OBRA e-z produces an Enterprise Software Solution for the long-term
care industry built on OBRA e-z’s powerful engine of fully integrated modules
for the collection, reporting, and analysis of MDS 2.0 assessment data, resident
quality indicators, physician orders, admissions information, survey and
care-plan treatment data, and a patient scheduling module created by MasterLink,
a recent acquisition of OBRA e-z's. OBRA e-z’s seamless integration with its strategic
partners’ products makes up OBRA e-z’s Enterprise Software Solution.
The strategic partners’ products include disease state and drug
therapy management (ICPS Group), a supplies tracking system (AIMS), a data
bank for personal medical data that follows the HIPPA rule (MedicalRecords.com),
and a financial management accounting module produced by MedEasy.
with 24/7 help-desk support, OBRA e-z’s Enterprise Software Solution is
a complete, turnkey management information system for the long-term care
OBRA e-z sells a powerful suite of products to manage every aspect of the
long-term care facility. The suite of products include the following:
MDS Assessment Module
The MDS 2.0 screen formats mirror state specific MDS 2.0
forms. The program also prints blank form.
Through pop-up windows, users can access on-line libraries of ICD-9
diagnosis and NDC codes. Triggers from a MDS response are automatically
calculated and displayed in the RAP Summary reports. Trigger RAP Keys display
reason(s) a key was triggered. The
program prints full and quarterly MDS assessments, RAP summary, Resident Census
& Condition, and the Roster. Users have the ability to copy the basic
tracking form, full or quarterly assessment forms, and the discharge and
System MDS mirrors government forms
Identifies completed sections of MDS, jumps to necessary section
Automatically calculates RAPs
Creates Resident Roster and Census & Condition forms
Utilizes previous resident specific information
Exception Report shows MDS history & changes to MDS Reports:
Completed resident specific MDS forms as well as blank MDS forms
RAP reports & RUG III reports for both Medicare and Medicaid
Resident Assessment Tickler List (showing past-due assessments)
Numerous MDS questions reports (including user defined reports)
Resident Quality Indicators
OBRA e-z extracts data sets from survey and care-plan
treatment data known as quality indicators used to assess quality of care.
The physician order module fully automates physician’s
orders, medication administration records, and treatment administration records.
The software prints a multi-part form that simultaneously updates the
physician’s order sheet, MAR’s, and TAR’s, and generates a paper copy for
Users have the choice of printing a single plain paper form
for physician’s orders to send to the pharmacy. The MAR’s and TAR’s can
also be printed on plain paper. Physician orders can be entered, reviewed and
modified as required. Up-to-date real-time physician orders can be printed on
demand at the facility. A look-up library of drugs is included in OBRA e-z’s Enterprise
Software Solution. Medication dispensing times are user-defined and can be
Look-up library of drugs
Phone orders automatically update existing files
MAR’s and TAR’s are user-definable to include enteral & urological orders
All forms may be printed on plain paper eliminating the high cost of multi-part forms.
Resident information is entered once and flows seamlessly
throughout all the modules. Prompt screens assure that all the information
necessary for complete records is captured. A comprehensive ICD-9 library is
included for selecting resident diagnoses. Users can modify or add new ICD-9
codes as needed. Database archives make for instantaneous re-admissions and the
daily census is updated automatically. The software tracks vital information on
residents throughout their stay and provides the necessary census information
for government reporting. Former residents and transferred residents can be
readmitted in seconds with the complete history available.
Survey and Care
The survey module collects and automatically updates data
during each full assessment, including information for Section Z of the MDS
assessment that is not captured in MDS 2.0.
The survey module generates the resident roster and census and condition
reports required for government surveys.
MasterLink, an OBRA e-z Inc., Enterprise Software
Solution module is a powerful and flexible scheduling tool that allows the
customer to determine the visits and or tasks to be scheduled, confirmed and
reported on, from MD visits, to transportation, to home health care. It allows
for the creation and automatic rollover of permanent patient schedules, as
well as temporary schedule overrides based on date/date
ranges of service. MasterLink walks the user through a logical progression of
setting up a patient schedule, (hourly, daily, weekly, monthly tasks and
services), generating 'to do lists' by date, staff, patient, task, location,
etc., with an automatic feed to a confirmation screen which allows for quick and
accurate documentation of services. Confirmation gives the customer the
ability to compare scheduled versus actual utilization as
well as create a wide variety of utilization and cost reports. MasterLink's
success lies in its flexibility and intuitive screens that make sense to the
user and the daily operations of a long-term care facility.
OBRA e-z has contracted with the Technology and Operations
Solutions Group of Milliman & Robinson, Inc. to upgrade the MasterLink link
software for seamless interface with OBRA e-z’s Enterprise Software
Solution. Milliman &
Robinson is one of the ten largest
actuarial consulting firms in the United States with over 1600 employees
worldwide and more than 50 years experience in business.
Disease State and Drug Therapy Management
The OBRA e-z suite of software will blend seamlessly with
ICPS Group’s disease state and drug therapy management modules.
These modules were developed to help pharmacists provided federally
mandated drug regimen review services to residents living in nursing homes.
ICPS currently has modules for patients taking clozapine and tacrine and
patients with Parkinson’s disease, osteoporosis, Alzheimer’s, dementia and
pain management treatments.
Full-Featured Ancillary Supplies Tracking System
This software produced by AIMS contains comprehensive
inventory control, resident billing and purchase order functions. The program is
barcode driven allowing users to print barcode labels for tracking inventory or
print a barcode catalog of inventory items. The program supports non-portable
and portable barcode readers. AIMS can import Resident data and export inventory
This is the health care industry’s equivalent of the
finance industry’s collection and reporting of credit data. OBRA e-z has secured a strategic alliance with
MedicalRecords.com, whose features include the following:
• Registration— The registration process can enable a
visitor to sign up as a new user, a pre-designated individual to sign up as a
new user, and an already registered user to access the site. The secure login
process will consist of a username and personal password, and can include other
identifiers in the event that a user has forgotten his or her password.
• Adult Health Interview— MedicalRecords.com’s
proprietary Health Interview, developed by physicians at Harvard Medical School,
captures an individual’s medical and health data and stores it in a personal
medical record. The Health Interview is designed as a “dynamic decision
tree” that knows the right questions to ask at the right time.
• Personal Medical Record— All data captured from the
user is stored in a personal medical record. Users will be able to view
self-reported health and medical histories as well as data pulled from existing
client databases, as allowed. Data in the personal medical record includes (but
not limited to):
*Personal information (including name, date of birth,
gender, height, weight, lifestyle information, safety information, and health
and fitness information)
*Medical conditions and tests
*Family health history
*Medications and allergies
*Hospitalizations and surgeries
• Planner— Users will have the ability to maintain
their own, personal health and wellness calendar to store and remind them about
medication schedules, doctor appointments, community health events, and any
other event. Connectivity to MS Outlook and Palm devices can be added with
third-party software products.
• Address Book— This module provides users a simple
contact manager and reminder service. Users are able to save important contact
information, such as phone numbers and e-mail addresses. Essential contacts such
as primary care physician and physician office can be saved and displayed here.
Connectivity to MS Outlook and Palm devices can be added.
• Curriculum— A case manager can establish a curriculum
for single or groups of users that identifies programs areas of content that
users are prompted to visit. A progress bar shows a condensed description of
suggested steps, with checkboxes indicating which steps have already been
visited. This module can drive the monitoring of self-care goals and
personalized diet and/or health recommendations.
• Graphing— This is a module for generating bar charts.
Graphing functions can be added to any data set, such as A1C and weight, to
display a visual representation of that data. For example, an Insulin Level Poll
and Graph will prompt a user for daily insulin readings and then graph those
results over time.
• News Feeds— This module receives and presents (and
expires) news feeds and allows the publisher to be selective about what gets
posted, how many news items appear at one time, and how long they stay visible.
Content can be pulled from client’s sources.
• Newsletter— This module will post current newsletter
materials in electronic form on the website and archive past newsletters for
on-line viewing. Newsletters can also be e-mailed in standard text, html, or PDF
formats. Content is derived from client’s sources.
• FAQ— This is a flat list of Frequently Asked
Questions (FAQ) with content generated by client.
• Resources— Resources for users can be displayed and
archived in this area. The Resources area can also display and archive links to
other suggested websites.
• Email handler— MedicalRecords.com can build a gateway
for incoming email messages for a site, which will accept an incoming email
message from the mailer and insert its contents into a queue table in the
database. This queue can be linked to a specific clinician. In turn, this module
can help generate email replies based on email question class for unified
customer support. The Messaging capability is not for clinical or urgent
questions, but rather for appointment scheduling and technical questions. Like
the entire site, this CFE must adhere to upcoming HIPAA guidelines.
• Access Controls and Permissions— Through this module,
the primary user is allowed to specify who has permission to see account
information and control what information is available to each specified person.
• Account Maintenance— Through a primary account, the
primary user can manage multiple accounts for his/her spouses, children, and
other family members.
• Polling— This module allows a site administrator or
case manager to solicit data, experiences, or opinions from users by means of
polls. These polls are configurable in terms of publication dates, formats for
choices and results presentation.
• Content Sections— allows the administrator to create
and manage different content sections of the site. This module supports four
different types of content sections: admin (administration pages), system (news,
bulletin board etc.), custom (URL directories) and static (html pages).
• User Groups/User Administration— A site administrator
can select a class of users and oversee what can then be done with that class.
This is a general mechanism for lumping users together in groups, which is vital
to group-based modules (such as Calendar, News, and many others). This module
then allows a site administrator to set up an access control system by choosing
from a palette of options, fine-tuning access according to group membership and
role within group, and directing content specific to a group.
• New on Site— This is a central area for identifying
new content posted by the client across the entire site. The module is useful
for the site administrator (might want to delete), for the surfing user (might
want to see the new material), and for generating email summaries of new
• Reports— MedicalRecords.com can print out a range of
reports based on the health data stored in the personal medical records. The
Full Report will produce a printable copy of all medical and health histories
and other information stored in the personal medical record. The Emergency
Report will compile and print all the necessary emergency information for a user
that can be extremely helpful in a time when such information is needed.
• Dynamic Messaging Areas (DMA)— A site administrator
or case manager can place small text and/or graphic “banners” randomly on
pages to either entice readers to click to a different, potentially unrelated
page, or for simple information dissemination without further links. For
example, Tips DMA will display helpful health tips and Quotes DMA will display
inspiring health and wellness quotes. These banners can also be tied into
personalization functions to display content that is relevant and specific to a
user or group of users. This is not necessarily a function for placing
advertisements, but rather for dynamic content.
• CRM— A site administrator or case manager can track
customer relationships over time through various “states” such as “new
user” to “great customer” to “slipping customer.” These states can
then be used to target actions at particular classes of users.
• Dynamic Publishing System— This module is a
full-featured publishing system for managing content and design templates.
(through release of ACS 4.1)
• Member Value— A site administrator or case manager
can monitor the accumulation of charges for users and then either calculate
internal costing, a transfer price, or a bill that is sent out at the end of
• File Storage— Users can upload and maintain a set of
files on the server via (potentially SSL-encrypted) secure web pages (without
giving FTP access to a Web-accessible directory, which is a big security risk).
The saved files can sit on the server in a hierarchical directory structure that
users create and control or be tagged to specific portions of their personal
• FAQ— Different from the flat list of Frequently Asked
Questions (FAQ), this module provides a simple interface for creating and
maintaining FAQ in which maintenance may be shared by specific people,
• Download— This module manages and monitors download
activity. It also generates reports and enables emailing of users who have
downloaded a file or software from the site.
• Message Boards and Chat Rooms— MedicalRecords.com
chat rooms. Chat is configurable per-room; for instance, the administrator can
set chat to be moderated/unmoderated and open or restricted by group.
• Bulletin Boards— Users can post to public bulletin
boards, create private discussion groups, attach photos to postings, and do
keyword searches of all postings using this discussion forum system.
• Group Emailer— MedicalRecords.com can build a gateway
for incoming email messages for a site, which will accept an incoming email
message from the mailer and insert its contents into a queue table in the
database. In turn, this module can help generate email replies based on email
question class for unified customer support. Spam enables a site administrator
or case manager to broadcast email messages to a class of users, or to
periodically send mail from a script or file repository.
• Bookmarks— Users can save bookmarks of favorite web
links or resources and potentially share those bookmarks with other people.
Users can access the bookmarks from any web browser.
• Meta Tags— The insertion of Meta Tags containing the
appropriate words and in the appropriate places ensures that search engines will
find specific pages in the site.
• Robot Detection— This is a system for making sure
that the entire site gets indexed by web-crawlers (search engine indexing
• Portals— This module allows the site administrator or
case manager to anticipate what a specific type of user would like to see, and
then construct or choose the data-feeds and do page layout tailored to that type
of user. The system can also be configured to allow each user to act as his/her
own manager, by specifying preferred data-components and layout options.
• My Workspace— This module works as an expanded
• Press (PR/IR)— allows the site administrator to list,
chronologically, articles in newspapers, magazines, etc. where the site or
company is featured.
OBRA e-z’s Enterprise Software Solution is
designed to be a fully integrated, turnkey product for the long-term care
industry. The Enterprise
Software Solution will improve efficiencies, reduce costs, increase margins,
and create a work environment that is accessible from remote locations where the
Internet or PDA is available. The
PDA will be equipped with software to display and gather critical resident data.
Data collected during resident visits can later be uploaded to the
central resident database.
The top three competitors are Achieve, MDI and Keane.
Licensing fees range from $10,000 to $15,000 with monthly maintenance
averaging about $1,500. Middle market solutions include Monnette Information Systems,
Mylex Corporation and Advanced Information Management.
Licensing fees range from $8,000 to $10,000 with monthly maintenance
averaging from $1,000 to $1,500. Lower
market solutions include RH Positive, American Healthtech and SOS.
Licensing fees range from $3,000 to $6,000 with monthly maintenance
averaging from $375 to $1,000.
The OBRA e-z Enterprise Software Solution will
include all the functionality offered by competitors plus the MedicalRecords.com
suite of products and its alliance with the ICPS Group to include the
pharmacists in the healthcare equation. Our price is only $1,000 licensing fee and $500 monthly
In addition to the significant price advantage, OBRA e-z
offers ease of use. Most
competitors require training sessions of from two days to a week. Our experience has been that new customers can install the
OBRA e-z software and on the same day admit a resident and transmit the required
data to the state. Our 24/7/365
help desk is available to assist customers.
Many of our customers have learned on their own; others require minimum
help desk support.
We will be developing new sales literature to describe the
OBRA e-z Enterprise Software Solution.
Our current mailing has produced excellent results.
|OBRA e-z software is an integrated MDS/Care
Planning system for long-term care providers. Specifically OBRA e-z meets
all guidelines including Triggers and RAPS to prepare the Care Plans. OBRA
e-z’s system integration provides the user a true single entry software
solution. Resident data entered once is immediately available to other
areas. All modules contain pop-up windows, making OBRA e-z software both
cost and time efficient.
/ Discharge / Transfer Module:
Enter information once
Track all resident’s information throughout their stay
Pop-up windows for receptive information (ICD-9, MDs etc.)
Instantaneous re-admissions with complete history
The fastest input of the MDS on the market today
Copy the previous assessment and input only the changes
Identifies completed sections
Jumps to the section you specify
Pop-up windows for ICD-9 and NDC codes
RAP keys document the reason for each trigger
Print blank MDS forms
Assessment Ticker keeps you in compliance
HCFA 802/672 forms are automatically updated from full and
Weekly update report with ease for survey compliance
Excellent Q.A. tool for D.O.N.s and corporate nurses
Fully automated Physicians’ Orders
MARs & TARs are user-definable
Develop Q.A. categories for tracking
Print real-time, up-to-date Physicians Orders
Pop-up library of NDC codes and drugs
User defined medication dispensing times
All orders print on plain paper, saving you money
Generate a Care Plan based on the assessment information
Trigger-based Problems, Goals, and Approaches on-line
Super codes may be adjusted to fit the facility P&P
Make Super Care Plans resident specific and measurable
Resolved problems / approaches are stored historically
Develop a standard facility flow sheet
On-line sample flow sheets available
Individualize flow sheets for each resident
Add Care Plan approaches to CNA Flow Sheets
Technical Support & Training
The OBRA e-z Help Desk is staffed with an RN with over 14
years of MDS and transmission training experience.
We provide a 24 hours per day 7 days per week message
center where all calls returned within 24 hours (most with in 4 hours).
facility's staff will be trained within 24 hours of receiving the program.
“This software is so
simple, I taught myself”
Wichita Falls, TX
The current version of OBRA e-z runs on the DOS operating
system. The Enterprise Software
Solution will run on Windows and Windows CE. Microsoft operating systems are solid technology with
universal appeal and virtually no risk of disappearing.
OBRA e-z views the home healthcare market as one that will
require sophisticated software solutions. Demographics
show a large number of people will be living longer and desiring to remain in a
home or homelike environment. These people will be subject to reporting requirements not
yet developed by governmental agencies, and OBRA e-z will develop user-friendly
software to satisfy those requirements.