cOS for Clinics

What is the Net.Orange solution to the problem?

cOS for clinics is designed for office-based specialty physician practices. In today’s healthcare environment, complexity, risks and declining reimbursement make it imperative that you not only earn every dollar, but also collect it to maintain the financial health of your business.

The Clinical Operating System (cOS) is an intuitive, simple to use, feature rich application for Electronic Medical Records, Practice Management, Medical Imaging and Revenue Management. From patient scheduling, patient charts, diagnosis and treatments, accounting, billing and claims, to practice reporting, it provides a very powerful set of capabilities to automate all aspects of a medical office.

Being a fully automated, all-electronic system, cOS will free your practice from paper charts, lost information, and coding errors forever. By providing timely data to all the employees of your organization, it promotes collaboration and information sharing. Automated appointments, follow-ups and reminders will ensure that your patients have an highly satisfying experience while interacting with your organization.

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The Challenges

Sponsors

The pharmaceutical industry is witnessing an unprecedented productivity drop and facing several stiff challenges. In the US, during the last decade, new drug introductions have been cut in half while R&D costs have doubled. Recent advances in genomics and in the science behind diseases have led to a ten-fold increase in the number of therapeutic targets that need clinical trial validation.
As a result, pharmaceutical companies are faced with the daunting task of conducting more clinical trials in each therapeutic area, with substantially reduced budgets.

• Forecast patient accrual accurately
• Track patient enrolment across multiple sites
• Spot and manage potential delays before they become severe
• Immediate visibility to early safety and efficacy trends to support holds/go/no-go decisions
• Support and manage the increasing adopted trend of global CRO outsourcing
• Capture clinical data electronically (EDC) and tie EDC systems directly to internal clinical data management (CDM) systems
• Near-time access to clinical trends required to support “adaptiveâ€� trials

CROs and SMOs

Pharmaceutical companies are increasingly outsourcing protocol design, patient recruitment and data analysis to these organizations. In the last four years, CRO spending grew at 15% CAGR compared to 11% sponsor cost.
CROs and SMOs often work with multiple sponsors, with different clinical data management/ and electronic data capture (EDC) systems, and multiple sites, with different medical record systems. A major requirement for a clinical trial management system (CTMS) is to be able to interface with disparate systems at both ends of the value chain.

• Automatically screen subjects based on study criteria for on-time enrolment
• Plan and co-ordinate milestones and resources spanning the central administrative organization, multiple research sites, labs, and several local IRBs.
• Generate realistic budgets, transparent costing and automated invoicing
• Report Adverse Events automatically and manage regulatory submissions
• Deploy EDC forms from different sponsor systems seamlessly
• Compile the case report form (CRF) electronically
• Provide sponsors with real-time access to valuable information on enrolment and patient responses

Sites

At a typical research site, regular patients are often treated side by side with research subjects by the same clinical personnel. Compiling clinical trial documentation and EDC forms can be quite time consuming and different from the processes used for regular patients.
CROs and SMOs often work with multiple sponsors, with different clinical data management/ and electronic data capture (EDC) systems, and multiple sites, with different medical record systems.
Interface medical record systems (EMR), imaging and lab systems to compile source documentation for research patients

• Automatically screen subjects based on study criteria
• Ability to integrate research EDC forms within existing processes for clinical data capture
• Ability to separately handle claims processing, patient co-pays and research invoices for sponsors or CROs or SMOs.
  

The Features

Practice Management
Appointments and Scheduling

1. One-click scheduling of patient appointments
2. Drag and drop rescheduling
3. Viewing multiple physician schedules
4. Ability to schedule multiple locations and resources
5. Patient Demographics

Billing and Claims

1. Co-pay collection at front desk
2. Electronic integration to providers
3. ICD and CPT code tables
4. Complete HIPPAA and X12 compliance.
5. Billing, claims and collection management

Rich Practice Reporting

1. Ability to manage your practice based on a defined set of metrics
2. Ability to gather these reports by day, week, month or quarterly
3. No show reports, co-pay reports, claim status, patient aging, patient accouts, etc.

Medical Records
Patient Documentation

1. Automatically generates patient summary including: risk alerts, medications, diagnosis, procedures and encounters.                                
2. Provides structured clinical notes.
3. Supports rapid clinical note generation using "Pull Through" technology, Structured Templates and "Symptom Bar" technology.
4. Provides role-based user cockpits for easy data access.

Electronic Prescription

1. Provides prescription management - maintaining a Favorite Pharmacy List and using prescription templates for rapid prescription writing and prescription renewals. 
2. Provides disease management.
3. Supports EDI, e-prescribing, electronic order entry and results reporting.
4. Prescribe tests with the click of a button

Automated Coding

1. Supports automated coding and reporting.
2. Support Automated Level of Service calculations.
3. Controlled Access and secure Data Sharing.

Easy to Integrate

1. Supports tablet PCs, portable PCs and Desktop PCs.                                
2. Supports a level of provider and patient security, confidentiality, and privacy that exceeds HIPAA regulations.
3. Integrates seamlessly with hospital information systems.

Medical Imaging
Multiple Modalities –The system can be used with the diagnostic radiological equipment of most of the major manufacturers. It supports Multiscan CT, MRI, mammography, endoscopy, etc.
Flexible – JiveX is based on a very flexible infrastructure that is java based that enables it to run on various operating system platforms such as Windows, MacOS X or Linux.
Integrated Image Management – It provides complete image management including storage, diagnosis distribution, complete image series, images of diagnostic re­levance (key images), together with the related diagnoses.
Support for remote terminals – Remote terminals in multiple locations can be supported through thin clients or terminal servers. Can be distributed over a LAN, WAN or Internet.
Single Point of Administration - JiveX simplifies systems management of the software through the single point of administration feature.
Data Security and Redundancy – JiveX supports fully redundant data storage – this includes operative availability as well as long-term archiving. In addition, through the use of novel image compression techniques, JiveX ensures rapid access to older study data.
Support for Multiple Archiving Strategies - The archiving strategy is individually customized to suit customer requirements. From pure offline archiving, to external telear­chiving, or archiving using a hospital wide, Hierarchical Storage Management System (HSM) or a Storage Area Network (SAN), everything is possible.
DICOM Worklist Broker - The DICOM Worklist Broker allows relevant patient data can be transmitted to almost any image source within the hospital and integrated within the image network. Even older computer tomo­graphs or digital cameras can be connected easily in a cost-effective way.
High Availability – Permanent high availability is achieved through the use of TWIN server technology.
IHE Compliant – Being compliant with the Integrating the Healthcare Initiative ensures seamless data integration to other applications that conform to the specification.
HL7 Integration gateway – The HL7 gateway can be used to integrate to other healthcare applications including HIS, RIS and EMR. It enables the exchange of patient, examination, and diagnostic data to optimize the workflow in a hospital or a clinic.
Patient CD/DVD with images and diagnosis - enables the connection of copy stations for production of off-line media. All of the image data of the JiveX Communication Server can automatically and rule-based, be co­pied and archived on media such as or CDs or DVDs.
Digital diagnosis support for all modalities
3D image processing - 3 di­mensional image processing such as MPR, MIP and Volume Reconstruc­tion is possible by integrating to 3D systems such as Voxar
Tele-archiving
Support for Multiple Workstation Systems – The software can run on platform-independent workstation systems (Windows, Linux or Apple).
Web based review client – Fast distribution of images and diagnosis can be done over the internet through web browser enabled systems.
Thick client for review - Interactive image processing can be enabled at every workstation on the network. In addition, a large se­lection of universal image processing functions are offered, which, for example, can be used for the measurement of distances or an­gles.
Paper print outs - High quality paper print-outs or films (DICOM Print) can be made with this system. Data can be exported to jpeg, bmp, etc.
Dual Monitor Systems – The software has been optimized for use in dual monitor systems and high resolution/brightness monitors.
Interface with Speech Recognition Systems – JiveX can interface with voice recognition systems (MBS easy, SpeechMagic, etc.) to enable digital dictation at the workstation.
Super-user access to image database – A special client is available to view and update data in the central image database to correct erroneous entries. This is provided through a very secure environment where all actions are logged for audit purposes.
Integration to Electronic Medical Records – A software development kit (SDK) based JiveX ViewerBean is distributed that enables it to be integrated into a standards based EMR system.
Support for advanced image viewing  - This includes real time gray scale value windowing (DICOM Window/Level) ; Continuously variable magnification and magnifying glass function; Cine Mode (film mode); Comparative display and freely variable image display (2x2, 3x3 and others); Hanging protocols and image synchronization for optimum work processes; Image annotations (DICOM Softcopy Presentation States); Recording of short and pre-diagnoses (DICOM Structured Report); Interactive display of scout images with cut lines; Filter functions (edge enhancement, interpolation, etc.); Rotation, mirroring, inversion

The Benefits

Increase Revenue

The Clinical Operating System provides proven ways to increase the revenue to your clinic. From being able to file claims quicker to recovering payments from payers, to being able to charge the right fee for your services, there are a number of features that will enhance the revenue generating potential of your clinic.

Increase Patient Safety

We know that patient safely is of highest importance to physicians. The Clinical Operating Systems ensures that the most proper care is taken when it comes to diagnosing and prescribing treatments – from integrated drug databases that check for possible drug allergies, contraindications to drug-drug reactions, the software ensures that all the requisite precaution is taken when treating patients. Electronic prescribing is enabled through our software which ensures that transcription errors are avoided.

Improve Patient Experience

Patients will walk away being very satisfied with your practice. Efficient and quick access to information over the web, requesting for appointments, reminders via e-mails, customized alerts will provide a highly personalized experience for your customers.

Increase Staff Efficiency

And through the powerful communication features,  cOS greatly enhances communication between your staff members that will reflect in improved efficiency and morale within them. Employees will be able to leave messages, alerts and attach notes to patients and claims to promote communication and tracking on issues.

Decrease Risk

You will be able to document your analysis and treatment approach for each patient and be able to defend yourself with documented evidence in unfortunate situations. Disease and medication templates are available with the software that will help you follow prescribed treatment protocols and minimize the occurrences of a malpractice claim.

Maximize Reimbursement

With the Clinical Operating System, lost billings are a thing of the past. It eliminates opportunities for error before they can occur through one-time entry of data and full electronic distribution of information. Patient charges can be captured in seconds through very intuitive interfaces and electronic claim submitted on a real-time or daily basis. And it reduces your payment cycles through electronic claim submission to payers. cOS will not only enable you to capture lost revenue – and monitor payer contracts on a real time basis.

The Products

As illustrated on the Challenges tab, Clinics have some very unique needs to truly capitalize on opportunities for improvement. Our cOS for Clinics solution is delivered by pairing clinic-applicable products with the cOS (Clinical Operating System)™:

Included Products

cOS Images™ PACS Management cOS Images provides an extensive platform upon which to base your PACS needs. cOS Images is the integrative image management solution for your hospital or clinic. Hospital-wide image management

cOS Practice™ Practice Office Management cOS Practice is an intuitive, simple to use, feature rich application for practice management. From patient scheduling, patient accounting, billing and claims, to practice reporting, it provides a very powerful set of capabilities to automate all aspects of a medical office.

cOS Records™ Patient Medical Record Management cOS Records allows practices to maintain current and complete electronic health records for patients that can be accessed from any computer. Being a full featured application, it includes many easy to use features such as clinical notes, e-prescriptions, disease templates and connectivity to billing that bring countless benefits to physicians and staff, as well as patients.

cOS Profiles™ Patient Health Profile Management cOS Profiles is an innovative personal health profile product that leverages the extensive functionality of the cOS to create a patient-centric paradigm for managing patient data. Using cOS Profiles, you can now report, review, and act on that data from a centralized view.

cOS Portals™ Next Generation Patient & Physician Portals cOS™ Portals enables authorized users to user their web browsers to securely access all relevant patient data across multiple information systems.

Insights into Clinic Technology

We believe that technology processes are best served by keeping up with leading industry thought, and have collected the resources below to help you make the best decisions on implementing new processes or technology into your environment.

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Industry Articles A Cure for Clinical Trials by McKinsey Quarterly Febuary 2007 (requires registration) Improving Clinical Trials: Where Will You Be in Three Years? by Implementing Information Technology (IT) April 2007 (requires registration)