This is an overview of ZyloMed ambulatory services.

1. ZyloMed Transcription &
Documentation Automation Services
For Improved
Profitability Efficiency Productivity
Your Urology Practice
Somewhere in Southern West Virginia
Princeton, Lewisburg, White Sulfur Springs

2. Company History
• Highly specialized, vertical focused organization
• Ten (10) years plus of experience in healthcare
• Core strength are knowledge, experience & expertise in
transcription & the medical records
• 250+ customers over 3,000 providers & 8,000 users
• 300 part & full time employees
• Corporate Headquarters in Bonita Springs, FL & National Sales
office in Raleigh, NC
• Accentus, Inc. , Ottawa, Ontario recently acquired ZyloMed
• Privately funded & founded in 2001
• Canada’s largest Transcription & Integrated Medical Document
Management Solutions company
• SaaS offering in a flexible & scalable delivery for our best-inbreed solutions

3. Customer Focused Mission
Susan Sumner
CEO
Founder
 “…my primary goal in and with
this organization, is not to sell
accounts, but to assure that the
accounts we sell become our
biggest supporters.”

4. Community Focused Mission
Provides hundreds of US jobs
Keeping America strong
Workforce 100% US

5. States
2006: 11 States
2007: 16 States
2008: 22 States
2009: 29 States
2010: 38 States

6. To Get to the Inquiry application
On the computer click InQuiry logo or open the web site at
Https://www.emdat.com/inquiry/
Username: bhapy
Click Login
Password:
.....
Client: SCFMds

7. Home Tab and Workflow Summary
The program says hello.
BHAPY SCFMds
Tabs
User Menu & Important Updates
BHAPY SCFMds
Workflow Summary
All documents in working digital folders

8. “Inquiry Workflow”
Workflow Process
Medical Document Workflow
Transcription Process
Tabs
BHAPY SCFMds
Sections
Grey not in use
Digital
Folders
Bhapy dictation
Bhapy to approve
Bhapy to review
Bhapy to Safe
Bhapy to print
Bhr 1
Bhr 2
Bhapy DUMP

9. System Workflow Diagram
Dictation Sources
EMR
EHR
HIS
PM
Illustrates
the integration of
the software and
applications.
RIS
File Exports
Interfacing Engine
ShadowLink
Streaming TCP/IP
Digital Recorder
Other Audio Sources
ZyloMed InSync
ZyloMed Web Cloud
Transcription
& QA Process
InScribe
Workflow
Management
& Configuration
InCommand
End-User
Portal
Inquiry
Automated Fax Delivery
AutoFax
iPhone/iPad/iPod Touch
DROID (new)
ZyloMed Mobile
Telephone Dictation
ZyloMed InTouch
All communications secured via 128-bit SSL encryption
(All the long BLUE ARROWS
)
Automated Printing
ShadowPrint

10. ZyloMed Transcription Platform
• Totally integrated software programs
• Powerful AutoFax and fax on demand
• Depending on the your requirements,
you may use some or all software
• You pay one flat line rate for all services
1 invoice monthly all inclusive
InSync
InScribe
ZyloMed Mobile InCommand
InTouch
Inquiry
ShadowLink
ZyloMed AutoFax
ShadowPrint

11. InSync
128-Bit SSL
User ID, date & time stamped at transmission for QA
Sweep voice files every 30 minutes
• Synchronizes MD’s recorder with ZyloMed
servers, anywhere the Internet is available
• Automated & requires no user intervention
• Resides on any desktop or notebook
• Runs in the background when it is on
• Files compressed & encrypted (128-bit SSL)
prior to sending

12. ZyloMed Mobile
ZyloMed Servers
128-Bit SSL
Instantaneously delivered, user ID, date & time stamped for QA
• iPhone, iPad, iPod Touch (with an external
mic) & now the Droid
• Interface with PM RIS HIS to get schedule
• Review all appointment listings
• Create dictations & submit voice file
• Mobile review & e-sign by cell
Auto loads MD’ daily schedule

13. InTouch
ZyloMed Servers
128-Bit SSL
Instantaneously delivered, user ID, date & time stamped for QA
• Emulates any telephone dictation system
• Programed Touch keys to match
clinician’s method of dictation
• If one doctor touches “2” to record
& another doctor touches “7” to
record, it emulates these systems for each
• Little or no change in the clinician’s method

14. InScribe
3MT/MD
QT saves $
ZyloMed Servers
128-Bit SSL
•
•
•
•
128-Bit SSL
Instantaneously delivered, user ID, date & time stamped for QA
Robust transcription program
Designed by & for transcriptionists
128-bit SSL encryption all data transfer
Powerful Microsoft Word features built
into the integration of all applications
• Unique user ID & Password required by
each transcriptionist to access the internet

15. InCommand
ZyloMed Servers
128-Bit SSL
128-Bit SSL
• HIPAA-compliant application
• Manage the day-to-day dictations &
transcriptions of the MT company
• Report control center & all tools to add, modify
or delete transcriptionists & their work pools
• Inventory & status of all dictations quickly seen
by MTSO managers
QA: TAT, FAX failure, line
character counts, associate
referral volume, provider
bottlenecks, deficiencies,
inefficiencies, MT quality stats,
appointment comparison, “you
define it” reports

16. Inquiry
ZyloMed Servers
ZyloMed Servers
128-Bit
SSL
•
•
•
•
128-Bit
SSL
Web-based application (ZyloMed Web Cloud)
Manage daily transcription workflow
Used by the clinicians & staff
View, edit, print & electronically sign
transcriptions on-line through the web
browser
• Increases efficiency dramatically

17. ShadowLink
128-Bit SSL
• Software safely and securely automates the entire process of
transferring data between disparate healthcare systems,
whether transferring ADT information, importing patient
schedules or receiving transcriptions back into an EMR/EHR.
• By accessing information providing by a RIS, HIS, EMR or
Clinical Repository, transcriptions can be completed and
delivered more quickly and accurately
• All interfaces are custom written by ZyloMed’s interface team
at no charge
• ZyloMed and its interface partners have successfully
interfaced with over 400 systems

18. AutoFax
ZyloMed
servers
128-Bit SSL
128-Bit SSL
• Documents will Fax automatically based on
predetermined rules or with two mouse clicks
• Referring doctor names and phone numbers are
preloaded and stored
• Fax status indicates if a fax has been successful,
or if it is still pending or has failed
• Resending the fax to the same fax number a
second time is accomplished with two mouse
clicks

19. ShadowPrint
ZyloMed
Servers
128-Bit SSL
128-Bit SSL
• ShadowPrint is the automated printing
feature available through InQuiry or
InComand
• When transcriptions reach a pre-defined
trigger point in the Inquiry workflow, a
Shadow Print Rule automatically prints a
transcription to the location specified

20. Safe
Audit
Secure
• ZyloMed meets or exceeds all HIPAA requirements and
have been reviewed by 2 HIPAA compliance officials
• Accessibility: All have unique user names & passwords
• Auditing: All access to patient information is recorded for
auditing : including edits, printing, viewing, etc.
• Security: All file transfers 128-bit SSL encryption at all
times

21. Accessibility
• All users have unique
• user names
• passwords

22. Audit: Activity Log
• The activity log tracks activities performed by the
transcriptionist, providers, and the associated users.
• There are four columns in the Activity Log table. Older
activity entries are in “View Archived” link.
*Date: The date and time
*Action: A brief description of the action
*Action By: The user ID or name of the individual
*Type: The type of login.

23. Activity Log
Example:
Click “view archived” link to see older activities.

24. Architecture and Security
128-Bit SSL
128-Bit SSL
Risk Management Assurance Secure Data Protection Best-in-Breed
• System Architecture & Security Encapsulation of the entire
connection ensures the security & availability of your documents
& all patient information
• All file transfers use 128-bit SSL encryption at all times
• Voice & Text platform, use state-of –the-art hardware &
software protocol & certification standards which includes:
–
–
–
–
1024-bit THAWTE Encryption Certificate
Microsoft SQL Server 2005
Windows 2003 Server
HTTPS Secure Transfers

25. Data Storage
128-Bit SSL
ZyloMed Servers
Tried and True Fast Efficient Reliable Technology with Muscle “IT” working for you , Not you working for “IT”
• Multiple data centers store all client data
• Redundant servers ensure data availability
• Firewalls & LAN architecture meet and
exceed client bandwidth needs & more
• Architecture anticipates & scales to demand
• Powerful routers run at gigabit speeds
• 100% uptime with data availability 24/7/365
Happy Doc!
Unhappy Doc!

26. ZyloMed-Accentus
Medical Document Automation
• From providers voice to patient chart or
electronic patient record in the EMR or EHR
• Robust Medical Transcription platform
• Improve Profitability, Efficiency, & Productivity
• *

27. Who can help me understand how you create your
transcription document?
• From providers voice to patient
chart or electronic patient record
in the EMR or EHR

28. Link Key
InCommand
•
• AutoFax
•
•
•
•
•
•
•
•
•
•
Company History
To Get to the Inquiry Application
Home Tab and Workflow Summary
Inquiry Workflow
System Workflow Diagram
Medical Document Automation
Accessibility
Loomed Transcription Platform
InScribe
Safe
Audit
Secure
• How do you create a document?

29. Qualified Text Savings
Standard Report
$2.99
QT Fully Implemented
$2.42
Savings: $0.57 or 19%

33. DaRT Discrete accurate reportable transcription
ZyloMed and Meaning Full Use
ZM dramatically impacts meaningful use fulfillment by minimizing operational change and completely eliminate physician productivity loss.
Through the inherent power of HL/7, reports can be
imported to the proper sections of the encounter within
the EMR.
Mr. Williams returns for follow-up. He is a 78year-old patient who was seen three weeks ago…
He is doing well. Denies fever, headaches, sore throat,
chest pain, shortness of breath, cough…
VITALS: Stable. HEENT: There are no oral lesions.
NECK: No lymph nodes. LUNGS: Clear to
auscultation…
A 24-hour urine collection showed a proteinuria of 173
mg in 24 hours. He had an M-spike in the urine of 48%
with free kappa light chains of 120. In the blood,…
1. Mr. Williams has three very small monoclonal
proteins in the blood. The highest titer is an IgM
spike, which could indicate early stage
macroglobulinemia…
It tags transcription content [(Eg. Medical History (HPI), Systems (ROS), Physical Exam (PE),
Laboratory Date (Lab), Assessment Plan (Dx & Plan)] and discretely populates your EMR/EHR
automatically, as if the clinician had entered it themselves. It can automatically populate a
physician’s entire SOASP Note.

34. Reporting Capabilities
• Production Reports
Transcription Listing, Associate Referral Count, Document Counts
• Workflow Reports
Action Monitor, Workflow Monitor, Dictation Upload Summary,
Appointment Comparison Report, TAT Reports
• User Reports: Each MD, DO, PA, NP, each associate user: PM, MA,
MR, IT
• Miscellaneous Reports
Telephone Dictation Instructions, Transcription Comments,
Associate Listing, Referring User Listing, Failed Faxes, Physician TAT
• Export to Excel
All reports can be exported to Excel for Advanced Functions
Reports can be saved and scheduled
• Restricted by User
Reports can be limited by the user for security

35. Why ZyloMed – We Save You Money
•
VIRTUALLY NO CHANGE
•
Track your transcription workflow from
dictation thru delivery
•
Improved report TAT (Avg. 2-1/2 hrs. for
radiology and 14 hrs. others)
•
Real time corrections or edit capabilities
•
HIPAA compliant – all systems reviewed by
two HIPAA consultants
•
Multi location viewing capabilities
•
Customizable structured workflow with
online document storage
•
Graphical / textual electronic signature
•
Integration with EMR and other HIS
•
Qualified Text Transcription

36. ZyloMed Summary
• Transition to ZyloMed is easy to use
 15 minutes training for Physicians
 30 minutes training for office staff
 Modular application
• ZyloMed MTs are all US-based
• 4 to 24-hour turnaround on transcribed reports
• 3 MTs fully trained for each provider or use the software with
your transcription team
• Full integration into EMRs and other HIS, at no charge
• Ability to help your organization meet meaningful use
requirements with discrete data interfacing and conversion

37. Next Steps:
-Send 5+ sample charts
-Submit proposal
-Review proposal
-Schedule demo with others
Contact Bob Hapner at:
bhapner@zylomed.com
Or
Call 770-464-9376 or 678-725-5752

38. Epic Recognition

39. Epic Connectivity

40. Loomed Can Capture it All
The strategies, methods and tools used to capture, manage,
store, preserve, and deliver unstructured content and documents
related to key organizational processes
Dictation
Electronic
Clinical Notes
Confidentiality
Forms
Physician
Records
First
Responder
Information
Patient History Prescriptions /
Dosage
Test Results
Insurance /
Care
Instructions
Lab Results
Content
Management
X-rays / injury
photos
Admission
Information
Virtual Patient
File

41. Document Imaging Workflow

42. Loomed Accounts
• 21st The Center for Cancer Care: Princeton, WV
• 21st Greenbrier Radiation Oncology: Lewisburg , WV (I ½
hr)
• John Theurer Cancer Center Hackensack University
Medical Center: Hackensack, NJ (10 hr) EpicEHR
• Wellington Orthopedics and Sports Medicine: Cinncinati,
OH (5 hr)
– Improved work flow efficiency produced bottom line
profitability realization of over $100,000 in the first year alone

43. Loomed Headquarters
Bonita Springs, Florida

44. Loomed Corporate Headquarters
Bonita Springs, Florida

45. Loomed National Sales Office
Raleigh, North Carolina

46. Accentus, Inc. Headquarters
Ottawa Ontario Canada

47. Accentus, Inc. Headquarters
Ottawa Ontario Canada