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Medicology, LLC.
1999 - 2000
Overview
Table of Contents
Overview
Capitalization
Requirements
The Business Models
Annuity Income
The Healthcare Industry
The Medicology Solution
Targeted Customers
Company History
Product Overview
Installed Clientele
Proprietary Information
The Marketing Strategy
Sources of Revenue
Competitive Analysis
Home
Medicology and the
Healthcare Industry
Medicology intends to be an Internet Application Service Provider (ASP)
specializing in service to the Healthcare industry. Medicology is a young and
aggressive firm with extensive experience in focusing on solutions that are
needed in the Healthcare industry today. Medicology intends to use the
Internet to simplify workflows, decrease costs and improve quality of care
throughout the Healthcare industry.
This business plan is the result of years of research and experience
in the field of electronic medical patient data and medical office
operations. This plan will present,
explain and analyze the business parameters, financial structures,
operations, marketing techniques and success factors of our Business Model.
The Healthcare industry is rapidly changing in the United States. Every entity involved with Healthcare
today is trying to find a way to stay in business without sacrificing the
quality care that is demanded by insurance companies, State and Federal
governments and patients themselves.
Each of these entities realizes the rising cost of Healthcare, the
demand for continual preventative care and the fact that the average lifespan
of Americans grows each year, yet refuse to recognize the constant rise in
costs to run any Healthcare facility and the overwhelming demand to have
quick, accurate and private access to any and all patient information. A solution would require a standard, which
could grow with modern technology, that every insurance company, HMO, hospital
and physician, as well as State and Federal governments, could adhere to in
order to operate a more efficient and productive Healthcare system.
A number of Internet-based companies have attempted to establish
themselves as industry leaders in the field of medical information and
patient data. On such company, Healtheon Corp., has entered the eHealthcare
market with a bang. Although Healtheon has staggering debt and net losses
on their books, a February 1999 public offering earned $45M for the
company. Healtheon promotes the Internet for the use
of patient medical data, specifically for lab results, physician referrals,
prescriptions and patient educational information. Healtheon recently
announced a merger with the start-up WebMD. This merger was valued at $8 billion.
Another business looking to enter the patient education and information
industry is led by C. Everett Koop, drKoop.com. This Internet site raised $55M with a
public offering in June 1999. The
interactive website, drKoop.com, is dedicated to providing information and
education to visitors through a number of hyperlinks. There are also helpful tools at this site
such as a drug interaction search, which will assist patients in determining
themselves about possible side effects or multiple drug interaction problems.
Medicology believes the services provided by Healtheon and drKoop.com leave a lot to be desired. First, these services lack substance. Hyperlinks to other medical reference sites
and providing a common funnel to communicate information to physician
practices can be done by many different businesses with funding and proper
management. Second, there is very
little internally developed services included within these sites. With a lack of proprietary information or
service agreements, long term, profitable customer relationships are not
secure. In the Internet world,
without ownership of a service or application, profitability and resilience
are short-lived assets.
The Medicology
Solution
Medicology will provide instant, high speed
access, via the Internet, to complete patient records, including billing,
scheduling, exams, reports and prescriptions, from any computer, anywhere in
the world with a simple connection to the Internet without the use of Digital
Subscriber Lines (DSL). Aside from
strategically aligning with cutting edge technology developers, Medicology
will create a comprehensive medical application. Medicology will meet the
needs of the Healthcare industry by providing high-end, turn-key software
applications and services at a low monthly cost to all physicians and
practitioners.
The Internet’s universal accessibility, open architecture and growing acceptance
make it an increasingly important environment for business-to-business and
business-to-consumer interaction. Use
of the Internet is rapidly expanding from simple information publishing,
messaging and data gathering to critical business transactions and
confidential communications. For many
industries, the Internet is connecting previously disconnected business
processes and allowing companies to automate workflows, lower distribution
costs and extend their market reach. Medicology believes the Healthcare
industry, because of its’ size, fragmentation and extreme dependence on
information exchange, is particularly well suited to benefit from greater use
of the Internet.
Medicology’s service will be developed and designed to provide
scalability, reliability, flexibility, availability and ensure security.
Medicology’s solution includes application framework to allow reliable,
simultaneous access by large numbers of users. Open architecture and object oriented design permit integration
with existing third party software applications and legacy systems. A combination of advanced technologies,
including digital encryption, wireless communication and audit trail tracking
ensure security. The data and
application will be hosted on redundant, fault tolerant mainframes in
multiple locations throughout the country.
Because the Internet does not turn off, the services will be available
24 hours a day, 365 days per year.
Medicology’s objective will be to become the leader in Internet based
transaction and information services to the eHealthcare industry. The strategy will include:
Expand functionality and transaction capability of Medicology’s
services through the development, acquisition or enabling of Internet based
applications.
Leverage Internet technology to provide secure transactions and
communications among a broad range of Healthcare participants, regardless of
their computing platforms.
Establish a large customer base quickly through partnerships and
acquisitions of billing companies.
Form additional strategic relationships to expand our portfolio of
applications and services, increase the number of connected Healthcare
participants and provide specialized Healthcare industry experience for new
applications.
Target regional markets to gain critical mass and a strong client base,
thereby expanding nationally region by region.
Provide our products and services to client’s and reduce the initial
investment required by customers to obtain the benefits of high end
information technology systems and enable physicians, small organizations and
individuals to gain access to advanced information systems for the first
time.
The Medicology software product will store and manipulate data into any
format or report desired. This
product will connect all departments in a medical facility including front
office, billing, nursing, physician assistant and office management, by
allowing all levels of the medical office to be a part of the system. The solution provided by Medicology will
also create a Virtual Private Network (VPN) to connect all clients of this
software to communicate with each other and the patients. Also, the need for individual clients to
maintain their own professional services, such as hardware and software
engineers for maintenance and administration, are not required due to the
data and applications being processed, stored and maintained by
Medicology. This system provides
control of Healthcare services to the physician throughout the application. Since all members of the office staff have
access to different levels of information, each member, including the
physician, can be more productive with fewer mistakes while providing an
audit trail. This global solution can
be easily adjusted to apply to any different language, in order to penetrate
the international markets.
Medicology has developed a market niche for the new millenium. Microsoft
has continued to prepare the technology world for the Internet. With high speed access, low cost hardware
and centralized storage of information, the Internet provides the absolute
best solution for wide area data access and data transfer. This solution also provides the Healthcare
provider with low cost network administration and virtually eliminates the
cost of maintenance and capital
expenditures. Medicology will provide a standard for patient information and
education access, electronic patient record security and emergency
notification for electronic data within the system.
Targeted Customers
Medicology will market its products to physicians,
hospitals, managed care organizations; particularly small HMOs and
Independent Physician Associations (IPAs).
Other important customers will be among the four hundred insurance
companies across the country and the general public. With constant State and Federal government
pressure, along with the increasing influence of managed care and managed
competition, there is an immediate demand that: 1) physicians deliver more care at less cost, 2) hospitals
deliver health services with greater economic efficiency, and 3) health
management organizations have the instantaneous capability to monitor
physicians and hospitals to curtail the rising medical delivery expenditures.
Marketing Strategy
Medicology plans to market its products through
the following vehicles:
Direct Sales
Continuing Education Seminars and Trade Shows
The INTERNET
Strategic Alliances and Partnering
Hospitals, HMOs and Surgery Centers
Business models and projected sales for all of
these categories are described in detail in this Business Plan.
Goods and Services
These marketing vehicles will provide the
opportunity to generate revenue through the following services:
Medical application access
Low
monthly fee structure for access to high-end medical applications, including Internet
access, e-mail and electronic, automatic billing.
Cellular access
Medicology
will partner with a major communications company, probably AT&T, to
provide wireless, cellular access to the Internet from any portable or
handheld computer. These services
will be resold to end users.
Training for End User
Additional
or on-site training will provide additional revenue. Training will be done by Registered or
Licensed Nurses and Physicians.
Centralized or regional training centers will be established as demand
grows and need arises.
Third party software resale for communication
Certain
licenses and software products (such as Microsoft network products) will be
resold to end users via Internet eCommerce.
Electronic Data Interchange with non-affiliated users
Medicology
will be able to provide patient information (with appropriate patient/doctor
authorizations) to non-affiliated physicians throughout the country. A simple request with electronic
signatures will initiate the EDI process.
Charges to the non-affiliated physicians will be to a credit card or
bank account and charged automatically.
Internet access for patients or employees of End User
Medicology
expects to be an Internet Service Provider to many patients and employees of
Medicology clients. Providing
Internet access will allow patients and physicians to communicate quickly,
discretely and cost effectively. Medicology clients will be urged to market the
website to patients, employees and colleagues in order to expand the
Medicology Virtual Private Network and thus expand the benefits of
Medicology’s services.
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Capitalization
Requirements and Goals

Medicology will require $2,000,000 of initial
investment capital to achieve all of the first level goals set forth in this
section. The funds will be budgeted
and used based on Medicology’s budget approved by the Board of
Directors. Medicology will begin
seeking mezzanine, or second level, financing within thirty days of initial
investment. Medicology will contract
with a private placement underwriter to seek investment of between $15
million and $25 million to achieve all of the second level goals outlined in
this section. Once the private
placement funds are in place, Medicology believes the next natural step would
be a public offering. Medicology further believes, based on today’s market, a
public offering can bring between $90 million and $125 million into
Medicology. At the point of a public
offering, and with appropriate wisdom and experience, Medicology feels it
will be the leader in the Electronic Medical Records market and provide the
standard for all patient data within the United States. With funds from the public offering,
Medicology will aggressively market and sell globally as client demand grows.
The initial investment of $2,000,000 will fully fund ongoing
development and normal operating expenses.
There are a number of goals to be achieved during the initial
investment period (level one):
Complete Electronic Medical Records service application for wide spread
use
Establish infrastructure and information network database to support
2,500 users
Complete patient encounters for the specialties of Primary Care,
Internal Medicine, Othopaedic Surgery (including subspecialties Neck, Spine,
Hand, Knee and Hip Surgery), Pediatrics, Neurology, General Surgery and
OB/GYN
Develop relationship with major Type 2 or 3 clearinghouse for national
electronic billing services
Expand employee team to support and train increased clientele
Create an interactive web site, to be used for support, marketing and
demonstrations
Contract underwriter for private placement
Complete all of the above tasks within eighteen months of investment
During the private placement phase (level two),
the following goals will be achieved after capitalization:
Continue ongoing development of new features for medical application
including passive patient identification (possibly fingerprint or
optical), wireless identification of
staff while using Company’s products, integrated medical library of 3D, color
pictures of any required anatomy or physiology for patient treatment, patient
access to education material (soon to be a Federal requirement), patient on
line scheduling so patients can request appointments for a particular doctor
and finally, nurses information unit for medical terminology and pharmacology
Develop and maintain free Internet website for interactive use by the
general public for medical information, relevant articles to questions,
pictures, video, drug interaction information, news regarding up to the
minute changes or advances in science, e-mail capability to contact their
physician, physician referral service and on-line ability to schedule
appointments 24 hours a day
Establish infrastructure and information network database to support
100,000 users
Expand support, management and executive team for clientele
Create proprietary billing service to deliver electronic, automatic
billing services to all Company clients, including reports, statements and
audits
Complete patient encounters for the specialties of Cardiology,
Radiology (including Nuclear Medicine, Ultrasound, Sonography, Tomography,
CT, MRI and PET Scan), Emergency Medicine, Gastroenterology, Dermatology,
Plastic Surgery, Orthopaedic subspecialties Wrist, Elbow, Shoulder, Ankle and
Foot (including Podiatry), Thoracic Surgery, Oncology, Urology, Vascular
Surgery, Endocrinology (including Diabetes), Nephrology, Ophthalmology,
Sports Medicine, Physical Therapy (including Rehabilitation), Orthotics, Pathology, EENT/Immunology,
Anesthesiology, Hematology, Rheumatology, Otorhinolaryngology and Gerontology
Market to and penetrate all levels of Internet related medical services
including third party billing and practice management software, practice
consulting, medical organizations such as the American Medical Association, HCFA
and insurance companies to broaden the impact and success of the Healthcare
VPN.
Develop and maintain state of the art security measures to protect
patient data. This will include digital encryption, remote data duplication,
live back-ups, optical data retrieval, redundant data centers and
comprehensive disaster recovery plans
Continue to develop web site not only for physicians and medical
practices, but also for patients who would request transfer of records,
insurance companies who would request patient information and patients who
can use the Medicology web site as a reference tool to look up medical
libraries to be more informed about a medical procedure or problem (this will
save the physicians time and money because they can spend less time with that
patient in the examination room explaining simpler issues about the medical
problem and can also refer that patient to the web site for more extensive
information and education, and potentially support groups for some
conditions)
Prepare for the upcoming public offering
Complete all of the above tasks within thirty-six months of private
placement
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The Business Models
This Business Model describes Medicology’s
structure, products and manner of conducting business. It will also compare it to other companies
in the Healthcare industry. These
models will include information and factors pertaining to source of revenue,
methods used for selling and marketing and the company’s financial
practices. This plan will also
explain Medicology’s general philosophy of the market as well as the fiscal
and technical impact on the Healthcare industry.
The Business Models are summarized in five sections: “Business Model
for Direct Sales”, “Business Model for Continuing Education Seminars and
Trade Shows”, “Business Model for The INTERNET”, “Business Model for
Strategic Alliances” and “Business Models for Hospitals, HMOs and Surgery
Centers”.
Basis for
the Business Models
Certain assumptions are represented in the
Business Models:
Medicology has experienced a positive reception to the Internet medical
application service. Our experience
in the industry leads us to believe our restrictions will not be customers
not wanting our service, but how many customers can we install and support at
any one time. Medicology believes that technology companies should focus on,
and provide greater shareholder
equity and return on investment.
Medicology does not sell any hardware.
All computer related equipment has continued to go down in price over
the past eight years. There is every
reason to believe this trend will continue.
Major computer manufacturers are bowing out of the technology game,
including Packard Bell and Intel, and many more are outsourcing development
because of Asian influx of clone equipment and software. The minimum hardware required to access
Medicology’s service is any terminal or computer with Internet
capability. All highly paid hardware
field service/support technicians work for someone else...not
Medicology. All network functions
(including Microsoft Office) will be
licensed through Medicology’s centralized servers and database, thus
eliminating the cost of administration and maintenance. The end user does not need network
administration, tape back-ups or optical storage devices which all require
considerable training which is an additional expense to the end user.
All revenues, except where specifically stated, are labor and access
services only. Total revenue will
include billed travel expenses and per diem.
Our experience shows one salesperson can complete two to three sales
per month to a single practice of two doctors and an office of ten support
staff. Each doctor cost per month is
$250.00, while each additional user is $75.00, for a total office cost
$1250.00. All support, upgrades and
enhancements are included in the monthly cost. Additional billing revenues will generate $864.00 per practice
per month. The initial start-up price
to the physician practice is $20,000.
This price includes training, first month access, nationwide Internet
use, e-mail, medical library and customization of examination and reports.
We believe we will also sell two sites per month without any direct
labor at all, but by simply targeting medical professionals over the net,
both by e-mail and interactive demo web sites. Trade shows can be targeted as excellent resources to find
physicians desperately looking for solutions to their shrinking budget
problems. Trade shows can be done
once a month for the first year, resulting in six sales per event. Each year in business we feel we can
participate in one additional seminar per month until year three.
Outside sales reps and strategic partners should result in at least two
sales per month to start. We believe
this number will rapidly increase to three or four per month.
Therefore, direct sales will result in six sales per month (two sales
reps), INTERNET sales will result in two sales per month and seminar sales
will complete six sales per month and outside reps will complete two per
month. The total per month should be
sixteen sales per month.
Finally, although we expect to be able to do much of the training over
the Internet, on-site training will be available for additional costs of
travel and per diem. We anticipate one
billing trainer, one medical trainer and one application specialist for each
sales person. We further anticipate,
based on techniques in marketing, the ability to centralize training through
the country using a network of regional training centers.
To compare the Cost Effectiveness Evaluation with the end user prices
above, an average return of the original $20,000.00 investment is realized in
just over two months. Including any
minor amounts of hardware that may need to be purchased, a safe assumption is
a total return on investment of less than three months. Although the recurring monthly fees will
be due eternally, the savings dramatically outweigh any monthly access fees.
Cost Effectiveness
Evaluation

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Annuity Income
Within Medicology’s financial model, close
attention should be paid to Annuity Income.
This revenue may be the most important of all. Passive recurring revenue. This type of revenue is not only recurring
but also predictable. The Business
Model runs the annuity income model according to Medicology’s experience in
application development and support.
Proper capitalization will allow Medicology to
execute this Business Plan and annuity income by the end of five business
years should be as follows:
Annuity
Income after five years
Total Monthly Annuity Income from $18,183,750
Direct Sales
Total Monthly Annuity Income from $7,917,500
Seminar Sales
Total Monthly Annuity Income from $3,701,250
Internet Sales
Total Monthly Annuity Income from $10,113,750
Partner Sales
Total Annuity Income at end of Year 5 $39,916,250
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The
Changing Healthcare Industry
A New Window of Opportunity
The Healthcare
industry is undergoing dynamic changes.
The essence of these changes is that physicians, hospitals and managed
care organizations must deliver Healthcare more efficiently. They must provide care to more patients
for less money in order to compete economically, while at the same time
maintaining a standard of care that will attract patients in a highly
competitive environment. Healthcare
in the United States is a trillion dollar per year market. Medicology has the technology and
experience to provide low cost, turn key solutions to caregivers, while
controlling a very profitable portion of the Healthcare market.
Driven by uncontrolled increases in the
cost of Healthcare and consequent political pressures, competitive forces are
now reshaping the industry. Many
organizations tout managed care and
can barely manage themselves let alone their patients. Some Healthcare providers who were
previously paid on the basis of fee-for-service
have changed their compensation based on capitation
(prepayment) or other volume discount fee plans. Providers are therefore being required to
assume the risk of cost of care.
Those providers who have not jumped on the
managed care bandwagon are being affected as well. Their number of patients are being reduced as employers and individuals
move towards health plans that are relatively cheaper, thus causing financial
pressure to make a change.
Market Size
There are over
700,000 physicians in the United States, and most of these physicians use
practice management systems, which do not interface with an electronic
medical records system. New and
proposed federal laws require physicians to file Medicare HCFA forms
electronically, store patient data in a more secure medium and document patient encounters more clearly and
accurately. With more than 6,800
hospitals and 1.2 million hospital beds in this country, it is mandatory that
hospitals must turn to new, high technology electronic patient records
systems in order to compete in the new Healthcare marketplace. There are also over 500 Health Maintenance
Organizations (HMOs) in the United States.
This number is changing monthly due to the creation of new HMOs and
consolidation of existing firms into larger companies. These companies are scrambling to obtain a
market share of the national health delivery system. However, they do not know IF they will be
profitable after they achieve their market share because of the lack of
access to critical data such as preventative care information, patient health
tracking, electronic physician review and almost no way to track, verify and
audit billing and billing fraud. A
recent Hewlett-Packard study confirmed the demand for outcome analysis to
help HMOs determine their business requirements. This involves gathering data on patient treatment and analyzing
that data; this is key to determining a managed care company’s profitability
and ultimately, survival. Medicology’s service is uniquely equipped to
provide both structured and unstructured data for outcome analysis to meet
this critical HMO need.
High Administration Costs
According to
Health Insurance Association of America, Healthcare is the single largest
sector of the U.S. economy, consuming over $1 trillion annually, or 14% of
the country’s gross domestic product.
It is estimated that over $250 billion, or 25% of every Healthcare
dollar, is wasted through the delivery of unnecessary care, performance of
redundant tests and procedures and excessive administrative costs. Medicology
believes much of this inefficiency and waste is a direct result of poor
information exchange among Healthcare providers and lack of ability to go
directly to the source of the problem…the patient encounter. All information in the Healthcare world
originates at the patient encounter.
Attempting to harness that information afterwards will cost
effectively work in any environment for any practitioner.
In a typical medical office, one-quarter of
the patients charts are lost or misplaced. In hospitals, it is not uncommon to have tests duplicated
several times, even ten times. In
both medical office and hospital environments, documentation and reports of
patient encounters take weeks if not months to complete, review, transfer to
referring physicians and ultimately get filed in the appropriate patient file
at each of the points of care for that patient; potentially the primary
provider, specialist, radiologist and laboratory. ALL of these problems occur due to the simple fact that one
patient’s chart can only be in one place at any one given time, in a market
where multiple caregivers need access to the same patient’s records. In many major Healthcare provider sites,
as many as 70% of patient encounters with physicians occur without the presence
of a complete patient chart. Lack of
central access to a patient record results in delayed or erroneous billing,
duplication of effort and even increased liability due to potential mistakes. This is why administrative costs account
for 25% of the health premium dollar.
Much of this inefficiency disappears with the introduction of a
centrally located, permanent patient information system.
New Payor and HCFA Reimbursement Requirements
The largest payor
in Healthcare is the Health Care Financing Administration (HCFA). Through the past six years, HCFA has
announced new and far-reaching guidelines regarding documentation of physician/patient
encounters, documentation requirements, billing requirements and patient
education guidelines. These new rules
stipulate complex guidelines for documentation and now directly link this
documentation to the payment due to the provider. The guidelines will demand a dramatic increase in documentation
required from physicians unless a computer is used to eliminate repetitive
data collection and transcription.
Managed care organizations also require adequate documentation since
patients are typically seen by multiple doctors and care givers. This requires quick assimilation of
medical data through consistent record keeping. Computerized systems are the only way to ensure the necessary
level of thoroughness and consistency in gathering information, which comes
with a built in audit trail.
Meeting The Challenge
Seventy-five percent of the United States
Healthcare budget is controlled by the decisions of the physician. This is where the major potential savings
in the cost of Healthcare reside.
Making any changes to physician practices has been difficult because
there has previously been no way to provide feedback to the physician while
decisions are made. Physicians also
comprise the largest group of professionals that are most distant from
computers. Today, in spite of
existence of some computer systems in hospitals, physicians still provide
patient care instructions on slips of paper in typically cryptic handwriting.
However, the Healthcare industry is
learning new management processes from other businesses. Concepts such as critical pathways,
utilization review, outcome analysis, preventative care and quality assurance
are popular terms in Healthcare.
These management and quality techniques can only be implemented
properly and accurately if physicians use computers and become part of the
real-time medical information flow.
Medical management is now, more than ever,
focused on two areas important in responding to competition: productivity (increased volume of patients
seen with same or fewer resources), and patient satisfaction (to maintain
their patient base).
Patient providers realize that in order to
alter the way things are done and consequently lower costs, they must analyze
accumulated medical information and make changes. They find themselves unable to do so because the Healthcare
industry’s information systems lack the sophistication of other industries,
like manufacturing, lagging behind by as much as ten years. The bulk of medical information, to this
day, is still kept on paper.
Healthcare information systems need to move
to the current generation of sophisticated computers and software to allow
them to deal with the new and complex decisions, which they now face
regarding competition and profit margins. Medicology is in a unique and
favorable position to deliver technology to meet this need. To be a leader in the development of the
most sophisticated Electronic Medical Record (EMR) system developed to date,
the Company will bridge the technology gap and provide the Healthcare
industry with required tools to handle today’s ongoing problems.
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The Medicology Solution
Competition in
the Healthcare market comes from a highly fragmented group of over one
hundred vendors, most of them small-time operators with limited resources who
are focused solely on medical billing.
Few companies deal with the global issues of Healthcare, including
both clinical decision support systems and billing. Even the largest companies in the field (hospital systems
companies) have failed to provide functional, workable computerized patient
records systems despite their almost unlimited resources. Segments of Medicology’s team, including
RNs, LVNs and physicians, have experience in the medical/technical field for
twenty years.
Medicology’s
products are unique for three reasons:
First, the application
is attractive and easy to use for both physicians and office staff.
Medicology products provide the interface for a medical office for: transcription, dictation, prescriptions,
referrals, voice recognition, handwriting recognition, documentation storage
and retrieval, reports and video capability.
As physicians become more familiar with the technology, its use can
progress to complex documentation, medical data review and medical decision
support. In typical environments,
physicians with minimal computer skills learn how to operate Medicology’s EMR
service with little on-site and phone training.
Second, the EMR service
was designed with a typical office workflow in mind. It is intuitive and consistent with the
physician’s thought process. This EMR
empowers physicians to have greater control over patient care while creating
and maintaining an audit trail.
Because it is meant to be used directly by the physician, all other
processes such as billing and transcription are simplified and thus, more
accurate.
Third, a centralized
clinical database residing on multiple powerful central computers, utilizing
recent hardware technology and Internet communication technology, allows
instantaneous analysis of complex data with real-time feedback to physicians
and nurses. This system is designed
to work within the Internet, using local access, ultra fast communications
abilities. Data can be transferred
around the world, from wireless terminals dialing in to the Internet or
computers using cellular modems, with security, accuracy and confidentiality
in less than a second.
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Targeted Customers
Medicology’s EMR
service products includes three main groups:
physicians, hospitals and healthcare organizations (including HMOs,
IPAs, etc.). These customers are all
part of a rapidly changing Healthcare delivery environment throughout the
United States. With government
proliferation and increasing influence of managed care concepts, there is an
urgent demand that 1) physicians delivery more care at less cost, 2)
hospitals deliver health services with greater economic efficiency, and 3)
health management organizations have the capability to monitor physicians and
hospitals while urging cost containment of medical delivery expenditures.
Physicians
For physicians, these changes demand that they see
more patients while maintaining a higher standard of care in order to generate
the income they now enjoy. If they do
not meet this challenge, the general income for physicians will continue to
decline substantially. Since there is
only so much time in a physician’s work day, this challenge can only be met
by increasing office efficiency in order to care for an increased patient
load. The only way this challenge can
be met is through the greater use of computer and software technology, which
frees physicians’ time from repetitive non-patient care responsibilities and
allows them to see and care for more patients. One time saving factor is referring patients to the Internet
for in depth information and education materials about a specific
subject. The physician can receive
e-mail to answer followup patient questions at his own convenience. This Medicology service will be the most
advanced and efficient service available at an affordable cost to assist the
physician in meeting these new demands.
Hospitals
Hospitals too must trim operating costs by
becoming more efficient. As they
operate today, the hospitals themselves are alarmingly aware that many of
them will disappear like the dinosaur if these changes are not quickly
adopted in this new competitive world of medicine. Again, this challenge can be seriously aided by greater use of
new, high technology but low cost computers and medical software. However, today there is an equally
important factor: the cost of
purchasing and maintaining these new computers and software must be
drastically reduced from their current levels. Hospitals cannot afford the high computerization costs of the
past. The Medicology application
service provides a single solution for both of these requirements: the application service provides the
increased efficiency, and the price is solely for access not for actually
purchasing expensive office management or EMR licenses, which is ten to
twenty times lower than competing products in the market today.
Managed Care
Organizations
For managed care organizations, the challenge is
to obtain greater data regarding their constituent hospitals and physicians
including the treatment and diagnosis they are giving. Only with immediately accessible
information can HMOs 1) suggest an acceptable level of treatment for which
they must pay, 2) monitor the performance of affiliated hospitals and
physicians, 3) create care plans which are accurate and economically viable,
and 4) determine the requirements of profitability. Ironically, few of these organizations presently have this
capability. However, this capability
is available through the application service provided by Medicology.
< Table of Contents >
Company History
Medicology was established in January, 1999 to
develop and market a simplified, cost-effective solution to the Healthcare
market. With the development of a
wireless, central database utilizing communication speeds of the Internet,
Medicology intends to create an infrastructure to deal with the customer base
expected in the very near future.
Most of the planned staff has worked together for several years in the
Electronic Medical Records industry.
They are experienced in the installation, training and support of EMR
applications. They include medical
billing specialists, nurses, software and hardware certified engineers and a
physician. Each will have an active
role in the design requirements of the Medicology product.
For many years, members of the Medicology executive and key staff have
recognized the need for a turn-key, easy to use data solution for the
Healthcare environment. They realized the need to bring the same high
technology used in medical diagnosing and treatment to the collection and
processing of patient information. Medicology will, therefore, develop an
application service that will automate the complete workflow of the medical
office, including charting and patient care as well as billing and
scheduling. Medicology will differentiate itself from other contenders in the
medical office automation niche with concepts relating to wireless
communication technology and centralized databases accessible via the
Internet. Within the last year, the
technology for both wireless ability and remote Internet access has been
developed by the top manufacturers in the world, including IBM, Microsoft and
AT&T, with set guidelines and standards, which make the technology widely
available and cost-effective.
Medicology believes in focus, determination and delivery. Medicology
does not practice medicine, nor make decisions in a medical environment. It will, however, provide the most up to
date information and access to all related information a physician needs to
do their job well.
Company
Size
Medicology will initially employ 23 full time employees (Currently 18):
# Title/Department Functional
Responsibility
3 Executive CEO,
President, CIO
6 Administrative Management and
Clerical staff
0 Inside Sales Followup leads,
assist closures
2 Outside Sales Face to face sales
force
1 Sales Support Pre sales and
marketing support
0 Marketing Marketing
team
3 Information Services In house
maintenance of hardware and software
4 Development Application
Development Contractors
3 Training Both
billing and medical training
1 Client Services Post sale support and
project supervision
Medicology plans to maintain a high percentage of its staffing to be
directly related to client support (Information Systems, Development,
Training and Client Services). This
investment will ensure customer satisfaction and keep the Company ahead of
any potential competitors. Medicology
does not require a large R&D budget because communication, hardware and
general software development are done by major market leaders such as
Microsoft, Lucent, IBM, Cisco and 3COM.
Medicology can harness that technology once these companies have
invested the capital to deliver products to the marketplace.
The
Management Team

George Krkljus
President and Chief Executive Officer
See: http://www.industrialtelesis.com
Keith Drohan
Consultant and Advisor to the
Board of Directors
Mr. Drohan has been involved in business and finance for the past nine
years. Mr. Drohan worked in bank operations
and later joined his family owned business in computer network and
integration where he became Controller of the small (2+Million) business from
1990 to 1996.
Mr. Drohan’s experience is in Operations and general management. From 1996 to 1999, he was President and
Chief Executive Officer of 3D Network Design, Inc., computer network
integration and medical application development firm. At 3D, Mr. Drohan was dedicated to
building a strong infrastructure, team training and quality customer service. A central thrust of the business was
management software for medical practitioners.
Mr. Drohan brings valued knowledge and experience in blending market
strategies with available resources in the medical industry to Medicology.
Mr. Drohan assisted Messrs. Krkljus and
Richmond in strategy towards marketing and sales and has been involved with
defining the challenges of installing wireless patient encounter systems,
scheduling and billing routines and followup professional training and client
support.
Paul
Richmond
Consultant and Advisor to the
Board of Directors.
Mr. Richmond brings 42 years of business, engineering, government
relations and consulting experience to the Company. A national honors Chemical Engineer, he spent fifteen years
with Exxon. His responsibilities at Exxon included process and project
engineering which led to Assistant Staff Engineer, Europe. Then Exxon International offered market coordination
of aviation fuels in Europe, which resulted in the largest commercial jet
fuel contract in the company’s history.
This was followed by Lago Oil and Transport Co., Aruba, Netherlands
Antilles as Supervising Engineer, Operations Coordination and Leader of the
Caribbean Fuel Oil Desulfurization Project Planning Group, developing what
became a $235 Million Investment.
Declining assignment to the middle east (Libya) brought a return to the
United States as the Manager of a sixteen sight Bulk-Liquids Tank-Terminal
company. Thirty months of intensive
marketing and operations coordination brought the general interest profit
from $25,000 per year to over $1,000,000 per year.
A client, a joint venture of Mitsubishi’s
based in Long Beach, CA, needed business overview and analysis. Over a period of ten years the capital
investments of that company in the United States were planned and executed by
Mr. Richmond. The gross annual value
exceeded $500 Million per year in US exports to the world. At the request of the Port and City of
Long Beach, Mr. Richmond represented the viewpoint of the private sector
during hearings held by the House Sub-Committee on Public Buildings, etc.
regarding approval of the World Trade Center eventually built in downtown
Long Beach.
Mr. Richmond has been the Principal of Team Management Systems for
fifteen years providing both full and part time advice and operating
assistance to a wide variety of clients.
< Table of
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Product
Overview
Medicology’s products offer all computer users an
easy solution for the rapidly expanding Healthcare industry. The solution comprises a front end package
that allows the diverse departments in a medical practice to communicate and
share information, while creating enormous benefits in terms of improved
efficiency and reduced waste.
This solution can be broken up in a number
of products, which can stand alone, or be an integral part of the turn key
package:
Patient Encounter
System, a pen-based, wireless and remote electronic medical records system
Advanced Scheduler, a
state of the art medical office scheduling and appointment system
Billing System, an easy
to use practice management system for small and large offices and clinics
Office Manager, a
Windows based system designed to manage large offices and practices
Patient Encounter System
The Patient Encounter System (PES) is a complete
data storage and retrieval instrument that joins together all departments in
a medical facility, enabling message sending and simultaneous access to its
data by multiple Healthcare workers.
The departments may be in the same building or across town, or across
the country. With centralized
databases and the high speed communications of the Internet, any physician
may access their own database with a simple connection to the Internet via
phone line, wireless intraoffice network or cellular connection to the local
Internet. Although this PES can bring
together databases from many operating systems, both on-site and off-site,
the system operates best in a Microsoft environment utilizing SQL and NT as
typical, standard protocols.
Databases may include current medical information, drug data or any
other database that will aid in a more efficient delivery of Healthcare
services.
The Patient Encounter System is a front-end
package designed to allow interaction between patients, doctors, appointment
clerks, nurses, medical assistants, clinical departments, the billing office
and various data repositories. The
system will run on ANY electronic device with access to the Internet from
PalmTop computers to the most advanced computer on the market today. The PES is particularly successful using
handheld Pen computers. These
computers can also be terminals which are lightweight, wireless, portable and
do not require handwriting; just a tap of the Pen. Therefore, these machines can be carried from room to room,
office to home or with the physician when on-call.
This service combines information from
disparate databases to provide one file for each patient. Common limitations for physicians are not
having access to x-ray results, lab work, medication lists and family and
personal histories. This information
typically is in written form at the location where the patient care
originally took place. In today’s
medical world, the physician would need to submit requests for information by
phone or fax to various hospitals, laboratories, outpatient diagnostic
centers or provider offices to receive such information and data. At each of the receiving locations, a
person would need to locate the information, copy it, then send it back by
mail or fax to the requesting physician.
This process takes place millions of times per day in the U.S. Obvious delays occur in this process, and
potentially create problems for the patient because of the wait. Finally, any missing test results or other
paperwork, which can not be found, will result in a retest, or the physician
may need to diagnose the patient without additional information. Doctors are sued every day for making
decisions without knowing all of the facts about their patients.
A physician or physicians group, utilizing
the power of Medicology’s services, would not encounter these problems. All data is entered into preconfigured,
customized patient encounters depending on the type of physician giving
care. Based on privacy and security,
all records are viewed easily and immediately upon request by the physician
or patient. Medicine includes lab,
pharmacy, radiology and therapy departments, therefore, all patient records
are included in the service and all records are available upon request. This type of service is what quality of
care means, informing physicians and empowering them to make the appropriate
medical decision for his patient.
This PES serves many functions. First, it replaces the patient medical
chart, and allows simultaneous access to the patient record by doctors,
nurses, labs and all other authorized Healthcare providers. As this PES operates in a network it
allows the practitioner to place orders as he sees the patient. With the flexibility of the PES the
practitioner can place orders to x-ray, to the lab for testing, to book
appointments, to schedule surgeries and to write prescriptions. After a department completes the order the
information is electronically passed back to the patient chart. The content of the orders may be
customized for the user’s individual requirements.
Every step in the PES process is documented
for billing purposes and provides an audit trail tracking: time, utilization of services and
personnel who perform duties.
The PES’ open design allows the program to
link to all practice management and billing systems, provided the information
is stored in a standard database structure such as Excel or Word file
format. For instance, the
practitioner, with a portable Pen computer in hand while seeing a patient,
can 1) determine the most advantageous code for the procedure performed, 2)
automatically issue a fee ticket for those services to the billing system,
and 3) since the exam is documented as it is performed (which will be used
for billing), all required documentation
and reports are completed before the patient leaves the room.
With the PES, the practitioner can substantially reduce
transcription costs. The PES can also
create a wide variety of medical reports by use of templates,
physician-created standard reports input into the System, by dictation
directly into the System or by voice recognition using third party software
linked to the PES.
This PES unites and organizes all existing departments
and creates an economical workflow to reduce the costs of delivering medical
services.
Advanced Scheduler
The Advanced Scheduler is the first step in the
workflow process. The Scheduler is
activated when the patient telephones for an appointment. The appointment clerk can quickly record
the basic patient information for an appointment and schedule. For example, if the patient’s first
priority is finding a workable appointment time rather than seeing a
particular physician, the Scheduler will allow the patient to be scheduled
that way. Also, the Scheduler can
determine certain appointment types (predetermined allotted time slots for
appointment types, .i.e. new patient, follow-up or pre-op) and search the
electronic Scheduler for the first available time for that particular
appointment type. The work is sorted
by the system and the appointment is automatically scheduled.
Since the centralized database is accessed for each appointment
request, large practices can centralize their resources for making and
confirming appointments. Furthermore,
patients can be allowed to make their own appointments over the Internet by
logging on to their physician’s web site and following instructions. Management can audit time effectiveness of
employees because the service keeps track of volume and efficiency of work
being performed.
Once the patient arrives for the appointment, the Scheduler tracks the
patient’s progress, recording time of arrival, waiting time in the front
office, waiting time in the exam room, time with physician and time of check
out. This is extremely valuable in
evaluating the cost efficiency of the work flow procedures, time management
needed for personnel allotment, possible upgrade of visit type for billing
which thereby increasing revenue and the ultimate profitability of the
Healthcare providers (doctors, HMOs and IPAs). The evaluation is also important in establishing, monitoring
and analyzing patient satisfaction.
As competition increases, patient satisfaction will be of
substantially greater importance to HMOs and their constituent physicians.
The Scheduler is customizable to each doctor’s office and even to each
service done within the medical practice.
Therefore, each doctor, lab, x-ray machine, specialist and therapist
can have his or her own changeable schedule, which fits their caregiving
style.
Billing System
The Billing System is an easy to use program
designed to track patients, fill out and submit health insurance forms and to
handle statements and payments, all on a Windows operating system that lets
the user point-and-click to make the most powerful tasks simple. Some of the systems’ features include:
Electronic claim
submission using a mouse to point-and-click on a single button
Automatic secondary
insurance claims
Mouse driven user
interface with keyboard hot keys
Statement generation
Enrollment and
eligibility verification
Management reports
Daily verification of insurance
Electronic daysheets and
ledgers to handle accounts receivable
Networked to allow use
by as many workstations as necessary
The system easily handles billing, posting
payments and creating statements.
Electronic daysheets and ledgers let you see your daily activity. The system allows everyone within the
office, from novice to computer expert, to use the system easily and
painlessly because of the Windows interface which make the learning curve
small.
The package allows the user to create
customized reports and supports LaserJet printing for professional looking
statements. All of the billing is
primarily created by physician/patient encounter, lab requests and other
examinations, which provide accurate, same day billing.
Office Manager
The Office
Manager is a client server based system which runs on a graphic user
interface (GUI). The target market is
large medical offices with twenty or more physicians with multiple site
clinics. This Windows practice management system is
several years ahead of the competition based on communication, technology and
access to secure data from anywhere in the world. It presents a unique opportunity in a marketplace where 1)
physicians change their practice management systems every five years and 2)
everyday HMOs are buying up physician practices and combining them into
decentralized offices.
Client
Services
Client service and support will be handled
by trained staff, at the Medicology site.
Although service and support will initially take place from 6am to 6pm
PST, 24 hour support will be essential within twelve months. There will be an emergency number
available during off-peak hours, which will be answered by a trained employee
of Medicology. Since client service
and support is an integral part of the business, Medicology will strive to
keep its clients satisfied at all times. Medicology will give particular
effort to immediate response to clients by maintaining both an application
support team made up of billing specialists, nurses and doctors as well as an
Information Services department made up of hardware, communication and
technology experts.
Medicology intends to emphasize Client
Services and make it a key component of the marketing plan. Medicology also
believes that providing its’ customers with accurate, timely and professional
response to their issues, is the key to repeat business and word of mouth
advertising. Not only will Medicology
train all employees how to deliver excellent service, but the Client Service
department itself will be given the flexibility to respond creatively to
client requests. In addition,
Medicology will continually monitor client’s level of satisfaction with its’
services through surveys and other convenient feedback opportunities.
An important part of Medicology’s operating
plan is to make contact with clients after the sale is completed. Medicology
believes that new sources of revenue can be developed through additional
post-sale services, and that the client base can be more effectively retained
through this approach.
Medicology intends to utilize the Internet
for a significant portion its’ Client Services effort. Aside from the convenience of immediate 24
hour access to the Internet, clients will browse through the web site and
find answers to their questions quickly and easily. Though the cost of starting and developing an Internet site can
be moderately expensive, there is almost no cost to maintain and update the
site, and it can be done as often as necessary. Some of the information offered at the Internet site will
be: browse using a Key Word, Frequently
Asked Questions (FAQ) and answers, links to related topics, drug interaction
information, patient information center, posting of newly discovered service
issues and the ability to e-mail for help with the click of a button.
Medicology will continually strive to
improve our Client Services by taking any and all steps necessary to make the
client feel comfortable and confident.
< Table of
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Installed
Clientele
Since Medicology’s products are in the design and development stage, there
have been no direct sales to this point.
However, Mr. Keith Drohan (consultant to the Board of Directors) has
extensive experience with end user sales in the Electronic Medical Records
industry having successfully installed EMR software similar to Medicology’s
product at the following:
A hospital in Los Angeles, CA featuring
Spinal and Neck Orthopaedic Surgery with two surgeons and four fellows
(student doctors). The practice
features wireless, pen computers utilizing scheduling, billing and encounters
on a local area network.
Specifically, documentation for worker’s compensation is the focus of
this major Orthopaedic practice.
In Central California, another Orthopaedic
practice with four locations, seven doctors and over one hundred employees
used a wireless, pen based computer system for EMR, including billing and
encounters over a wide area network.
This practice (the largest private worker’s compensation practice in
California) focused heavily on documentation, referral letters and reports.
Included in other success examples are
physicians and surgeons using the specialty specific encounters in the areas
of OB/GYN, Primary Care, Internal Medicine, General Surgery, Orthopaedic
Surgery and Podiatry in seventeen states throughout the country.
< Table of
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Proprietary
Information
The source codes
for all Medicology products have been developed and owned by Medicology. There have been no arrangements involving the
licensing, transfer or use of the source codes. For the benefit of dealers and customers, the source codes will
be escrowed in the unforeseen event that Medicology in unable to support its
products or clients. This is a
standard in the industry for a new company and software development. Each end user will share the cost of the
source code escrow if the customer wants to be a beneficiary under the escrow
agreement by paying the annual fee directly to the escrow holder. Medicology
will escrow the source code upon final completion. Medicology intends to
protect its trade secrets and proprietary rights to the fullest extent of the
law.
< Table of Contents
>
The Marketing Strategy
Partnering with Billing Companies
The primary goal to partnering with billing
companies is to establish a market presence quickly and
cost-effectively. In order to attract
billing companies into partnerships, it must be financially beneficial to the
principals of the partner company and provide Medicology with a steady, yet
profitable stream of customers to buy our combined broader services.
Target billing companies have contracted
with either a T2 or T3 clearinghouse to market their billing software and
electronic (EDI) claims processing based on a fixed rate structure based on
dollar/claim volume. Their customer
is charged a fixed monthly service and per claim fee after mark-up. A T2 clearinghouse such as Envoy/NEIC charges a lower rate than a T3
such as Chross HCS.
Medicology’s plan is to initially contract
with Chross HCS as a transparent T3 based on forecasted volume, and negotiate
with Envoy/NEIC on actual volume for
further discounted rates.
Therefore, the structure of the transition
and benefits for all parties needs to be developed. The most obvious method is to potential partners. The goal under this scenario for
Medicology is simple: provide a plan for
billing companies and their owners to provide rights to their customers,
which in time, will buy our broader value-added services. Basically, Medicology’s plan is to
establish a customer base with cash flow from future revenue by partnering
with non-competing billing service providers with customers in need of our
services.
The
relationship and rapport already established by the billing company will
provide our sales force an attentive audience to which to market with the
assistance of the billing company.
Medicology will be in a profit position by taking on new customers
with little sales or marketing costs to the end user. The Company does not intend to buy out or
takeover the billing companies. We
will simply contract with the billing company to market to customers with
their assistance for a smooth transition for end-users to the new medical
products and services. The transition
for customers is as simple as completing new registration forms in order to utilize
our clearinghouse. This will provide
us an enormous opportunity to market our medical encounter, scheduling, and
practice management services, including the new simplified billing module as
part of the encounter software.
With the reduced maintenance, network administration,
and hardware costs, combined with the ability to treat more patients (see “Cost Effectiveness Evaluation”), we feel that a
minimum of 40% of the billing clients will buy additional services. This will provide us with the revenue
projected in the Business Plan from a future, yet existing (billing) revenue
stream.
Medicology will pay commissions to the
billing company for sales to its’ clients, and pay additional commission on
our broader services when assisted by the billing company.
This partnering plan for the establishment of a
customer base may have dramatic impact on our Business Plan, its’ revenue,
profitability, cash flow, resource requirements, liklihood of success, and
demand for additional capitalization once implemented.
< Table of
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Sources of Revenue
Medicology will
generate revenue through the sale of six types of products and services:
1. Patient
Encounter System Sales
2. Electronic
Billing System Claims Processing
3. Monthly
Annuity for Patient Encounter System
4. The
Internet
5. Training
and Development of Dealers and Resellers
6.
Cellular Access
The primary focus of Medicology is in the sales
and development of the Patient Encounter System. As described above, this PES is multifunctional, including a
sophisticated scheduler, messaging and medical workflow, which could be
separated out and planned as additional sources of revenue.
Medicology also has the additional revenue
source of the Electronic Billing System.
This billing system provides access to electronically submit patient
claims after two automatic audits to verify accuracy of billing amount and
description and verification of proper documentation. The billing system allows automatic
patient insurance verification on a daily basis. Revenue is generated per claim, per statement, per remittance
advice and per verification of insurance.
This billing system can work independently from the PES or work as an
integral part of the overall, turn-key package.
The monthly annuity revenue will be the
most consistent source for income.
The cost for each doctor will be $250.00 per month for access to all
of the services provided by Medicology, while each additional user (defined
as a non-caregiver) will cost $75.00 per month. Therefore, an office of two doctors and ten additional staff
will be charged $1250.00 per month.
Each additional client contracted will cause this monthly annuity to
grow rapidly with little cost.
There are no upgrade costs, hardware or
software, support costs or additional fees of any kind other than
billing. Should customer practices
grow, the only costs to the client would be additional training for new users
and the monthly increase per employee.
Medicology has an excellent opportunity for
revenue via the Internet by providing Internet access to individuals and
companies throughout the United States.
Access to the Internet can be provided for non-medical customers for
as little as $10 per month. The
customer base to be marketed will be patients and associates of the medical
practices, which utilize Medicology services. Selling advertising space on its home page on the Internet is
another excellent way to capitalize on the growing awareness of the Internet
to get information about anything.
For example, pharmaceutical companies or medical equipment
manufacturers would pay for a banner on the web site because doctors and nurses
would see it every day in order to perform their normal daily duties.
Another revenue source discussed in this
section is from Dealers and Resellers.
Although Medicology expects to establish a large Dealer and Reseller
network, it recognizes the need for cost effective training and implementation
to Dealers and Resellers to make a major impact on the market. Our plan will include signing one to two
Dealers during the first year. The
fee to establish the Dealer will be only $5,000 which will include training,
access to demo software and technical support by trained employees, internet
based support and written technical manuals and videos. We recognize that each of these Dealers
should easily establish one to two clients per month.
The final source of revenue is through the
resale of cellular service. Medicology has entered into negotiations with AT&T to provide wireless, nationwide
access to the Internet. This cellular
service will be sold to Medicology in large blocks of minutes and resold to
individual clients after an appropriate markup.
Methods of Selling
Medicology has invaluable experience in the
Healthcare field, which includes providing medical office solutions, hands-on
medical practice experience and executive project management. These values represent the core of
Medicology.
Selling in this industry requires not only
a good representation of what the Healthcare market is and how Medicology
address’ its’ niche, but every employee has to be sensitive to the unique
needs that are in the Healthcare market today.
Information from the marketplace indicates that the
average software manufacturer spends 5.5% of revenues on advertising and
promotions. Trade shows, seminars and
professional meetings are the preferred ways of advertising. Also, medical journals and magazines are
an excellent resource for name familiarity and recognition. On the way to being the Electronic Medical
Records industry leader, Medicology will also have many independent seminars,
both at trade shows and at large client sites (such as hospitals). Medicology’s marketing plan will contain
the following:
Advertising
Placement of advertisements in strategic
publications targeted to specific types of physicians, such as Family
Practitioners, Orthopaedists, Podiatrists, Neurologists, Surgeons,
Pediatricians and Internists. This is
an important, yet inexpensive method in communicating the Company’s
solutions.
Sponsored education
seminars with end users giving testimony as to the product
Professional society
seminars and trade shows
Publicity
Medicology will be a high profile service
provider. It anticipates many articles
in local newspapers as well as product articles and descriptions in Modern
Healthcare, Modern Physician, New England
Journal of Medicine and other trade magazines specifically designed to
assist today’s physician while moving into the 21st century.
Initially, Medicology will support two
sales reps and one sales manager. We
anticipate both sales reps and sales support to increase dramatically over
the first two years.
Sales Cycles
It is important to understand the time
frame required for the sales cycle for different target clients. For example, a physician office with four
or five employees, can literally see the demo of software, ask questions and
sign up for the service the same week as introduced. On the other hand, a Dealer or Reseller
can take as much as two months to achieve positive cash flow due to training
and comfort level while demonstrating Medicology’s products. After the learning curve has been passed
by the Dealer, revenue should be reached within sixty days.
The average sales cycles are listed below
for different types of clients:
Physician practice of 1
to 10 physicians will normally be completed within one week to six weeks.
Large practices of 11 to
30 physicians will normally be much more detailed in customization and
require two to five months to be fully completed.
Managed care
organizations have very complex installations and will have many different
types of physician specialties, which will contribute to a six month to
eighteen month sales cycle.
A hospital client will
run on a two to three year sales cycle.
Revenue Segments
The sources of revenue discussed
above will be sold through a variety of ways:
1. Direct
Sales: Medicology will sell directly throughout the United States, to small
and medium size practices, large medical institutions, HMOs, IPAs, managed
care environments and hospital facilities.
2. Seminars
and Trade Shows: Physicians are
required to have annual Continuing Medical Education credits. Some of these credits may be earned at
certain seminars and trade shows. Medicology will be at many of the trade
shows with live, fully functioning demonstrations that physicians may pick up
and play with. A physician will get a
feel for the wireless units and see first hand the capabilities of the
cellular connection, speed, documentation preparation and medical libraries,
which will be a part of the Medical Reference Section of the web site. These seminars will be attended by both
sales and medical staff to answer all questions relating to the product,
service and security of the system. Medicology feels this is the most
effective form of advertising and marketing for its’ products and services in
the healthcare industry.
3. Internet
Sales: Advertising and market
penetration will be a focus of Medicology regarding the Internet. Contacts and demonstrations can be made
using the Internet at a low cost.
Information, demonstrations, referrals and testimonials will be
available through the Internet as well as cost savings analysis and hands on
tutorials.
4. Dealers
and Resellers: Medicology will market through Dealers in strategic
geographical areas throughout the United States. It will seek out companies and consultants with the contacts
and ability to offer this service to established Healthcare businesses. This will include Strategic Alliances in
certain specialties.
5. Hospitals
and Managed Care facilities: Medicology will address long term relationships
with HMOs, hospitals and managed care facilities on a case by case
basis. These contracts will run into
the ten million dollar range and up.
Therefore, Medicology will have to pay extremely close attention to
each individual client and their particular needs.
The pricing structure for each of these
approaches is outlined in the Business Plan.
Each of these targets has its own justification.
Medicology will both capture and move information,
as well as provide practice management tools for the patient/physician
encounter. One preferred strategy is
to Partner with other businesses, which can provide additional services to
the Healthcare provider to produce an even more powerful solution. This will allow Medicology to penetrate
the market more quickly, while reducing the cost of marketing, development
and general overhead.
For example, Medicology will Partner with
Healthcare facilities in different specialty areas, such as Orthopaedics,
Neurology, Internal Medicine, Family Practice and Pediatrics. Since these physicians will work on a
daily basis with Medicology’s products, the system becomes more and more
functional as each of these Partners discovers their own way of doing their
job better. With the influx of new
ideas, Medicology can upgrade each client’s system, which will create better
functionality, secures more value and is more widely marketable. Each product is unique because the source
of the information…the Healthcare worker.
Whether the worker is a physician, nurse, receptionist or specialist,
this worker’s activity is made part of a larger machine and when circulated
properly, allows the facility to share and pass information from a central
location. By allowing information to
be streamlined and accessed by all workers, the facility functions more
harmoniously.
The Marketing Role of Dealers
In the past, software resellers would buy
products and value add to that software by customization or including it in a
turn key solution in order to make money. Medicology has a 21st
Century alternative for Dealers…Passive Recurring Revenue. Through the establishment of clientele,
the Dealer/Reseller has a long term revenue stream in which to look forward
to. In fact, Medicology firmly
believes Dealers will not only aggressively market their product, but will
also spend their own marketing capital to successfully complete sales with
physicians and other end users. Some
of these funds will also be used to pay the initial training and support
costs of the service.
Medicology expects to have a large presence
of the Internet. Both Medicology and
Dealer web pages will advertise and market the product line. Internet users will be able to perform a
demonstration, realize the ease of creating and sending a claim, use the
on-line medical library and answer a few questions to receive their own
customized Cost Savings Analysis immediately and automatically, via internet
auto responder. Dealers will have the
same type of capability of their own web pages. Medicology will also pursue
software developers, such as:
Microsoft, Sybase, Oracle, Citrix, Computer Associates and Novell, to
display Medicology’s products on their web pages. Publications such as Modern Physician and Wireless will have
hyperlinks to Medicology and Dealer web pages.
As client lists grow for both Dealers and
Medicology, the dedication of all involved will continue to only get
stronger. Medicology will acknowledge and award top Dealers and Resellers
nationwide for revenue and new accounts. Medicology will also provide Seminar
and Trade Show booth space for its Dealers. Medicology recognizes the fiscal
benefits of sales and marketing labor performed by the Reseller instead of
Medicology. Finally, in the future,
Medicology will promote Dealers on the web site for prospective clients to
contact and feel comfortable that a local company is addressing their needs
and concerns.
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Competitive Analysis
Medicology will have competition.
However, potential competitors will have a substantial
disadvantage. No other company is
providing as complete a package as described herein. With inexpensive, wireless access anywhere
in the world, no administrative costs because no network is required, very
low cost hardware and immediate, accurate and LIVE technical and application
support, Medicology provides what no other company can: a complete service that works and is easy
to use while the cost is not at all prohibitive.
Many companies in the medical records
industry today are billing companies that had a physician write a basic
program which would allow basic, fundamental pieces of information to be
retrieved easily and error free.
Companies such as Intel, Microsoft
and Hewlett Packard are spending millions of
dollars to create a perfect practice management and medical records
package. These companies are
targeting generic customers as opposed to the customized niche market
Medicology is targeting.
First, they are companies that sell
hardware and software. They are
creating applications to work on their expensive, legacy products. Physician offices can not afford high
priced consultants or computer engineers.
Physicians need dependable, low maintenance solutions for their
office. Office staffs throughout the
country have different levels of computer knowledge. Some have not ever touched a
computer. With a user friendly
graphic interface and help, both over the Internet or over the phone,
customers will be satisfied support is a phone call away.
Second, doctors needs are practice specific. An off the shelf product is not going to
work on any one doctor. Doctors have
different billing methods, based on the county or state, which they
practice. Also, different physicians
will do the same examination many different ways. Perhaps one physician would start with the family history of a
certain condition whereas another physician would review patient history
last. A medical service to be used by
thousands of different physicians needs to be stable but customizable.
The medical world is in a constant state of
change. How would these big companies
continue to update each physician specialty?
Annual upgrades would need to be purchased by the end user. Even though it would be an expense to have
to purchase these upgrades annually, it would not be the largest
expense. Every year or so when
Microsoft or Intel or Hewlett Packard releases a new product or “upgrade”
what happens? It usually requires a
better set of computers and peripheral equipment to go along with it. Software developers and hardware
manufacturers work together hand in hand.
If you want to keep up to date with the latest software, rest assured
your hardware can’t be more than three years old.
Furthermore, when a physician does buy this
upgrade, how does he install it? They
again have to pay someone else to install it for him or her, and hope they do
it right. Why not install one
thousand customers at once instead of each customer one at a time.
Finally, these services put Medicology
ahead of the rest. In 1997, 80% of
the hottest inventions and new technologies were created by companies with less
than twenty-five employees and had less than three million dollars of
revenue. Large companies can not
compete with small business in this capacity because they are both slow to
move within the related industry and must create a huge product to be a
success. For example, Hewlett Packard spent over 50 million dollars
to provide an electronic patient record tracking program for a hospital in
Texas. By the time the program was
nearing completion, it had taken over four years, gone over budget and been
developed so uniquely for the one client, there was no other potential
clients for that product without major enhancements and changes.
In accordance with this, the Healthcare
market is embarking upon a new course.
The industry is downsizing and is steadily proceeding towards personal
computing. Value will be the key
decision making factor in tomorrow’s Healthcare facility. It is no longer enough to just supply the
Healthcare provider with an accounting system that will eventually become
obsolete. Medicology’s product line links all departments together as one in
the Healthcare environment. This
ability to streamline information, coupled with Medicology’s strategy and
sales philosophy, promises the product line to be unmatched in the industry.
Medicology conservatively estimates a three
to five year technology lead over the competition in Electronic Medical
Records. Although many firms are
trying to create the best solution for Healthcare providers and others in the
medical community as quickly as possible, many of the products in the market
today and under development with character based solutions, thus requiring a
keyboard and scanner. These solutions
are inadequate because of the lack of mobility and inferior database
structures.
The next thirty six months will determine
who the market leader in Electronic Medical Records is. Outside of the hospital market, the clear
leader will become the Healthcare standard.
Larger companies with greater marketing capability claim to have
superior products, but do not create solutions for the average physician. With the availability of reasonable
economic resources, Medicology can strategically align with a large medical
organization to provide a front end physician interface with the practice
management module for sales into a hospital environment. These hospitals would provide an incredibly
successful cash flow and a large market share. Also, the marketing resources contemplated in this Business
Plan can allow Medicology to overwhelm the medical community and the HMO
markets and become the dominant force in the industry.
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