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TiaMD NUMR

• Integrated virtual clinic
• Workflow enabled management solution that
  incorporates TiaMD Rapid Responz, TiaCoder,
  TiaCare, and modular enterprise resource planning
  (ERP) services to provide a holistic, scalable
  health management system (HMS) for care providers
  of all sizes. (TiaConcierge service has been
  bundled into this platform)

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WORKFLOW Scheduling Office Visits
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Patient requests for appointment from TiaCare
mobile app
4
Doctors office confirms appointment on TiaMD
NUMR web portal and emails Intake form to TiaCare
mobile app
5
Medical Assistant checks Insurance Eligibility
and collects Copay Interfaced with Navicure
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During office visit, Medical Assistant records
vitals using wireless medical devices to updates
patient information in TiaMD NUMR web portal or
mobile app
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Doctor evaluates patient and documents
information on TiaMD NUMR web portal or mobile
app

• Patient Visit History
• Clinical Assessment
• Auto-filled Notes
• Nuance Dragon tool
• IMO Database for ICD10, SNOMED codes
• Favorite templates for problem procedure
• Lab Radiology orders
• E-Prescription using Dr. First
• Referral to external labs and other specialists
• Document management
• Active medication and allergies
• Messaging
• Emergency Protocol setting

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Virtual Visit Tele Appointment for follow-ups
from TiaCare and TiaMD NUMR / Rapid Responz
mobile app and web portal
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Coding and billing Patient encounters sent for
billing to TiaBilling web portal secure excel
in email
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WORKFLOW Pre-hospital Care Care Coordination
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Patient initiates call to emergency medical team
(EMT)
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EMT receives call and identifies patient location
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EMT evaluates patient and records vitals
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EMT connects to On-Call Doctor
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Doctor or medical assistant records patient
condition severity using scales like NIHSS
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TiaMD Rapid Responz

• Virtual Mobile / web based Telehealth platform
• Emergency Protocol Setting performance reports
• Integrated real-time schedule for on-call
  physicians
• Send and receive secure video, audio, and text
  messages
• Utilize TiaMD NuMR integrated EHR platform for
  virtual or conventional care
• DICOM viewer (TiaImage)
• Equipped with TiaHealth Peripherals with Tele
  Medicine carts
• E-prescription platform
• Equipped with TiaCoder functionality
• Encrypted HIPAA protected cloud service

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EMT broadcasts emergency to stroke doctors
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Doctor connects to patient in emergency room or
ICU
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Options for doctor to connect to Telemedicine
cart from mobile app
Option3 Menu- Click Cart
Option2 Click Connect ED
Option1 Click Cart
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Doctor to use camera controls from mobile app and
web portal
Press Hold Swipe To Draw Box Enables Camera
Zoom In On Selected Area Pinch Zoom
Out/In Swipe Left/Right And Up/Down
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Doctor records problem and procedure
Interfaced with IMO for ICD10
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Doctor creates notes

• Template setting based on doctor requirement
• Auto-population of contents Patient Details,
  Problem, Procedure, Medication etc.
• Integrated with Nuance Dragon for voice to text

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Doctor gives orders for lab and radiology

• Template setting for order list
• Send to external lab/radiology centers
• HL7 Interface to other hospital systems

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Doctor creates prescription and sends to
pharmacy electronically Interfaced with Dr.
First

• Template setting for medication list based on
  problem
• E-Prescriptions

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Doctor views Patient Images (MRI, CT)

• Integrate with PACS
• Image comparison tools

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TiaCoder

• Modular mobile or web based Charge Capture
  program with the following interfaces
• Virtual scribes will eliminate corrections and
  improve efficiency
• Partner with third party coding and billing
  agencies with VR technology
• Real time audits and dashboard reports
• Operates with IMO ICD10 CPT interface
• Utilizes Nuance Dragon dictation system
• Incorporates transcription services
• Enables Navicure clearing house
• Rounding mobile application
• Physician Group Patient Assignment Management

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TiaCoder Workflow
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Doctor follows Inpatient Rounding list and
created encounters

• Fax to PCP
• Copy previous codes in one-click
• Hand-off patients to doctor(s) in a group
• Faster sharing of encounters for billing
• Integrated with IO for ICD10 codes

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TiaCoder Dashboard Advanced Clinical Search on
patient data based on problem, procedure, Age,
Gender
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TiaCare

• Patients mobile app
• Encrypted HIPAA protected portable health
  record
• Schedule an appointment
• Requesting refills
• Schedule payments
• Utilize TiaMDs EHR ecosystem (TiaMD NuMR)
• Utilize Intelligent Health Exchange (TiaAlert)
• DICOM viewer (TiaImage)
• Communication portal (secure text, AV portal and
  secure email)
• Customize patient portfolios
• Share health summary with doctors
• Emergency calls

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Patient maintains health summary and connects
with doctor
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Quality Metrics Access Patient Clinical
Evaluation
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Access Clinical Guidelines
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Primary Stroke Measures
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Quality Metrics Data Collection Attributes-exampl
e
Anticoagulation Therapy Prescribed at Discharge Antithrombotic Therapy Administered by End of Hospital Day 2 Antithrombotic Therapy Prescribed at Discharge Arrival Date Arrival Time Assessed for Rehabilitation Services Atrial Fibrillation/Flutter Clinical Trial Comfort Measures Only Date Last Known Well Discharge Disposition ED Patient Education Addresses Activation of Emergency Medical System Education Addresses Follow-up After Discharge Education Addresses Medication Prescribed at Discharge Education Addresses Risk Factors for Stroke Education Addresses Warning Signs and Symptoms of Stroke Elective Carotid Intervention IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival IV Thrombolytic Initiation IV Thrombolytic Initiation Date IV Thrombolytic Initiation Time Last Known Well Reason for Extending the Initiation of IV Thrombolytic Reason for No VTE Prophylaxis Hospital Admission Reason for Not Administering Antithrombotic Therapy by End of Hospital Day 2 Reason for Not Initiating IV Thrombolytic Reason for Not Prescribing Anticoagulation Therapy at Discharge Reason for Not Prescribing Antithrombotic Therapy at Discharge Reason for Not Prescribing Statin Medication at Discharge Reason for Oral Factor Xa Inhibitor Statin Medication Prescribed at Discharge Time Last Known Well VTE Prophylaxis VTE Prophylaxis Date Admission Date Birthdate Discharge Date Health Care Organization Identifier Hispanic Ethnicity ICD-10-CM Other Diagnosis Codes ICD-10-CM Principal Diagnosis Code ICD-10-PCS Other Procedure Codes ICD-10-PCS Other Procedure Dates ICD-10-PCS Principal Procedure Code ICD-10-PCS Principal Procedure Date Payment Source Race Sex
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Quality Metrics Monthly Metrics Dashboard
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TiaAlerts
Mobile Apps
TiaMD NUMR
TiaCare
TiaEmergency
TiaCoder