A leader in Healthcare Information Technology
 
   

UNIVERSAL MEDICAL RECORDS 

22 THE CROSS ROAD

CORTLANDT MANOR, NEW YORK  10567

Tel: (914) 737-7499             Fax: (212) 504-7956

Copyright ã 1996- Universal Medical Records  All rights reserved.  Patents Pending.  Printed in the United States of America.  No part of this publication may be reproduced in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the company.

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TABLE OF CONTENT

SECTION        TITLE             

1.      INTRODUCTION

2.      OVERVIEW

3.      VIRTUAL MEDICAL NAVIGATOR GATEKEEPER ä PROGRAM

4.      INVESTIGATING AND PREVENTING MANAGED HEALTHCARE FRAUD AND ABUSE

5.      FEATURES AND BENEFITS

6.      PRODUCT BENEFITS

7.      EMPLOYER’S WELLNESS TRACKING SYSTEM

8.      BENEFITS TO PAYOR OR INSURER

9.      BENEFITS TO EMPLOYER

10. BENEFITS TO ENROLLED MEMBER

11. BENEFITS TO LICENSED HEALTH CARE PROVIDER OR ROFESSIONAL

12. BENEFITS TO GOVERNMENT

13. HUMAN RESOURCE COST REDUCTION

14. UMR SAMPLE RECORD PRINTOUT

15. MEDICAL RECORD ANALYZER ä BUREAU

16. UMR WELLNESS TRACKING SYSTEM

17. DOCTOR ALERT NETWORK ä

18. HEALTH CARE BRIDGE

 

         


UMR

Striving For Excellence

Employee Healthcare Information Management

 

 

OVERVIEW 

Just as the re-engineering of corporate America’s business practices created a whole new set of information needs and technological applications, so are the broad changes under way in health care creating a demand for new technologies.  Traditionally the most critical medical related document, the patient record, has lived on separate paper forms literally log jamming the abilities of the health care industry to properly manage the employee/patient’s wellness and the costs associated with maintenance/rehabilitation.  Successfully managing care requires better access throughout the system.  Business entities practicing managed care realize that they have to be able to manage information.  In a recent New Jersey State commissioned $2.0 million dollar study, NJIT stated that the ideal Electronics Data Information (EDI) medical management system would be able to deliver the following features:

·        Paperless Medical Information Systems

·        On-line Access to Medical Records

·        Total Quality Management

·        Informed Consumers - Employee and Payor

·        Managed Care with or without HMO’s 

NJIT’s conceptual system of the future is available now from Universal Medical Records.

Universal Medical Records (UMR) has been engaged in research and development efforts involving automated data records and medical/health care since 1996.  Its primary focus has been the implementation of an integrated computerized patient medical record and the services associated with it for offering immediate and cost-effective on-line worldwide storage, access and retrieval.

The basics for this concept were developed by Dr. Steven Cohn (see curriculum vitae) over the past ten years.  The format and organization of this record is in compliance with the standards recommended by the American Society of Testing and Materials (ASTM).  The data content also complies with federal requirements for confidential medical data  records under the American with Disability Act (ADA) that must be met by all companies with 15 or more employees.  This act stipulates that the medical condition or history of the employee “shall be collected and maintained on separate forms and in separate medical files and be treated as a confidential medical record.  The requirement is not limited to disabled individuals, it applies to all employees and failure to comply could subject the employer to citations and applicable fines.

Accordingly, UMR is positioned to offer an electronic medical records management system that delivers.

·        Confidentiality

·        Health and Wellness Education Support

·        Ease of Use - No Training Necessary

·        Paperless Records and Retrieval System

·        Interfaces with Existing Equipment, Forms, and Protocol

·        Organized Case Management and Billing Management Systems

·        Employee/Employer Benefits

·        Universal Applications - WCIS and HRIS

·        Expandability and Portability

·        MEASURABLE COST CONTAINMENT

·        HUMAN RESOURCE COST REDUCTION

 

VIRTUAL MEDICAL NAVIGATOR GATEKEEPER Ô PROGRAM

 

Universal Medical Records (UMR) is an organization that has been engaged in the research and development efforts involving automated data records and medical /  healthcare since 1996.  Its primary focus has been the implementation of an integrated computerized patient medical record and the services associated with this medical record for offering immediate and cost-effective on-line worldwide storage, access and retrieval.

 

The basis for this concept was developed over the past twelve years.  The format and organization of this medical record is in compliance with the standards recommended by the American Society of Testing and Materials (ASTM).  The data content also complies with federal requirements for confidential medical data records under the American with Disability Act (ADA), a standard that must be met by all companies with 15 or more employees.  This act stipulates that the medical condition or history of the employee “shall be collected and maintained on separate forms and in separate medical files and be treated as a confidential medical record”.  This requirement is not limited to disabled individuals, it applies to all employees and failure to comply could subject the employer to citations and applicable fines.  Furthermore, HIPAA regulations require medical information to be transmitted securely, stored securely, transactionally secured with all medical information being accessible by the patient.  UMR with a partnership with Web/MD provides the tools for HIPAA compliance today.

 

UMR has developed the world's most sophisticated and intelligent integrated healthcare delivery system that addresses managed care in any healthcare setting.  The system is centralized around a proprietary database of ICD-9 codes, CPT-4 Codes, NDC and HCPCS Codes, and telecommunication products and services.  UMR has concentrated its resources on finding the solution to creating a virtual Community Health Information System, that allows the patient to enter any healthcare system, obtain the appropriate information and receive the proper care according to their own Universal Medical Record. 

 

Today, when the patient enters a healthcare provider's setting, the patient must recall past events, which may or may not be recalled correctly, but the process is also time consuming, redundant and may be malpractice and error prone.  When the patient leaves the healthcare setting, he or she does not receive a receipt of services in an intelligent format that can be utilized again the next time a healthcare encounter occurs.  This is the healthcare dilemma!  In addition, how would another healthcare provider know what the previous healthcare encounter was and whether or not the patient received proper follow-up care from a previous provider?  This inability to clearly know, allows for complete incontinuity of healthcare and makes no provision for "Checks and Balances" between providers, patients and payors.

 

The healthcare delivery system is currently structured so that when an individual enters the system a history is created.  This process is known as “Review of Systems”.  UMR has developed a mechanism of automating this process [Patents Pending].  The next patient episode is the actual physical examination that also pertains to the Review of Systems and most importantly focuses on the "Chief Complaint".  The results from this encounter are then entered into the provider’s Healthcare Clinical System (this can be anything from a completely manual paper system to a sophisticated electronic medical records [EMR] system).  Once the physical examination has been completed, the patient is diagnosed by the provider and treatment is rendered.  This is entered into the clinical system and the bill for diagnosis and treatment is submitted for payment.  What UMR now performs is an interface either with the Practice Office Management Information System’s (POMIS) Clinical System or Claims Processing System for the Diagnosis and Treatment codes.  This is what UMR calls the “back-end” of the healthcare system.  What distinguishes UMR from another EMR or clinical solution is that the UMR database is not a clinical depository of all the clinical information, but instead provides an index of the clinical information into a Review of Systems where it is categorized, counted, and dated from an initial diagnosis to one that is on-going or fully treated.  This patient may go to several different providers and the clinician will not know if this disease is acute or chronic.  UMR solves this dilemma.  UMR transmits this information to the attending provider to help analyze the problem more effectively.

 

UMR is the “front-end” and “back-end” of any healthcare provider system in that UMR  provides abstract information in a concise fashion which allows it to communicate with a POMIS system, and has the capability to update the initial entry into the system.  UMR can be compared to a "Medical Table of Contents or Index" of an individual's healthcare records, which makes it most manageable for today’s managed care and utilization review.  UMR allows for measuring one's healthcare in an intelligent fashion which reduces duplication and triage time. 

 

There is another major dilemma.  How does the patient play a role in their healthcare management?

 

In this regard, UMR has taken a totally unique approach to healthcare.  UMR has the capability of working with other less complete solutions in the medical records industry allowing them to index and file these encounters for future references.  Healthcare delivery systems have in essence taken the hand written notes of the doctors and nurses and computerized them, which makes it easier to read and understand.  However, when  you add one clinical encounter after the next, these clinical notes become unorganized and are therefore not easily accessible.  How does one organize these notes for use by other systems for which a patient may have encounters?  UMR provides the necessary portability of the patient’s record from provider to provider.  This portability, coupled with a user-friendliness, for either a computer or “computer-less system” (which can be as easy as dialing 1-2-3 on the facsimile machine), that allows for the first time ever, the patient's interaction  with their own healthcare record.  

 

UMR is a patient oriented healthcare solution that allows an individual to globally receive managed care and be treated uniformly in any healthcare setting.  A healthcare record from a clinical system cannot be streamlined in a routine or emergency basis, and provide the managed care facility with notification for cost containment.  UMR addresses this problem as well.  For example, when a patient gets injured and goes to any Emergency Room, what normally happens is that a history is obtained that is time consuming and error prone.  The healthcare system of today does not allow information to be passed directly to the Emergency Room and notify any Managed Care provider in real-time fashion.  And, even if it could, what kind of information would be transmitted?  A clinical record of 10 pages, from 5 different providers?  No healthcare provider would waste precious time reviewing this information.  More importantly, how would they receive this information?  UMR, via the Internet, by facsimile, phone and pager has answered this dilemma.  In this real-time setting, the Emergency Room doctor would have the UMR abstract and the primary care physician would immediately know of the emergency for real-time second opinion.  In today's setting, the Emergency Room will tell the patient to follow-up with their doctor upon leaving the Emergency Room.  Most patients do not!  Our system will allow the doctor to better manage the patient in a real-time fashion and thus be able to provide better quality of care.

 

Product Benefits

 

The Universal Medical Records has been developed by medical and data processing professionals to streamline the current inefficient process for establishing and updating an individual's medical history.  UMR addresses three major areas of concern to the patient, the employer, the insurer, the government and the medical community:

 

        Proper Medical Care

        Cost Containment

        Malpractice Reduction

 

The benefits of integrating our solution with the expertise and nationwide distribution of various providers of medical records solutions are magnified tremendously.  I would love the opportunity to arrange a time for you to visit our website http://www.universalmedicalrecord.com/ so you can see for yourself, the benefits we have discussed above.

Competition.           There are five primary products and services that compete with Universal Medical Records™: LifeCall, Medic Alert, Life Card, Smart Cards and Electronic Medical Records.

Life Call was designed for people who stay at home and in the case of medical emergency they would press a button around their neck to summon for help.  The advantages to this product are that calls for help are automatic with the push of a button and the resulting response provides medical assistance.  On the negative side the user must be in his/her home to operate.  It has no on-going medical record capability and it is expensive to maintain.

Medic Alert is intended for those individuals who have a medical problem in which they are required to wear an I.D. bracelet for identification purposes.  This product is well-known, inexpensive, provides medical assistance and is known on a worldwide basis.  There, however, is no on-going medical record, no confidentiality and some hesitancy for an individual to wear a "negative label" tag.  There is no payment plan for the provider.

LifeCard is a credit card with the microfiche of the medical record.  There are several credit card companies that house a microfiche medical record permanently placed on the credit card.  This product is inexpensive and provides a payment plan for the provider.  It, however, needs to be read by a microfiche terminal and it is difficult and expensive to update.  There is no on-going medical record and if the card is lost the client may lose his/her medical confidentiality by public exposure.

Smart Cards were designed for mobile storage capacity, identification and integrity of confidentiality.  There are numerous types of Smart Cards: Optical, Barcoding, Magnetic Strip, Laser, Microchip, etc.  This product is relatively expensive to implement given  its restricted use.  It needs to be read by an individualized terminal and it is difficult and expensive to update. It has no telecommunications interface.  There is no on-going medical record and if the card is lost the client may lose his/her entire medical record forever.  Does not provide globalization of health care.

Electronic Medical Records consists of a variety of interactive software modules which collectively integrate clinical, management and financial applications to provide data from the medical record of a single patient and single health care provider(s).  These electronic medical records are restricted to the health care provider's office and/or facility, providing no telecommunications interface.   There is no on-going medical record and the patient cannot accessed.

These five products and services have the capability of interfacing with UMR on a different platform with the use of computer technology.   UMR is the first product of its kind to offer these kinds of services directly on-line at the health care proivders officer(s).

          

 

Employer’s Wellness Tracking System

·        Tracks daily health care provider activity of employee.

·        Daily log activity.

·        Immediate notification system.

·        Integrates health care record of employee for:  

o       Worker’s Compensation

o       Disability Insurance

o       Health Insurance

o       Life Insurance

o       Key Man Life Insurance

o       Property & Casualty

o       Malpractice Insurance

o       Product Liability

·         

·        Provides a benefit to the employee while emphasizing managed health care.

·        User Friendly - accessed via any touch-tone phone.  

·        Removes violations regarding the Americans With Disability Act.

·        Provides a tool for employees to better understand their health care needs.

·        Interfaces to Industrial Security Monitoring Central Station for date and time  stamp for handling of employee emergencies for notification and documentation.

   

BENEFITS TO PAYOR OR INSURER

·        Contributes to reducing frivolous law suits with current and accurate information.

·        Reduces payouts for redundant tests and procedures.

·        Can be used for an insurance company promotion for  expanding enrollment.

·        Provides for a single source record and documentation of enrollees medical history and inventory.

 

·        Supports a medico and medicolegal discovery service saving court and legal costs.

·        Allows insurers to effectively process claims worldwide.

·        Enhances collection and analysis of medical data for establishing trends and actuarial projections.

·        Allows immediate retrieval of institutions' archived patients' medical records to improve handling  of malpractice claims based upon inappropriate use of medical records.          

·        Reduces liability through confidentiality and integrity of records.    

 

BENEFITS TO EMPLOYER

·        Enables employers to comply with the Requirements of Title I of the Americans With Disabilities Act (ADA).

·        Encourages employers to offer the same health care record to their employees as a company benefit.

·        Allows company to comply with the requirements of the Occupational Safety and Health  Act (OSHA) that regulates workplace incurred diseases and injuries.

·        Permits employers to track chronic complaints and claims to detect fraudulent abuse.

·        Assists employers in processing Worker's Compensation applications.

·        Simplifies employer record keeping for compliance to the Environmental  Protection Act (EPA) long-term record maintenance for employees working in hazardous industries.

·        Facilitates Human Resources functions in managing employee healthcare.  

BENEFITS TO ENROLLED MEMBER

·        Allows efficient recording, updating, reviewing, and retrieving medical history and inventory data such as immunizations, medications and treatments that may be prescribed by the attending physician in the office, hospital or other health care facilities.   Filling out a different medical form for druggists, hospitals, labs, clubs, and teams, remembering medical histories and returning to the doctor each time is no longer necessary.

·        Eliminates duplicate and sometimes conflicting information and forms for different purposes such as school, work, camp, athletics, trips or other uses.

·        Achieves a piece of mind that such information is always available even in times             of emergency or when filling out forms or tax statements for reimbursement or deductions.

·        Provides a sense of security to know that very personal information is available to only those that require emergency access to it via pre-established protocol or to those designated by the member.

 

BENEFITS TO LICENSED HEALTH CARE PROVIDER OR PROFESSIONAL

·        Accesses reliable information immediately in case of emergency in the home, physician's office, hospital or other health care facilities.

·        Reduces chance of improper care and exposure to malpractice cases.

·        Adds value to technology in use.

·        Allows immediate updating of all relevant patient history information within a single file.  

 

BENEFITS TO GOVERNMENT

·        Facilitates healthcare utilization review.

 

·        Provides an inexpensive system to maintain and operate by all provider groups, with appropriate government backing.

·        Integrates the emerging technologies of the information highway with the healthcare industries for record exchange,  collection, retrieval and currency.

·        Supports national objectives for standardizing healthcare across all lines and types of providers.

·        Creates new health care-related industries and employment opportunities within             them.

·        Provides a service with international applicability, generated by anonymous records for risk analysis and financial projections.

 

HUMAN RESOURCE COST REDUCTION

All US companies and corporations with 15 or more employees must comply with the requirements defined in Public Law 101-336: The Americans with Disability Act.  One of these requirements is that the medical condition or history of the employee "shall be collected and maintained on separate forms and in separate medical files and be treated as a confidential medical record".  It should be emphasized that this requirement is not limited to disabled individuals or those with a special condition: it applies to all employees and failure to comply could subject the employer to violation citations and applicable fines.

Furthermore, the referenced act does not define a federally- approved standard for this employee health profile, but the UMR format Standard Guide for Providing Essential Data Needed in Advance for Prehospital Emergency Medical Services has been developed in conjunction with the standard by the American Standard for Testing and Materials (ASTM) and approved on October 10, 1995.

   

UMR SAMPLE RECORD PRINTOUT

Please sign up. After you sign up you will be contacted by a UMR representative.

MEDICAL RECORD ANALYZERä BUREAU RELATED BUSINESS APPLICATIONS

·        Automated medical records analysis for expediting legal reviews; expert witness reviews; auditing medical bills

·        Identifying Medicare/Medicaid fraud and abuse

·        Compliance with federal, state and industry sanctioned quality control regulations and programs

With the power of the UMR Medical Record Analyzer Bureau the tedious time consuming task of analyzing, organizing and correlating the scrambled “Babylonian” medical coding jargon can be processed in a cost effective and timely manner for getting the desired business results.

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