HERO® PM (Practice Management)
Demographics
- Maintains multiple contacts, insurers, addresses, and phone #'s
- Tracks primary & referring providers, and deceased & inactive status
- Search for patients by any portion of name, health #, chart #, or phone #
- OBEC & HCV supported via HTN Inc.'s Facility Management Site (FMS)
- Fully integrated card reader device support
- Supports auto-incrementing chart #'s
- List patients by status (e.g. incomplete, pending, invalid health #, etc.)
Billing
- Processes all Ontario billing models, plus private & 3rd party billing types
- Full error checking and rich MOHLTC business rules logic warnings
- User specified default mechanism speeds data entry
- Billings can be partitioned by speciality, roles, locations, etc.
- MOHLTC submissions/reponses support via FMS (i.e. no need for EDT ‡ )
- Automatic reconcillation & re-submission workflow fully integrated
- Prints invoices, receipts, statements, mailing labels, aged AR reports, etc.
- Billing closely integrated with scheduler & unbilled appointments tracked
- “Supercodes” allow groups of fees/diagnosises to be easily billed together
- Automatic recurring billings by both patient and bill “template” lists
- Fee (with historical) and diagnosis tables updated automatically from FMS
- List bills by status (e.g. error, reconcile, archive, etc.), type, and period
Scheduling
- Configure daily schedules with either repeating or unique “slots”
- Schedule multiple time “slots” with variable duration and different types
- Define custom color scheme for schedule and appointment types
- Appointments include selectable status, priority, and type criteria
- Specify reasons for visits, preferences, alerts, and free form notes
- Submits upcoming patients' health card info for OBEC checking
- Supports “over/wave” bookings and rich business rules logic warnings
- Search for available appointments by period, day, time, and provider
- Rich recurring appointments dialog and “rebook” using copy feature
- Scheduler closely integrated with billing & unbilled appointments tracked
- Customize day view with multi-appointments per “slot” & patient tracking
- Month view shows available appointments with “drill-down” to details
- Multi-provider views synchronized by date and time
Workflow
- “Swipe” card reader to update/locate health card info & demographics
- Correct health card info from incomplete or error status patients list
- Flexibility to bill directly from “chits”, scheduler view, or patient window
- Submit/receive health card & billing info via FMS as frequently as desired
- Correct/edit/reconcile bills from lists selectable by various criiteria
- Add appointments directly, from scheduler, or from patient window
- Arrange multi-provider scheduler views for easy data entry by reception
Reporting/Querying
- A complete suite of integrated reports supports the various workflows
- Reports are context sensitive and can be previewed before printing
- Export reports in multiple formats (i.e. PDF, RTF, Text, XLS, & XML)
- E-mail or fax any report & include/suppress “letterhead” info on demand
- Report designer ‡‡ allows modification/customization of reports
- Ad hoc query facility ‡‡ enables extensive analysis of practice & clinical data
Security & Auditing
- Authentication and “role” membership managed by operating system
- Access rights (e.g. Billing, Lab, Rx, etc.) grouped by provider's patients
- Access rights assignable to either user or “role” (e.g. provider, nurse, etc.)
- Rights define operations (i.e. none, read-only, change, full, & no reporting)
- Data retained per applicable legislative requirements
- Complete audit trail, including operator & date/time, of all activity
Communications
- Secure communications to FMS via phone line/modem or Internet
- Remote access ± to Site data via phone line/modem or Internet
Architecture
- Client/server model using XML Web Services
- Rich/smart client interface using Windows Forms
- .NET Framework (free) required on client & server machines
- SQL Server 2000 ‡‡ /MSDE 2000 (free) required database on server
Requirements
- Server – Windows 2000 or XP Professional or better
- Client – Windows 98 or better (may be same machine as Server)
- LAN - optional
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HERO® CMS (Clincal Management System)
All features in HERO ® PM, plus:
Electronic Medical Records (EMR)
- Maintains problem, immunization, allergy, alert, risk, & family history data
- Problem list based on ICD-9, MOHLTC fee codes, and user defined codes
- Problem status tracked as active, chronic, controlled, inactive, or resolved
- Allergy list composed from First Data Bank (FDB) drug database ‡‡
- Code tables allow “user-defined” codes to be easily added
- Customize list views to user preferences (i.e. columns, positioning, etc.)
- Define custom color scheme to visually distinguish type, status, & priority
- All data items use structured format and also support free form notes
- Integrated with billing, schedule, lab, medications, encounters, & referrals
- Query ‡‡ all provider's patients' clincal data on any complex search criteria
- Save any query ‡‡ for subsequent re-use, with relative dates & provider
Cumulative Patient Profile (CPP)
- Summary of problem, medication, allergy, alert, risk, & family history data
- Profile lists are individually selectable to display “All”, or just “Active”, items
- Associated notes with each data item may be optionally displayed
- CPP/EMR automatically updated by entry in other parts of the program
- Add/edit items directly in either the CPP or EMR areas of the program
Progress List
- List and instantly view all clinical documents, ordered by date/time entered
- Categories include appointments, encounters, Rx's, lab requisitions & results, tasks, referrals & attachments
- Selectively display any, or all, catagories, and “All”, or just “Active”, items
- Allows “continuum of care” to be readily understood at a glance
Encounter Documentation
- Employ rich user-definable “templates” to document standard encounters
- Numerous templates provided for common encounter types
- Tab between “fields”, accept/reject default text, select one of many, etc.
- Easily add new templates, or draw from our every expanding list of them
- Document encounters using a combination of typing and dictation
- Integrated dictation system allows audio recording, playback & saving
- Track status of encounters as Draft, Reviewed, or Archive
- List encounters by status and state for easy transcription & review thereof
- Also, use the templates feature elsewhere in letters, tasks, or any notes
Laboratory Reports/Results
- Receive laboratory reports via FMS (i.e. no need for lab communications ‡ )
- Supports all 3 major Ontario labs (i.e. MDS, CML, & Gamma/Dynacare)
- Display unread and abnormal reports distinctly in provider's workflow lists
- Attach free form notes to any report, and assign tasks for “follow up”
- Laboratory results are attached to patient's clincial record
- Display historic results in list, tabular (i.e. flow sheet), or graphical format
- Add and track requisitions & print them onto MOHLTC approved forms
Medication Management
- Add and print multi-drug prescriptions (Rx) directly, or from patient window
- Search drugs by either generic or brand name & show brands for generic
- Define limited “favourite” drug lists for each provider
- Rx items support dosage type, repeat, long term, & compliance indicators
- Copy feature simplifies repeat and refill prescriptions
- Optionally suppress Rx items from appearing on CPP
- Perform drug-to-drug interactions (includes severity) using FDB database ‡‡
- Perform drug-to-allergy interactions using FDB database ‡‡
- Drug duplication & age based dosage range checks using FDB database ‡‡
- FDB and/or TPD tables frequently updated automatically from FMS
Referrals
- Referral/correspondence letter templates with letter specific context
- Include any portion of EMR/clinical data into letter by period & status
- Auto-generate a task to book an appointment while preparing the referral
- Monitor booking details and referral status
- Tracks referrals for each patient
Document Management
- Scan/attach any document (e.g. consult, discharge, etc.) into clincal data
- OCR ‡‡ tightly integrated & dramatically reduces storage requirements
- Keeps date created/received, “user-defined” type, status, priority, & source
- Display unread and prioritized reports in provider's workflow lists
- Use any TWAIN scanner, and select resolution & color or full -interface
- Resize/fit scanned documents in integrated viewer, and open attachments
- Tracks external documents for each patient
Task Management
- Assign tasks to any user or “role” with priority and status (i.e.draft or open)
- Associate a task with a particular patient and track tasks for each patient
- Auto-generate tasks while reviewing lab results or external documents
- Record, playback and save dictation & use for intra-office voice mail
- Display tasks by assignee, “role”, or assignor in each user's workflow lists
- Manage and list open/completed tasks by due date and priority
- Use feature as an intra-office messaging system & a personal “ToDo” list
Workflow
- Go completely “paperless” and manage full clinical records online
- Add all EMR data directly to the patient record & view CPP at a glance
- Add bills, appointments, encounters, Rx's, & referrals directly from patient
- Edit encounter notes directly, or use integrated dictation & transcribe later
- Open patient directly from day view of scheduler
- Multiple patients may be opened & switched between with “TreeView Bar”
- Track unread & abnormal laboratory reports, and assign tasks
- Print, fax, or e-mail referral letters, and scan/attach external documents
- Track unread & prioritized received documents, and assign tasks
- “Sign-off” lab reports, external documents, and transcribed encounters
- List all user's tasks, or those user assigned, by status, priority, & period
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HERO® CMS for PCRG ¥
All features in HERO ™ CMS §, plus:
(Clinical Management System for Primary Care Renewal Groups)
Demographics
- Tracks PCRG enrollment status
Recall Management
- Handles all aspects of Preventative Care Management recalls
- Generates recall lists for pap, mammogram, influenza, and immunization
- Recall lists are online and are manipulated for tracking claiming conditions
- Create and track custom patient mailings with user specified templates
- Automatically generate bills for eligible Service Enhancement codes
- Produce reports/audits to claim cumulative bonus codes
- Tracks recalls for each patient, and supports “user-defined” recall types
- Use the query facility to automatically generate “user-defined” recalls
- Print form letters associated with any recall type
- Manage any recall type from provider specific “work queues”
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Pocket PC HERO® application
Features
- Download & view a provider's day sheets & tasks over any period of time
- Lists any day's appointments showing time, duration, status, & patient
- Click to view the patients' basic demographics, CPP, and lab results
- Lists assigned/open tasks by priority, and mark any task as Completed
- Use the integrated transcription system to record encounters and tasks
- Tasks may be either “stand alone” or associated with a particular patient
- Also, add appointments, bills, & Rx's for any downloaded patient
- Windows mimic a subset of HERO ® 's, & edits have confirmation prompts
- Automatically senses and exchanges data when within “WiFi” range
- Refresh any day sheet, task list, or individual patient on demand
- Device memory is carefully managed & “oldest” information is purged first
- User credentials ensure secure communication with the Site's database
Requirements
- Any Pocket PC device with Windows Mobile 2002 or higher
- .NET Compact Framework (free) installed on the device
- Recommended 32 MB or more RAM & WiFi capability
‡ Provider registration with applicable organization is still required
‡‡ Feature has additional licencing requirements
± Configuration fees may apply
¥ Validated pursuant to CMS Local Solution requirements & eligible for IT funding
§ All “additional licencing requirements” of HERO ® PM & HERO ® CMS included