Shareable Ink Practice Cloud allows clinicians to populate electronic health records using digital pens and tablets. It captures handwritten notes and patient forms as discrete data in the Allscripts EHR. This maintains clinician productivity while transitioning to digital documentation. Specialties like dermatology benefit as documentation styles translate well. Patient forms can also auto-populate the EHR. The solution has been code complete and tested for Allscripts EHRs. It integrates via the Unified Access Interface and pulls/sends data between paper and EHR.

1. Shareable Ink
Practice Cloud
Stephen S. Hau, President and CEO
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

2. Solution Overview
 High Level Solution Description:
• Shareable Ink Practice Cloud allows clinicians and patients to use “natural” tools, such as
iPads and digital pen and paper, to populate the Allscripts EHR. It can be used with any
specialty-, state- or practice-specific form to quickly document and capture discrete data - at
the point of care or even in the waiting room. It can be used by any clinician in a practice as
well as by patients filling out medical history and consent forms. It is particularly popular
among specialists whose documentation styles don’t easily lend themselves to typing, such
as ophthalmologists, dermatologists, allergists and physical therapists, among others.
 Healthcare/Business problem addressed:
• Many physicians experience a drop in productivity – and thus revenues – when transitioning
from fast and familiar handwritten documentation to keying data into an EHR. For certain
specialties, this is compounded by workflows or documentation styles that do not lend
themselves to typing into a computer.
• When a practice moves to a paperless environment with an EHR, the areas where paper
forms still persist become challenging to deal with. Patient-generated forms have to be
entered into the EHR. Scanning is labor-intensive, not always timely, and the information is
not captured in a useable way, yet the alternative -- typing the patient history into the EHR --
requires even more time, usually of clinical personnel.
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3. Solution Overview - continued
 The application developed addresses the following
category:
 Applications that improve management of high cost chronic
diseases.
 Innovative approaches to addressing value-based care
imperatives.
 Both
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4. Usability and Design
 Shareable Ink Practice Cloud can be used wherever paper remains within a healthcare organization. Data
collected on paper forms will be integrated as discrete data elements into the Allscripts systems, which allows for
reporting, trending, and predicting outcomes. This will aid in increasing the quality of care delivered to the patient
population while simultaneously reducing costs.
 Common use cases include:
• Provider Documentation with Quality Capture & Charge Generation
• General inpatient rounding
• Emergency department
• Anesthesia
• Nursing – e.g. ED, Rehab, OR, Dialysis, LTC
• Ambulatory office visit notes
• Orders
• Superbill
• Patient Documentation
• Signature Capture
• Medical History
• Registration with Eligibility Check
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5. Case Study: Meaningful Use
Achieved with Pen and Paper within
Allscripts EHR
 Customer: The Center for Orthopedics, EMH Healthcare
 Challenges: Capture patient information including Meaningful Use
data with no impact to registration operations or
physician productivity. Provide the patient with an
improved check in experience.
 Considerations: Add more staff, bubble sheets, kiosks, digital pen
and paper
 Outcomes:
 No loss in productivity
 Immediate access to Meaningful Use data
 Improved patient experience
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6. “ As I had hoped, with a little innovative,
outside-the-box thinking, we succeeded in
getting technology to work for us without
changing our practice to suit the technology.”
- Sheila Tonn-Knopf, MHA, CMPE
Director of The Center for Orthopedics,
EMH Healthcare
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7. Development Stage
 Please indicate the development stage as of the
Phase 1 Submission Date:
 Idea
 Prototype
 Code development in progress
 Code complete
 Code complete, tested and approved by Allscripts.
 Shareable Ink is certified and generally available for
Allscripts Enterprise EHR and Professional EHR.
Integration occurs via the UAI.
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8. Integration Description
 Shareable Ink has deep integration with almost every clinical
field in the Allscripts database. It uses the Allscripts UAI/Unity
API. It pulls schedule, demographic and current clinical data
from the EHR and sends discrete data elements back to the
EHR. These data elements can be anything typically captured
on a form, including past/family/social history, review of
systems, Meaningful Use data, problems, and more. Images of
the completed forms are also transferred as PDFs into the EHR
and automatically indexed to the correct patient, date of service,
and form type.
 Refer to next slide for visual diagram of the data integration.
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9. Data Flow between Allscripts EHR and Shareable
Ink
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10. Go to Market Plans
 Shareable Ink has a reseller partnership with Allscripts and, as a result,
the Allscripts sales team sells Shareable Ink. Contracts and pricing are
handled by Allscripts, with Shareable Ink available for sales support.
• Marketing and sales support includes:
• On-line and in person demos.
• Participation in user group activities
• Co-marketing opportunities such as webinars for both Enterprise and Professional
markets
 The solution is currently targeted at Allscripts Enterprise and
Professional customers, but may also be targeted at Allscripts Sunrise
customers.
 Allscripts currently sells Shareable Ink Practice Cloud at $900 per
device per year
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11. Video Demonstration
 Video: http://youtu.be/h-8gwJsIESk
 The demo provided shows an overview of the
Shareable Ink solution, which includes the following
key points:
• Handwritten and iPad documentation
• Conversion of handwritten documentation into structured data
• Integration into an EHR
• Common use cases
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12. Why this solution be selected!
 Shareable Ink was created on a belief in clinically-rich documentation to drive better
healthcare outcomes and cost management. The Shareable Ink approach leverages
cloud computing and natural input tools to support physicians and liberate data.
Further, it is the only solution that has been integrated at the field level with both
Allscripts Enterprise and Professional editions. Provider benefits include:
• Productivity is maintained by using the most natural, least disruptive form of data
input – pen and paper
• Visit documentation is quick and completed in the exam room – no need to go to
an office to dictate or type
• Patient-generated information can auto-populate the EHR as discrete, useable
data
• Minimal training is required for providers, staff and patients alike. Anyone who can
write with a pen already knows how to use Shareable Ink
• Pen and paper is the most inconspicuous form of documentation in the exam
room, creating no barrier between physician and patient
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