MEDITECH HCIS Enterprisewide HIS Financial and ... · PDF fileMEDITECH HCIS Enterprisewide HIS Financial and Administrative Applications ... MEDITECH has added two new products

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DPRO-109648Barbara Kelly

Product Report4 September 2002

MEDITECH HCIS Enterprisewide HIS Financial and Administrative Applications

Summary

MEDITECH has added two new products—E-Commerce Solution and Authorization and ReferralManagement—to the financial and administrative applications within the HCIS enterprise system.

Table of Contents

Overview

Features and Functions: MEDITECH HCIS Enterprisewide HIS Financial and Administrative Applications

Analysis

Pricing

Competitors

Strengths

Limitations

Insight

List Of Tables

Table 1: General Ledger

Table 2: Billing/Accounts Receivable

Table 3: Accounts Payable

Table 4: Cost Accounting

Table 5: Budgeting and Forecasting

Table 6: Materials Management

Table 7: E-Commerce Solution

Table 8: Payroll/Personnel

Table 9: Staffing and Scheduling

Table 10: Registration

Table 11: Community-Wide Scheduling

Table 12: Case Mix Management

Table 13: Authorization and Referral Management

Table 14: Executive Support System

Table 15: Data Repository

Table 16: Data Archiving


Copyright 2002DPRO-1096484 September 2002 2

Table 17: Integrated Communication System

Table 18: Operating Requirements: MEDITECH HCIS Enterprisewide HIS Financial and AdministrativeApplications

Table 19: Product Profile: MEDITECH HCIS Enterprisewide Financial and Administrative Applications

Table 20: MEDITECH



Corporate Headquarters

Medical Information Technology, Inc. (MEDITECH)

MEDITECH Circle

Westwood, MA 02090, U.S.A.

Tel: +1 781 821 3000

Fax: +1 781 821 2199

Internet: www.meditech.com

Overview

Features and Functions: MEDITECH HCIS Enterprisewide HIS Financial and AdministrativeApplications


Chart of Accounts and Organizational Hierarchy.

Bookkeeping.

Real-Time Inquiry.

General Reporting.

Budgeting.

Allocation.

Security Features.

The General Ledger module produces financial reports conforming to generally

accepted accounting principles. The application receives:

• Batch entries on a daily or periodic basis in detail or summary format.

• Budget information.

• Accrual entries.

• Statistical information.

• Control procedures.

Chart of Accounts

and Organizational

Hierarchy

Chart of accounts accommodates a hospital environment and supports multiple-

entity integrated healthcare networks. Facilitates the process of building the chart of

accounts by providing flexible methods of structuring the hierarchy and assigning

account numbers.

User-defined and user-controlled chart of accounts.

Unlimited number of defined accounts.

Flexibility to handle user-defined account number lengths.

Flexibility to create an organization’s hierarchical structure, which results in easily

obtained Responsibility Management Reports.

Flexibility to define an unlimited number of summary reporting oaths for report

writing and inquiry purposes.

Support of control and subsidiary accounts.

Support of alphanumeric accounts.

Combined data entry and list functions for easy maintenance and viewing of data.

Recurring batches for cash and statistics.




Bookkeeping Set of bookkeeping functions controls and reports entry of all transactions.

Automatic transfer of transactions from other financial applications.

Automatic creation of intercompany transfer transactions.

Recording of transactions in online batches for easy control and auditing.

User-controlled sequence of posting, reporting and closing.

Immediate error checking of all data as it is posted, so the ledger is always in

balance.

Online review and edit of batch data before posting to accounts.

Free-text descriptions of each transaction group.

Batch lists available in order of entry or in account number sequence.

Master Log Report that displays all batch transactions for one or more days.

Summary batch posting.

Reversal of batch posting.

Recurring batch capabilities.

No limit to the length of time that detail and summary data are retained.

Prior and future period transactions.

Simultaneous maintenance of multiple open periods.

Real-time update of account balances on posting.

Closing routines to process money and statistic accounts.

Real-Time Inquiry Inquiry function allows an authorized user to view current account balances or

activity on demand.

Online account inquiries are displayed in detail, summary, period comparison or

budget comparison.

Users can select accounts for inquiry by specifying an account number, a range of

numbers or by specifying component values, such as salaries and wages for

laboratory or manager’s area of responsibility.

Budgeting Supports unlimited budget files for current or future periods.

Allows for departmental-level access for budget development and analysis.

Allows users to create budget data for accounts from current or previous period

budget or actual balances.

Supports seamless integration of budget files created in Payroll/Personnel, Fixed

Assets, and Budgeting and Forecasting applications.

Supports budget worksheet comparison for a range of periods, including prior fiscal

years, actual and projections, and budget variances.

Allocation Supports definition of the rules and methods by which expenses and revenues are

allocated.

User-defined allocation methods, including Simultaneous Equation and Step Down.

Allocation based on account statistics, money or manual weighting.

Automatically generated General Ledger batches from allocation tables for both

actual and budget data.




Security Features All system users throughout the healthcare network are required to have a user-

defined password.

Audit trail reports link various system activities to specific user passwords.

Password-based security checks, which are organization defined, are located at

several entry points throughout the system.

Only those users with special organization-defined passwords may access specific

department, entity or corporate information and have the capability to perform

certain system functions and routines.


Integration with other applications.

Instant access and update of pertinent information.

Account identification.

Contract management.

Interim billing.

Billing capabilities.

Patient and guarantor collections.

Claims.

Standard management reports.

Patient and guarantor collections.

Captures, stores and retrieves patient charge information.

Allows for online account inquiry with a real-time update of patient demographic

information.

Produces bills, statements, claim forms and logs.

Accepts receipts, adjustments and refunds.

Delivers auto proration capabilities.

Provides ad hoc account follow-up and management reports.

Access to and

Update of Pertinent

Information

Uniform access to all accounts: inpatient and outpatient, unbilled, accounts

receivable and bad debt.

Complete account details and history for all account statuses.

Individual screens allow user to view/print changes, payments, adjustments, refunds

and late charges for an account based on transaction type selected.

Authorization of users, based on access restrictions, for data entry edit or view-only

privileges.

Maintenance of complete guarantor, insurance, DRG and UB92 data.

Account

Identification

Identify an account by patient name, number, unit number or guarantor’s number.

Edit demographic data; inquire on the billing and collection history; reproduce bills

and claims; add comments, reminders and letters.

Display accounts for most recent to oldest on Search for Screens routine.




Interim Billing Interim billing routines track recurring and long-term accounts for billing and

collection purposes.

An unlimited number of bills can be generated based on how billing cycles are

established.

Rules are established to bring groups of accounts through the billing cycle prior to a

discharge date, allowing an organization to bill for charges incurred while the patient

account is still active.

A unique bill number is assigned for each billing cycle that is completed on an

account.

As claims are resolved, reimbursement is accurately tracked so secondary payers

can be billed automatically.

Patient and

Guarantor

Collections

Account lookups by patient name and number, guarantor name and number, and

Medical Record Number.

Process reminders.

Entry of free-text and coded comments from the inquiry screen.

Unlimited generation of form letters for user-specified accounts.

Collection support reports that can be customized by the user.

Claims Application has multiple routines to enhance claim screening, facilitate claim

generation and ensure accurate claim output.

Claim checks that determine if all required information is present on a patient’s

account prior to printing the claim reduce edits and reprocessing.

An override feature exists online in every field on the claim form to produce claims

that meet payers’ specific requirements.

Claim establishment can be based on different insurance and account types, such

as mother/baby billing, inclusion/exclusion of professional components, “clean

claim” data checking, alternate code printing and exclusion of “crossover” claims.

Standard

Management

Reports

On-demand management reports provide information critical to maintaining a well-

controlled billing system.

Operations Summary displays Billing/Accounts Receivable (B/AR) activity for a

particular date or range of dates.

Period-end aged accounts receivable analysis.

Revenue reports: Revenue Summary, Procedure Revenue Reports, Procedure

Period-End Comparison and Patient Revenue Report.

Charge exception, Late Charges and General Ledger reports.

Collection reports, such as biller and collector work lists, collector performance

reports, patient and insurance receivable reports and third-party logs.

Patient and

Guarantor

Collections

Provides a number of security checks which monitor, track and manage system use.

All system users throughout the healthcare network are required to have a user-

defined password.

Online inquiries provide an audit trail of who has posted transactions to an account.

Transaction entry, viewing and editing in the system are based on security access.




Provides users in a multiple- or single-facility healthcare organization immediate

access to complete vendor, invoice and transaction information.

Online Transaction Activity.

Direct Inquiry.

Invoice Processing.

Vendor Arrangements.

Online Check Management.

Management Reports.

Security.

Accounts Payable module is integrated with other applications and provides the

following capabilities:

• Shares a common vendor file with Materials Management and Fixed Assets

Accounting.

• Is linked with Billing/Accounts Receivable for processing patient and insurance

refunds.

• Is integrated with General Ledger for expense distribution to appropriate GL

accounts.

• Matches invoiced amounts to received values in Materials Management.

• Provides online access to purchasing and receiving information during invoice

processing.

• Automatically generates accrual batches.

Accounts payable assists users with:

—Maintaining proper control over check-generating and bookkeeping practices.

—Permits users to override standard processing of any invoice when necessary.

Online Transaction

Activity

Facilitates entry and editing of transactions and records transactions in online

batches.

Free-text descriptions of transactions.

A Direct Entry feature that allows immediate posting of individual transactions while

maintaining audit trails.

User-defined codes and passwords that limit access to authorized personnel.

Immediate error checking of all data as it is entered.

Online review and editing of invoice and expense distribution data before posting.

User-defined batch control totals that can be used to verify batch amounts.

A Daily Master log, sorted by vendor name.

Complete integration with MEDITECH’s Billing/Accounts Receivable, General

Ledger and Materials Management applications.

Database access to all facilities defined within the information system (IS).

Capability to distribute invoice dollars to multiple facilities.

A routine to charge prepaid expenses into future periods.

Capability for Electronic Funds Transfer from Accounts Payable application.




Direct Inquiry Provides users immediate, real-time, on-demand access to current financial

information. Inquiries provide an audit trail to the appropriate source batches.

Vendor identification by partial name, mnemonics or vendor numbers.

Invoice identification by invoice number or a review of the invoice on the file of a

vendor.

Chart of accounts, format/content of reports, etc.

Tracking of invoices, maintaining separate payment schedules and cash accounts,

and analyzing cash requirements by each facility.

Invoice Processing Handles a variety of vendor documents, including single payments and credit

memos. The application safeguards against duplicate entry and payment of

invoices.

Online invoice matching process provides real-time access to receiving and

purchasing information.

A provision to override a vendor’s standard terms.

The capability to hold, or release for payment, an entire collection of invoices for a

vendor.

An automatic hold on invoices for amounts greater than the amount specified for a

vendor.

Partial payment of invoices.

A safeguard against duplicate entry or payment of invoices.

Free-text comments on invoice transaction histories.

Archival storage of historical invoice transaction data.

Separate bank accounts that can track the invoicing and payments for each facility.

Capability to cancel only individual invoice when check is voided.

Vendor

Arrangements

Provides the capability to alter vendor arrangements to accommodate changes.

Support both onetime and permanent vendors.

Provide flexible vendor discount specifications.

Separate address/remit to address.

Handle payment of vendors from different bank accounts.

Override vendor addresses or discounts for individual invoices.

Share a common vendor file with the Materials Management and Fixed Assets

application.

Access vendor history by vendor name, vendor mnemonic or vendor number.




Online Check

Management

Enables users throughout the organization to perform all aspects of check

management online.

Offers demands and manual check capabilities.

Supports payment of multiple invoices with a single check.

Supports separate check number sequences for each bank defined in the system.

Maintains records of manually generated checks.

Allows review and edit of checks to be marked as unclaimed and subsequently

reinstated.

Prints check register by number, date or activity date, with or without remittance

advice or GL distribution.

Reconciles checks manually or from tape, including CPU-CPU/CPU-PC.

Generates patient and insurance refund checks using data and routines shared with

the Billing/Accounts Receivable Application.

Shows clear date of check on summary detail lookup.

Adds bank transit number and preprinted check number fields to Bank Dictionary.

Management

Reports

Series of user-defined reports enables managers to monitor and control their

accounts payable activities. Users specify the level of detail to be included on these

reports each time the reports are printed.

Aged Payables Report.

Cash Requirements Report.

Control Report.

Period-End Open Invoices Report.

Vendor History.

Vendor Balances Reports.

Federal 1099 Forms and Report.

Batch Status Report.

GL Distribution Reports.

GL Period Activity Reports.


Module provides tools with which multiple- and single-facility healthcare

organizations can monitor and control costs. Utilizes information found throughout

the entire HCIS to create detailed reports on comparisons of actual and standard

costs, fixed and variable costs, budgets, variance analyses, service profitability and

departmental responsibility:

• Standard Cost Development

• Complete Integration with the entire system

• Profitability Reports

• Departmental Reporting

• Departmental Budgeting

• Flexible Report Writer




Facilitates budget preparation, cost and profitability analysis as it enables an

organization to:

• Analyze and report standard costs, by procedure, at the departmental and cost-

group level.

• Compare the cost of providing services to the revenue received for each patient

and groups of patients.

• Develop budgets for expected volumes and standard costs by product line,

expected number of cases, service units and expected number of services.

Standard Cost

Development

Supports development of standard costs for all services, on a unit level, in the

health network. Includes the following:

• Service Unit File containing user-defined logic, which determines the cost of a

service unit.

• The capability to utilize microcosting and allocation methodologies.

• An online Resource Rates File that stores past, present and future average rates

for microcosted resources, such as labor, material and overhead.

• Procedure/Service Unit mapping, which allows procedure codes to be assigned to

multiple service units and multiple procedures to be grouped to individual service

units, to facilitate 80/20 costing methods.

• A Standard Cost File that contains the total standard of cost for each service unit,

plus a breakdown by cost group.

• A categorization of labor, materials and overhead for up to 10 cost groups, which

can be classified as Direct or Indirect, Fixed or Variable.

• Cost Group reporting so organizations can analyze both standard and actual costs

by groups.

Integration With the

Entire System

Historical data for standard cost development.

Service units as they relate to billing and nursing procedures.

Revenue and profitability statistics.

Spending, volume and labor variance.

Procedure usage.

Billing procedures.

Productive labor hours and dollars.

Profitability Reports When combined with MEDITECH’s Case Mix Management application, Cost

Accounting enables users to generate multiple profitability reports based on various

selection criteria.

A detailed Patient Service Unit Report indicates the total standard cost of providing

services to a patient and compares this cost to reimbursement.

Patient Cost Analysis reports provide a comparison of cost, change and

reimbursement data (in detailed or summarized format) for a group of patients

selected.

Departmental

Reporting

Creates departmental reports that show standard costs and service usage by

department. These reports allow for budget comparison and variance analysis.

Department variance reports contain all costs incurred and related variances at the

department level.

Department Labor Variance Analysis Report details labor cost by department, cost

group and job code.

Flexible Budget Report details, by department, a comparison of cost based on both

fixed and variable amounts.




Departmental

Budgeting

Provides managers with volume and cost data for budget preparation.

Using past data, the system develops profile service unit usage by user-defined

product lines.

Enables determination of expected volumes of service units based on actual

volumes of service units and expected standard cost by department and cost group.

Supports budgeting by product lines and by service units based on actual volumes

for previous periods.

Fixed Assets

Asset Management.

Depreciation Analysis.

Budgeting.

Flexible Reporting.

Security/Permissions.

Assists healthcare organizations to control and depreciate fixed assets.

Asset Management Monitors and controls assets in four statuses: initial, active, retired and proposed.

Allows users to:

• Maintain organization-defined categories of assets to enhance reporting and

inquiry capabilities.

• Update costs of assets to reflect capital improvement.

• Track an unlimited number of comments entered at any time to document changes

made to an asset during its lifetime.

• Initialize assets for purchasing via a link from Materials.

• Management and Accounts Payable.

Users can determine specific information on each asset, including:

• ID number.

• Description.

• Class.

• Department.

• General ledger asset account.

• General ledger accumulated depreciation account.

• Typical and useful life.

• Purchase order number.

• Vendor and manufacturer information.

• Amounts for all values stored for each asset.

• Property number and location.




Depreciation

Analysis

Manages and computes the depreciation of the organization’s fixed assets by

providing the flexibility to change the depreciation method, rate and departmental

breakdown during the life of an asset. The system supports:

• The capability to track multiple depreciation values for an asset.

• Standard methods of depreciation include Straight Line, Double Declining

Balance, 150 percent Declining Balance, 125 percent Declining Balance, 175

percent Declining Balance, Sum of the Year’s Digits.

• Sample posting, allowing users to view General Ledger (GL) posting and the effect

it has on the depreciation schedule of an asset before the posting actually takes

place.

• Depreciation expenses charged to department or departments based on a

specified percentage.

• Depreciation tables that support accelerated cost recovery system (ACRS) or any

organization-defined method of depreciation.

• The capability to determine, on implementation, depreciation from a user-specified

month.

• Prospective depreciation reporting for any future month or year.

• Retirement of assets including retire type (discarded, theft) and date.

• Proration based on the month or half-year convention (in the fiscal year).

Flexible Reporting Includes a series of standard reports that can be printed on demand by number,

class, department or any future month or fiscal year. Reports include:

• List of Assets.

• Current Status.

• Schedule Projections.

• Activity Summary.

• Activity Comparison.

• Activity Detail.

• Schedule History.

• Standard Value.

• Current Value.

• Period End Summary.

• Department Changes.

• Asset Number Changes.

Budgeting Creates a schedule projection by general ledger account and transfers budget to

general ledger budget file.



Table 5: Budgeting and Forecasting

Access to system-wide current and historical data, such as personnel, payer and

patient information; resource and materials consumption and costs; actual and

projected revenue; and actual and projected costs of services.

What-if analysis on data to assist in projecting and forecasting budgetary

information without corrupting the original data.

Capability to factor in variables such as depreciation and inflation percentages,

staff-size fluctuation, price changes and purchases of new equipment and supplies.

Consistent budgeting processes and formats throughout the organization.

Capability to include online notes related to specific budget numbers.

Color-coded budget numbers for status recognition.

Free-form text notes for explaining budget numbers.

Capability to set and modify variables.

Planning worksheets.

Capability to override departmental budgets.

Remote user access.

Organization-Wide

Budget on a Single

Screen

Information for each department’s worksheet is uploaded into the master budget

model. Budget administrators can view budget data on a single screen:

• Totals for the entire organization (including multifacility organizations).

• Grand totals for all departments.

• Totals by selected department(s) only.

• Budget numbers for each facility in the organization.

• Totals in specific categories for all departments, such as total pay increases.

• The “drilled down” numbers that constitute the detail of a specific department’s

budget plan.

• Online notes explaining budget numbers.

Supports the following projections:

• General ledger expense

• Revenue

• Reimbursement

• Service volume

• Employee salaries

• Number of employees

• Patient days

• Admissions




Inventory

Management

Control and management of inventory, supplies and equipment throughout a

multiple- or single-facility organization.

Separate databases for each facility to accommodate multifacility purchasing and

maintain multiple inventories.

Purchasing and receiving of supplies and equipment.

Supply usage analysis, equipment maintenance management and contract

information management.

Optimal stock levels to avoid shortages and overstocking.

Identification of critical inventory items.

Vendor performance analysis through monitoring of backorders and open purchase

orders.

Arrangement of user-defined optimal purchase agreements.

Online ordering of supplies and equipment.

Activity tracking among multiple facilities.

Storage and retrieval of purchase order information from archival storage.

Contract management routines include bid analysis.

Consignment purchases.

Automatically receives routine payments on a monthly or quarterly basis.

Inventory Control Unlimited number of inventories, including off-site warehouses, floor stocks, par

levels and exchange carts.

Tracking of issues, returns, adjustments, transfers and purchase order history.

Inventory requisition methods: online department, replenishments for par-level

inventories and surgical case carts with patient charging capabilities.

Identification of inventoried items by item numbers, stock numbers, descriptions,

commonly used names or partial names.

Inventory valuation by average cost, first in/first out or last in/first out.

Online inquiry displays of receipts, issues, returns, adjustments, transfers, purchase

order histories and established inventory categories.

Recording of issues and returns of inventoried items for patients and departments.

Calculation of economic order quantities, minimum reorder points and safety stock

levels.

Quantity-on-hand information updating.

Identification and management of critical inventory items.

Facility-defined control of inventory, purchasing, receiving, supply usage, equipment

maintenance and outside contracting services.




Purchasing Maintenance of purchase orders (POs) and recording of shipments received against

POs.

PO status tracked as working, open, backorder, canceled and complete.

PO format is user-defined.

Accommodation of multiple facilities with different ship-to and remit-to addresses.

Inventoried and noninventoried items on the same PO, when required.

Combination of identical items for different inventories and departments on the

same order.

Automatic generation of purchase orders for items at or below their minimum

reorder points and nonstock items ordered via department purchase requisitions.

Generation of standing POs at user-defined intervals.

Online inquiry of POs in summary or detail.

Enterprise can define purchasing facilities individually.

Users can indicate a specific facility when entering a PO.

Receiving Support for receiving documents to record receipts.

Receiving by exception.

Blind receiving.

Item-by-item receiving.

Updating of quantity-on-hand when posting receipts of inventoried items.

Single inquiry viewing of receipt and PO information.

Online invoice reconciliation of POs and accounts payable invoices.

Purchase Requisition Distributed departmental requisitioning with automatic PO generation from approved

requisitions.

Purchase requisition status: working, verified, open, closed and canceled.

Online inquiry of receipt status or purchase requisition.

Requisition Activity Report shows the relationship between acquisition line items

and purchase order line items.

Requisition Lists in summary and in detail, by number or department.

Audit trail for item dictionary.

Asset tag/serial numbers for purchase order types.

Support for different vendors with various general ledger accounts specific to each

purchasing facility.

Analysis of supplies usage, equipment maintenance management and outside

service contract information.

Equipment

Management

Tracks usage, repair and preventive maintenance activity.

Provides maintenance information online.

Lists scheduled maintenance during user-defined time periods.

Accommodates online inquiry regarding equipment items.

Generates ad hoc equipment and maintenance reports.

Electronic Data

Interchange (EDI)

Electronic transmission of purchase orders to vendor EDI partners.

Support for all types of POs except returns.

Bar Coding Supports handheld terminals or terminal-attached bar code readers for data

transmission to the Materials Management application.

Supports generation and reading of bar code labels when taking inventory and

charging items against patient accounts.




System Interfaces Integration with MEDITECH’s Pharmacy, Billing and Accounts Receivable

applications, when installed, for transmission of patient issues and charges.

Integration with MEDITECH General Ledger application, when installed, for

departmental expensing and inventory valuation.

Interfaces to third-party clinical and financial systems via Health Level-Seven (HL7).

Table 7: E-Commerce Solution

Electronic

Commerce

Facilitates Web-based purchases and payments with suppliers through

intermediaries, such as Neoforma and Medibuy.

Supports File Transfer Protocol (FTP).

Supports traditional electronic data interchange (EDI) transactions using American

National Standards Institute (ANSI) X12 protocol.

Electronic transactions include:

Purchase orders.

Purchase acknowledgements.

Receipt notices.

Invoices.

Payments.

Catalogs and price updates.


Functional, Online Database.

Payroll Computation.

Budgeting Features.

Check Issuing.

Reporting Capabilities.

Direct Deposit Option.

Employee

Information

Database

Defined authorization for editing or “view only.”

Administers application tracking and query of the application database.

Generates letters in applicant tracking, Consolidated Omnibus Budget

Reconciliation Act (COBRA) tracking and the employee file.

Administers Section 125 plans.

Administers COBRA eligibility.

Supports mass edits for base rates, withholdings, benefits plans and receivable

balances for an employee or group of employees.

Year-to-Date Inquiry routine provides real-time inquiry on an employee’s

employment history.

Real-time compensation inquiries.

Edits specific data, such as pay rate changes, withholdings, benefits and positions.

Supports customer-defined queries to store hospital-defined information.

A reminder file details recertification reminders.

Employee skills inventory.

Provides default dashes in social security numbers and phone numbers.

Automatic posting of payroll receivables to Accounts Payable.

Online documentation with Hyperview.




Employee

Information Reports

Enables creation of employee reports by sorting and selecting data contained in

standard and customer-defined fields in the employee file. Reports include the

following information:

• Standard demographic information (name, address, gender, etc.).

• E-mail address.

• Dependant information.

• Direct Deposit account number.

• Medicare date.

• Customer-defined queries (up to nine pages).

Payroll Computation • Accommodates multiple payrolls with different schedules, lists employee pay

information and posts payroll data in appropriately labeled General Ledger batches.

Features include:

• Expected attendance data.

• Online entry of detail and summary time card data.

• Retroactive calculation for a group of contracts, payrolls, job codes or selected

employees.

• Computation of earnings, taxes and withholdings/deductions for employees or all

individuals, single or multiple payrolls, multiple payroll frequencies, unlimited

deductions (union dues, bonds) and tax-sheltered withholdings.

• Daily and monthly postings, with accrual, to MEDITECH’s General Ledger

application.

Specific Payroll

Reports

Payroll detail and summary by department, with flags denoting irregularities and

exceptions.

Payroll registers by timecard date, pay date and activity date.

Tax registers.

Withholding/deduction registers.

Identification of withholdings/deductions not taken.

Earnings reports identifying current period, month-to-date, quarter-to-date, calendar

year-to-date and fiscal year-to-date with dollars and hours.




Reporting

Capabilities

Includes a series of standard reports that can be printed on demand and in multiple

formats.

Out-of-Step Report.

Compensation statements.

Equal Employment Opportunity (EEO) Reports.

Labor Distribution Reports by dollars and hours.

Quarter-to-date (QTD) and year-to-date (YTD) Registers.

Earning reports identifying current period, month-to-date, quarter-to-date, calendar

year-to-date and fiscal year-to-date.

Monitrend Report.

Position Control Report by department and/or job code.

Daily Attendance Reports.

Scheduled Evaluations Report and Scheduled Reviews Report.

List of Employees by Contract Group.

Contract Seniority Report.

Base Rate and Rate Change Reports.

Status Change Report.

Termination Report.

Audit Trail Reports.

Turnover Analysis.

Population Report.

Application Reports.

Year-to-Date Inquiry.

941 Report.

Field Service Automation (FSA) Activity Statement.

FSA Claims Report.

Base Rate Report.

Benefit Status.

Labor Comparison Reports.

Direct Deposit

Option

Detail deposit information in the standard Automatic Clearing House (ACH) format.

Download to CPU Direct Deposit routines.

Generate employee deposit stubs.

List and view transactions on a tape/transmission.

Create a reversing tape.

Handle multiple banks per employee and multiple types of accounts per bank.

Split net pay between direct deposit check and the check issued for the employee.

Supports an unlimited number of payrolls, benefit plans, job classifications and

employee types throughout an organization.

Includes reports of system activity, automatic posting of payroll expenses to the

Payroll Journal in General Ledger and direct payroll deposit.


Standard Features Supports scheduling for all staff members and volunteer workers.




Skills profiles with certifications.

Staff sorting and grouping by type and skill.

Work schedule balancing.

Staffing budget.

Time-card generation and transmission to MEDITECH’s Payroll/Personnel

application, when installed.

Electronic signature of time cards.

Tracking of requests for time off.

Per diem tracking.

Scheduling Criteria

Set by Groups and

Departments

Groups and departments can set up their own templates to create staff schedules.

Templates allow diverse groups with varying needs to set their own scheduling

criteria.

Authorized users can change their groups’ staff-scheduling template as needed.

Ideal Staffing

Variance

Ensures that the necessary numbers and types of staff are scheduled to work a

shift.

A draft schedule informs the scheduler if the shift is overstaffed or understaffed.

Patient acuity is considered for nursing staff.

Staffing variance feature enables managers to balance work schedules and

distribute resources.

Automatic Time-Card

Generation

Generates time cards for employees who use them. Completed time cards are sent

to MEDITECH’s Payroll/Personnel application, saving staff, managers and clinical

department heads from maintaining and processing manual time cards.

The time cards support any combination of job codes and shifts.

Electronic Signature Supports online electronic signature of time cards by as many as nine people. The

time cards are generated from the posted schedule. If an employee is out sick or

works an extra day (not on the posted schedule), the authorized manager can either

edit the schedule or update the worker’s time card to reflect the change.

Per Diem Tracking Assists managers who schedule employees to fill in for vacationing co-workers. The

system keeps record of:

• Recent calls to eligible staff (so duplicate calls are not made).

• How often a particular employee has accepted or declined an offer to work.

• The availability of per diems.

• Pay rates of per diem on-call staff.

Optional Features Information sharing with MEDITECH’s Patient Care System, when installed.

Information sharing with Executive Support System and Budgeting and Forecasting

systems, when installed.


Registration application collects admission and registration data on inpatients,

outpatients, emergency room patients, surgical day care patients, observation

patients, recurring patients, referred patients and home healthcare patients admitted

to facilities throughout a healthcare network.




Patient Registration The Registration Module collects admission and registration data on all types of

patients.

Ensures patient information is formatted uniformly, makes precertification and

verification checks easier, communicates data throughout the organization,

eliminates duplication of effort and provides an audit trail for maintaining quality

assurance.

Inpatient Registration Multilevel Soundex Search.

During patient registration, the module searches the Master Patient Index to

correctly identify a patient. The system offers up to nine levels of search criteria:

• Functional Routines.

• Schedule and pre-admit inpatients.

• Cancel reservations.

• Generate inpatient admit questionnaires, both long and short forms.

• Generate newborn admit questionnaires using the mother’s information.

• Cancel patient activities and adjust statistics and room changes.

• Transfer an observation patient to an inpatient.

• Enter a patient’s condition at the information desk.

• Transfer patients and swap beds.

• Capture daily care charges.

Access Current

Information

Supports access to current information for each inpatient throughout the healthcare

network, such as:

• Name, account number, unit number, admission status, location and doctor.

• Admission questionnaire information.

• Current condition.

• Admission activity, such as transfers and previous discharge.

• Charges and credits.

• Precertification data.

• Flags of patients registered within the last 72 hours, enabling modification of

patient status to meet Medicare requirements.

• Provides access to information about the hospital’s census, including room and

bed inquiries, current occupancy summaries and statistics.

• Discharge patients.

• Send admission notifications.

• Print a visit history for a patient at the end of a registration.

• Undo any changes made to a patient’s account.

Outpatient

Registration

The application allows either centralized or decentralized data entry for recurring,

referred and clinical outpatients. Outpatient Scheduling, Preregistration and

Registration.

Cancel Reservation.

Client Billing/Short Form Generation.

Enter and Edit of Revisit Dates for Recurring Outpatients.

Automatic Discharge for Recurring Outpatients.

Edit and View Outpatient Data.




Outpatient Reports Allows users to create outpatient reports on demand.

No-Show List.

Daily List by name, hospital location, account number or service time.

Scheduled List.

Exception Report.

Discharge List for Recurring Outpatients.

Census List for Recurring Outpatients.

Emergency Room

Registration

ER patient preregistration and registration (both short and long forms).

Cancel reservation.

Cancel patient activities and adjust statistics.

Edit and view ER patient data.

ER reports.

Automatic transfer of a patient’s demographic and insurance data to inpatient status

when necessary.

Surgical Day Care

(SDC) Registration

SDC schedule, preregistration and registration.

Cancel reservation.

Cancel patient activities and adjust statistics.

Edit and view SDC patient data.

SDC reports.

Automatic transfer of a patient’s demographic and insurance data to inpatient status

when necessary.

Observation Patients Similar to the inpatient admission feature, this feature collects and updates

demographic and insurance data for observation patients. Features include:

• Observation patient admission and discharge.

• Cancel patient activities and adjust statistics.

• Change observation patient to inpatient.

• Change inpatient to observation patient.

• View and print patient information.

• Observation Patient Census Report.

Management

Reports

Formats the healthcare organization’s patient and census information into a variety

of management reports.

Registration, Discharge and Transfer Registers Report by name, account number or

time.

Alpha, Doctor and Nursing Unit Census.

Billing, Billing Office and No-Show List.

Schedule Registration List by name, service or priority.

Discharge and Transfer Registers.

Occupancy Summary Report by service or location.



Table 11: Community-Wide Scheduling

Automated Patient

Scheduling

Centralized and decentralized scheduling support.

Alternative appointment times.

Control of the time window in which an appointment can take place.

Consecutive sessions for a patient.

Multiple-site scheduling.

Flagging of frequent “no shows” and debts.

Recurring visits feature to schedule patients’ recurring appointments on a daily,

weekly, monthly or annual basis.

Automatic rescheduling feature finds new times based on the original appointment’s

criteria.

Flag for bad debts.

Graphical calendars.

Appointment buffer periods.

Patient Information

Access

Appointment instructions for patients.

Appointment sets.

Retrieval of demographic information and insurance information (even if the patient

has never visited the site before).

A display of the patient’s pending appointments.

Conflict Checking Checks by age, gender, insurance plan.

Resource conflicts.

Personnel conflicts.

Appointment

Communications

Automatic appointment reminders and cancellation notices, such as letters to

patients and e-mail messages to staff.

User-defined messages in the Appointment Conflict and Resource Appointment

Conflict Dictionaries.

Resource

Management

Additional features assist the management of personnel to schedule staff, rooms

and equipment.

Capability to schedule patients at specialized facilities within a healthcare

organization.

Schedules for multidiscipline clinicians can be arranged to reflect these clinicians’

practice patterns.

Capability to collect the data necessary to determine the efficiency and frequency of

use of resources.

Capability to enable managers to plan staff meetings at the most convenient time.

Managed Care Collects statistical information needed for managed-care contracts.

Patient-tracking information helps determine staff scheduling requirements.


Collects and reports various patient information, such as prospective payment, Peer

Review Organization data and state reporting requirements. It also helps to

calculate Diagnosis Related Groups (DRGs) accurately, monitor changes as

patients approach reimbursement limits, ensure that patient abstracts are completed

in a timely manner and analyze case-mix management at the hospital.




Grouper Routines for

Managing DRGs

Automatic calculation of DRGs based on diagnoses and surgical procedures.

Capability to assign separate DRG admit statuses, intermediate and final DRG.

Display of reimbursement amount and length of stay data.

Capability to recalculate the DRG if edits are made to other key fields.

Capability to flag patients for concurrent review.

Display feature to view patients’ DRG data.

Medicare edit checks when coding.

DRG test case grouper, which allows new users to practice assigning DRGs without

accessing the hospital’s actual patient database.

Capability to optimize or manually reorder codes to improve reimbursement.

Concurrent Review Helps identify and code which patients’ charges are approaching the DRG

reimbursement amounts and/or are approaching their DRG maximum or standard

length of stay. These reports signify the potential day and cost outliers of those

patients still in the hospital.

Users may identify any or all of the following criteria:

• Patients flagged for review.

• Patients whose actual length of stay (LOS) is within a hospital-specified limit of

their assigned LOS.

• Patients whose actual LOS is within a user-specified limit of the maximum DRG

LOS.

• Patients whose actual charges are within a hospital-defined percentage of the

DRG expected reimbursement amount.

• Patients whose LOS is a hospital-specified number of days before or after their

DRG standard LOS.

• Patients whose DRG or diagnosis has changed in the previous user-specified

number of days.

• Patients with a particular DRG status.

• Transmit UB 92 CPT charge master codes from the Billing/Accounts Receivable

application to the Case Mix Management application.

DRG

Grouper/Optimizer

Enables users to produce a DRG and expected reimbursement dollar amount from

the ICD-9 procedure and diagnosis codes entered for the patient.

Major operative procedures and complications are flagged to alert users.

Optimizes the expected reimbursement based on the ordering of diagnosis codes.

Customer-Defined

Screens

Supports creation and customization of screens to collect information. Screens can

be set up in the Registration application to pass information captured on these

screens to the patient abstract. Users can define screen attributes, such as:

• Acceptable response types.

• Length and position of prompts.

• Grouping of related prompts.

• Conditional responses or attributes for prompts.

• Collection of Ambulatory Patient Group (APG) data via a standard screen in the

patient’s abstract.




Online Patient

Abstracts

Allows users to create online patient abstracts by pulling selected information from

Registration to minimize data entry and allow for historical reporting. The system

allows users to:

• Display, edit and finalize abstracts for statistical compilation and tape creation if

applicable.

• File data automatically.

• Develop user-defined reports.

• Print forms such as the Attestation Statement.

Abstract Reports Abstract reporting options ensure that abstracts are completed as soon as possible.

Unfinalized abstracts are included in statistical reports. Users may create reports

such as:

• Incomplete Abstracts List to note those patients whose abstracts are not final.

• Expired Patients Report to List those patients who passed away during a user-

specified time period.

• Case Mix Indexing.

• A listing of all patients involved in a particular special study, which the institution is

conducting.

• Top 10 diagnoses and procedures, including rank and patient count.

Project Screens and

Special Studies

Routines

A group of user-defined project screens enables the hospital staff to establish their

own data collection screens for collecting information such as quality assurance,

risk management, infection control and utilization review data.

Flag special studies.

Collect and report on an unlimited number of user-defined queries and responses.

Assign an unlimited number of projects to a patient abstract as appropriate.

Use the report writer to report on projected data.

Limit user access to only appropriate projects.

Enter the diagnosis and procedures, as well as include ranking and patient counts.

Table 13: Authorization and Referral Management

Marketed as an integrated MEDITECH Health Care Information System (HCIS)

module. Software functionality is also incorporated into Medical & Practice

Management Suite for use in physician offices and clinics.

Allows users to enter, retrieve and edit authorization and referral information for

managed care patients during patient registration, appointment scheduling and

invoice processing/billing.

Works with Community-Wide Scheduling to track the allowable and number of used

visits for referrals and generates a user alert when the limit is reached.

Includes referral processing, work lists, reminders and management reporting.

Table 14: Executive Support System

Executive Reporting Information analysis application for department managers and healthcare

executives.

Allows users to create custom reports from data in the enterprise database.

Support summary and detail reports on current and archival information.

Allows users to compare data and to analyze trends over specified time periods.

Includes a set of standard management and statistical reports.



Table 15: Data Repository

Compiles data elements daily across the enterprise from the HCIS and from third-

party systems through standard HL7 links.

Validates information and patient identification before storage.

Includes standard queries and reports for patient outcomes.

Includes database tables and indices necessary to configure customized queries

using third-party SQL packages.

Complements MEDITECH’s enterprise patient records to provide management tools

for clinical and financial data. The Data Repository permits reviews of data for many

patients over a given length of time.

Compatible with MEDITECH MAGIC platform and client/server platform.

Accepts data from third-party systems via HL7 interfaces.

MEDITECH staff performs the initial system load from the current patient database.

Integrity of Data The Data Repository mirrors data gathered from an organization’s HCIS

applications.

Medical records stored in the repository can be updated to reflect new or revised

patient information, even if the record has been purged from the live HCIS.

Table 16: Data Archiving

Industry Standards Universal Naming Convention pathname support.

Magnetic, optical, disk and tape storage is transparent to the user.

Automatic Archiving Routines and parameters trigger automatic data archival at predetermined time

periods.

Manual Archiving Interactive application with display screen dialogue box and mouse/keyboard.

Report Retrieval Report index displays original application date, document title, visit date and

comments.

Report Purging Verification of data archival before purging can begin.

Archiving and purging performed in separate steps.

No data modification during archival.

Archival date in file index determines when to purge.

Microsoft Distributed

File Service

Mapped set of logical share names pointing to physical servers.

Provides HCIS with one set of path names for permanently referencing archived

reports.

Transparent movement of archived data to various servers, based on storage and

performance requirements.

Table 17: Integrated Communication System

Provider Messaging

and Tracking

Supports the following e-mail functions: message creation, sending, receiving and

deleting.

Provides message tracking.

Supports e-mail via corporate intranets and external e-mail over the Internet.

Integrates with other HCIS applications installed within the enterprise.



Table 18: Operating Requirements: MEDITECH HCIS Enterprisewide HIS Financialand Administrative Applications

Server Platform HP/Compaq AlphaServer under MEDITECH’s MAGIC operating system.

HP/Compaq ProLiant under Windows 2000.

Dell PowerEdge under Windows 2000.

IBM eServers under 2000.

Client Platform Pentium running Windows NT, 2000, 98, 95.

LAN Topologies Ethernet.

Token Ring.

Communications

Protocols

TCP/IP.

Web Browser Microsoft Internet Explorer.

Citrix Nfuse Classic application portal software.

Remote

Communications

Citrix MetaFrame XP application server.

Relational Database

Management System

Microsoft SQL Server (client/server version).

MAGIC database (MAGIC version).

System Backup MEDITECH applications are configured with multiple CPUs, multiple disk drives and

multiple disk controllers. Nightly backups occur from the shadow disk drive to

ensure uninterrupted access to the live database. Uninterrupted backups are

supported.

Analysis

Table 19: Product Profile: MEDITECH HCIS Enterprisewide Financial andAdministrative Applications

Product Name MEDITECH Health Care Information System.

Product Type Enterprisewide healthcare information system—financial and administrative

applications.

Date of First

Installation

Client/server platform: 1996.

Number Installed 1,752 (includes client/server and MAGIC platforms).

Hardware Platform HP/Compaq AlphaServer and ProLiant, Dell PowerEdge, IBM eServers, Intel

Pentium.

Operating Systems Microsoft Windows 95, 98, NT, 2000; MAGIC.

Database Microsoft SQL Server (client/server version).

MAGIC (MAGIC version).

HL7 Compliance Yes, both versions.

MEDITECH’s Health Care Information System (HCIS) is a set of tightly integrated departmental andenterprise software applications that link patient, administrative and financial data throughout thehealthcare enterprise. HCIS is modular in design, allowing care delivery organizations (CDOs) toimplement a core system of data repository, order entry, patient registration, billing/accounts receivableand medical records, then implement additional applications over time. While many applications cantechnically function as stand-alone systems, MEDITECH typically sells HCIS as an enterprise system.The HCIS client base consists largely of community hospitals in the United States and Canada. In 2001MEDITECH began targeting larger organizations and has sold HCIS to several U.S. and Canadianintegrated delivery systems (IDSs).



HCIS consists of 36 integrated applications for hospitals, physician offices, long-term care facilities andbehavioral health settings. This report covers the following financial applications:

• Billing/Accounts Receivable

• Accounts Payable

• General Ledger

• Budgeting and Forecasting

• Cost Accounting

• Fixed Assets

• Materials Management

• E-Commerce Solution

• Payroll/Personnel

The following enterprisewide administrative systems are supported:

• Registration

• Community-Wide Scheduling

• Case Mix Management

• Authorization and Referral Management

• Staffing and Scheduling

• Executive Support System

• Data Repository

• Data Archiving

• Integrated Communications System

Since 2H 2001, MEDITECH has released three new financial and administrative applications to the HCISproduct line:

• Integrated Communication System—An e-mail/messaging system intended for enterprisewide usewithin a corporate intranet with support for Internet messaging outside the organization.

• E-Commerce Solution—Provides Internet-based transactions with suppliers through intermediariessuch as Neoforma and Medibuy. It also provides traditional EDI-based payments, orders,acknowledgements and notices.

• Authorization and Referral Management—Incorporated into Medical & Practice Management andintegrated with the HCIS managed care, billing, patient registration and enterprise schedulingmodules.

The complete HCIS product line also includes a wide range of clinical and departmental applications (notcovered within this report). The departmental applications are General Laboratory, Microbiology,Anatomic Pathology, Blood Bank, Pharmacy, Imaging and Therapeutic Services (radiology), OperatingRoom Management and Emergency Department Management. Clinical applications consist of Physician



and Provider Order Entry, Provider Order Management (a physician order entry, POE, application),Enterprise Medical Record, Patient Care System, Prescription Management, Long-Term Care, BehavioralHealthcare, and Medical and Practice Management.

HCIS is available in two versions—the legacy MAGIC version, based on MEDITECH’s proprietary MAGICoperating system platform, and the Client/Server version, introduced in 1996, based on the WindowsNT/2000 and SQL Server platform. MEDITECH actively markets the client/server-based HCIS, butcontinues to enhance and support its more than 1,000 MAGIC customer organizations.

All applications within the Client/Server version are linked via the HCIS Data Repository, which uses theMicrosoft SQL-Server relational database management system installed on a Windows NT server. DataRepository performs both batch and continuous processing. It supports off-the-shelf tools, such asMicrosoft Access. The Open Database Connectivity (ODBC)-compliant repository accommodates third-party information systems, via HL7 interfaces, as well as HCIS applications. MEDITECH has writtenapproximately 50 interfaces to third-party information systems installed in client organizations that haveinstalled Data Repository.

The HCIS EMR application stores and retrieves a lifetime of clinical, financial and demographicinformation for all patients treated within the enterprise. EMR supports all networked entities, includingphysician offices, satellite laboratories and long-term care facilities, as well as home healthcareenvironments. EMR is accessible to authorized users anywhere online. Physicians viewing clinicalinformation (care paths, visit notes, test results, medications, etc.) can enter new orders, modifyestablished orders and electronically sign discharge summaries and other documents while online. TheHCIS Data Repository, using both Microsoft SQL Server and MAGIC, serves as the EMR database. Itaccepts information transmitted from other HCIS applications and from third-party information systems viaHL7 interfaces. Information gleaned from all applications is organized and displayed in a consistent formatfor all users. EMR lacks a controlled medical vocabulary (CMV).

User organizations can implement HCIS in a two-tier (MAGIC version) or three-tier (Client/Server)configuration. The two-tier model supports local area networks (LANs,) but not wide area networks(WANs). It uses a Windows NT file server and executes applications and functions at the client level. Thethree-tier model provides WAN connectivity for multiple facilities, using two Windows NT file servers—onefunctioning as a remote server and the second used as an application server for local processing anddata storage. A combination two-/three-tier model is designed for CDOs with one main facility and remoteoffices. At the main facility, PC clients use the local file server, while at the remote sites, a two-serverconfiguration is in place. Regardless of the network configuration, the CDO can choose among Intel,HP/Compaq, IBM and Dell servers running under Unix and Windows NT Server/Windows 2000. Clientprocessors support Windows 2000, NT, 98, 95 and Terminal Server. Within the Patient Care System,Physician Order Management and ED System, support for the HP/Compaq iPAQ personal digitalassistant (PDA) running under Windows CE is scheduled for 4Q02.

Pricing

MEDITECH does not release pricing data or sample configuration pricing.

GSA Pricing

No.

Competitors

MEDITECH’s HCIS competes with the following representative enterprisewide healthcare informationsystems (HISes):



• Cerner Corp. Millennium

• CPSI The CPSI System

• Eclipsys Corp. SunriseXA

• Epic Systems Corp. Inpatient Suite and Clinical Suite

• McKesson Horizon, Pathways, STAR, Paragon and Series

• IDX Systems Corp. Carecast and IDXtend for the Web

• Keane Inc. First Coast System and Keane Healthcare Information System

• Misys Healthcare Systems Misys Hospital Systems

• Per-Se Technologies Patient1, Decision1—Clinical Analyzer and Business1

• QuadraMed Corp. Affinity

• Siemens Medical Solutions Health Services Soarian and INVISION

Strengths

Stable, Experienced Software Provider

Although a privately held company, MEDITECH releases information about the size of its customer baseand revenues (but not net income). The company enjoys a reputation for strong service and support whilereporting steady annual increases in customers. While the majority of MEDITECH’s 1,752 customers arebased in the United States, MEDITECH also supports a large-client base in Canada, where one-half of allCDOs use MEDITECH HCIS Client/Server and MAGIC applications. The company also supports 24 clientinstallations in the United Kingdom, Saudi Arabia, South Africa and the Pacific Rim. MEDITECH added118 new customers in 2001 (all HCIS customers), including 43 in Canada. Internal development, ratherthan acquisitions, has fueled MEDITECH’s stability and growth.

Table 20: MEDITECH

Annual Revenues (US$) Customer Organizations

2002 * 1,752

2001 218M 1,682

2000 211M 1,556

1999 224M 1,450

1998 204M 1,300

1997 193M 1,100

*Fiscal year ends 31 December 2002.

Some software vendors find it difficult to provide adequate service and support during significant growthperiods. MEDITECH, however, has created a service organization of 500 staff members (within anemployee base of 2,000) to address user requirements. In addition to the usual maintenance contract andtraining programs offered by most software companies, MEDITECH conducts free workshops andseminars at regional locations in the United States and Canada.

Wide Range of Applications

HCIS covers a broad range of clinical, financial and administrative applications for use within virtuallyevery department or business unit within the healthcare enterprise. The HCIS financial portfolio covers not



only the basic modules, such as general ledger, accounts payable and receivable, but also materialsmanagement, budgeting and forecasting, payroll/HR and staff scheduling. HCIS enterprise administrativemodules consist of a data repository, data archiving, e-mail, enterprise resource scheduling, case mixmanagement, a computer-based patient record (CPR) and EPI. In addition to traditional departmental(pharmacy, radiology and laboratory) systems, HCIS includes patient care documentation/care plandevelopment, orders and results, operating room, emergency department and prescription managementapplications. The lab system supports anatomic pathology, blood donor and blood bank, in addition togeneral lab and microbiology. Outside the hospital, HCIS offers Medical and Practice Management forphysician offices, Prescription Management, Long-Term Care and Behavioral Health. All applications aretightly integrated. Most competitors also offer a broad portfolio, but may be missing applications such asED, materials management, OR, Behavioral Health and LTC.

Limitations

Proprietary Architecture

The HCIS Client/Server version supports a variety of Windows operating systems and the Microsoft SQLServer database; however, MEDITECH continues to develop and market HCIS applications in theproprietary MAGIC environment. MEDITECH does offer more than one client/server platform for itsproducts, including the HP/Compaq AlphaServer and ProLiant, Dell PowerEdge, IBM eServers and IntelPentium processors; however, the HP 9000 and IBM RS/6000 servers are not supported. Traditionally,MEDITECH’s proprietary system architecture has been a deterrent to larger hospitals and integrateddelivery systems (IDSs). Recently, however, MEDITECH made some headway into this market segmentby offering attractive enhancements, such as POE and Web access to patient records, and by continuingto demonstrate financial stability and strong service and support. In 2001, CDOs with annual operatingbudgets of $700 million or more represented 26 percent of new MEDITECH HCIS sales.

Limited Web Accessibility to HCIS Applications

MEDITECH provides authorized users with limited access to selected patient information in the datarepository through its Internet-based solutions. The firm has not, however, Web-enabled each HCISapplication. It does not offer an application service provider (ASP) deliverable for clients that prefer Web-based remote hosting to an in-house client/server system.

Insight

Continued development and support of both the MAGIC and Client/Server versions of the HCIS enterprisesystem has netted MEDITECH 1,752 client organization customers. While most HCIS users arecommunity hospitals with 300 or fewer beds, the firm won several contracts with U.S. and Canadian IDSsin 2H01 and 1H02. Smaller organizations seeking an enterprisewide solution have benefited from the tightintegration of the HCIS financial, administrative and clinical modules; however, the lack of an open, Web-based system architecture remains a challenge in attracting larger users. MEDITECH’s 17-year history ofyear-over-year increases in annual revenues and total customers is an important consideration for alltypes of CDOs seeking an experienced and stable vendor partner.

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