Regional Extension Center Meaningful Use EHR Vendor
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1 Regional Extension Center Meaningful Use EHR Vendor 1
2 Dear ehealthconnecticut Team: CureMD Healthcare is pleased to express its intention to join hands with ehealthconnecticut to provide its proven Web technologies (EHR, Enterprise Practice Management and Patient Portal) at a subsidized cost to primary care practices and hospitals in Connecticut enabling them to practice Meaningful Use - driving outcomes and subsidy payments to maximize value and returns. Being the standard-bearer of adaptable, accessible and affordable health care technology for every physician for almost one and a half decade, CureMD has empowered thousands of practices with technologies that have eliminated barriers to adoption and fostered innovation. Our resolve to equip physicians with award winning EHR offerings - carrying the highest 5 Star usability rating from CCHIT, and the unique mix of technology, knowledge & services that we offer, make us best suited to support ehealthconnecticut deliver on their mission to lead a sustainable progress toward adoption and meaningful use in Connecticut. This letter of intent and the enclosed response to the published RFI reflect on these common objectives, highlighting our product and service offerings that can really make a difference for ehealthconnecticut and the people of Connecticut. CureMD also hereby expresses its willingness to the following: achieving compliance with ONC approved EHR Meaningful Use certification within 6 months of its availability; having ongoing responsibility to review the information posted on the REC website and to submit changes as appropriate; and providing web-based, on-line demonstrations of our product. Looking forward to working with you. Sincerely, Bill Hashmat Chief Information Officer CureMD Corporation 2
3 VENDOR PROFILE Name Any Previous Names Address (Headquarters) CureMD Healthcare N/A 55 Broad St New York, NY Main Telephone Number (718) Website Corporate Status (Publicly Traded, Privately Held, For Profit, Not for Profit) Privately held PARENT COMPANY Name Address N/A Telephone Number CONTACT PERSON Name Title Bill Hashmat CIO Address 55 Broad St New York, NY Telephone Number (718) Address: MARKET DATA 1. Number of years as EHR vendor Total customer sites live and in process to go live a. Nationally 2,741 b. Connecticut 2 3. Breakdown of sites by number of providers (Solo, 2-5, 6-9, >10) 4. Provide the number of installed sites by specialty and size bill.hashmat@curemd.com Total: 2,741 In process: 54 Solo: : 1, : 847 >10: 300 Specialty % of Practices Allergy 0.5 Cardiology 3 Dermatology 9 Family Practice 17.5 Geriatrics 0.5 3
4 Internal Medicine 13 Neurology 1 OBGYN 10.5 Oncology 8.5 Ophthalmology 0.5 Orthopedics 1 Pain Management 5 Pediatrics 14.5 Psychiatry 1 Surgery 3 Urology 3 Audiologist 0.5 Endocrinology, Diabetes & Metabolism 2 ENT 1 Gastroenterology 2 Hand Surgery 1 Infectious Disease 0.5 Podiatrist 0.5 Vein Care 2 a. Provide the names and contact information for 3 CT reference sites. 5. How Many De-Installations in last 36 months? 6. Please describe your relationship(s) with other ONC funded REC s Barbara Practice Manager Neurology Associates of Norwalk 617 West Avenue Sweet 200, Norwalk, CT Dr. Robert Smith Advanced Foot Care 3715 Main St. #306, Bridgeport, CT (203) coldlaserdoc@yahoo.com 2 CureMD prefers RECs to assume leadership in the transformative process of adoption and be at the forefront. CureMD s adaptable, accessible and affordable platform, self-service implementation strategy backed by sustainable business model is well received by the RECs; we are in the final selection phase with the ones we are working with. 7. Additional Comments on Market Data Questions PRODUCT INFORMATION 1. Product name and version # CureMD (EHR, Practice Management & Patient Portal) v10 4
5 2. When is your next version release? Q CureMD offers three implementation models - On Demand (ASP - Hosted), On Premise (Client Server) and Enterprise. Each of these models requires minimum investment and training - rising above cost and complexity barriers to accelerate adoption. 3. Is your product a Client Server, ASP or Hosted model? Describe each offering. On Demand - Software as a Service On demand secure subscription service includes hosting, IT and business continuity services; eliminating the need for upfront expenditure on software, hardware and ongoing IT administration. Practices requiring a secure high performance solution can depend on the On Demand version for round the clock access, hassle free maintenance, free upgrades, disaster recovery and remote backups. On Premise - Client Hosted Medium to large practices with IT staff can keep their own server with CureMD installed for local and remote access - keeping data in their own office with greater control and flexibility. Enterprise CureMD application framework is available for enterprise installations with custom content and reusable source code library to provide unprecedented flexibility, customization and integration opportunities. 4. Are Clinical Components Integrated? Yes a. If yes, list integrated components (e.g. e-prescribing, lab, etc) 5
6 b. If no, list non-integrated components 5. Are Practice Management components integrated? a. If yes, list all components. Yes 6
7 b. If no, list non-integrated components 6. Do you offer a Revenue Cycle Management or Billing Service for your clients? Yes a. If yes, please describe CureMD provides robust financial and administrative capabilities that speed and improve revenue cycle management in physician practices, academic medical centers, hospitals and hospital networks. From the first point of patient contact to payment for services, you will see our financial and administrative capabilities help ensure your practice is running at its full potential. 7
8 CureMD's approach is based on aligning people, process, and technology to maximize performance, and we have built a reputation for providing exceptional service and results. Our goal is to provide the highest return on your claims without sacrificing service or patient support. We successfully convert medical services into cash reimbursements by: Accurate and professional claim preparation. Same day electronic claim submission. Persistent follow-up. Prompt electronic payment posting. Effective problem list resolution. Patient statement processing, mailing and follow up. Appeals and collections management. Practice performance analysis and improvement. How you benefit Get paid, more and faster. Benefit from the most up-to-date payer rules. Get the most time-consuming work done for you Acquire full visibility to make better decisions. Substantially reduced denials Built in appeal management Integration with CureMD EHR/EPM provides up to the minute transaction reporting, accountability, coordination and performance statistics (KPIs). CureMD services are executed with precision and effectiveness, so your healthcare enterprise truly thrives with efficiency, service quality and profitability. Increased cash flow. Faster collections. Substantially reduced collection cycle. More efficient operation of office staff. 7. Describe your patient portal offerings and plans, if any. Patient Portal CureMD Patient Portal fully integrated with EHR and Practice Management facilitates patients to securely request appointments and refills online, receive test results as they become available, utilize educational material and update their health status, history, demographics and insurance information while subscribing to valuable electronic tools and services. 8
9 CERTIFICATION 1. Is the product CCHIT certified? Yes 2. Version, Year and Type (Comprehensive or Modular) of CCHIT Certification 3. List any other current or planned Certifications CureMD EHR v10 CCHIT 2006 CCHIT 2008 CCHIT 2011 Comprehensive Other Current HIPAA Transaction sets Care 360 O Surescripts GOLD Certified ISO 9001:2008 ISO 27001:2005 SAS 70 Type II (data center) Planned ONC Approved EHR Certification MEANINGFUL USE 1. Do you offer a Meaningful Use Guarantee? Yes a. If yes, describe the level of financial risk you will share with provider customers. 2. Describe your plans and timelines to become Meaningful Use Certified by ONC? CureMD will refund maintenance fees for the time it remains uncertified according to ONC mandated Meaningful Use Certification standard. CureMD has a track record of being always the first to achieve industry certifications and compliance with standards and regulatory requirements. Being the CCHIT 2011 certified EHR, CureMD is going to be among the very first vendors to receive ONC mandated Meaningful Use Certification. HEALTH INFORMATION EXCHANGE (HIE) 1. Describe your HIE capabilities and CureMD promotes interoperability for practice- 9
10 experience with HIE implementations. to-practice, provider-to-provider and peer-to-peer communications among CureMD care providers, as well as providers not associated with CureMD. Vital patient data, medical summary, problem list, lab, radiology and procedure results, and other elements can be shared electronically among providers optimizing interoperability and improving patient care Since EHRs ability to connect to an HIE is a key requirement for meaningful use, CureMD guarantees to provide connectivity with HIEs to our clients and is rapidly working toward establishing connectivity with HIEs wherever our client base is. CureMD s strategy is to continue to work with various HIEs to achieve connectivity to support patient centric electronic health information via a secure, standards-based health information exchange infrastructure. CureMD is fully capable of engaging with the HIE patient identity management and clinical data exchange features, and complies with the following standards: - PIX Consumer (Integration Profiles ITI-9, ITI- 10, and ITI-11) 2. What HIE connections and interfaces if any are included with your product. - XDS.b (Integration Profiles ITI-16, ITI-41, ITI- 42, and ITI-43) Connectivity and interfaces for HIEs are included with the product. ehealthconnecticut HIE technical specifications are found on the ehealthconnecticut website at After reviewing, please comment on your ability to commit to meeting these requirements and in what timeframes. Please be sure to include specific responses regarding patient registration and query (PIX/PDQ) transactions, XDS transactions including Continuity of Care Documents, and BPPC: CureMD is currently working on a project to implement PIX and XDS.b transactions. This project is expected to be completed in 4-6 weeks and will include the following transactions: o o PIX consumer (Integration Profiles ITI-9, ITI-10, and ITI-11) and XDS.b (Integration Profiles ITI-16, ITI-41, ITI-42, and ITI-43) 10
11 BPPC policies and functional roles are also being implemented. Pricing and Related Services 1. Are you willing to have us publish your pricing on our website? 2. Describe your software pricing in detail, including all components for which a practice may be charged. 3. Are you able to offer a discount for customers of the ehealthconnecticut REC? Yes Detailed pricing is attached. Yes. a. If yes, please describe 5% 4. Do you bundle or arrange for any other related services such as hardware, network, and ISP purchasing and support? Yes If clients require, CureMD offers discounted hardware and support services utilizing relationships with the following venders: a. If yes, please describe all such relationships and services IBM HP DELL CISCO Juniper Fujitsu Xerox WelchAllyn MidMark epad SCANSHARP Phreesia IMPLEMENTATION TRAINING AND SUPPORT 1. Briefly describe your Implementation Plan. Address issues such as on-site versus website 11
12 training, workflow analysis, existing data conversion, who is trained, and software and template customization Implementation Being a true web based all-in-one platform, CureMD offers fastest implementation averaging at three to four weeks for small practices and five to six weeks for medium and large sized practices. CureMD is currently testing a self-service implementation portal; allowing our clients implement CureMD on-demand; improving collaboration, rapid configuration - meeting unique needs while significantly reducing effort and costs through automation. CureMD follows big bang and phased implementation approaches allowing us to implement the entire solution at once as well as over time. For small practices, we recommend the big bang approach, whereas for large ones phased approach is advised. However, each implementation plan is designed to fit a practice's workflow, schedule, resources, and other unique needs. Adoption Drives Product User defined workflow editor; clinical templates with preset default values, favorite diseases, drugs, orders, procedures, flow sheets, custom forms, and content customization, along with administrative / billing alerts help foster adoption and user satisfaction. Conversion CureMD data migration services enable intransition organizations to costeffectively import and consolidate data from legacy systems and disperse sources while ensuring information accuracy and security. services include: Data Migration Seamless access to legacy systems for 12
13 information extraction Data profiling to understand data structure, content and quality Data cleansing to ensure information accuracy and eliminate errors Transformation of existing data for integration with the new system Data quality and transfer rate monitoring Data back-ups to ensure integrity of the source data Audit of the migration to ensure accountability Training Role based training is available for providers, administrators, clinical staff, medical billers and associates. Trainees in each category learn to use an appropriate set of CureMD s functionalities within the context of real-world scenarios. We organize the training sessions in a specific sequence, beginning with simple skills and progressing to more complex skills and concepts. Physicians and staff can attend courses at our state-of-the-art facilities, receive onsite trainings or take self-paced online training, access elearning center, attend free regular training webinars. For users who learn best independently, CureMD video tutorials provide a simple and effective way to learn at their own convenience. For users requiring expert advice, our new learning platform blends online classroom training, live conferencing, real-world scenarios, and self-directed study into rich and easy-to- use learning experience. Workflow Analysis During Workflow Analysis a consultant will review the physical workflows of how the office staff manages service flow; from appointment to payment entry, to help the practice gain workflow efficiencies to maximize the claim-2-13
14 cash process, current system successes, breakdowns and process owner feedbacks. The analysis is followed by to-be process modeling that includes change management, business process optimization, best practice sharing, meaningful use compliance, highlighting recommended implementation strategy and SWAT (strengthens, weakness, opportunities and threats) report to ensure faster adaptability and system success. 2. Provide the normal length of implementation by practice size (solo, 2-5, 6-9, >10) 3. Describe your ongoing support post implementation. 4. Describe your training and support pricing structure. Customization CureMD s configurable specialty workflow and process editor assemble component templates, data forms and knowledgebase to facilitate adaptation to your unique preferences, styles and priorities. Disease specific, visit reason based workflow with preconfigured default values, favorites, flow sheets, custom forms, and content customization allow comprehensive user specific customization to the program. Solo: 3-4 weeks 2-5: 4-6 weeks 6-9: 6-8 weeks >10: 7+ weeks After Go-Live, each CureMD client is assigned with a dedicated account manager, who knows the practice personally and provides support proactively - online, onsite and over the phone. CureMD account managers helps with L1, L2 and L3 support, tracking and coordinating on issues, training, updates, general questions, concerns, and more. Training Webinars: FREE elearning: FREE Online: $350/session Onsite: $750/day Support L1, L2 L3: $400/provider per year If L1 support is provided by REC, L2, L3 support will be provided for FREE. OTHER ISSUES 14
15 1. Do you utilize other companies or services in the process of bringing a process through the implementation and go live process? No. All services are exclusively performed by CureMD or its certified value added resellers. 2. What is your current wait time to begin an installation in Connecticut? 3. Are you willing to help sponsor ehealthct REC promotional activities and conferences? 3 to 5 days Yes. a. If yes, describe 4. Any other information you would like to provide? At CureMD, we understand physician recruitment for adoption can be a big challenge, especially with smaller groups and solo clinicians. CureMD will share its experience and best practices with ehealthct REC on how to market and promote the benefits and full potential of EMR so that it can develop the physician recruitment strategies in addition to sponsoring promotional activities and conferences. CureMD will dedicate a fund for such promotional activities, which will consist of a percentage of CureMD product sales proceeds. CureMD Healthcare product brochure attached. 15
16 All in One Electronic Health Record, Practice Management, Patient Portal & Revenue Cycle Management Price Catalog On Demand & On Premise
17 Price Catalog Copyright Notice Copyright 2010 CureMD.com Inc., All rights reserved. This document is protected by the copyright laws as an unpublished work. Confidentiality and Proprietary Rights This document is the confidential property of CureMD.com Inc. It is furnished under an agreement with CureMD.com Inc., and may only be used in accordance with the terms of that agreement. The use of this document is restricted to customers of CureMD.com Inc., and their employees. The user of this document agrees to protect the CureMD.com Inc., proprietary rights as expressed herein. The user further agrees not to permit access to this document by any person for any purpose other than as an aid in the use of the associated system. In no case will this document be examined for the purpose of copying any portion of the system described herein or to design another system to accomplish similar results. This document or portions of it may not be copied without written permission from CureMD.Com INC., The information in this document is subject to change without notice. Trademarks CureMD, Practice without Boundaries, RightRemit, Practice Meaningful Use, AutoNote, CureMD Workflow, CureBilling, CurePet are trademarks or registered trademarks of CureMD.com Inc.,. All other brand and product names are trademarks or registered trademarks of their respective companies. Purpose of this Document This document describes the pricing information for CureMD All in One Solution CureMD.com, Inc. No reproduction or redistribution without written permission 2
18 Price Catalog Table of Contents ON DEMAND... 4 ON PREMISE CureMD.com, Inc. No reproduction or redistribution without written permission 3
19 Price Catalog On Demand Product Cost per provider/month Services Cost Terms Base System EHR + PM 395 Onsite Training 750/day EHR + PM 5 days Hosting Free EHR 3 days e Prescriptions 25 Surescripts Support 400/provider per year L1,L2 & L3 EDI + ERA + Eligibility 120 Online Training 350/session 2 hour session Patient Portal 75 EHR + PM 2,800 8 sessions EHR 2,100 6 sessions Clinical Images 15 ADAM Portal sessions Order Sets 25 Zynx Code Correct 25 3M Implementation EHR + PM 4,000 per provider Additional provider 10% off Education 15 ADAM Quick Sheets Education 10 Exit Writer Patient Portal 800 per practice Knowledge base 40 iconsult Migration 750/day 4 days ICD - CPT updates 5 per month 6 days CureMD Template Without template efax pages Free (Additional.10/page) Data Extraction TBD 2010 CureMD.com, Inc. No reproduction or redistribution without written permission 4
20 Price Catalog Text Alerts 20 unlimited Billing Services Interfaces One time 8% Quest % Lab Corp Free 6.5% Others TBD 6% < 50 k collection <100 k collection < 200 k collection < 400 k collection > 400 k collection 5.5% Devices 750 per installation Enrollment 650 per provider Credentialing 1500 per provider DICOM 25 viewer Statements 0.75 per statement $750 Minimum Maintenance Free DRT per line.13 line overnight Upgrades Free 400 minimum charge 500 set up Scanning data limit 5 GB $5 additional GB/month 2010 CureMD.com, Inc. No reproduction or redistribution without written permission 5
21 On Premise Product Cost per provider Term Services Cost Terms License EMR +PM ,000 Additional one time Onsite Training 750/day Price Catalog e Prescriptions 25 Surescripts Support 400/provider per year L1, L2, L3 EDI + ERA + Eligibility 120 Patient Portal FREE Online Training 350/session 2 hour session EHR + PM 2,800 8 sessions Clinical Images 15 ADAM EHR 2,100 6 sessions Order Sets 25 Zynx Portal sessions Code Correct 25 3 M Implementation Education 15 ADAM Quick Sheets EHR + PM 4,000 per provider Additional provider 10% off Education 10 Exit Writer Knowledge base 40 iconsult Patient Portal 800 per practice ICD - CPT updates 5 per month Migration 750/day 4 days 6 days 500 pages Free (Additional efax 40.10/page) Text Alerts 20 unlimited Data Extraction TBD CureMD Template Without template 2010 CureMD.com, Inc. No reproduction or redistribution without written permission 6
22 Price Catalog Interfaces One time Billing Services Quest % < 50 k collection Lab Corp Free 7.5% <100 k collection Others TBD 6.5% < 200 k collection 6% < 400 k collection Devices 750 per installation 5.5% > 400 k collection Enrollment 650 per provider DICOM Viewer 25 viewer Credentialing 1500 per provider Integrated PACS 12,000 22% for 5 users Statements 0.75 per statement $750 Minimum Maintenance 22% Year DRT.13 line per line overnight Upgrades Free 400 minimum charge 500 set up Off site Back up 225/month daily 150/month weekly up to 25 GB additional $5/GB up to 25 GB additional $5/GB Server Maintenance 250/month each server Patching (OS/SQL) Defragmentation Performance Monitoring 2010 CureMD.com, Inc. No reproduction or redistribution without written permission 7
23 Price Catalog Problem Diagnostics Virus Protection Security Monitoring Back up Verification 2010 CureMD.com, Inc. No reproduction or redistribution without written permission 8
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