EHR Implementation RFP: L.G. Health Services - Vendor Response

This document presents a completed Request for Proposal (RFP) response from a vendor, MEDITECH, for the implementation of an Electronic Health Record (EHR) system for L.G. Health Services. The response includes a detailed vendor profile, outlining the company's background, experience, and financial stability. It addresses contract requirements such as warranties, payment schedules, and potential penalties. Furthermore, the document provides information on support and pricing structures, including one-time and recurring fees, as well as costs for additional providers. The vendor response also includes information on administrative and clinical decision support systems within the EHR, and answers to specific technical specifications. The document references relevant sources to support the information provided, including the vendor's details and the features of the proposed system.

L.G. Health Services
Request for proposal
For HER implementation
Name
Date
Course
Unit
Lecturer

L.G. Health Services
Vendor Profile
Using the template below, please provide the requested information on your organization.
Your response to a specific item may be attached to this section as an additional page if
necessary.
General
Name MEDITECH Vendors
Address (Headquarters) CITY
Address Continued 2689-60600 Frankia
Main Telephone Number [phone]
Website www.meditech.com
Publicly Traded or Privately Held Privately held
Name MEDITECH Vendors
Title HER suppliers
Address 245-50606
Address Continued P.O.BOX 245-50606 Frankia
Telephone Number [phone]
Fax Number 234
Email Address [e-mail]
Number of years as EHR vendor 12 years
Number of live sites 7 sites
Number of new EHR installations over the last 3 5 new EHR installation

L.G. Health Services
years?
What is the percentage of vendor-provided installs
vs. outsourced to 3rd party companies?
It is in the ratio 3:2
Size of existing user base 500m*500m
Product name and version# HER software version 5.2
When is your next version release? Next version is planned in the next one year
exactly.
Single Database for scheduling, billing, and EHR? Yes, all functions are integrated at a point.
Does product include a patient portal?
Was the product (or any of its significant
functionality) acquired from another company?
If yes, please answer the following:
 What was the original company’s name
that developed the product or
functionality?
 What was the original product’s name?
 What version did you purchase?
The product is originally ours not acquired
from any company.
Does the product include a patient portal and/or
does it allow integration with 3rd party patient
portals (e.g., Google Health, Microsoft
HealthVault, iHealth, etc)?
Yes, the product is divided to various
interfaces that accommodates patient, doctor
and admin on their own path (Bajwa et al.
2017).
Is the product comprehensive or modular? The product is comprehensive.

L.G. Health Services
Comprehensive
 Does the product meet meaningful use
guidelines?
We have a standard checkpoint for the
product and for sure, it has met and can meet
the guidelines.
 Will the product continue to meet
meaningful use guidelines through 2015
without significant changes?
No, some minimal changes here and there
may be done to make sure the guidelines are
met as time goes.
Will there ever be a charge to copy, move, or
retrieve patient data from the product should a
customer decide to change vendors or a provider
leave the customer?
Yes, there are some charges which are not
huge because of the service during the
transition.
Does the product allow custom reports to be
created?
Yes, the admin is allowed to generate reports
on his panel.
Ad hoc reporting by users an option? No, the part can be created if the need arises.
Is the product ONC-ATCB certified? Yes, all our products are certified.
Certified as Comprehensive or Modular? It is certified as comprehensive.
Are the modules necessary to meet each of the
menu set objectives included in the attached
pricing, or are they sold separately at an additional
They are sold separately at a normal price
(Palvia et al.2015).

L.G. Health Services
cost?
Do you have a guarantee the product will meet the
current standards and future standards?
Yes, I can assure you of that one hundred
percent.

L.G. Health Services
Is CPOE part of the core product or a separate
module?
CPOE is a separate module in this product.
Is CPOE customizable per provider or are
templates available?
Templates are provided for CPOE
 Does the system allow for custom Order
Sets to be built?
Yes, it allows.
 Does the system allow multiple Resultable
Items to be mapped to a single Orderable
Item? (e.g., Skin tests have multiple
antigens (resultables) which must map to a
single Orderable item code).
Yes, the system has an option for the same.
Does the system allow free text ordering?
No, the function is not allowed but it can be
easily incorporated if the need arise.
Does the system provide the end user the ability to
cancel pending orders?
Yes, the system has been made to allow that
and provide notification on the same.
 If so, does an outbound interface message
result, sending the cancellation message to
3rd party systems?
Yes, there is notification that is directed to
the third party via the modules in the
systems.
Does the system utilize ICD9 or ICD10 coding? The system utilizes ICD10 coding.
 Are codes pre-loaded? No, the system do not allow that function.

L.G. Health Services
 Are future code updates vendor or user
applied?
Yes, the system allows application for all
needed updates.
Does the system allow custom questions per order
to be developed?
The system allows question parts on all
orders developed.
Does the product support recurring orders? No, the system is designed to group the
orders in a systematic way that no one may
recur unless it is modified
Does the product support Orderable Favorites per
user and/or per specialty?
The product supports per specialty.
Are there Reporting tools available to monitor all
CPOE steps? (e.g., unsigned orders, overdue
orders, etc.)
Yes, there are various monitoring tools which
includes the named ones plus others.
Which RIS/PACS systems interface "out of the
box" with CPOE?
The system allows various RIS/PACS
interphase which may differ
Is E-Prescribing part of the core product or a
separate module?
No, it’s not
Is E-Prescribing customizable per provider and/or
at the enterprise level?
It is at the enterprise level.
Which local or national pharmacies interface with
the EHR?
There are only local pharmacies so far that
have interface with HER.
Who has ownership of the following: All the products are owned by the

L.G. Health Services
 Data
 Software
 Enhancements or Customizations Paid for by
Customer
 Hardware
 Servers
 Workstations
organization, once the order is made, the
organization arranges to provide all the
materials at an agreed cost (Crowley et
al.2018).
Specifications
When responding to each item in the specifications section, place an “X” under one of the
following columns:
“Yes, included” = the function is available in the system and it is part of the basic system
“Yes, Additional Cost” = the function is available but it requires system customization at an
additional cost
“No” = the function is not available
Use the column labeled “Comments / Clarifications” to include additional information you
wish to include as part of your response. This column can also be used to indicate if a function is
not currently available but will be available in a future release by indicating the version number
and approximate month/year when the function will be available (e.g. Version 8.2/August 2012).
No comment or clarification should exceed half a page in length. Comments and Clarifications
may be provided on a separate attachment.

L.G. Health Services
Specifications Yes,
Include
d
Yes,
Addtl.
Cost
No Comments / Clarifications
1. General
1.1 The system supports both a total
paperless function and a hybrid function,
where the contents of the electronic
record can be printed for inclusion in the
paper chart.
☒ ☐ ☐ The system is made to corporate the
requirement of the company (Liao et
al.2017).
1.2 The system includes automatic
translation of codes to data.
☒ ☐ ☐ The function is integrated within the
system.
1.3 The system includes support and updates
for the above vocabularies.
☐ ☒ ☐ Yes, it provides but at an agreed
price.
1.4 The system includes SNOMED CT as
the integrated standard nomenclature of
clinical terms.
☐ ☐ ☒ This function may be included if the
organization needs it.
1.5 Your company provides after-hours call
center support for the system.
☒ ☐ ☐ Yes, there is a team that provides all
the time support to customers.
13.1 The system flags lab results that
are abnormal or that have not been
received.
☐ ☐ ☒ The function is yet to be included in
the system, but it can be done when
the organization needs it (Fragidis&
Chatzoglou 2018).
2. Clinical Decision Support

L.G. Health Services
Specifications Yes,
Include
d
Yes,
Addtl.
Cost
No Comments / Clarifications
16.1 The system offers prompts to
support the adherence to care plans,
guidelines, and protocols at the point of
information capture.
☒ ☐ ☐ Yes, the system does this at
a free of charge.
16.2 The system triggers alerts to
providers when individual documented
data indicates that critical interventions
may be required.
☒ ☐ ☐ It is done quickly as it had
been tested earlier on the
same.
Cost Estimate
For each proposed product, please provide cost estimates based upon a typical
installation. To allow us to be able to compare responses, please assume that the product is
going to be used at number of site(s) with number of providers. Also, any additional details
regarding cost or pricing that may be helpful in our analysis should be included as well.
Please use the following template, if possible—or attach a cost estimate proposal that includes
answers to each question below — and provide it as a separate, sealed document within the
RFP response.
One-time fees
One-time implementation fees: 200,000INR

L.G. Health Services
One-time fees
Training fees: 120,000INR
Consulting fees: 50,000INR
For x providers: 40,000INR
For each additional provider: 150,00INR
For x providers: Your four clinics
References

L.G. Health Services
Bajwa, N. K., Singh, H., & De, K. K. (2017). Critical Success Factors in Electronic Health
Records (EHR) Implementation: An Exploratory Study in North India. International
Journal of Healthcare Information Systems and Informatics (IJHISI), 12(2), 1-17.
Crowley, K., Mishra, A., Cruz-Cano, R., Gold, R., Kleinman, D., & Agarwal, R. (2018).
Electronic Health Record Implementation Findings at a Large, Suburban Health and
Human Services Department. Journal of public health management and practice:
JPHMP.
Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide electronic
health record (EHR) The international experience in 13 countries. International
journal of health care quality assurance, 31(2), 116-130.
Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti, C., Han, J. E., ... & Honig, E.
(2017). Evaluation of medication errors with implementation of electronic health
record technology in the medical intensive care unit. Open Access Journal of Clinical
Trials, 9, 31-40.
Palvia, P., Jacks, T., & Brown, W. S. (2015). Critical Issues in EHR Implementation:
Provider and Vendor Perspectives. CAIS, 36, 36.