In a joint partnership with the South East Michigan Health Information Exchange (SEMHIE), we brought our expertise on the CCD format to assist in being the first in the country to complete the Social Security Administration‘s (SSA) E-Disability CCD Exchange. In this project, we and our partners, worked with local hospitals, including Henry Ford Health System and the Beaumont Health System, to obtain a CCD Summary of Care document from each for a given patient, and then generate a single aggregated CCD to be submitted to the SSA. This endeavor was proposed to reduce the overall approval process from an average of over 450 days of obtaining and reviewing paper charts and billing statements, to approximately 6 hours of requesting and reviewing a single CCD.

Read more about it here.

While exhibiting in 2010 and again 2011, at the Healthcare Information Management Systems Society (HIMSS) annual convention, we had the iconic Delorean from the Back to the Future movie franchise in our booth. This was part of a fundraiser for TEAM FOX benefitting the Michael J. Fox Foundation for Parkinson’s Research.

Read more about it here.

After 10 years of being in business at Reliance Software (RelWare), we took a look back at our accomplishments to that point, and made a set of marketing slicks, as they were called, to showcase them. This was the first, focusing on the 10 years themselves.

Order Entry software for hospital-based and provider-based patient orders

Read more about it here.

In 2004, we partnered with the Henry Ford Health System to rewrite their internally built electronic health record application, known as “Care Plus.”  We were at a technological point with CDR-Web, where we also wanted to do a rewrite, utilizing Microsoft’s new .Net technology.  

With this partnership, we worked with their teams plan and facilitate a zero-data-loss migration of 10 years of clinical data, as well as write a new world-class Electronic Medical Record.  The end result was known at HFHS as CPNG or “Care Plus Next Generation” and commercially as RelWare’s EXR.

EXR was Certified for “Complete EHR, Inpatient” and “Modular EHR, Ambulatory” by InfoGard Laboratories EHR Certification Body under Meaningful Use January 2011.

Read more about it here.

In 2004, we began a partnership with Henry Ford Health System (HFHS). We were at the start of a massive rewrite to our Electronic Health Record software, CDR-Web. HFHS was looking to replace their current system, CarePlus, which had numerous points of source data as well as several spin-off applications. The partnership resulted in CarePlus Next Generation for them and EXR for us.

Read more about the partnership.

Making custom forms for a web-based environment was a tedious exercise, back in the day. Our team looked at the standard form, and mapped them to XML objects. We then had the XML store the value of the corresponding UI item (textbox, slider, radio buttons, etc.), allowing the XML document to be a representation of both form and data, requiring only a simple library to render the form in a web browser, and allow a user to update. This led to adding digital signatures and allowing for complete workflow systems to be created, forcing “Manager Co-Signatures” and more, based purely on rules determined within the form.

 A comprehensive, hospital-based computerized physician order entry (CPOE) with real time interaction checking against patients know medications and allergies

In 2005, Botsford General Hospital chose CDR-Web as their Clinical Data Repository / Clinician Portal, providing comprehensive, real-time results reporting in a visually appealing, integrated clinical record. Botsford clinicians being equipped with this configurable, secure, Web-based portal increased clinician and patient satisfaction by improving the quality and timeliness of care, and reduced the length of patient stays in the hospital.

in 2007, CDR-Docs, a commercial grade web-based document scanning feature, was added, allowing for paper-based reports, charts, and other supporting documentation to be directly added to the patient record, and visible as a PDF to the clinician user.

“The physicians and nurses provided excellent feedback regarding the application” said Dr. Paul LaCasse, Executive Vice President and Chief Operating Officer at Botsford General Hospital and executive sponsor of the clinical portal application project.

CDR-Web was used by Botsford Hospital as their primary medical record for 12 years.

Portlet Technology developed during a re-envisioning of our User Interface, we created the concept of a script “wormhole” that used a small Java component linked with Javascript to communicate back to the server and obtain a small portion of the web page to be rendered asynchronously. This has been since deemed “Web 2.0” by the Internet Community, but to this day, we still lovingly refer to those bits as “Portlets”.