking technology into our system. As a result, MediaDent can share dental patient data with HL7 compatible medical systems such as Sage Intergy, SuccessEHS, Healthport, eClinicalWorks, GE Centricity, MSI, Epic, MediTab, and NextGen. MediaDent can consolidate the data in multi-location organizations so that all patient data and images are available at every clinic or configure an ASP/SaaS solution so that all the data is on a single server.

– The medical practice management to MediaDent link transfers the patient demographics to the dental system and creates a corresponding dental record automatically. Any additions or changes to the patient record in MPM automatically update the dental record. The interface works with Medicaid, Sliding Fee Schedules and private pay plans. You would typically use the appointment book in MPM which also automatically updates the MediaDent scheduler, and any changes made after the initial appointment, such as cancellations or no shows, will also automatically update the EDR system. You would typically use the MPM Reason/Procedure Codes to schedule the appointment and indicate what procedures the dental clinic is expecting to perform. After treatment is completed, the encounter and transaction information will transfer back to the medical software so that all the billing, both insurance and private, will be performed from MPM. Furthermore, all UDS encounter information is consolidated into the medical system to simplify reporting. No more keeping duplicate databases or manually consolidating UDS information.

– With our latest API (Application Program Interface) development, the dentist can simply click on the Rx or Medical History icons in the MediaDent EDR which will open the active patient’s record in Intergy and SuccessEHS. MediaDent is currently working with other EMRs and has the ability to develop a similar interface with almost any solution. The user will be limited to whatever permissions they are allowed, but it will pull up the patient’s medical record in the EMR, and the dentist will be able to review their medication history and allergies as well as create a new prescription. In some EMRs, the dentist could also create an order (CPOE) for something like a biopsy as well and the dental treatment/progress notes can automatically replicate into the patient’s summary as they are created. This feature is not an HL7 interface where messages have to transfer, but is a “live” link between MediaDent and the EMR.

– MediaDent is offered as both a server-based solution for those who maintain their own network with an IT department, as well as a hosted solution (SaaS) where MMD or your IT department can host and maintain the server and all you need is a 1.5 Mbps or better broadband connection at each location. MediaDent works with any combination of Thin Client/Terminal and/or Fat Client/PCs. MediaDent is the ONLY dental EDR and imaging provider that can also offer a hosted solution with digital imaging and utilize digital sensors, digital pans, intraoral cameras and phosphor plate scanners without the requirement to setup a “store and forward” configuration with multiple servers.

– Mediadent provides robust integration capabilities and the powerful management tools you need to effectively link your medical and dental data. And because our software solutions were designed to handle any number of clinics and workstations, all tasks can be centralized, paving the way for increased clinic efficiency.

• Additional reasons why MediaDent should be your choice:

– MediaDent is a Single Source Dental Solution and can provide all of the EDR AND Imaging software as well as all of the imaging devices (sensors, pans, cameras, and scanners) and computer equipment necessary, if requested, and provides support for all of the software and hardware, implementation and support with at least two other companies to provide a similar solution.

– MediaDent currently has a more advanced API interface with Sage Intergy and SuccessEHS than any other FQHC solution and is the only company able to provide a direct integration for prescriptions and medical history. MediaDent is a division of SuccessEHS and has a signed business development agreement with Sage for co-development of the products which other companies do not offer.

– MediaDent is written for Microsoft SQL 2008 R2, Windows Server 2008 R2 and is deployed using VM Ware in our own Data Center. The solution is currently operational including with digital x-rays and no development is required. MediaDent can deploy the solution within 30 days of agreement.

– The MediaDent HL7 interface offers a higher level of integration than most other systems and will be able to continually improve the linkage because of the Open Architecture of our SQL database as medical systems evolve and the Federal government expands its requirements. MediaDent uses a live port transfer methodology (real time) which includes all of the HL7 details within one message, and other systems like Dentrix use the zpt segment (optional) with a file transfer methodology which takes up to 15 or more messages to transfer the same data.

– MediaDent Enterprise solution offers more extensive features than other solution including provider, location, organizational and enterprise segregation. So depending upon whether you want a single database for each location, one for each organization or even one for the entire membership, MediaDent can separate the patient’s demographics, accounts and charts in many ways.

– MediaDent is the ONLY dental solution which offers both hosted and server-based system WITH IMAGING capabilities. This includes the ability deploy digital sensors and pans on thin clients/terminals without using hard drives or servers. NO fat clients or servers are required with our hosted/SaaS solution. However, if the member already has PCs/fat clients, MediaDent will still be able to utilize their existing equipment and can implement a system with a mixture of terminals and PCs as needed.

– MediaDent offers robust reporting capabilities in the core EDR product, but also offers Data Miner custom report writer which allows the user to easily create a custom report using any field in the system. Again, the SQL database gives us this capability.

– MediaDent provides excellent support and utilizes many advanced features to quickly answer customer issues and update systems. MediaDent incorporates NetSupport to access your system within seconds to save you and us valuable time. MediaDent can receive support requests by phone, website or email, and all calls are triaged and logged into our customer system. Updates can be automatically download to the server very quickly, usually in a matter of just a few minutes and workstations simply log off and log back on the get the updates.

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Meaningful Use (MU)

• Vendor’s response to plans to attain MU certification and provide tools, knowledge, and services available to assist in attaining MU incentives:

– Currently, there are no certifications available for an EDR as an independent module. As soon as a testing procedure for EDR is defined by one of the certifying agencies such as CCHIT or Drummond, MediaDent will complete the certification process. In the meantime, MediaDent, in conjunction with whichever medical solution the organization uses, would be part of the certification of that medical software. As long as the dental providers use the medical software for any functions, such as prescriptions, they should be eligible

for MU incentives.

– In addition, MediaDent is the dental division of SuccessEHS who does have a certified product as outlined below and can be offered to any FQHC who needs to change to a qualifying solution.

– SuccessEHS is 2011/2012 compliant and was certified as a Complete EHR on September 30, 2010, by the Certification Commission for Health Information Technology (CCHIT®), an ONC‐ATCB, in accordance with the applicable Eligible Provider certification criteria adopted by the Secretary of Health and Human Services. The 2011/2012 criteria support the Stage 1 Meaningful Use measures required to qualify eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA).

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Integration Capabilities

• Vendor’s response to capabilities to integrate EDR/EHR with radiographic imaging and intraoral camera

technologies, manage the images, access the images from within charting software, and optimize workflow: – MediaDent has developed a complete imaging software solution that is fully integrated with the EDR/Chart

software. MediaDent owns the software and provides all of the installation, implementation and support that is necessary for the product. All images are taken and viewed within our MediaDent software and all images are viewable within the chart as well as full screen mode which allows the provider to optimize their productivity. A workflow will be defined by our implementation specialists to best match your clinic procedures. The imaging solution works with several sensors and intraoral cameras, most phosphor plate scanners and almost all digital pans. In addition, the images are able to be exported or emailed in an encrypted format directly from MediaDent. The ability to automatically attach and transmit an image to submit to insurance for either pre-authorization or payment is also built into the MediaDent software with our NEA module.

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Conversion Capabilities

• Vendor’s response to their approach and experience to plan, implement, and test conversion process.

Including conversion of the data, mapping current processes to new processes, mapping current systems functionality to new functionality:

– MediaDent has successfully converted data from most dental practice management systems including Dentrix, EagleSoft, PracticeWorks, SoftDent and many more. Each situation is different and our Project Manager will assist the IT staff in the evaluation. In most cases, MediaDent is able to transfer the demographics, appointment book and treatment history, but usually cannot get the pending treatment plans, notes and images. If a dental clinic is converting from standalone dental software that has not been interfaced with their medical solution, it is usually best to not convert the data and instead, link to the medical software which will populate the patient and appointment records so that all of the patients IDs match. The old system will be used as reference. Sometimes MediaDent will just convert the appointment book, but each case is evaluated independently.

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Ways to Purchase Solutions

• Vendor’s response to different ways to purchase solutions, including ability to bundle or unbundle products, leasing, ASP/hosted solutions, use channel partners/VARs, or bundled with dental supply contracts and compelling reasons why such purchasing approaches are valuable:

– MediaDent EDR and Imaging can be purchased direct and the company has several partnerships and dealers who refer business to the company. There are four primary modules that are available – Practice Management, EDR/Charting, Digital Imaging and HL7/API Interfaces. In addition to software, MediaDent sells digital x-rays sensors, phosphor plate scanners, digital pans, intraoral cameras, signature pads, document scanners and almost any Dell brand equipment for your network. MediaDent provides the complete solution and offers the installation and implementation services for the system as well as the necessary training and