eMD for Bariatrics

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eMD for Bariatrics
Application Overview
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eMD for Bariatrics

• About eMD
• eMD is a software application used by bariatric
  surgery professionals to record and access
  information related to patients, procedures and
  outcomes.
• The primary goals of the application are
• Capture patient information
• Improve follow-up
• Analyze and report results
• Streamline office functions

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eMD for Bariatrics
Extensive patient information capture
Demographics Health history Visits history Medi
cation history Laboratory results External docum
ent linking Improve follow-up Multiple patient
contact methods Auto generation of visits schedu
le Track overdue patients Auto generation of cus
tom letters Multiple visit types allowing measure
d or reported data Workflow tasks
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eMD for Bariatrics
Result tracking Multiple procedure support Surg
ery complications Co-morbidities resolution QOL
surveys Data analysis reports Weight loss, BMI a
nd EWL charts Streamline office functions Insu
rance tracking Paperless medical chart Multiple
user support Advanced search capabilities ICD-9
and CPT coding Generation of operative reports
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eMD for Bariatrics
Reliable technology Relational database Browser
based application Remote database synchronization
Table driven look-up values Online backup creat
ion Scalable database HIPAA compliance Multip
le record access levels Encrypted database Recor
d read/write/delete logging 128 bit encrypted com
munications Unique code patient identifier Timer
based auto log-off
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eMD for Bariatrics

• eMD Positioning
• Currently, the eMD family of products is
  comprised of the Server Edition and five optional
  modules
  
• eMD - Patient Portal
• eMD - Partner Portal
• eMD - Pocket PC
• eMD - Scheduler
• eMD - eSignature

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eMD for Bariatrics

• eMD Topology
• Through the various editions of eMD, the
  application can be accessed using a browser on a
  PC, Mac or PDA from multiple locations such as
  
• Clinic or hospital
• Operating Room
• Home
• Hotel

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eMD for Bariatrics

• Interfacing
• Exchange of information is provided by the
  Partner Portal module. It allows eMD to send or
  receive information using multiple protocols such
  as HL7.
• Types of information available include
• Laboratory results
• Insurance information
• Demographics
• Billing claims
• Images

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eMD Server Edition
What is eMD Server Edition? The Server Editio
n serves as the foundation for the eMD Series
offering bariatric programs the opportunity to
effectively track patients from the time they
identify themselves as interested candidates,
through the process and post-operatively 10
years. The application supports the collection of
standardized clinical data to allow comparative
analysis with benchmark and other pooled data.

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eMD Server Edition

• Security
• The application and the hosting service comply
  with HIPAA regulations, including
  
• -Data encryption
• Auto-Logoff
• Record view audits
• Record change audits
• Activity audits
• History retention
• Need-to-know capability
• Multiple User Groups

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eMD Server Edition
Patient Search The application has two search fun
ctions. - The basic search screen uses Last Name,
First Name and ID Code (such as MRN).
- Advanced Search allows the user to select from
a pull-down list the fields to search on.
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eMD Server Edition

• Patient Info
• The screen provides access to detailed
  information regarding patients including
  
• Workflow Tasks
• Insurance
• Custom Letters
• Complete Medical Chart
• Electronic Messages
• User-Defined Fields
• Contact types can be user defined, such as
  friends, relatives or referring physicians, etc.
  
• Patient screens also include a summary of known
  allergies.

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eMD Server Edition
Patient Info - Edit This screen displays the proc
ess used to enter patient information into the
database. Through the use of drop-down menus an
d look-up tables, users can easily navigate
through the application. This methodology of dat
a entry is maintained throughout the application.
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eMD Server Edition
Pre-Operation Workflow The screen offers bariatri
c programs the opportunity to identify,
selectively assign and track patient specific
tasks required for completion prior to scheduling
surgery. A subset of this information can then be
shared with the patient in print form or via the
patient portal. Reminder lists can be generated i
dentifying remaining tasks to be completed.
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eMD Server Edition
Operation Details The screen is used to record th
e surgical procedure. Options like surgery type
are maintained in a look-up table using the
System Settings screen. This allows the
administrator to add or remove different
operation types. Tables that can be customized i
nclude Operation Type, Approach, Surgeon,
Assistant and others.
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eMD Server Edition
Patient Visits This screen displays a list of pat
ient visits. It organizes the visits by date and
automatically calculates Body Mass Index (BMI),
Excess Weigh Loss (EWL) and Percent of Excess
Weight Loss (EWL). It also provides access to
co-morbidities, laboratory results, images,
forms, medications and band adjustments.
Previous medical history include previous
procedures, weight loss programs and family
history.
 
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eMD Server Edition
Patient Events This screen displays a list of pat
ient visits. It organizes the visits by date and
automatically calculates Body Mass Index (BMI),
Excess Weigh Loss (EWL) and Percent of Excess
Weight Loss (EWL). It also provides access to
co-morbidities, laboratory results, images,
forms, medications and band adjustments.
Previous medical history include previous
procedures, weight loss programs and family
history.
 
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eMD Server Edition
Visit Schedule This screen displays the suggested
schedule for patient follow-up visits and
identifies if they were performed or not.
Administrators can specify the frequency of
follow-up visits, enabling the application to
identify the date ranges where visits should
occur.
 
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eMD Server Edition
Data Graphs The application can display graphs re
presenting weight, BMI, EWL, EWL and Band
Adjustments when applicable. Graph types include
bar or line formats either in 2D or 3D mode,
 
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eMD Server Edition
BMI Calculator The application can display graphs
representing patients BMI. This quick graph al
lows patients to view a graphical representation
of the various categories.
 
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eMD Server Edition

• Co-Morbidities
• This screen displays the co-morbidities
  associated with a patient. Each co-morbidity can
  be tracked at each visit, where the user can
  update the status to
• Unchanged
• Improved
• Aggravated
• Resolved

 
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eMD Server Edition
Image History This screen displays patient pictur
es, organized by visit date. Each picture can als
o display the recorded BMI, date and title.
 
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eMD Server Edition

• Documents
• This screen displays a list of documents
  associated with the patient.
  
• Types of documents supported include
• - Pictures
• - Faxes
• Letters
• Lab results
• - Scanned forms

 
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eMD Server Edition

• Reports
• The application includes pre-defined report
  formats as well as user-defined queries.
  
• Reports include
• - Activity List
• - Operation List
• Complication List
• Co-morbidity List
• Mortality List
• Follow-up Analysis
• Weight Loss
• Patients Due
• Patients Overdue

 
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eMD Server Edition
User-defined fields The application supports the
ability to add user-defined data elements. Any
number of custom fields can be defined, allowing
for a high degree of flexibility.
No programming knowledge is required to define
new data elements.
 
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eMD Patient Portal Module
What is eMD Patient Portal Module? The
Patient Portal Module allows authorized patients
to access specific areas of the database and pe
rform tasks such as registration and virtual
visits. The portal is intended to establish a
closer relationship with the patient and
allow access to historic weight changes while
providing tools for the patient to track food c
onsumption and exercise activities.
When performing a virtual visit, the patient c
an be asked to indicate present
weight, perform surveys, update status of
co-morbidities and update demographic informati
on.
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eMD Patient Portal Module

• Benefits
• Improve patient post-operation support
• Consistently capture patient reported weight
  changes
  
• Reduce clinical staff time for entering new
  patient registration
  
• Offer detailed data for review by a
  nutritionist
  
• Provide current pre-operation workflow task
  status
  

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eMD Patient Portal Module
Features My Clinic Log of visits performed at
the clinic with associated measurements such as
weight, BMI, Excess Weight Loss (EWL) values and
percentages. Also provides ability to do clinic
virtual visits to report weight changes.
My Journal Daily log for weight changes and pe
rsonal notes. My Diet Daily food journal that
records food types and calculates nutrient
values according to the USDA SR-16 database.
My Exercise Daily log for exercise activities
which calculates the consumption of calories.
My Info Summary screen displaying values and c
harts of weight goals, progress, food intake and
exercise. Messaging Provides the ability to
exchange private and secure messages between
clinical staff and patients. Links Provides l
inks defined by the clinic to specific web sites,
such as support groups and specialized food
suppliers.
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eMD Patient Portal Module
Pre-Operation Workflow This screen displays a lis
t of tasks needed to be completed before surgery
can be scheduled.
 
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eMD Patient Portal Module
Virtual Visits The Patient Portal allows the pati
ent to perform a virtual office visit. All
previous visits with weight changes are
displayed, while only visits entered through the
portal are available for editing.
When entering a virtual visit, the patient can be
requested to complete pre-defined surveys.
 
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eMD Patient Portal Module
Diet Log The Patient Portal uses the USDA SR-16 d
atabase of foods and nutrients. The patient
selects from a list of food types and the
application will suggest common household serving
sizes. Ninety-two different nutrients can be
calculated from this information.
 
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eMD Patient Portal Module
Patient Registration Patients can enter their inf
ormation over the Internet or an Intranet. The
registration process will guide patients through
the various screens. Upon completing the
registration screens, the information is
automatically updated on the Server Module and
available for review. The program coordinator is
notified of new registrations through an internal
system message.
 
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eMD Patient Portal Module
Messaging Clinical staff can exchange private and
secure messages with their patients.
Messages are encrypted while in transit and
require successful authentication by the patient
in order to be viewed.
 
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eMD Pocket PC Module
What is eMD Pocket PC Module? The Pocket
PC Module enables the user to carry patient
information on a Windows Mobile Personal Digita
l Assistant (PDA). Information downloaded to
the PDA includes patient demographics, operation
details, complications, follow-up visits and
co-morbidities. The surgeon can enter operati
on records on the PDA and synchronize the
database with the eMD Server Module from a
remote location. The application is designed to
quickly allow entry and retrieval of data by
taking advantage of pull-down menus and check
boxes.
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eMD Pocket PC Module

• Benefits
• Access to patient information from a compact
  device
  
• Ability to enter operation and complications
• Synchronize data with server for latest
  information from remote locations
  
• View graphical representation of weight, BMI and
  EWL changes
  

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eMD Pocket PC Module
Security User identification is required to acces
s the application, which can be set by the user.
The application supports standard input methods
of Windows Mobile, such as a pop-up keyboard,
Graffiti, Transcriber or Block Recognizer.
 
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eMD Pocket PC Module
Search The user can search for patient records by
entering a combination of fields.
The application will then display a list of
patients that fit the profile.
 
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eMD Pocket PC Module
Patient Information The application includes fiel
ds such as demographic, contacts, previous
procedures, medications and allergies.
 
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eMD Pocket PC Module

• Operation Information
• The application takes advantage of pull-down
  menus and pre-filled options as much as possible.
  
  
• Information related to the operation procedure
  include
  
• Basic fields such as type, location, surgeon and
  assistant.
  
• Complications
• Additional Procedures
• User defined fields

 
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eMD Pocket PC Module
Charts The application can displays line charts r
epresenting weight changes, BMI and Excess Weight
Loss.
 
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eMD Scheduler Module
What is eMD Scheduler Module? The Sche
duler Module allows clinical users the ability to
maintain schedules of resources and facilities.
The graphical interface of the application
supports drag-and-drop functionality, and
supports multiple views of appointments, such as,
daily, weekly and monthly views. In addition,
the Scheduler Module can enforce user defined
rules, display custom visit and procedure types,
and produce reports..
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eMD Scheduler Module

• Benefits
• Easy to add or edit appointments
• Fully integrated with clinical data
• No client-side software installation required
• Ability for patients to request next available
  appointment
  

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eMD Scheduler Module
Interface The user interact with the Schedule via
a graphical user interface. The application
supports drag-and-drop functionality, enabling
the user to quickly changes appointments with
minimum effort.
 
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eMD Partner Portal Module
What is eMD Partner Portal Module? The
Partner Portal Module provides the ability to
exchange information with external entities such
as primary care physicians, psychologists and
nutritionists. Using the Partner Portal, ent
ities can quickly review selected patient
information and create additional documents
related to a specific patient.
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eMD Partner Portal Module

• Benefits
• Interface information with hospital EMR systems
• Exchange data with custom applications
• Better communications with primary care
  physicians and referring doctors
  
• Integrate laboratory results directly into
  database
  

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eMD eSignature Module
What is eMD eSignature Module? The eSig
nature Module provides the ability to digitally
sign electronic forms, creating a legally binding
document that can automatically be attached to
the patient chart. Using the eSignature Modul
e, entities can quickly review selected patient
documents such as HIPAA disclosures and procedure
consent forms. Digitally signed forms are sav
ed in Adobe Acrobat, a standard format for
electronic forms. An image of the signature is
displayed in the document and a digital key is
embedded in the file, providing compliance with
federal regulations for electronically signed
documents.
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eMD eSignature Module

• Benefits
• Digitally signed legally binding documents
• Reduce need for physical file storage
• Faster retrieval of documents
• Better authentication and security than
  traditional user methods, such as a user ID and
  password.
  

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eMD for Bariatrics (eMD)
Exemplo Medical has the ability to perform live
demonstrations over the Internet. If you are
interested in previewing the application, please
contact us to schedule an online demonstration.