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QHR Technologies Inc.

Certified EMR Offerings

Please note: the information provided below is for research purposes only. EMR Advisor strongly suggests you use this in conjunction with other information sources (e.g. discussions with your peers), and perform a proper RFI (Request for Information) from vendor organizations you wish to consider for your CMS/EMR selection.

This section provides information about the CMS vendor.

NOTE: The information below has been provided by the CMS vendor.


Version Number

Accuro® EMR CMS4 ASP

User Interface

Accuro® EMR CMS4 ASP

Local/ASP

ASP

Provided Documentation and Media Used

The Accuro®EMR CMS4 ASP System documentation is provided electronically and is accessible from within Accuro®EMR CMS4 ASP to authenticated Users.

Other Required Environmental and Support Components

Customers are required to provide their own workstations, network, internet connection, and peripherals. These typically include (but not limited to): Printers, Scanners, Monitors, Tablets, Laptops, Computers, and other devices.

Health Card Validation Support (OBEC)

Accuro®EMR CMS4 ASP includes a health card reader function, Overnight Batch Eligibility, and Real time Health Card Validation.

What other tools and utilities (e.g. Systems Management, Monitoring, Backup, Audit Logging etc.) are required to implement the EMR on the server?

QHR provides specific minimum hardware requirements handouts to clients for their IT company(s) and is available to communicate directly with the client's IT company(s) as required. QHR conducts a remote walk-through of the clinic advising on required, recommended, and optional equipment. QHR requires that all workstations have reliable access to the Internet.

What other software products do you advise physicians to implement?

  1. First DataBank for drug contraindications procured through QHR
  2. Microsoft Fax for receiving and sending of faxes. (optional)

What other software products are compatible with your EMR (e.g. Office suites, accounting, research, analysis, etc.)?

Accuro®EMR CMS4 ASP has a CSV export option on reports, which is compatible with Microsoft Excel.

Does your Offering support out-of-province billing? If so, please specify.

Yes, QHR supports Out of Province billing through the standard OHIP electronic claims module. This does not include Quebec.

Specify third party interfaces your Offering supports (e.g. laboratories, pharmacies, hospitals, MOHLTC).

Gamma-Dynacare

CML

Lifelabs

OLIS

HRM

MC EDT (OHIP Billing Submissions)

Provide a comprehensive list of the out-of-box forms of templates included in your EMR Offering (e.g. SOAP, Annual physical, ante-natal)

QHR has a shareable library of Forms that Clients can download via the Internet directly in Accuro®EMR CMS4 ASP. The library has approximately 2,500 forms ranging from government forms to administrative forms to clinical templates.

Does your EMR operate in both official Ontario languages (e.g. screens, online help, reports)?

Accuro®EMR CMS4 ASP supports English.

Describe your approach to supporting patients with multiple different language needs.

Accuro®EMR CMS4 ASP includes a field in demographics indicating the official and preferred language of the patient and flags this so that Users are visually alerted to language needs.

Describe your approach to supporting physicians with multiple different language needs.

Templates and Forms can be developed by the Client in any language that uses English keyboarding characters.

What is the name of the data supplier to support prescription writing and drug interactions?

First DataBank

What is the frequency of updates to the data provided to your clients?

First DataBank provides updates as often as weekly.

Describe the process for applying updates to the data (e.g. CD-ROM, remote download, etc).

The updates are released to customers automatically and prompt the user upon application start up.

Does your product support structured coding for problems? If so, provide the name(s) and version(s) supported.

Accuro®EMR CMS4 ASP uses ICD9-CA, ICD10-CA, ICPC, and SnoMed as problem code table options.

Does your product support structured coding for interventions? If so, provide the name(s) and version(s) supported.

Accuro®EMR CMS4 ASP does not provide a coded table for interventions, however the Clients can build their own table so that the data collected is able to be reported on.

Does your product support structured coding for symptoms? If so, provide the name(s) and version(s) supported.

First DataBank

Does your product support structured coding for allergies? If so, provide the name(s) and version(s) supported.

First DataBank

Does your product support structured coding for adverse reactions? If so, provide the name(s) and version(s) supported.

First DataBank. NOTE: Accuro® CMS4 ASP refers to an "adverse reaction" as an "intolerance".

Does your product support structured coding for immunizations? If so, provide the name(s) and version(s) supported.

First DataBank (medications table)

Identify other coded data elements and their schemes where appropriate in the response sheets.

Other coded elements include:

  • OHIP Fee Schedule for billing codes and fees;
  • Various User controlled coded lists in many areas of the program, no default values.

Describe the recommended hardware configuration required to run your solution for the following scenario: Single physician office; 2 support staff; 2 exam rooms. Include any assumptions that you are making.

A typical infrastructure for this size of a clinic would be 4 workstations. In addition, a high speed Internet connection, fax line , a printer, and a small scanner into the front desk machine.

Workstation Requirements:

  • Processor speed of 2.0 GHz or faster
  • 2 GB RAM
  • Windows OS: Microsoft Windows 7 or 8
  • Ethernet NIC 100/Gigabit or Wireless G/N card
  • Microsoft Word and Excel, Antivirus software
  • Citrix Receiver

Describe the recommended hardware configuration required to run your solution for the following scenario: 8 physician FHN; 4 different geographic locations (physician offices), each with 2 physicians; 3 support staff per physician office; 4 exam rooms per physician office. Include any assumptions that you are making.

A recommended infrastructure for this organization would be 7 workstations per location.

ASP Requires no server.

Workstation Requirements:

  • Processor speed of 2.0 GHz or faster
  • 2 GB RAM
  • Windows OS: Microsoft Windows 7 or 8
  • Ethernet NIC 100/Gigabit or Wireless G/N card
  • Microsoft Word and Excel, Antivirus software
  • Citrix Receiver

Describe the recommended hardware configuration required to run your solution for the following scenario: 10 physician FHN all located in 1 clinic (physician office); 10 support staff; 20 exam rooms. Include any assumptions that you are making.

A typical infrastructure for this size of a clinic would be 30 workstations. In addition, a high speed Internet connection, fax line to the server, multiple printers, and multiple small scanners.

ASP Requires no server.

Workstation Requirements:

  • Processor speed of 2.0 GHz or faster
  • 2 GB RAM
  • Windows OS: Microsoft Windows XP, Vista or7
  • Mac OS: OS 10.5 64 bit or later
  • Ethernet NIC 100/Gigabit or Wireless G/N card
  • Microsoft Word and Excel, Antivirus software
  • Citrix Receiver

Describe the recommended bandwidth requirements required to run your solution for the following scenarios: Configuration 1; Configuration 2; ASP Requirements. Requirements should be broken down by upload bandwidth/user and download bandwidth/user.

ASP recommendations are to provide connectivity with as much bandwidth and least latency as possible. 60kbps per user both upload and download. Recommended speed is 10mbps down and 5mbps up. Latency is important for good performance and this is recommended at or below 20ms.

Do you provide remote server management capabilities? Please list functions provided.

The ASP Server side is taken care of by QHR with the data center.

Describe how system data is recovered after a system (hard drive) failure? E.g. to the point of failure, last backup, or other.

System data is taken care of by QHR in the ASP deployment.

Accuro®EMR CMS4 ASP uses Microsoft SQL Server to restore a database. Microsoft SQL Server is used to restore the 2 .BAK files which would be retrieved from the most recent source. Note: One database is for the core data and the other stores the patient documents (eg: PDF scans / faxes)

The actual restore process is performed utilizing SQL Server restore tools. The restore time is dependent upon the size of the database (e.g. a 10Gb Accuro®EMR CMS4 ASP Database usually takes less than 5 minutes to restore, not including the download time).

Do you provide tools to manage the availability of EMR systems? Describe functions.

QHR monitors all server environments in the data center, with alerts mechanisms off hours, and a display screen of services located in our support centers showing load and service availability.

Do you provide real-time server monitoring with alerts sent to yourselves or to clients?

QHR monitors all server environments in the data center, with alerts mechanisms off hours, and a display screen of services located in our support centers showing load and service availability.

Other information about EMR offerings:

The following information is provided to assist you:

  • Approved Local EMR Configurations
    Ontario's eHealth strategy includes the use of specific configurations designed to meet Electronic Medical Record (EMR) and eHealth connectivity needs in Physician offices.
  • For more information, please call / email OntarioMD at 1-866-744-8668, emr@ontariomd.com.