Product Guide for HOSPITAL INFORMATION SYSTEM

MyXMR

By

AMPERSAND
L O G I S T I C S
 PROPRIETARY RIGHTS
This document contains information of a proprietary nature
to AMPERSAND LOGISTICS and is submitted in confidence for
a specific purpose. The reader assumes custody and control
and agrees that this document will not be copied or
reproduced in whole or in part, nor its contents revealed in
any manner or to any person except to meet the purpose for
which it was delivered.

This legend is applicable to all the pages of this document.

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PRODUCT DESCRIPTION
MyXMR System provides complete end-to-end solution to run health facilities profitably; the
opportunity for healthcare organizations to improve quality of care and patient safety. The greatest
challenge in the new world of integrated healthcare delivery is to provide comprehensive, reliable,
relevant, accessible, cost saving and timely patient information to each member of the healthcare team,
whether in primary or secondary care and whether a doctor, nurse, allied health professional, or
patient/consumer.

MyXMR System automates and streamlines the clinician's workflow generate complete record of a
clinical patient encounter, as well as supporting other care-related activities directly or indirectly via an
interface including evidence-based decision support, quality management, and outcomes reporting.
MyXMR also represents a huge potential for cost savings and decreasing workplace inefficiencies. No
longer are paper-based record systems fulfilling the needs of clinicians, and related healthcare workers.

GENERAL FEATURES

We are strongly concerned with Patient privacy, HIPAA compliance and data security.

Our Solution key features and functionality are:

Universal accessibility from handheld devices, tablets and desktop computers

Improve regulatory compliance and reduction in risks
More complete and easier data collection and reporting
Captures vitals and current and pre-existing medications
Reduction of operational costs and also improves quality of care through better-informed
healthcare providers and patients.
Elimination of duplicate testing and better coordinated treatment by more than one
healthcare provider.
The Solution has in place several security technologies that are properly designed to
monitor audit trails; enhance user accountability by detecting and recording unauthorized
access to confidential information. This will in turn, prevent unauthorized access to
protected health information.
It helps hospitals to achieve their ultimate goal which is, having the ability to share records,
not only with other facilities and physicians, but also worldwide, with a unique health
identifier.

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THE DESIGN PRINCIPLES
Our goal is to help transform any hospital where our solution is used through Information Technology by
implementing successfully a cost-effective integrated Electronic Health Information System. In achieving
this, we have employed the following as our overriding design principles:

Practicality of use We did away with staple elements of most legacy computer applications
and focused on what is needed at each stage as you navigate through the application. Of what
use are menus, buttons and options that are not relevant to the task being done.

Intuitive User Interface/Experience We benchmarked time taken for a completely green

person to turn to a user to be FIVE (5) minutes! Yes 5 minutes. Using Electronic medical records
System should not disrupt the normal clinical workflow. We rework and redesign any aspect
that does not conform to our 5 minutes benchmark

Let the Computer do the work - We hid the heavy tasks away from users as much as possible,
by preempting what users expectations should be at each task point ahead of the users getting
to such points.

Safe-not-to-Save Policy We do not believe in tasking the users with the responsibilities of
having to remember to save their work as they go along or having to commit we have too
much on our human minds to add such mundane tasks to our list of things-to-do, so MyXMR
ensures users work is saved per stroke, nothing is ever lost.

There is always more than one way We strongly believe in options, users should have diverse
options and choose which best suits their style of work. We strive to build options into as many
steps and tasks as possible

MyXMR is designed to benefit both healthcare providers and administrative staffs of different categories

Primary care MDs/DOs and related specialists.

Small practices

Mid-sized to large practice

Inpatient care organizations

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We tasked ourselves with the following as the minimum benefits that should be realized with a
successful implementation.

Improved efficiency: MyXMR focuses on patient care as it eliminates paperwork, speed up

medical charting and prescribe electronically

Increase in patient visits: MyXMR allows physicians to complete and document patient
encounters more quickly, further increasing their ability to see more patients,

Increased collections: MyXMR provides physicians with the necessary documentation to support
billing and claims sent to insurance companies and Medicare.

Improve quality of care: MyXMR has features such as integrated drug databases, symptom
checks and drug interaction verification that will help physicians prescribe the correct
medications and dosages.

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SERVICE POINTS AND MODULES
The following key service points and the key deliverables of our solution include:

1. HEALTH RECORDS/REGISTRATION
a. Decentralized registration
b. Branded Smart Health Card with barcode and biometrics
c. Digitized old case notes and records
d. Search and locate Patient System
e. Less than 5 minutes registration process
f. Patient Queue Management with Self-Service Kiosk for patient on-boarding process.

2. CLINICS MANAGEMENT
a. Automatic Billing
b. Accounting Module
c. Electronic Clinic Patient Scheduling system
d. Computerized Physician Order System CPOE
e. Access to electronic investigation reports
f. Ability to scan in consultation documentation initially and then direct data capture
subsequently or alternatively utilize natural language dictation.
g. Ability to monitor clinical work/performance of medical staff.
h. Ability to generate various clinic based report including health outcome, patient
turnaround time and clinical audit.

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3. CLINICAL DOCUMENTATION
a. Clinician driven clinical documentation system that facilitates speedy data entry as well
as avoiding misspelling using international dataset for documentation.
b. Computable clinical data.

4. LABORATORIES
a. Computerized Physician Order System with access to electronic investigation report (e-
lab system) and integration with third party diagnostic facilities.
b. Laboratory Information System with Machine-2-Machine integration of HL7 compliant
Laboratory Analyzers
c. Process notification and monitoring system.

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5. PHARMACY
a. Electronic prescription system with decision support system such as drug-drug
interaction alerts, drug-allergy alert.
b. Barcode driven dispensing and stock management
c. Ability for patient to pay for drugs at point of encounter and drugs delivered to them or
at a single collection point.
d. Ability to effectively monitor pharmacy inventory and audit real time

6. THEATRE
a. Electronic Theatre Management system
b. Remote monitoring of theatre operations and processes.
c. Electronic post-op orders and operation notes.
d. Ability to perform system and clinical audits for theatre.
e. Performance monitoring of staff activities in theatre.
f. Access to imaging and laboratory results as well as full clinical records on large screens
in theatre.
g. Availability of Telemedicine service from theatre.

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7. RADIOLOGY
a. Computerized Physician Order System with access to electronic investigation report and
images through the inbuilt Picture Archival and Communication System (PACS) and
Radiology Information System RIS
b. Computerized reporting system.
c. Process notification and monitoring system

8. IMMUNIZATION
a. Connect to the State Immunization Registry
b. Setup, track and monitor immunization schedules
c. Create an in-house immunization registry
d. Monitor state and stock of vaccines

9. LABOUR WARD/MATERNAL AND CHILD HEALTH

a. Manages pregnancy and birth related care for mother and child
b. Send health seeking behavioral change messages to augment the motherhood journey
c. Includes pediatric growth chart and many more

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10. WARD/INPATIENT MANAGEMENT
a. Electronic Ward management system with computerized patient health records
b. Computerized nursing reporting system
c. Quality of Care Metrics and Performance assessment
d. Remote patient monitoring devices
e. Mobile computing devices for bedside data access
f. Barcoding and RFID tagging of patient for identification and electronic time-stamping

11. ARTIFICIAL REPRODUCTIVE TECHNOLOGY

a. Client management system
b. Donor management system
c. Client-Donor Matching and follicular tracking
d. Cryo-storage, surrogacy management
e. Outcome reporting

12. BLOOD BANK

a. Computerized Physician order system with access to blood bank inventory
b. Computerized data collection system
c. Process notification and monitoring system
d. Online search and order system
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13. STORES AND SUPPLIES (SUPPLY CHAIN MANAGEMENT)
a. Computerized Inventory system
b. Barcoding and RFID tagging for real time resource location and tracking
c. Computerized logistics and supplies system.
d. Consumption pattern-aware purchase order system.

14. BILLING
a. Automatic capture of all billable components of clinical encounter like consultation,
laboratory work-up, drugs, admissions, nursing care, physiotherapy, referrals to
specialist centers, secondary and tertiary healthcare centers
b. Flexible multi-tariff billing
c. Collation of bills for all Patient groups/Business Units/Departments/Subsidiaries
periodically

15. PAYMENT
a. E-Payment option at various service points
b. Accept online payment and offsite as well as international payment for services
c. Portal for monitoring real time payment transaction of the hospital.
d. Easily integrate with any banking platform

16. HEALTH INSURANCE

a. Electronic real time authentication, authorization and encounter records
b. Billing and payment: Automated multi-policy, multi-HMO electronic billing/invoicing
system as well as ability to receive electronic payment from HMO.
c. Integrated Health insurance module
d. Speedy billing and invoicing cycle.
e. Increased revenue, better and faster management of health insurance patients.

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17. REFERRAL CLINIC DATA-SHARE
a. Through the inbuilt Health Information Exchange HIE, referrals to Specialist care centers
and tertiary Health institutions are managed
b. Detailed health records of patient can be shared and consumed at the referral clinics to
ensure continuity of care This is more than a page of traditional medical report. This
help to ensure optimal care of patient at reduced cost, due to transparency of what has
been done for the patient prior to the referral
c. Seamless takeover of patient care from the referral clinics with access to detailed clinical
data generated by the referral clinics much like handing over the entire case note of
the patient back to you.
d. Significant cost saving on referral clinic bills, as all actions taken by referral clinics are
transparent, making vetting of such bills easy.

18. TELEMEDICINE
a. Access to healthcare personnel and resources world wide
b. Increase coverage and income.
c. Increased knowledge base and quality of care
d. In-house continuous professional development

19. COMMUNICATION AND REPORTING

a. SMS notification and alert system
b. Voice telephony, alert and notification system
c. Emailing capabilities for status reporting and alert
d. Revamped website to support patient interaction.
e. Clinical outcome and management report
f. Clinical attendance report
g. Disease pattern report
h. Patient Cycle time report across all units of the hospital
i. Drug Expiry and out of stock reports

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20. USER MANAGEMENT
a. Inclusive of human resource module and payroll management
b. Electronic registration of all entities within the hospital
c. Role base and roaster based control and access privileges
d. Privacy control
e. Audit trail of system usage

21. HEALTH INFORMATION INTERCHANGE

a. Connect multiple locations for seamless flow and sharing of patient records as the move
across geographical space.
b. Connect data to third party applications.
c. Anonymize clinical data for clinical trials and research purposes
d. Provide business intelligence and insight into your practice

22. PATIENT PORTAL

a. Allows patient to engage with the hospital and clinicians within and outside of the
hospital
b. Provides avenue for self-service and communication portal for patients.
c. Online Appointment scheduling and management

23. CLIENT RELATIONSHIP MANAGEMENT

a. Manage your hospitals interactions with current and future clients
b. Organize, automate and synchronize marketing, customer service and client support
c. Automate sending notification for anniversaries and many more

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IMPLEMENTATION OPTIONS
Our solution is platform-agnostic, we have been able to deploy across different hardware, Operating
Systems and Network architectures. The solution can be consumed with any modern browser with no
need for extra plugins or extensions to make it run.

Some of our existing users have the solution running off on-site servers with equal mix of Windows
Operating System and Unix/Linux boxes; a sizable number of small practices run it off Cloud Servers,
while our multi-site clients enjoy uninterrupted access to the application and patients records across all
their locations through our Fat-Client deployment architecture centered around our Health Information
Exchange Module (H.I.E.).

Regardless of the size of your practice, our solution will work just right.

COSTING
Costing is spread across the following cost centers:

1. Users: engagement, assessment, evaluation and certification.

2. Hardware: client devices (laptops and mobile devices), entry-level servers, Digital writing pads,
self-service kiosk, indoor display screens, card readers, scanners, barcode scanners
3. Software: H.I.E. Database license (Oracle, Microsoft SQL SERVER), MyXMR
4. Power: UPS, Inverter
5. Local Area Network: Wired and wireless
6. Digitization of paper records
7. Consultancy: Project management, human resources.

Total cost is dictated by the hospital size and number of users.

CONCLUSION
We believe our system would transform your practice significantly and fulfill the stated objectives in
making your hospital a patient centered and friendly hospital, the best place for healthcare workers to
work and learn, easy for your management to administer the hospital effectively while at the same time
increasing efficiency and quality of care offered to your patient.

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EXECUTIVE SUMMARY
AMPERSAND LOGISTICS is an indigenous company and a leading medical document and records
management solutions with the following core capacities;

Health information and data. Having immediate access to key information - such as patients'
diagnoses, allergies, lab test results, and medications - would improve caregivers' ability to make
sound clinical decisions in a timely manner.
Result management. The ability for all providers participating in the care of a patient in multiple
settings to quickly access new and past test results would increase patient safety and the
effectiveness of care.
Order management. The ability to enter and store orders for prescriptions, tests, and other
services in a computer-based system should enhance legibility, reduce duplication, and improve
the speed with which orders are executed.
Decision support. Using reminders, prompts, and alerts, computerized decision-support systems
would help improve compliance with best clinical practices, ensure regular screenings and other
preventive practices, identify possible drug interactions, and facilitate diagnoses and treatments.
Electronic communication and connectivity. Efficient, secure, and readily accessible
communication among providers and patients would improve the continuity of care, increase
the timeliness of diagnoses and treatments, and reduce the frequency of adverse events.
Patient support. Tools that give patients access to their health records, provide interactive
patient education, and help them carry out home-monitoring and self-testing can improve
control of chronic conditions, such as diabetes.
Administrative processes. Computerized administrative tools, such as scheduling systems, would
greatly improve hospitals' and clinics' efficiency and provide more timely service to patients.
Reporting. Electronic data storage that employs uniform data standards will enable health care
organizations to respond more quickly to federal, state, and private reporting requirements,
including those that support patient safety and disease surveillance."

Compliance: Policies and/or regulations are complied with and operational efficiency is
enhanced.

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