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Clinician's Report

Clinician`s Report: Scheduling and Software Solutions

May 2011

(Note: All Listing Are Based on the Opinion and Claim of the Individual Company)

Well Care Strategies, Inc. (formerly Wound Care Strategies, Inc.)

Harrisburg, PA, San Francisco, Washington, DC
Founded: 1995 • WellCareStrategies.com • Cathy@wcscare.com

1) What specific types of products/services that you make?
WCS is the architect and developer of the wound care and HBO industry’s leading clinically-focused EMR, TPSTM. WCS is also a professional services provider leading department development, reengineering departs, practice management reviews, continuing education, compliance reviews, trials and studies that are customized to clients’ unique needs. Overall, WCS is sought after for pioneering advances in clinical-care tracking and generating superior clinical and operational practises. Potential clients range from nascent departments that need full process to development, to mature departments seeking reengineering or to bridge their documentation with our focused EMR product, TPSTM. TPS 7.0, a cloud-based/SaaS service model, provides an interoperable, customized EMR solution that integrates a software delivery system, revenue cycle management, a business process improvement solution, and regulatory compliance. Superior interoperability through our HL7 interface engine allows importing of a variety of demographic, clinical and financial data–with no staff intervention required. WCS’s clinical-care expertise and consulting, combined with the leading edge features in TPS 7.0, allow clients to elevate their department’s management process to a smarter, more efficient work platform.

2) How many years has your company been in business?
WCS has been in business for 16 years. The Company was founded in 1995 as a consulting company advising on best practices for critical care systems, revenue cycle management, business process improvement and compliance services. In 2000, WCS offered a software solution that captured and automated years of clinical best practices. WCS has since come to serve thousands of physicians, clinicians, and patients in hospitals and out patient facilities across the country. TPS is the only EMR solution that combines such deep clinical expertise with customized software delivery.

3) What specific areas of care in a wound clinic do your solutions specialize in?
TPS provides the wound clinic with the ability to capture many conditions including wound care, skin care, continence care, HBOT, and ostomy care. Additional conditions will be added to support the clinic’s business.

4) How many units of software do you sell each year? We license software as a service subscription and do not disclose any customer information.

5) Approximately how many employees work for your company? We are a high-growth company with over 30 full-time employees.

6) Does your solution include an electronic documentation option?
Yes. TPS, as the premier EMR, provides the most relevant disease states that complement a modern wound care department’s work. With our newest release, we continue to improve our existing application and offer time-saving features that include: Enhanced scheduling, Evidence-based Guidelines, Physician Collaboration options, Patient & Physician Portals, expanded benchmarking analysis and reporting capabilities, interoperability offerings, seamless supply orders functionality, and much more.

7) What aspect of your solution do your customers enjoy the most?
Our clients enjoy unparalleled support and appreciate the clinical customization with your TPS. TPS is 100% customizable and configurable--focusing on the client’s process and documentation needs, then deployed to match.


8) What operational training is provided with the purchase?
Your TPS integration plan is customized for each client’s clinical processes and unique business practices. WCS believes that it is critical for all personnel, from administrative staff, to physicians, to clinicians, be trained in an efficient, effective, and timely manner on for any EMR implementation to be effective.

9) Who trains clinicians on your software or scheduling solutions?
WCS Integration Specialists understand how important a process-driven training program is to a client’s management success. Our trained professionals encompass many years of training experience and manage the client training from pre-registration to coding and billing regardless of organizational size.

10) What type of solution testing is involved with your products? We engage in several proprietary processes for solution testing.

11) How are your solutions sold? Licensed on a monthly basis.

12) Do you offer any type of quality assurance or guarantee with your solutions? Yes, we provide our clients with Quality Assurance support and service level guarantees with our process-management solutions.

13) What should a wound care clinic do if they have a problem with one of your solutions? Clients are encouraged to contact us immediately should a concern arise. We have 24/7 help desk online and human support available during standard office hours. Our Quality Assurance Team is responsive and ready to assist with any concern.

14) How often are your solutions updated with newer versions? WCS updates your TPS at least quarterly. Clinical and operational enhancements are based on best practice solutions.

15) What should be done if a bug is found in your solution? Our clients are provided with direct support access should a concern arise. Clients can contact our Quality Assurance Team 24 hours/day through our online help desk, or call our service center for assistance.

16) Do you make custom solutions? Yes. Every client is unique. Even more, your TPS can be configured to fit both inpatient and outpatient facilities in a comprehensive, realistic, and simple to use application. As each facility follows their own specific business practices, TPS can be tailored to fit the specifics of each facility's process requirements.

17) What is one thing that makes your solutions stand out from others? Your TPS Team, their depth in expertise, and a customizable solution.
  Your TPS solution includes years of best clinical and operational practices in wound care. As each facility follows their own specific business practices, TPS can be tailored to fit the specifics of each facility's requirements. Your TPS clinical decision support engine, AutoMinder® Plus, assists the facility in managing their clinical and operational rules.

WoundExpert by Net Health Systems

Pittsburgh, PA • Founded: 1993
www.WoundExpert.com • sales@woundexpert.com

1) What specific types of products/services that you make? Web-based Electronic Medical Record software application for wound management

2) How many years has your company been in business? 18

3) What specific areas of care in a wound clinic do your solutions specialize in?
WoundExpert supports clinical and physician documentation, as well as modules to support documentation requirements for Burn, Scar, Ostomy, and Physical Therapy. WoundExpert provides Practice Management services such as scheduling, reporting, and charge capture.

4) How many units of software do you sell each year? WoundExpert will be installed in close to 150 new facilities in 2011.

5) Approximately how many employees work for your company? 50

6) Do your solutions include an electronic documentation option?
WoundExpert’s Electronic Medical Record (EMR) offers a 100% paperless solution with the industry’s most complete clinical wound care dataset. Primarily based off of simple point and click data entry, WoundExpert eliminates almost all typing by both physicians and clinicians. Comprehensive physician documentation support includes complete patient history and physical exam (H&P), physician orders, prescription writing, and exam templates defined for each individual physician. An integrated Physician Dictation Module allows for dictation directly into the electronic record for those physicians who prefer to dictate.

7) What aspect of your solution do your customers enjoy the most?
Our clients find WoundExpert easy to use and like that it is customizable to the needs of their clinic. Ongoing upgrades ensure support of regulatory requirements, helping clients meet Joint Commission certification standards. Our client services team is highly regarded for their knowledge and quick response in resolving issues, with 95% of requests resolved within 24 hours of contact.

8) What operational training is provided with the purchase?
Once an agreement is in place, our Client Services team performs a thorough pre-training assessment and database setup according to several user customizable options. We provide onsite and in-person training, with a curriculum that comprehensively covers data entry, reporting, and picture archiving. Our trainers spend time individually with program directors, physicians, staff nurses, and data entry personnel, describing how and why their roles in WoundExpert are important. In addition to onsite training, clients receive a user manual and a contact sheet with complete information for our client services team.

9) Who trains clinicians on your software or scheduling solutions? We have 10 certified WoundExpert trainers. Each client is also assigned a dedicated Client Advocate who serves, as a liaison for all client relationship needs and a resource for ongoing training.

10) What type of solution testing is involved with your products? WoundExpert’s team of Quality Assurance Engineers tests each new feature prior to release. The QA process involves functional testing to ensure new features meet specifications and integration testing to ensure functionality. New features are not released until two separate engineers validate the quality.

11) Do you offer any type of quality assurance or guarantee with your solutions? WoundExpert contracts include strong performance measures governing the software’s availability and customer support standards. Net Health Systems has a standard Service Level Agreement that assures our clients that WoundExpert will meet their expectations.

12) What should a wound care clinic do if they have a problem with one of your solutions? WoundExpert’s Client Services team is available 5 days a week, 12 hours a day to assist clients with problem resolution and continued product education. Clients can contact the team through our Feedback function built directly within the software, or by calling our dedicated client services line.

13) How often are you solutions updated with newer versions? Updates to enhance WoundExpert functionality– based on internal development goals and client requests – are released on a quarterly schedule, with time-sensitive updates (such as changes in regulatory requirements) released on an as-needed basis.

14) What should be done if a bug is found in your solution? Clients can alert us to any malfunctions directly through WoundExpert’s Feedback function or through our client services line. Each malfunction is reviewed by a client service representative, a Quality Assurance Engineer, and resolved by one of our Software Developers. All malfunction fixes are released on a weekly basis.

15) Do you make custom solutions?
WoundExpert has been architected to allow for maximum flexibility in meeting the diverse needs of our client base. Our software has been built to match the existing workflow of each client instead of forcing them to alter their operation to meet ours. During our pre-implementation process, our Director of Client Operations works with each new client to customize the data entry forms to meet their documentation needs. Because many hospitals require system wide risk assessment forms, we help each of our clients build a truly customized version of WoundExpert.

16) What is one thing that makes your solutions stand out from others?
WoundExpert connects all facets of wound care – offering configurable solutions to enhance patient care and practice management, incorporating functionality to streamline many of the processes for patient care (such as automated ordering for wound care products or negative pressure wound therapy), and integrating with other patient information systems to ensure reliable and HIPAA-compliant delivery of patient data. WoundExpert maximizes the efficiency of the wound care professional, which allows them to focus on what is truly important: healing patients.

Telemedicine Solutions, LLC

Hoffman Estates, IL • Founded: 2005
www.woundrounds.com • information@woundrounds.com

1) What specific types of products/services that you make?
Telemedicine Solutions offers WoundRounds, an affordable software solution for point-of-care documentation and wound care management. With WoundRounds, clinicians use mobile, camera-enabled devices to capture data and images at point-of-care, and a secure website to access documentation, analysis, and reports over the Internet. The system provides standardized processes for wound assessment and prevention based on best care practices. The system includes clinically validated tools, including the Braden Scale for assessing pressure ulcer risk and the National Pressure Ulcer Advisory Panel PUSH Tool for tracking wound healing over time. Data and images captured on the mobile device are encrypted and uploaded over the Internet to secure servers where they can be accessed 24/7 by authorized members of the care team from any browser-enabled PC.

2) How many years has your company been in business? 5 years.

3) What specific areas of care in a wound clinic do your solutions specialize in? Electronic wound documentation and reporting.

4) How many units of software do you sell each year? 100+ site licenses

5) Approximately how many employees work for your company? 10

6) Does your solution include an electronic documentation option? Yes

7) What aspect of your solution do your customers enjoy the most? Standardized electronic wound documentation saves time and eliminates redundant data entry

8) What operational training is provided with the purchase? 2-3 days on-site, including half-day classroom training

9) Who trains clinicians on your software or scheduling solutions? Certified wound nurses provide all training

10) What type of solution testing is involved with your products? WoundRounds was beta tested in an inpatient hospital setting, and subsequently pilot tested in both long-term care and post-acute care settings.

11) How are your solutions sold? License per clinic

12) Do you offer any type of quality assurance or guarantee with your solutions? Annual license fee may be paid quarterly and cancelled upon 60-days notice

13) What should a wound care clinic do if they have a problem with one of your solutions? WoundRounds offers support 24/7

14) How often are you solutions updated with newer versions? WoundRounds software is updated 3-4 times a year.

15) What should be done if a bug is found in your solution? Because WoundRounds is offered as a service over the Internet, bug fixes are easily made on WoundRounds' server without the need to deploy patches or distribute updates to each facility individually.

16) Do you make custom solutions? Customization of some features is available

17) What is one thing that makes your solutions stand out from others? WoundRounds is affordable, easy to learn and easy to use.

Intellicure, Inc.

www.Intellicure.com • The Woodlands, TX

Intellicure was incorporated in 2000. However, the software was originally designed and used in the various wound and hyperbaric clinics our principals operated in the early 1990s. When it became apparent that a software solution was sorely needed in the outpatient wound care industry, Intellicure Inc was created and our EHR was licensed to other professionals.

1) What specific types of products/services that you make? Intellicure is, at its core, a Software Company providing electronic health records for the Outpatient Wound Clinic industry. However, the company has evolved into other areas, which are outlined below:
  Software products: Intellicure EHR™: complete documentation solutions for wound and hyperbaric centers (including scheduling)
  LCD Defender™: compliance software
  Intellicure eRx™: electronic prescribing
  Services:
  PQRI Reporting: physician pay for performance reporting to CMS
  Physician Billing
  Meaningful use consulting
  Medical Quality Management (Physician quality oversight and training)
  Wound center business service consulting
  The U.S. Wound Registry: research services

2) How many years has your company been in business? 11 years

3) What specific areas of care in a wound clinic do your solutions specialize in? Our product is a complete electronic health record (EHR) and thus handles all areas related to patient charting from registration through billing. Some of the areas in which specialize are Clinical Documentation, supporting meaningful use under HITECH, business services and quality reporting.

4) How many units of software do you sell each year? Intellicure has exhibited an 80% growth rate year to year since its inception in 2000. Because we provide services other than software sales, it is not possible to express sales in “units” of software.

5) Approximately how many employees work for your company? 17

6) Does your solution include an electronic documentation option? Yes, as described in previous questions.

7) What aspect of your solution do your customers enjoy the most? Clients appreciate the automation of clinical documentation (almost no typing) and the internal calculation of billing functions. This means they have maximum efficiency and profitability using a system, which also keeps them compliant with regulatory guidelines. What our customers most enjoy is “peace of mind.”

8) What operational training is provided with the purchase?
Every successful EHR implementation starts and ends with good training. Intellicure has developed a highly successful training “program” instead of a training “event”. Our clinics begin with their manager becoming immersed in our multi-day Manager’s Orientation Program. The manager then guides the clinic through the implementation phase, which includes introducing the staff to the new system and explaining the decision process to them so they aren’t caught off guard one Monday morning with a “new computer system”. After the clinic is fully prepared, our expert training team arrives on site to begin several days of intense classroom, practicum, and real live patient documentation. We then work closely with the manager, medical director, and clinic staff over the next 6 to 8 weeks with weekly follow-up reviews and educational sessions as necessary. We then return to the clinic to close out the initial training program with another on-site training and review session. We continue to follow our clinics at regular intervals and encourage remote training for new and existing staff.

9) Who trains clinicians on your software or scheduling solutions? Our training staff of clinical and operational experts.

10) What type of solution testing is involved with your products?
The “features request” team meets regularly to prioritize software upgrades, modifications, design changes and feature requests. After our Development Team has completed their work they will release the new version for testing. At that point the Intellicure Operations Team, which is made up of experienced clinicians and facility operators, runs prospective trials and provides feedback to development. Upon successful completion of all phases of prospective trial testing, the version is pushed out to our clients’ test servers with communication of what has been modified. With written approval from the client(s), they will go live as a beta. Once a minimum of 10 clients has gone through a successful 2-week beta, the beta is over and the software version can be released to market.

11) How are your solutions sold? Solutions are sold licensed to the individual as well as the clinic.

12) Do you offer any type of quality assurance or guarantee with your solutions?
We strive hard to make sure that our software is successfully implemented and the staff is properly trained and that our solution is appropriately designed to meet the needs of a given customer prior to the sale. However, if a customer is not satisfied for any reason, you can cancel the contract within 60 days.

13) What should a wound care clinic do if they have a problem with one of your solutions? Call our support team, which is manned by live customer support agents covering all major time zones in the United States.

14) How often are you solutions updated with newer versions? The Intellicure EHR base is updated with new versions twice per year and as needed to support major regulatory changes. LCD Defender is updated weekly with new changes from CMS.

15) What should be done if a bug is found in your solution? Each new enhancement or update is rigorously tested prior to release and once released first goes to each customers test database for examination and training. This greatly reduces the chances of a bug occurring in a live version of our software but should this happen, the correct action would be to immediately contact our support department for further instructions.

16) Do you make custom solutions? Yes, however, it important to note that our software comes with many customization features already incorporated. No two clinics are the same. We make every effort to allow clinics to make changes that best fit their particular circumstances. Should further customization be required, we gladly provide those services based on an hourly rate.

17) What is one thing that makes your solutions stand out from others? Many unique features set us apart from our competitors, all of which were developed by practicing clinicians who understand the real-life challenges of running a wound center, as opposed to software developers who decided to enter the wound care market. Our clinical and operational expertise allowed us to design software for usability even before meaningful use was conceived.

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