1. Workflow automation and interoperability – Diagnostic Devices Heather Childs EMR Program Director Midmark Diagnostics Group

2. 2 AAFP 2005 Midmark Diagnostics Group - Overview Incorporated in 1978 (Brentwood Medical Technology) Providing devices that create test results which can be digitally integrated into the electronic patient record. The leading provider of integrated diagnostic devices for todays EMR – 80 EMR partners. Award winning products 2005 Competitive Strategy Leadership of the Year Award -Frost & Sullivan Award Winner – 1999, 2005 MS-HUG Industry Solution Awards – 1997, 1999, 2004, 2005 Pocket PC Magazine – Medical Editors Choice Award – 2004 TETHIC Most Innovative Patient Care Winner – 2003 TEPR Awards – 2000, 2002, 2003, 2004

3. 3 AAFP 2005 Diagnostic Devices – Workflow issues Problems with todays diagnostic devices -Large equipment that takes up office and shelf space Workflow issues – Inconvenient for both the patient and the physician Inefficient – Increases hardware and supply costs Interoperability issues – Not a integrated solution -Creates a paper based report Uses extra staff time to file reports (or scan them into an EMR) Expensive thermal paper that curls and fades (staff must either mount thermal paper on special mounting cards or photocopy report to prevent fading) -Lack of connectivity solutions Reports are scanned into the EMR creating a static report. Interface options limit information exchange and create a data gap.

4. 4 AAFP 2005

5. 5 Integration into the EMR Bridging the gap… Diagnostic Test Results Electronic Health Record Integration

6. 6 AAFP 2005 Diagnostic Devices – Workflow Solutions

7. 7 AAFP 2005 Diagnostic Devices – Interoperability Solutions Interoperability Solutions - Integration ActiveX Controls &.NET – Software tools for the EMR Seamless data exchange – Becomes part of the EMR -Allows electronic comparison among tests -Allows data mining from the EMR Workflow solutions for various environments Serial and/or USB port access Thin Client and Fat Client solutions Wireless – Bluetooth, Wi-Fi, etc. Bridging the Gap with IQmark devices

8. 8 AAFP 2005 Systems are integrated only if they utilize a single underlying database, a common user interface and seamless navigation across all functionality. Anything less should be defined in terms of an interfaced system. Interfaces are developed to pass data from one application to another…Interfaces are not bad -- just limited. Integrated Systems Help Solve Health Care's Hottest Challenges By Brad Block Integration vs. Interfaced

9. 9 AAFP 2005 IQmark Advantage – the integrated solution Integrated vs. Interfaced Active X Controls &.NETHL7 File saved in patient chartFile is an attachment Digital file: smallImage file: large Run one programRun multiple programs Single databaseMultiple Databases Integrated dataPass static numbers Electronic comparison Manual comparison Common user look and feelMultiple user interfaces Fees from EMR onlyFees EMR/Device Vendor Upgrades from EMR onlyUpgrades EMR/Device Vendor

10. 10 AAFP 2005 Integrated Diagnostic Solutions

11. 11 AAFP 2005 Diagnostic test easily selected from a pull down menu integrated in the EMR. Select the test desired and simply click the Acquire Data button.

12. 12 AAFP 2005 Live ECG screen displays enabling healthcare workers to monitor the quality of the waveform before acquiring the test.

13. 13 AAFP 2005 Once acquired, the ECG waveform and data are seamlessly integrated into the EMR. Review data by pressing the View Report button.

14. 14 AAFP 2005

15. 15 AAFP 2005 Examples of another EMR integration of the IQmark products. Simply click and view.

16. 16 AAFP 2005

17. 17 AAFP 2005 Data is seamlessly integrated into the patients progress notes.

18. 18 AAFP 2005

19. 19 AAFP 2005 Data can be superimposed for detailed and precise comparison to previous reports.

20. 20 AAFP 2005

21. Workflow automation and interoperability – Diagnostic Devices Heather Childs EMR Program Director Midmark Diagnostics Group