Book of Pearls (BOP) is a clinical support application that integrates with Allscripts EHR systems. It aims to optimize EHR data entry and provide evidence-based diagnostics and reference materials at the point of care. BOP customizes data entry based on differential diagnoses and populates a table to facilitate clinical analysis. It strategically positions past patient information from EHRs to enhance risk assessment. BOP will partner with hospitals and be priced at $400 per user per month.

1. Allscripts Open App Challenge- Book of
Pearls
Fred Amell, Founder
Book of Pearls LLC
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.
Copyright © 2011 Allscripts Healthcare Solutions, Inc.

2. Solution Overview
● High Level Solution Description:
● Book of Pearls (BOP) is a comprehensive, physician-centered clinical support
application for EHR data entry, Clinical Reference & Research
● Amplify the Utility and Market Potential of Allscripts Wand EHR by bringing
evidence based diagnostics and management to patient's bedside
● Organize and integrate patient information, reference material, and statistical data
in a single interface
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

3. Solution Overview (continued)
● Healthcare/Business problem addressed:
● Allscript's dynamic WAND is ideal for Mobile Chart-Viewing---but, WAND is
limited in its data entry and disease reference ability
● EHR's have not optimized their capacity to gather clinical research, and H&P
findings for most diseases are still unpublished.
● Transition to EHRs is often considered cumbersome, partially because data points
are not clustered in a way that most doctor's are used to dealing with
● Current responses to this problem (e.g. AmazingCharts template) are too rigid,
leading to inaccurate data feedback
● Clinical thinking and data entry into EHRs are generally considered distinct non-
complementary processes
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

4. Solution Overview (continued)
● The application developed addresses the following category
● Innovative approaches to addressing value-based care imperatives.
● Bringing evidence based medicine to point of care
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

5. Usability and Design
● BOP is designed to follow the physician’s train of thought
● Data entry points are customized according to user's intuition-derived differential
diagnoses.
● Data entry points populate a table-based platform which facilitates the analytical
component of clinical thinking
● Likelihood ratios give depth and proportionality to data entry points, helping doctors
triage their data entry
● Each BOP data entry point can facilitate documentation, disease comparison, focused
reference, graphic risk calculation, and potentially clinical research (with protocol).
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

6. Integration Description
● Detail integration points with Allscripts solution(s)
● Compatible with AllScripts Wand
● Wand provides already-recorded patient information
● BOP acquires new information in a context that provides clinical support through
disease comparison, reference for diagnostics and management, risk assessment
and communication.
● BOP strategically positions patient's past medical history from WAND in locations
that optimizes user's risk assessment of disease or development of complications.
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

7. Integration Description (continued)
● List APIs/Web Services calls used
● Patient's past medical history
● Allscripts WAND
● ***We have not finalized the technical API integration points but will do so once
we have access to the SDK during Phase 2 of the competition.
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

8. Go to Market Plans
● How will the solution be brought to market
● Partnerships and β-tests with institutional buyers, (e.g., LIJ Northshore Hospital
Network)
● Partnerships with Differential Dx and Algorithm Builder Apps (e.g., Isabel)
● Participation in contests designed to support pilots of new health tech innovations
(AllScripts Open App Challenge, Pilot NYC Health Tech Challenge)
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

9. Go to Market Plans (continued)
● Which Allscripts customer segments will be targeted
● Hospital Networks
● Physicians (Physicians can purchase BOP and use the interface to interact with
Allscripts EHR even if the hospital has not purchased the add-on)
What is the proposed price point for the solution
● Subscription fee per month per user: $400
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.

10. Why this solution should be
selected!
● BOP addresses user-compatibility challenge of EHRs
● Strong Management Team, Founded by Doctor FOR Doctors, Seed capital acquired
● β-test and interested hospital system clients
● Perfect complement to WAND's user-friendly experience for mobile EHR application
● Innovative product for an innovative contest!
A Connected Community of Health
| Copyright © 2011 Allscripts Healthcare Solutions,
Inc.