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Technology Highlights meridianEMR offers the advantage of state-of-the-art, secure technology for your practice.  We only employ technologies that are industry standard, machine independent, and provide a robust and stable computing environment. Sun's Java Programming Language W3 Consortium XML Language Microsoft's Web OS 2008 Microsoft XP, Vista, Windows 7, Apple OSX, Apple iOS PostgresQL Relational Database / Microsoft SQL Server Explore the Advantages of Our Technology: Template Based Software Best in Industry Coding mXchange Blended Model Database Reporting HIPAA and Data Security Software Updates Configurations Template Based Software A template driven Urology EHR is a comprehensive system that requires the explicit involvment of Urologists to design. Templates are developed based on the thought process and examination habits of Urologists.  meridianEMR has spent years and millions of dollars in physician and software development time to make our system flow the way you work. To improve the efficiency of your practice, we have 150+ templates and 350+ treatment plans that are ready to use. You are also able to customize the templates easily to match the specific way you work without future software update issues. Best in Industry Coding One of the key advantages of meridianEMR is automatic CPT coding with Medical Decision Making. meridianEMR coding is endorsed by Dr. Ray and Mark Painter and the best in the industry. Our unique software and advanced template design has allowed us to build artificial intelligence into our templates based on HCFA rules. The result is a detailed explanation of how the billing code is supported by the documentation that is generated. As your exam work with the patient progresses, our system continues to build the supporting documentation for this code. Run your practice with the peace of mind that proper coding is always in place, and ensure being properly reimbursed for services provided. mXchange mXchange facilitiates seamless, bi-directional communications with patients, labs, PM systems, other EHRs, pharmacies (eRx), hospitals, HIEs (Health Information Exchanges), and many others. See our list of interfaces. meridianEMR interoperability is designed to be simple and comprehensive. Data is centralized. Communication is secure. Workflow is streamlined. All backup data is maintained in a fully HIPAA compliant facility owned by Dell. meridianEMR manages all the connections and interface in mXchange. We also provide you with 100% EHR uptime and constant data backup. Our Blended Model technology is an exclusive and vital component of mXchange.  It enables our system to be the only EHR for Urology that transmits secure, encrypted packets of your data every few seconds for instantaneous backup. Uninterrupted access to patient records. If your server goes down, your practice stays up and running via the internet Automatic upates to templates, CPT codes, drug database and software System automatically accepts lab results and send lab orders through mLab Direct ePrescribing to Surescripts - no third party involved for better support Access patient records from anywhere Connect via iPhone, iPad, Mac, netbook, and PC Patient access via the Patient Portal for optimal communication Quick start program via mXchange for fast implementation Smart phone applications and other planned features for more efficient workflow Raise interoperability to state-of-the-art in your practice with mXchange. Blended Model Blended Model teachnology combines the best of client server and cloud based models. This unique approach consists of a high-speed local server at the practice while simultaneously connecting and saving the same data to the internet in real-time. Blended Model Video   Advantages of the Blended Model: Universal access to EHR - anywhere, anytime Accessibility from Mac, PC, tablet, netbook, iPhone, and iPad Access to all medical resources on the internet Database syncronization with all your offices and servers Automatic software distribution of templates, drug database updates, etc. Updates to automatic coding (Painter endorsed) that includes medical decision making No connectivity needed between offices, saving time and money Our exclusive Blended Model provides 100% uptime because your data is save to two servers simultaneously - all the time.  If your EHR Office Server goes down, you remain up and running. Additionally, your organization will realize significant savings in the cost of connecting your various offices. Most other EMR systems require equipment to connect multiple physical locations. Our system writes the clinical data to both your local server and our large hosted system via the Blended Model. Database Reporting Extract clinical information and create reports with ease. Since meridianEMR is template based, it contains specific fields for storing each data element. Each field can then be described and mapped to a report writer so that you can analyze your data in anyway that your choose. Only template based EHR systems like meridianEMR provide this advantage. (It is almost impossible to extract and analyze text-based paragraphs that SOAP-based EMRs provide). Our advanced data reporting technology also helps facilitate our unique approach to Meaningful Use and data analysis. HIPAA and Data Security Since physicians were the primary designers of our software, HIPAA compliance and data security have always been our top priority. As part of that strong relationship we have with our clients, meridianEMR shares the responsibility of caring for patients' Protected Health Information (PHI) in accordance with HIPAA regulations. The meridianEMR application follows a multi-layered approach to security which covers internal and external communications, data security, and data access accountability. The latest security technologies such as NIST Advanced Encryption Technique, RSA Public Key Authentication and Biometrix Access are incorporated into the application. Every step of the meridianEMR application process involves encryption, security, and accountability.  All packets in traffic within mXchange are encrypted with 128-bit SSL. Local servers are fully encrypted with access only via a secure password. Physical theft of a server would not compromise patient confidentiality. meridianEMR complies with HIPAA required security standards for access control, audit control, personnel authentication and transmission security. meridianEMR also voluntarily complies with suggested standards that ensure data safety and security including automatic logoffs of remote-access sessions; encryption and decryption to protect health data transmitted over networks; integrity policies that protect health data from unauthorized alteration or destruction; and transmission security to ensure that health data is not improperly modified without protection. All requests for information within meridianEMR are documented with the user and time stamp information. This feaure provides complete accountability as to who obtained confidential information and when. Only authorized practice members have access to chart data. Practice Administrators have complete control over the level of access (from none to full) that each practice has to chart data. All of these features are fully HIPAA compliant and remove potential liability from the practice. Software Updates As meridianEMR is an internet-based application, we can update our software more often than the traditional method of mailing CD's or other media. Our update process takes place automatically and without interruption to your office. Configurations At the practice level, the meridianEMR application resides on a local tier one server that operates as the hub of a local client network. The server supports the operations of the devices that a physician or nurse chooses to use for data entry. That device is usually a tablet computer for office use or a netbook for external use. Other peripheral devices such as scanners and printers will be networked to the server as well. meridianEMR works closely with CDW to recommend clients the most efficient hardware at an economic price. Look for recommended hardware configuration designs soon in this section of the site. In the meantime, please contact your local meridianEMR regional sales manager with any questions you may have. As part of the initial contact with the practice, the meridianEMR Sales Manager will provide work sheets for the practice to forward to the IT company that will be installing the practice's hardware and network. The hardware and network installers must follow meridianEMR recommendations and setup instructions. Lack of proper hardware and network procurement and installation is a major contributor to failed EMR deployments. Proper coordination and following of recommendations will make for a better implementation.