2. PAGE 2
Company Background
• Founded in 1996 by David L. Winn, M.D.
• Headquartered in Austin, Texas
• Over 160 proud employees
• The e-MDs Team is a collaborative mix of physicians,
nurses, pharmacists, practice managers, developers, &
seasoned software professionals
• Over 2,000 e-MDs practices and counting (ambulatory
clinics, urgent care, FQHC/RHC, residency programs,
community health networks, RHIOs, IPAs, MSOs, GPOs,
integrated delivery networks, etc...)
3. PAGE 3
Company Background
e-MDs original 30,000 square foot facility shown above was used as the
primary development and testing center until March 2006.
4. PAGE 4
What Makes e-MDs Unique?
• Development guided by physicians, for physicians
• Single database solution
• Financial strength allows us to be customer-
driven, without investor pressures
• Consistently high industry ratings among EHR
users
• Corporate ethos of honesty, integrity and
accountability
• State-of-the-art, agile, next generation
technologies
• e-MDs cyber clinic provides real-time, real world
feedback on our software
5. PAGE 5
HIT Standards
• Active nationally in EHR promotion and technical
specifications development.
– Appointed to CCHIT (Certification Commission for Health
Information Technology), an organization tasked by HHS to
establish EHR standards. CCHIT was awarded 7.5 million
dollars in November 2005 to help fund the project.
– Nominated to the HL7 Technical committee by members of
CCHIT to serve as technical liaison.
– Founding member of the EHRVA (Electronic Health
Records Vendors Association).
• Started CCR Acceleration Task Force, voting member ASTM
E.31 for CCR
• One of 5 Pilot sites for ELINCS (EHR lab interoperability and
connectivity standards)
6. PAGE 6
e-MDs: On The Leading Edge of HIT
• Actively contributing to American Health
Information Community (AHIC) efforts to
accelerate EHR adoption
– HITSP, CCHIT, NHIN interoperability,
• 2008 IHE Connectathon Certified
– Allows information exchange between clinics,
hospital, labs, pharmacy, and patient (via web portal
and PHR)
• Population reporting, real-time usage of
evidence-based medicine, DOQ-IT, and registry
reporting.
8. PAGE 8
Financial Position
• Privately owned and operated with no
venture capital or outside investment
• Debt free
• Reinvesting in continued R&D and
enhanced support services – still profitable
• Untapped $5 million line of credit at Bank
of America
• Professionally managed growth
11. PAGE 11
e-MDs Strategic Relationships
• Rose Medical Center
– Denver, CO-based IPA with over 400 physician members
• Resurrection Health Care/PPSA IPA
– Chicago, IL-based IPA with over 3,600 physician members
• HealthSpring/NewQuest
– One of the nation’s largest managed care organizations
– Over 100,000 Medicare members, over 5 major markets
– Over 12,000 physicians in extended network
• Genesis Physicians Group
– Dallas, TX-based IPA with over 1600-members
• Children’s Physician Network
– Minneapolis, MN-based GPO with over 250 provider members
• Volunteers in Medicine
– Nation-wide, 200+ provider volunteer clinics
12. PAGE 12
e-MDs Hospital Affiliations Nation-Wide
•Westcare Healthcare Systems
•Rutherfold Hospital
•Novant Health
•Lexington Medical Center
•New Braunfels, TX
•Valley Regional Hospital
•Citizens Medical Center
•Uvalde Memorial Hospital
•Hendrick Medical Center
•Yoakum County Hospital
•Coon Memorial Hospital
•Moore County Hospital
•…and counting
•Dewey County,
•El Paso Community
•Saline
•Natchitoches
•Bingham Memorial Hospital
•St. Mary’s Choice Medical Group
•EXCITA RHIO
•Wood County Hospital
•Armstrong Memorial
•Galion Community
•Sunlink Health
•Providence Memorial Hospital
•Tenet Health System
13. PAGE 13
Why is CCHIT Important?
• e-MDs Solution SeriesTM
among 89 Products to receive CCHIT Certification in
2006
• e-MDs Solution SeriesTM
among only 22 Products (19 companies) to receive
CCHIT Certification for 2007
• CCHIT’s mission: accelerate the adoption of HIT by creating an efficient, credible
and sustainable certification program. Criteria focuses on functionality,
interoperability and security.
• Over 300 products, thousands of marketing claims
• Over 200 functional requirements must be met each year
• CCHIT has identified & certified real-world, essential functionality criteria
– Data security, protecting patient information, necessary features
• The only federally recognized standards body
• A nationally accepted check list for buyers to ensure legitimacy
• Eligibility criteria for higher reimbursement (CMS P4P), Stark subsidies (via
hospitals, lab vendors, etc.), malpractice insurance reductions, RHIO
memberships
21. PAGE 21
e-MDs 2008 Functionality Ratings
* Chart and Statistics compiled by AAFP 2008 User Satisfaction Survey
300% more #1 rankings than the next best product!
-20
-15
-10
-5
0
5
10
15
20
Ratings
e-MDs Praxis Prac Partner Centricity Epic HealthMatics eCW Amazing
charts
SoapWare NextGen Touchworks Cerner Misys
Functionality Items
2008 AAFP Functionality Ratings
Top Honors
Lowest Rankings
22. PAGE 22
e-MDs 2008 Functionality Rankings
“Top Performer”
Award
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
1st
Place
Inter-office tasking
Review of Chart
information
Entering/Reviewing
Test Orders
Patient Education
Materials
Health Maintenance
Alerts
Create & Review
Scanned Documents
Telephone Messages
* Statistics compiled by AAFP 2008 User Satisfaction Survey
23. PAGE 23
Ease of Use Defined by the AAFP
• EHR allows individual, user-specific
customization
• EHR minimizes data input
• EHR offers multiple note creation options
• EHR is FAST
-Minimal wait times between screens
-Minimal boot times, etc.
Ease of Use translates into faster documentation, more
efficient clinical workflow.
24. PAGE 24
EHR Partner Satisfaction Site Visit 2007
CCHIT
Pricing
e-MDs Pending Yes Low
McKesson Pending Yes Medium
GE Pending No Would Not Provide
Medinformatix N/A (n=5) Not Avail No High
InteGreat N/A Not Avail No Would Not Provide
iSalus N/A Not Avail No Low
Glenwood N/A (n=1) Not Avail No Low
American College of Physicians
(ACP) EHR Partner Study Summary
27. PAGE 27
Product Flexibility & Clinical Content
Primary Care
65%
Specialty
35%
Multi-specialty
15%
Surgical
9%
Other
76%
Designed for large enterprises
Architected for multi-specialty, multi-site deployments
28. PAGE 28
Specialty Sampling
Family Medicine
Neurosurgery
Dermatology
Endocrinology
Obstetrics & Gynecology
Orthopaedics
Rheumatology
Neurology
Psychiatry
Psychology
Physical Medicine &
Rehabilitation
Urology
Gastroenterology
Vascular Surgery
Cardiology
Pulmonary Medicine
Ophthalmology
Otolaryngology
General Surgery
Pain Management
Hand Surgery
Nephrology
Internal Medicine
Pediatrics
and more..
30. PAGE 30
Research and Development
• 2 Major Releases Per Year
• 35% reinvestment back into R&D
• Thorough Q/A testing, Alpha, Beta, Charlie, GA
• e-MDs “content update manager”
• Active e-MDs User Community
• e-MDs National & Regional Users Group
Meetings
• e-MDs Customer Advisory Board
• Every customer has Input
• Users help determine new functionality
31. PAGE 31
e-MDs Rounds Mobile Charge Capture
Mobile Scheduling and Hospital Charge
capture solution for the Pocket PC which
integrates with e-MDs scheduling, billing, and
charting modules.
32. PAGE 32
DOQ-IT
guidelines are
clearly identified
and come pre-
packaged with all
related visit
templates.
Helpful hints and
decision support
related to each
DOQ-IT measures
present
themselves at
critical times
during the patient
encounter.
e-MDs DOQ-IT Initiatives: Compliance at the point of care
33. PAGE 33
e-MDs DOQ-IT Initiatives: Patient Monitoring Tools
Provides tools to
monitor and manage
a clinic’s entire
patient population
based on all DOQ-IT
Guidelines
Not only can the
provider measure
compliance, they can
also take immediate
action to remedy
situations with
particular patients
that are non-
compliant directly
from the monitoring
tool.
34. PAGE 34
e-MDs DOQ-IT Initiatives: Health Maintenance Guidelines
DOQ-IT protocols
are built into our
clinical rules
engine and
present
themselves
throughout
various areas of
the application
and allow the
clinician to take
action as needed.
36. PAGE 36
e-MDs Testimonials….
“The fact that all integrated components work so well
together, the entire staff can perform multiple tasks at the
same time.
The greatest feature is the ease of use... The fact that all
four integrated components work so well together, the
entire office staff can perform multiple tasks at the same
time.
This has improved our efficiency tremendously... I have not
dictated once in over 800 patient encounters!
My overhead is much lower from not requiring charts, chart
racks or a dictation staff..."
Tim Duffin, M.D.
Urologist - TN
37. PAGE 37
e-MDs Testimonials cont…
“e-MDs is the first vendor I’ve discovered that really understands the economic
aspects of practicing medicine”
Martin Basaldua, M.D.
Houston, TX
“We just upgraded yesterday and I must tell you how happy we are. We really think
the system is great.
We now are running our office extremely efficiently. Our employee to doctor ratio is
almost 1 to 1. In our old office it was 4 to 1. You can really emphasize overhead
savings by going with e-MDs.
Please pass our appreciation on to anyone involved.
You are great!
Thanks,”
Debbie Conley & Dr. Gonzalez
Des Plaines, IL
38. PAGE 38
e-MDs Testimonials cont…
"...The user interface is intuitive and structured in the same way a
physician's work flows during patient care. Chart documentation is
enhanced and made more efficient by the flexibility of the template
design with easy click data entry. Our office staff has rapidly grown
to appreciate the powerful tools contained in e-MDs.
J. Steven Polsley, M.D.
Family Physician - OH
"My income is 25% higher today than when I worked for a large
group... and that is directly due to the practice efficiencies of
Solution Series
Michael Bogdonavich, M.D.
Family Physician - TX
39. PAGE 39
e-MDs Testimonials cont…
"...I finally found a system that ... is integrated for all aspects of a
medical practice. From scheduling, charting and billing, all of my
staff have found e-MDs to be easy to use. I've been extremely
happy with the support and responsiveness of e-MDs technical
and sales staff. My patients have been impressed with education
handouts and prescriptions..."
John E. Schloff, M.D.
Family Physician - Holland, MI
"I've looked at a lot of EMR products... rows of tiny buttons... bad
designs... E-MDs not only lived up to my expectations, but
exceeded them."
Dee McCrary, M.D.
Family Physician - Greenville, TX
