Stage 2 Meaningful Use Certification

This complete EHR certification is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Drummond Group is accredited by ANSI and approved by ONC for the ONC HIT Certification Program to certify: Complete EHR, EHR Module (all), and Certification of other types of HIT for which the Secretary has adopted certification criteria under Subpart C of 45 CFR

Stat! Electronic Medical Management version 2.0 was certified for both Inpatient and Ambulatory 2014 Edition on April 7, 2014.

Stat! Electronic Medical Management version 2.0 Complete EHR Inpatient Complete EHR Inpatient Certificate Number: 04072014-2006-5 Modules Tested: 170.314(a)(1-17); 170.314(b)(1-7); 170.314(c)(1-3); 170.314(d)(1-8); 170.314(e)(1); 170.314(f)(1-4); 170.314(g)(2-4) Clinical Quality Measures Tested: CMS026v1; CMS030v3; CMS032v3; CMS053v2; CMS055v2; CMS060v2; CMS071v3; CMS072v2; CMS091v3; CMS100v2; CMS102v2; CMS104v2; CMS105v2; CMS107v2; CMS109v2; CMS110v2; CMS111v2; CMS114v2 Additional Software Used: EMR Direct phiMail Server, Microsoft HealthVault

Stat! Electronic Medical Management version 2.0 Complete EHR Ambulatory Complete EHR Ambulatory Certificate Number: 04072014-2007-5 Modules Tested: 170.314(a)(1-15); 170.314(b)(1-5,7); 170.314(c)(1-3); 170.314(d)(1-8); 170.314(e)(1-3); 170.314(f)(1-3); 170.314(g)(2-4) Clinical Quality Measures Tested: CMS062v2; CMS065v3; CMS068v3; CMS117v2; CMS122v2; CMS123v2; CMS124v2; CMS125v2; CMS126v2; CMS127v2; CMS131v2; CMS138v2; CMS139v2; CMS146v2; CMS148v2; CMS154v2; CMS155v2; CMS156v2; CMS165v2; CMS166v3 Additional Software Used: EMR Direct phiMail Server, Microsoft HealthVault

Costs and Limitation Statement:

- The Stat! Enterprise Medical Management Version 2.0 application and associated supporting applications require a monthly support fee per  organization which includes software updates, Multum National Drug Database download access, and clinical staff support.

- The Stat! Enterprise Medical Management Version 2.0 application requires an annual subscription fee, per organization, for Direct Messaging services and Transitions of Care Summaries (health information exchange). Messages sent outside the product’s HISP network of EMR Direct may require fees per transaction.

- Laboratory Interface Systems and Radiology Viewing Systems are not included in package pricing. MedWorxs has several recommended vendors but will work with other vendors and one-time interface costs may be applicable for each system.

- The Stat! Enterprise Medical Management Version 2.0 application may require one-time costs to establish each interface for transmission and reporting to regional health exchanges, immunization registries, cancer registries and public health agencies.

- Support for integration with other ONC certified systems or existing facility resources, such as medication dispensing systems, dictation systems, or patient monitoring devices may require additional fees or costs.

Technical or Practical Limitations:

- Hardware, software, network and wireless capability are not included in package pricing and can vary based on facility requirements. Hardware List and Use is detailed below.

STAT! Enterprise Medical Management Software

Recommended Hardware List and Use

This list constitutes the most used and recommended hardware for use with the STAT! EMM system. This list is not all inclusive. Please contact MedWorxs if you will be using different models or vendors for your hardware needs so that the equipment can be verified prior to ordering of the product.

Document Printing:

1. Normal Use Types: (Recommend for most clinical and business areas)
Multifunction Copy/Print/Scan (Fax if needed)
• Any Twain Compatible Scanner will work with the software.
• Printer-only (non-multifunction) units are acceptable in clinical areas where scanning documents into the patient chart is not needed.
2. Medical Records and areas where multipage document scanning is necessary.
Recommended
• XEROX -Small Footprint, Fast Multipage Scanning - Model # 262i
• HP Scanjet Professional 3000

NOTE: Printers must be network-capable and be PCL compatible. It usually saves money in the long run to buy workgroup-class laser printers over desktop or personal laser printers. Inkjet printers not recommended becase of the cost of ink. We recommend HP printers but other brands are supported.

Document Scanners:

Some individual document scanners may be utilized for single page scanning as well as ID card scanners. Single document scanning can be done through the use of the Multifunction printing/scanning device as listed above, but single page scanners could be used in places where space is limited or full functionality of a multifunction device is not needed.

1. Single page document scanners. Plustek Mobile Office S400 or the newer Plustek D430 USB scanners work very well and are a full page single document scanning solution.
2. The older Plustek OpticSlim M12 Plus still work, if available.
3. ID Card Scanners. BizCard Reader 900c or the newer 901 USB powered Optical Scanner.

Barcode and Label Printers:

Zebra Printers are widely used and trusted in the barcode labeling arena.

1. G-Series: Currently we recommend the .G-Series. printers that are capable of EPL and ZPL emulation as well as the ability to print 1D and 2D matrix barcodes on the label for printing of regular labeling needs.
• Label sizes: 1.0 in x 0.5 in. to 4.0 in x 3.0 in (1.2 inch increments)
2. HC 100 Wrist band Printers:
• These printers are very good at wrist labeling needs. Uses would be for inpatients and short stay patients or any patient where identification needs to be present on the person at all times. These labels are used by the EMM software mainly for the purposes of medication administration. Note: These printers should be network compatible.



Barcode Scanners:

For Clinical and Non-Clinical Use

ID Automation 2D (and 1D) barcode scanners (actually made by Honeywell) Model # SC7-USB-2D. Honeywell equivalent versions can be used but there are many variants and some work better then others.



Signature Pads:

The use of signature pads should be determined on whether or not the facility will employ touch screen tablets within the facility. Signature pads would be needed by any pc computer (non-touch screen) where patient signatures are required. Typically the uses for signature pads are at registration areas and possibly ER areas where patients would sign registration forms, consent forms and discharge forms.
• Signature pads from TOPAZ Systems GEM Series are supported. Model T-LBK-462-HSB-R for local installs or T-LBK-462-BSB-R for use with Remote Desktop, are recommended. This is the deluxe version with backlighting and on-pad signature recognition. Scaled back versions of the GEM series do exist and are compatible.
• Signatures can also be obtained through the use of Tablet PC's or touch screen enabled laptops. Please see the Mobile Tablets and Laptops section below for recommendations.



PC Computers:

Workstation PC's:

These PC's are typically used in environments where stationary work PC's can be placed and mobile computing is not needed. Workstations provide a more robust processing power in most cases for other business needs besides electronic medical records software. The following is a list of MINIMUM hardware requirements for PC's.

1. Windows 7, 8.1 or 10 Operating System. Will work on Vista with SP2. Microsoft has dropped support for XP as of 2014. Not Windows RT (ARM)
2. 64bit Windows operating system recommended. 32bit OS will limit PC to about 3GB of RAM and will hurt performance.
3. CPU/Processor minimum: 2.5GHz Dual-core x86 or x86-64, such as Intel Core i3.
4. CPU/Processor recommended: Recient Intel Core i5 or i7 quad-core (or AMD equivilent).
5. RAM/memory minimum: 4 GB for Windows Vista through Windows 10.
6. RAM/memory recommended: 8 GB or more recommended if user has many programs open at once.
7. Free USB ports (2.0 or higher) for use with scanners.
8. CDRW/DVDRW for creating electronic records on disk.
9. Hard Drive or SSD with 20GB free space. Drives must always have at least 10% free space for Windows to work properly and need room for growth.
10. Sound card and speakers or integrated audio for workstations using the Order receiving module of our applications.
11. Wired gigabit NIC and gigabit switches for network connectivity. Wireless with strong connection supported but wired is recommended.
12. Monitor: Single or multiple monitors with supporting video card (64mb or higher) at the discretion of the facility. (Application looks and feels better with larger monitors that can display 1920 x 1080 resolution).
13. Keyboard and mouse combination either wired or wireless.
14. Un-interruptible power supply (UPS) recommended for critical PCs.

NOTE: All in one PC's are recommended for areas such as nursing stations or Emergency areas. They take less space and most are touch screen compatible with larger sized screens. If your facility wishes to use this type of PC, we recommend HP All In one Touch Screens with system minimum requirements specified above.

Recommended ALL-IN-ONE PC's:

HP TouchSmart line. Tested against the 7320.
• Touch Screen Recommended where needed, consider Emergency Room.



Mobile Tablets and Laptops:

1. Any model of laptop may be used with the STAT! Systems of applications as long as minimum requirements are met. (Please see PC computers, Minimum requirements above) We recommend laptops with longest battery life for use in clinical areas.
2. Tablet PC's: For mobile computing needs, the Samsung Series 7 Slate with dock and keyboard, or Motion Computing series of handheld computing devices. The Microsoft Surface (x86 not RT) looks promising. Future updates on the status of specific tables will be made available as soon as the information becomes available.



Wireless Access:

High bandwidth, overlapping coverage and rollover of coverage from access point to access point is essential to the success of wireless in the clinical setting. Wireless connectins are, by their nature, always going to be less reliable than wired connections. We recommend using wired connection as much as possible. Do not use nome or consumer-grade wireless products. While we cannot recommend a specific wireless configuration or hardware devices to be implemented within your facility, other clients have had very good success with the following:

• Cisco business class devices



Hardware Recommendation Note: Infection control issues within the clinical setting should always be a consideration for any hardware device. For example: Monitor covers or screen overlays that can be cleaned should be considered when implementing touch screen devices whenever possible.