ZyloMed Transcription & Documentation Automation Services For Improved

Profitability Efficiency Productivity

Your Urology Practice Somewhere in Southern West Virginia

Princeton, Lewisburg, White Sulfur Springs

Company History• Highly specialized, vertical focused organization • Ten (10) years plus of experience in healthcare• Core strength are knowledge, experience & expertise in

transcription & the medical records• 250+ customers over 3,000 providers & 8,000 users• 300 part & full time employees• Corporate Headquarters in Bonita Springs, FL & National Sales

office in Raleigh, NC• Accentus, Inc. , Ottawa, Ontario recently acquired ZyloMed• Privately funded & founded in 2001 • Canada’s largest Transcription & Integrated Medical Document

Management Solutions company• SaaS offering in a flexible & scalable delivery for our best-in-

breed solutions

Customer Focused Mission

Susan Sumner CEO Founder

“…my primary goal in and with this organization, is not to sell accounts, but to assure that the accounts we sell become our biggest supporters.”

Community Focused Mission

Provides hundreds of US jobsKeeping America strong

Workforce 100% US

States

2006: 11 States2007: 16 States2008: 22 States2009: 29 States2010: 38 States

To Get to the Inquiry application

On the computer click InQuiry logo or open the web site at Https://www.emdat.com/inquiry/

Username: bhapy Password: . . . . . Client: SCFMds

Click Login

Home Tab and Workflow Summary

BHAPY SCFMdsThe program says hello.

All documents in working digital folders

User Menu & Important Updates BHAPY SCFMds Workflow Summary

Tabs

“Inquiry Workflow”Workflow Process Medical Document Workflow

Transcription Process

Bhapy dictation

Bhapy to review

Bhapy to approve

Bhapy to printBhapy to Safe

Bhr 1

Bhr 2

BHAPY SCFMdsTabs

Sections

Bhapy DUMP

Grey not in use

Digital Folders

System Workflow Diagram

iPhone/iPad/iPod TouchDROID (new)

ZyloMed Mobile

Digital RecorderOther Audio Sources

ZyloMed InSync

Telephone DictationZyloMed InTouch

File Exports

Automated PrintingShadowPrint

Interfacing EngineShadowLink

Streaming TCP/IP

All communications secured via 128-bit SSL encryption (All the long BLUE ARROWS )

Transcription& QA Process

InScribe

End-User Portal

Inquiry

Dictation Sources

Automated Fax DeliveryAutoFax

ZyloMed Web Cloud

EMREHRHISPMRIS

Workflow Management & Configuration

InCommand

Illustrates the integration of the software and

applications.

ZyloMed Transcription Platform • Totally integrated software programs• Powerful AutoFax and fax on demand• Depending on the your requirements, you may use

some or all software • You pay one flat line rate for all services

InSync InScribe ShadowLink ZyloMed Mobile InCommand ZyloMed AutoFax InTouch Inquiry ShadowPrint

1 invoice monthly all inclusive

InSync

• Synchronizes MD’s recorder with ZyloMed servers, anywhere the Internet is available

• Automated & requires no user intervention • Resides on any desktop or notebook• Runs in the background when it is on • Files compressed & encrypted (128-bit SSL)

prior to sending

128-Bit SSL

Sweep voice files every 30 minutesUser ID, date & time stamped at transmission for QA

ZyloMed Mobile

• iPhone, iPad, iPod Touch (with an external mic) & now the Droid

• Interface with PM RIS HIS to get schedule• Review all appointment listings• Create dictations & submit voice file • Mobile review & e-sign by cell

128-Bit SSL

ZyloMed Servers

Instantaneously delivered, user ID, date & time stamped for QA

Auto loads MD’ daily schedule

InTouch

• Emulates any telephone dictation system• Programed Touch keys to match clinician’s method of dictation• If one doctor touches “2” to record & another doctor touches “7” to record, it emulates these systems for each• Little or no change in the clinician’s method

ZyloMed Servers

128-Bit SSL

Instantaneously delivered, user ID, date & time stamped for QA

InScribe

• Robust transcription program • Designed by & for transcriptionists• 128-bit SSL encryption all data transfer • Powerful Microsoft Word features built into the

integration of all applications • Unique user ID & Password required by each

transcriptionist to access the internet

ZyloMed Servers

128-Bit SSL 128-Bit SSL

3MT/MD QT saves $

Instantaneously delivered, user ID, date & time stamped for QA

InCommand

• HIPAA-compliant application • Manage the day-to-day dictations &

transcriptions of the MT company • Report control center & all tools to add, modify

or delete transcriptionists & their work pools • Inventory & status of all dictations quickly seen

by MTSO managers

ZyloMed Servers

128-Bit SSL 128-Bit SSL

QA: TAT, FAX failure, line character counts, associate referral volume, provider bottlenecks, deficiencies, inefficiencies, MT quality stats, appointment comparison, “you define it” reports

Inquiry

• Web-based application (ZyloMed Web Cloud)

• Manage daily transcription workflow • Used by the clinicians & staff • View, edit, print & electronically sign

transcriptions on-line through the web browser• Increases efficiency dramatically

ZyloMed ServersZyloMed Servers

128-Bit SSL

128-Bit SSL

Safe Data?

Safe Data?End User “HomeBase” always

on always ready 24/7/365

ShadowLink

• Software safely and securely automates the entire process of transferring data between disparate healthcare systems, whether transferring ADT information, importing patient schedules or receiving transcriptions back into an EMR/EHR.

• By accessing information providing by a RIS, HIS, EMR or Clinical Repository, transcriptions can be completed and delivered more quickly and accurately

• All interfaces are custom written by ZyloMed’s interface team at no charge

• ZyloMed and its interface partners have successfully interfaced with over 400 systems

128-Bit SSL

AutoFax

• Documents will Fax automatically based on predetermined rules or with two mouse clicks

• Referring doctor names and phone numbers are preloaded and stored

• Fax status indicates if a fax has been successful, or if it is still pending or has failed

• Resending the fax to the same fax number a second time is accomplished with two mouse clicks

ZyloMed servers

128-Bit SSL 128-Bit SSL

ShadowPrint

• ShadowPrint is the automated printing feature available through InQuiry or InComand

• When transcriptions reach a pre-defined trigger point in the Inquiry workflow, a Shadow Print Rule automatically prints a transcription to the location specified

ZyloMed Servers

128-Bit SSL 128-Bit SSL

Safe Audit Secure

• ZyloMed meets or exceeds all HIPAA requirements and have been reviewed by 2 HIPAA compliance officials

• Accessibility: All have unique user names & passwords• Auditing: All access to patient information is recorded

for auditing : including edits, printing, viewing, etc.• Security: All file transfers 128-bit SSL encryption at all

times

Accessibility

• All users have unique• user names• passwords

Audit: Activity Log

• The activity log tracks activities performed by the transcriptionist, providers, and the associated users.

• There are four columns in the Activity Log table. Older activity entries are in “View Archived” link.

*Date: The date and time *Action: A brief description of the action *Action By: The user ID or name of the individual

*Type: The type of login.

Example:

Click “view archived” link to see older activities.

Activity Log

Architecture and Security

• System Architecture & Security Encapsulation of the entire connection ensures the security & availability of your documents & all patient information

• All file transfers use 128-bit SSL encryption at all times• Voice & Text platform, use state-of –the-art hardware & software

protocol & certification standards which includes:– 1024-bit THAWTE Encryption Certificate– Microsoft SQL Server 2005– Windows 2003 Server– HTTPS Secure Transfers

128-Bit SSL 128-Bit SSL

Risk Management Assurance Secure Data Protection Best-in-Breed

Data Storage

• Multiple data centers store all client data• Redundant servers ensure data availability• Firewalls & LAN architecture meet and exceed

client bandwidth needs & more• Architecture anticipates & scales to demand • Powerful routers run at gigabit speeds• 100% uptime with data availability 24/7/365

128-Bit SSL ZyloMed Servers

Tried and True Fast Efficient Reliable Technology with Muscle “IT” working for you , Not you working for “IT”

Happy Doc! Unhappy Doc!

ZyloMed-Accentus Medical Document Automation

• *

• From providers voice to patient chart or electronic patient record in the EMR or EHR

• Robust Medical Transcription platform• Improve Profitability, Efficiency, & Productivity

Who can help me understand how you create your transcription document?

• From providers voice to patient chart or electronic patient record in the EMR or EHR

Link Key

• InCommand• AutoFax

• Company History• To Get to the Inquiry Application• Home Tab and Workflow Summary• Inquiry Workflow• System Workflow Diagram• Medical Document Automation• Accessibility• Loomed Transcription Platform• InScribe• Safe Audit Secure

• How do you create a document?

Qualified Text Savings

Standard Report$2.99

QT Fully Implemented$2.42

Savings: $0.57 or 19%

ZyloMed and Meaning Full Use

Mr. Williams returns for follow-up. He is a 78-year-old patient who was seen three weeks ago…

He is doing well. Denies fever, headaches, sore throat, chest pain, shortness of breath, cough…

VITALS: Stable. HEENT: There are no oral lesions. NECK: No lymph nodes. LUNGS: Clear to auscultation…

A 24-hour urine collection showed a proteinuria of 173 mg in 24 hours. He had an M-spike in the urine of 48% with free kappa light chains of 120. In the blood,…

1. Mr. Williams has three very small monoclonal proteins in the blood. The highest titer is an IgM spike, which could indicate early stage macroglobulinemia…

Through the inherent power of HL/7, reports can be imported to the proper sections of the encounter within the EMR.

DaRT Discrete accurate reportable transcription

ZM dramatically impacts meaningful use fulfillment by minimizing operational change and completely eliminate physician productivity loss.

It tags transcription content [(Eg. Medical History (HPI), Systems (ROS), Physical Exam (PE), Laboratory Date (Lab), Assessment Plan (Dx & Plan)] and discretely populates your EMR/EHR automatically, as if the clinician had entered it themselves. It can automatically populate a physician’s entire SOASP Note.

Reporting Capabilities

• Production ReportsTranscription Listing, Associate Referral Count, Document Counts

• Workflow ReportsAction Monitor, Workflow Monitor, Dictation Upload Summary, Appointment Comparison Report, TAT Reports

• User Reports: Each MD, DO, PA, NP, each associate user: PM, MA, MR, IT

• Miscellaneous ReportsTelephone Dictation Instructions, Transcription Comments, Associate Listing, Referring User Listing, Failed Faxes, Physician TAT

• Export to ExcelAll reports can be exported to Excel for Advanced FunctionsReports can be saved and scheduled

• Restricted by UserReports can be limited by the user for security

Why ZyloMed – We Save You Money• VIRTUALLY NO CHANGE

• Track your transcription workflow from dictation thru delivery

• Improved report TAT (Avg. 2-1/2 hrs. for radiology and 14 hrs. others)

• Real time corrections or edit capabilities

• HIPAA compliant – all systems reviewed by two HIPAA consultants

• Multi location viewing capabilities

• Customizable structured workflow with online document storage

• Graphical / textual electronic signature

• Integration with EMR and other HIS

• Qualified Text Transcription

ZyloMed Summary

• Transition to ZyloMed is easy to use 15 minutes training for Physicians 30 minutes training for office staff Modular application

• ZyloMed MTs are all US-based

• 4 to 24-hour turnaround on transcribed reports

• 3 MTs fully trained for each provider or use the software with your transcription team

• Full integration into EMRs and other HIS, at no charge

• Ability to help your organization meet meaningful use requirements with discrete data interfacing and conversion

Next Steps:-Send 5+ sample charts-Submit proposal-Review proposal-Schedule demo with others

Contact Bob Hapner at:bhapner@zylomed.com

Or Call 770-464-9376 or 678-725-5752

Epic Recognition

Epic Connectivity

Loomed Can Capture it All

The strategies, methods and tools used to capture, manage, store, preserve, and deliver unstructured content and documents related to key organizational processes

Content Management

First ResponderInformation

Test Results Insurance / Care

Instructions

Admission Information

X-rays / injury photos

Lab ResultsPrescriptions / Dosage

Patient HistoryConfidentiality

FormsElectronic

Clinical Notes

PhysicianRecords

Virtual Patient File

Dictation

Document Imaging Workflow

Loomed Accounts• 21st The Center for Cancer Care: Princeton, WV • 21st Greenbrier Radiation Oncology: Lewisburg , WV (I ½ hr) • John Theurer Cancer Center Hackensack University Medical

Center: Hackensack, NJ (10 hr) EpicEHR

• Wellington Orthopedics and Sports Medicine: Cinncinati, OH (5 hr)– Improved work flow efficiency produced bottom line profitability

realization of over $100,000 in the first year alone

Loomed Headquarters Bonita Springs, Florida

Loomed Corporate Headquarters Bonita Springs, Florida

Loomed National Sales OfficeRaleigh, North Carolina

Accentus, Inc. HeadquartersOttawa Ontario Canada

Accentus, Inc. HeadquartersOttawa Ontario Canada