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Jeff Donnell Rachel Lukawski-Kuna

260-969-4642, ext. 358 773-610-8454

jdonnell@ rachel@

Extormity Revealed! Medical Informatics Engineering (MIE) and : The People Behind the Parody

ORLANDO, Fla. – February 22, 2011 – At a press conference held today at HIMSS11, Medical

Informatics Engineering (MIE), developer of a minimally invasive™ EHR portfolio for physician

practices and Fortune 500 organizations, and , a personal health record (PHR)

company, unveiled themselves as the creators of “fictitious” EHR vendor, Extormity, and “fake”

certification organization, SEEDIE.

“As the healthcare community somewhat reluctantly transitions to electronic health records, many

physicians, hospitals and healthcare IT experts have been frustrated with significant expenses,

inflexible applications, a lack of implementation success and less than stellar ongoing support from

EHR vendors. In addition, the whole industry is trying to wrap their heads around meaningful use

guidelines and determine which EHR solutions will help them qualify for stimulus funds and improve the

quality of patient care,” said Jeff Donnell, President of NoMoreClipboard. “Several late-night

brainstorming sessions with our EHR partner, MIE, led to the creation of an expensive, exasperating

and exhaustive EHR solution (Extormity) and a “fake” certification organization (SEEDIE) – all in a good

natured attempt to tap into this skepticism and shed satirical light on the industry’s situation.”

“The concept was simple – these parody organizations would poke fun at EHR stereotypes while also

pointing out that there are alternative solutions – vendors and technologies with affordable, flexible and

innovative EHR and PHR solutions that actually help improve clinical outcomes and reduce costs,” said

Doug Horner, co-founder and Chief Technology Officer of MIE.

While hoping to start a conversation in the market, Extormity and SEEDIE wound up creating a movement. As satirical headlines such as Extormity Launches Ridiculously Expensive EHR, Extormity Proudly Announces Breach, SEEDIE Announces ARRA Acronym Certification Program, and Posing as Guam, Extormity Snags ARRA HIE Grant raged over the internet, trade magazines and in industry blogs, “fan mail” started coming in and the healthcare IT community tried to find out who was behind the parody. In response, the “company” continued to e-mail humorous updates to subscribers loosely

based on real news in the healthcare IT space. And Extormity’s CEO, Brantley Whittington, became the “voice” behind the dark side of EHR adoption.

The Extormity Comparison

While Extormity has entertained the industry over the past year, the parody also draws a sharp distinction between what many have come to expect from electronic health records and what MIE, NoMoreClipboard and other HIT vendors consistently deliver.

“MIE and NoMoreClipboard, along with other like-minded healthcare IT vendors, are the antithesis of Extormity,” said Donnell. “Where Extormity is expensive, we are affordable. We embrace interoperability while Extormity erects information fortresses. While Extormity is plodding and exasperating, we are agile and responsive. Extormity profits from client-server solutions, while we have been web-based from day one.”

Below is a side-by-side comparison of Extormity and MIE / NoMoreClipboard. For a full list and description, visit .

|Extormity |MIE/NoMoreClipboard |

|Tagline: Expensive, Exasperating, Exhausting |Tagline: Minimally InvasiveTM EHR |

|Cost: In the unlikely event you qualify for |Cost: MIE’s WebChart system available for |

|stimulus funds, prepare to endorse your incentive |as little as $250 per physician/per month – |

|checks over to us. Our proprietary platform and all its components must |leaving you with a hefty stimulus balance to |

|be procured and implemented |invest elsewhere in your practice. This |

|as a single package we call the Extormity Bundle®, |web-based application requires no up-front investment in servers |

| |and expensive hardware, and no long-term budget for IT support. |

|Flexibility: Our software was engineered with |Flexibility: Some vendors require an all-in, |

|the assumption that physician expertise lies with |all-at-once installation, creating practice |

|the practice of medicine, not the efficient |upheaval and disrupting revenues. |

|operation of a profitable business. The few |WebChartNow can be implemented in |

|practices who have successfully implemented the Extormity EMR Software |comfortable increments for a smooth transition from from paper to |

|Suite recognize the limitations of their home-grown workflows and |electronic charts. Each clinician |

|agree to conform to the Extormity Knows BestTM Practice Model. |can document encounters as they see fit – with |

| |point & click, dictation and paper options. |

|Complexity: Our flagship product, The Extormity EMR Software Suite, was |Complexity: WebChart EHR products from |

|recently voted “Most Complex” by readers of a leading healthcare industry|MIE are user-friendly and intuitive, and |

|publication. Not content to rest on our laurels, our development team is |designed to resemble a paper chart. Electronic chart tabs can be |

|continually working on intricate, convoluted and dense upgrades written |configured to match practice |

|in MUMPS, Fortran and some token XML. |workflow, and each user can customize the |

| |contents and layout of their home screen to |

| |speed chart review and encounter |

| |documentation. MIE has developed standard templates for most |

| |specialties, and custom |

| |templates to match individual workflow can |

| |be built easily and inexpensively. |

|Software Model: The Extormity client-server model requires a phalanx of |Software Model: MIE and NoMoreClipboard products are web-based, and|

|servers, which must be replicated for redundancy. Fortunately, Extormity |have been since |

|acts as a value-added reseller of these servers, which allows us to |day one. You can access patient records |

|mark-up the cost and charge for configuration. These servers have |anytime, anywhere, from virtually any device |

|additional physical, communication, power and environmental requirements.|– a PC, Mac, iPad, iPhone or Smartphone. |

|Planning for this infrastructure can be provided by the Extormity |There are no severs to buy and no software to download or install –|

|Strategic Consulting unit, with implementation provided by the Extormity |simply log-in securely |

|Solutions and Services Business Unit. These business units operate in |on any browser using bank-level encryption. |

|silos, ensuring that you receive and pay for duplicated services. | |

|Meaningful use: Those relying on Extormity to achieve meaningful use are |Meaningful use: From an embedded meaningful use meter designed to |

|more likely to find themselves ill used. Of course, we have an offshore |help you stay on track to a partnership with NoMoreClipboard to |

|call-center staffed by a team of stimulus specialists at the ready who |help you meet patient engagement requirements, MIE will help you |

|may be reached after a lengthy and bewildering series of automated |qualify for stimulus funds. Better yet, MIE and NoMoreClipboard |

|commands prompting you to enter financial information. |applications have helped numerous medical professionals improve |

| |quality and clinical outcomes, enhance efficiency, and reduce costs|

| |– providing meaningful use before the term was coined. |

|Getting Started: With the stimulus frenzy in full swing and a severe |Getting Started: WebChartNOW from MIE is the only try it before you|

|shortage of qualified implementation personnel, the wait for an Extormity|buy it EHR. Simply go to and create a free |

|EHR is best described as intolerable. Given our current backlog, we |trial account. In fewer than four minutes, you can kick the tires |

|launched The Extormity Abstinence program which cleverly positions our |and take a test drive. If WebChartNOW is right for your practice, |

|EHR as one worth waiting for. Participants simply make a $50,000 per |we will convert your trial account to a live EHR system, and you |

|physician down payment and in turn receive a laminated pocket pledge card|can rapidly become a meaningful user of a fully certified EHR. |

|and an "Extormity – I'm Worth It" wristband. | |

|Patient portal: Believing so-called “tethered” PHRs fall short of turning|Patient portal: MIE has partnered with to offer|

|consumers into captives, Extormity now offers a shackled patient portal |practices a portable, interoperable patient portal designed to meet|

|solution designed to create the illusion of information portability while|consumer engagement meaningful use requirements, enhance patient |

|charging consumers a ‘baggage handling’ fee that would make even the most|satisfaction and improve practice efficiency. The PHR portal can be|

|brazen airline executive blush. |branded to your practice, and enables the bi-directional exchange |

| |of demographic and clinical data as well as secure messaging |

| |modules including online appointment requests, refill requests and |

| |bill payment. |

Looking Ahead

Despite unveiling the face behind the name, Extormity and SEEDIE plan to keep up the merriment.

“As long as the healthcare IT sector can benefit from a healthy dose of satire and a quick break from the very serious work we are all doing, we will continue to publish alerts and generate funny bits while keeping promotional ploys for MIE and NoMoreClipboard to a minimum,” said Donnell. “All we ask is that you take a look at our organizations and other challenger brand vendors out there. In the very least, use Extormity as a guide for what to avoid.”

Or, in the words of Brantley Whittington, “First, do no harm to our gargantuan revenue stream.”

For a fun-loving look at the frustrations behind EHR adoption, visit and sign-up for Extormity alerts. For a less-than-savory approach to EHR certification, visit and sign-up for SEEDIE alerts. To learn more about minimally invasive WebChart EHR solutions and/or personal health records and patient portal solutions, visit and .

About Medical Informatics Engineering (MIE):

Founded in 1995, MIE has developed a web-based, Minimally InvasiveTM EHR portfolio that is deployed at physician practices and Fortune 500 organizations operating on-site employee health clinics. Unlike many EHR vendors that require physicians to alter the way they practice medicine to fit an inflexible software platform, MIE tailors its EHR solutions to fit the workflow preferences of each practice and its individual clinicians. This minimally invasive approach was designed to be:

- Accessible – web-based to provide secure access to patient records anytime, anywhere, from any web browser.

- Interoperable – designed to play well in the sandbox with other healthcare IT applications using standard interoperability protocols.

- Flexible – configured to integrate with established practice workflow and available in modular, scalable increments.

- Affordable – MIE’s Software as a Service model requires less investment in hardware, and the minimally invasive approach leads to faster, wider adoption – speeding practice ROI.

More information can be found at .

-more-

About NoMoreClipboard:

is an online, patient-controlled personal health record management system designed to consolidate medical information in one convenient and secure location for easy retrieval and updates. NoMoreClipboard enables consumers to share personal or family member medical information with medical professionals electronically or on provider-specific medical forms; reducing the need to complete repetitive medical paperwork.

was established to develop innovative web-based solutions for consumers seeking to establish an online personal health record (PHR). The leadership team leverages its extensive clinical health care and technology experience to create and continually enhance a PHR system that is consumer-friendly, interactive, secure and interoperable with physician practice approaches to capturing patient information. For more information, please visit .

About Extormity:

Extormity, a name created for several hundred thousand dollars by a West Coast brand identity firm, is a combination of the Latin root words conformare (to fashion of the same form) and extorquere (to wrench out). This powerful and memorable moniker reflects the Extormity mission – to squeeze as much revenue as possible from healthcare providers who pay us handsomely for a proprietary software product that we replicate in a nearly identical form and fashion at each engagement. This maximizes shareholder value, so we encourage the people who select our systems to buy our stock – therefore realizing a return on their investment. Some call this approach duplicitous, we call it a new paradigm. For more information, please visit .

About SEEDIE:

SEEDIE, the Society for Exorbitantly Expensive and Difficult to Implement EHR’s, is a healthcare IT standards organization that is completely funded and operated by a select group of proprietary electronic health record vendors. Unlike independent, objective, professional organizations created to help medical professionals select and implement interoperable EHR solutions, SEEDIE promotes healthcare IT systems that play well in the sandbox if, and only if, it is in the best interests of a particular vendor. While the other groups argue endlessly about which standards are most appropriate in pursuit of “plug and play” solutions, SEEDIE recognizes that data exchange should only occur after a lengthy and expensive custom integration process. Further, that integration should require ongoing technical support from multiple vendors. For more information, please visit .

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