The document discusses an electronic medical records (EMR) software solution called TIER® provided by Sequest. It highlights key features of the TIER® platform such as customization capabilities, integration of clinical and financial data, billing module automation, and standards-based interoperability. It also emphasizes how TIER® can help improve patient safety, care quality, and reduce medical errors through functionality like CPOE and MAR.

1. considering
the neW WorLd oF
eLectronic
MedicAL records?

2. We have a solution for that.
®

3. onLy tier®
cAn totALLy
trAnsForM
your business.
The world of health and human services is never short on ‘challenges’.
You know that better than anyone. When it comes to transforming your
enterprise from paper to electronic records, you don’t need more challenges.
You want a solution.
That’s what we do: from planning to customization to implementation to support.
Sequest is a software and services company focused on helping healthcare
providers elevate patient care, while at the same time maximizing profitability.
Our easy-to-use TIER® Solutions Platform can automate and simplify your entire information
management system.
Our leaders are healthcare professionals themselves, totaling over 150 years of clinical and
executive expertise in health and human services.
If you need a partner to help meet the challenges in the ever-changing world of health
and human services, rest assured, we have a solution for that.™

4. reAdy For eLectronic
MedicAL records,
but don’t knoW
Where to stArt?
Care delivery in the United States is constantly
being modified, improved, revamped and in general
a ‘work in progress’. Such realities make Sequest a smart
place to start for organizations constantly updating their
demands of data, reporting and decision making tools.
Our TIER® Platform provides an electronic medical
record system spanning all lines of service and levels of care.
This highly adaptable platform can easily be altered and augmented
to meet the complex and evolving needs of patients.
Whether that includes adding new service lines or additional levels of care
or both, Sequest is the place to start.

5. sequest deLivers
innovAtive pLAnning,
custoMizAtion,
iMpLeMentAtion
& support.
• Adaptable platform designed to grow as your business grows
• Fully integrated, multi-dimensional billing module
• Future flexibility to meet regulatory demands
• Improve patient care and safety through Medical Administration
Record (MAR) and Computerized Physician Order Entry (CPOE)
• Seamless financial & clinical integration
• Optimize business using unique integrated modules
• Powerful community of over 11,000 TIER ®
users share & collaborate on ideas

6. think your
orgAnizAtion is
too speciALized For
eLectronic records?
We don’t pretend one solution fits all. Our years of clinical experience has taught us every
human service enterprise has its own distinctive challenges and needs.
Because of this, we’ve continually updated and modified the TIER® Solutions Platform
to make it as adaptable as you need it to be. It’s a software solution that naturally mirrors
your workflow instead of forcing you to adopt a new process.
From Behavioral Health to Substance Abuse to Human Services, the adaptable
qualities of TIER® make it an optimal solution. You can count on this platform to
operate in accordance with today’s growing demand for patient and outcome
data, compliance and reporting requirements.
Regardless of outpatient or inpatient settings, TIER® carries individuals
through the entire continuum of care with one client record that is secure,
yet easily accessible.

7. Whether you Are Within
one priMAry MArket or
A bLend oF ALL, We AdApt.
Behavioral Health
• Medication Management/Reconciliation
• CPOE / MAR
• Release of Information Automated
• Group Scheduling & Noting
• Progress, physician, educational notes
• Standardized assessments
• Comprehensive Individualized Treatment Planning
• Automated order for Lab, Restraint / Seclusion
• Utilization Review
• Discharge Planning
Substance Abuse
• Medication Management/Reconciliation
• CPOE / MAR
• Group Scheduling and noting
• Release of Information Automated
• Bed Management
• Nursing Assessments, History & Physical
• Specialty Assessments: COWS, CIWA, ASI
• Initial and Master Treatment Plans
• Lab and pharmacy integration
• Business / Referral management
Social Services
• Group Scheduling and noting
• Adoption and Foster Care
• Shelters, Transitional Housing
• Personal Care Logs
• Nursing, Educational, Occupational Assessments
• Comprehensive Customizable Care Planning
• Volunteer Management
• Voucher Systems
• Family centered treatment and reporting
• Over 25 Unique Programs Supported in One System

8. pAyer Mixes, pLAns & eLigibiLity
bogging doWn your
biLLing systeM?
In today’s economy, you can’t afford to get behind in the
billing process. With so many factors impacting how much
and when you get paid, the Billing Module of the TIER®
Solutions Platform is a must-have to succeed. This vital
feature helps integrate and automate your financial
processes seamlessly across your entire enterprise.
Our Billing Module allows staff to easily collect the necessary data all
along the continuum of care. Billing doesn’t become an after thought.
Instead, it’s completed every step of the way.
This powerful module performs numerous checks and
validations to ensure clean submissions for increased acceptance and payment.
We offer behind the scenes charge creation; whether you are dropping chares
based on census, off administered medications, outpatient visits or unforeseen
ancillary charges to care – our system will create the relevant charge for the
required payor with the necessary data. Sequest envisions the strength of our
Billing Module easily proven by the payment, not just successful submission.
tier® biLLing ModuLe AutoMAtes
your entire process.
• Easy collection of data required – insurance, demographics, etc.
• Simple behind the scenes charge capture
• All HIPAA EDI transaction sets supported
• One click export of transactions to csv, xls, pdf, etc.
• Efficient cash flow management with enhanced reporting
• Increased compliance and acceptance due to data
validation and required fields
• Statements on demand by person or batch

9. hoW cAn our systeM
‘tALk’ to their systeM?
Today, the power of healthcare data is not so much within its capture, but its dissemination
and use. That’s why the industry and government together are moving to interoperability.
A new era where organizations can exchange data via a common set of formats, to read
and write the same file formats, and use the same protocols. This represents a sea change in
healthcare communications designed to provide more accurate patient information, lower
risks and increasing profitability for the continuum of care.
Sequest recognized this fundamental shift years ago and became
an active and visible leader in the discussion, creation and
development of industry standards.
At that point we began developing the very tools that today
are helping set the standards for facilitating this new exchange
of data. We will work with each of your trading partners to
securely and accurately meet your individual data exchange
requirements for today and into the future.
our integrAted pLAtForM
beneFits pArtners, cLients
& pAtients ALike.
• Complete data dictionary, database schema
& Entity Relationship Diagrams
• MS SQL Database
• Seamless interfaces to:
• HL7 formats
• Hospital EMRs
• Laboratory and Pharmacy Systems
• Payroll Systems
• Scanning Software
• State Reporting
• EDI-payment, remittance and eligibility
• Medicaid / Medicare / Private Insurance
• The list grows with each successful partnership

10. not sure hoW to use
inForMAtion technoLogy
to iMprove pAtient sAFety?
According to a recent study, at least 44,000 people
lost their lives in one year due to medical errors
that could have been prevented. Still, even one
loss is too many.
One reason the healthcare industry as a whole is
looking to information technology is to reduce
errors and save lives. In addition, this error laden
paper/manual process is an extensive cost for your
highest level staff-physicians, practitioners and nurses.
Sequest is committed to improving the delivery and
quality of care through proven software solutions. Our
TIER® Solutions Platform is the culmination of 10+ years
of perfecting a complete medication management system.
Our Computerized Physician Order Entry (CPOE) and
Medical Administration Record (MAR) are now coupled
with a seamless interface to pharmacy systems and
e-prescribing hubs.Today, these innovative partnerships
deliver the most current and accurate drug data and
decision support tools to your clinicians and patients.
eLevAte pAtient sAFety With tier,
®
noW FeAturing ALcheMy.
• Computerized Physician Order Entry (CPOE)
• Medical Administration Record (MAR)
• Contra-indications
• E-prescribing
• 1st Dose Education
• Patient Medication Sheets
• Bar Code Scanning of Unit Dose meds
• Medication Reconciliation
• Physician and Nursing Consoles / Dashboards

11. hoW cAn you optiMize
cAre & proFitAbiLity
With one systeM?
The key to implementing the right EMR system is to pick
a partner who works to understand your organization’s
needs first. Then make sure that same partner will be
there for the long haul to help your EMR platform grow
and adapt as your organization evolves.
For over 20 years Sequest has been adapting, growing and
evolving to meet the ever changing need of health and human
services. Our success and history have taught us the right solution
often calls for many different offerings depending on your business.
Sequest offers you flexibility that you just can’t find in any other
software company. Our Solutions Platform is complemented
by our TIER® Design and Report Tools since we know the
requirements you face today will change tomorrow.
Sequest helps build a foundation of databases that
allow you to cross reference referral sources, staff,
patient, facility and quality data to support sound,
accurate business decisions.
A sMArter business
soLution requires More
thAn just A cLinicAL systeM.
• Business Development: track referrals, admissions & conversion ratios
• Human Resources: manage staff demographics, Privileging, Credentials, evaluations,
infection control
• Environmental Management: collect safety inspections, incidents, equipment
• Executive Dashboards: user defined graphical images that reflect real time outcomes
& key performance indicators
A better solution you design:
• Easy to add fields to existing screens
• Full suite of control that allow you to grow your own system
• Reporting Tools: TIER® Report Designer, SQL Reports, Crystal Reports

12. Get started today call:
877-630-tier
or email
solutions@sequest.net