The document describes Cloud9's Monet Clinic electronic health record and practice management system. It provides an overview of the key modules in the system including clinical, front office, ordering, and reporting functionality. It also includes a case study of a large primary care group that implemented the system across their national network of 300 clinics serving over 20 million patients annually. The system provides a fully integrated digital solution for managing patient records, appointments, billing, prescribing, and other clinical and business operations.

1. Welcome to Cloud9

2. Monet Clinic
The Enterprise Solution for Primary Care

3. Connected Care
Thousands of Practitioners use Cloud9’s
eHealth solutions to communicate,
collaborate and deliver safer, more
effective patient care

4. Monet Clinic – Connected Primary Care
Financial Management
Key Modules
Data Conversion & Implementation
Reporting
Practice
Clinical
Electronic Health Record Management
Document & image management
SOA
Out of office Connectivity Web Service Oriented Architecture
Recalls & Reminders
Enterprise Appointment Scheduler

5. Monet Clinic – Connected Primary Care
A Feature Rich Platform for Growth
This secure, scalable infrastructure enables fast, simple integration,
while providing multiple user interfaces that conform to industry
standards

6. A Feature Rich Platform for Growth
Front Office (Practice Management)
- Appointment Scheduling
- Waiting Room & Work Flow
- Integrated Patient Billing, including
• Health Insurance
• Employer & Third Party Claims
• Electronic Claiming & Settlement
- Extensible Ad Hoc Management Reporting
- Medication Management, Dispensing & Stock Control

7. A Feature Rich Platform for Growth
Clinical (Electronic Health Record)
- Comprehensive Patient History
- Examination Templates
- Automatic ICD10 Disease Coding
- Decision Support (Allergic Warnings,
Drug/Drug Interactions, etc)
- Orders & Results (Medications, Lab & Radiology)
- Document Management System (Paperless Office)

8. A Proven, Robust Platform
- Latest Network Centric Technologies:
• Microsoft SQL Server
• Web Services Architecture (.NET Framework)
• SOAP, UDDI, XML
- Lightweight Hardware Requirements
- Rapid Application Development
- Low Burden of Support
- Low Cost of Ownership

9. Well Established. Widely Accepted
#1 Product in Corporate General Practice
- 75% Market Share
- Relied on by more than 5000 Doctors
- Single network handles >20,000,000 Patient Encounters per annum
- Manages over AUD$800 Million in Patient Billings per annum

10. Flexible Architecture Scales To Your Business
SOAP / UDDI / XML
Application Layer
Outsourced Services
• Booking
• Billing
• Taxation
• Administration
• Transcription
• Video Conference
/ Consultation
Enterprise
Web Services
Web Services
Framework
Standard protocols: Hospital Pathology Insurers Radiology
Providers
• Requests • Claims • Requests
HL / 7
• SOAP • Discharge Summaries
• UDDI • Test results • Results • Settlement • Results
• DES Encryption • Admission Forms
• Dial-up or Broadband

11. A total solution workflow
The solution facilitates the typical Primary Care clinic workflow:
Cloud9 Primary Care Solution
Pathology Invoice
Clinician History
Radiology Electronic
Rosters
Claims to
Examination
Specialist Funds
Patient
Patient Seen by Referral Patient Patient
Appointment Assessment Treatment Billing
Arrival Clinician Receipt Departure
Dispense Rx
Waiting Room Plan
General
Stock Control Ledger
Integration
Front Electronic Orders &
Financial
Desk Health Results
Module
Module Record Module

12. Case Study
Australia’s largest Primary Care Group

13. Case Study – IPN Network
Customer Background
- IPN is a public company, listed on the ASX ( Symbol: IPN)
- Australia’s largest provider of Primary Care services
- Subject to acquisition by Sonic Healthcare
Scope of work:
- National of network of 300 clinics
- 20 Million Patient Treatments per annum
- 8,000 Clinicians

14. Case Study – IPN Network
Huge Network Transactions:
- A$800 Million in Patient Billings
- 30 Million Prescriptions for medications
- 8 Million Pathology orders
- 4 Million Radiology investigations

15. Case Study – IPN Network
The Challenge
- Burden of supporting 15 different software applications
- Constant IT breakdowns and poor performance yields low
confidence and utilization
- Difficult to Manage, Collaborate and Research

16. Case Study – IPN Network
The Solution
- Implementation of the Monet Enterprise Solution
- Infrastructure throughout the network.
- Introduction of Standard Operating Environment
- Customized, thoroughly reliable software tools

17. Case Study – IPN Network
Implementation
- Rollout of 82 clinics in 40 weeks
- Development of detailed project plan to
manage implementation & training.
- Development of Change Management Strategy
- Development of online ‘eLearning’ training tools
- Rollout in parallel to development of new software,
bolstering clinical content

18. Getting Started.
System Logon.

19. System Logon Screen with Role-Based Access
IBA Health User Logon

20. Initial Screen shows snapshot of this users activity

21. Front Desk Module

22. Appointment Diary showing Clinician Availability

23. Creating a new Appointment in a free time slot

24. Warning message to Reception staff for bad debtors

25. Appointment screen with various appointment types

26. Waiting Room showing patient status & locations

27. Electronic Health Record Module

28. Clinician opens next patient chart via Waiting Room

29. Initial Patient Chart Screen: Patient Review Window

30. Recording a symptom during a consultation

31. Adding a Problem (ICD10 Coded Diagnosis) to patient history

32. Completing an asthma protocol during a consultation
- Subjective history

33. Recording vital signs on Examination

34. Mini Mental Examination template

35. Body Charts Graphically Record Examination findings

36. Cardio Vascular Risk Calculator
A doctor uses this to determine the risk profile of the patient based on various well accepted criteria.
Can be used as a patient education tool.

37. Recording an Allergy

38. Recording a patient’s Social History

39. Childhood growth chart
This plots the data a doctor has recorded over time (longitudinally) and is used to see how a child is
developing compared to their peers.

40. Create a medical certificate without writing a word using
this wizard. The letter is populated using data recorded
elsewhere in the patient chart

41. The completed medical certificate

42. Order Entry Module

43. Vaccination Window Showing Common Shortcuts

44. Creating a pathology request. Note that the most common tests
can be selected without typing anything – just clicking.

45. Imaging Request. Common tests can be requested with
only a single click.

46. Generate an outgoing letter (mail merge style).
These templates can be customised to suit the individual user

47. The Prescribing / Rx Window

48. Active Decision Support with Interaction Warnings

49. Pharmacy & Dispensing Module

50. Clerk Notified of Pending Medication Order

51. Clerk Prints Medication labels from Waiting Room

52. Printing Medication Order and Patient Labels

53. Clerk corrects medication stock levels on the fly

54. Preventative Health & Recalls Module

55. Patient Recalls can be entered at any stage
Patient Recalls can be entered at any stage of the workflow, including:
• Appointment Scheduling
• Patient Billing
• Electronic Health Record
• Pathology result review

56. Clinician is notified of active recalls visually
• Recall Module is tightly integrated into the clinical workflow
• Animated Recall button turns Red to indicate active recall
• Clinicians access recall module with a single click

57. Nursing Staff routinely manage recall list
•Automated tools make recall management easy:
•Nursing staff typically send recall letters on a monthly basis
•Mail merge can be run using multiple search criteria
•The action of sending recall recorded in Patient clinical chart.
•Patients can be notified by letter, email or SMS.

58. User Customisable Recall Letter Templates

59. Results Module

60. New Lab & Imaging Results Displayed

61. Reviewing an Individual Patient Pathology Result

62. Reviewing an Individual Patient Imaging Result

63. Financial Module

64. Accounts Clerk Selects Patient from Waiting Room

65. Automated Bill showing all Services, Orders & Meds

66. Payment is received via the Receipt Window

67. Waiting Room showing the patient has departed

68. Electronic Claiming & Settlement

69. EDI Wizard Automates Lodgments & Settlement

70. Management Reporting

71. Menu of Installed Reports. Configurable per user.

72. Report Preview in Crystal Reports Browser

73. … Thank you