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The Total Lytec Solution Suite for Your Practice
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McKesson Lytec MD Receives ONC-ATCB 2011/2012 Certification
Electronic health record solution positions physician practices to achieve meaningful use. ATLANTA, December 8, 2010 – McKesson announced today that Lytec® MD 2011 is 2011/2012 compliant and was certified as a Complete EHR on December 6, 2010, by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, in accordance with the applicable certification criteria for eligible providers adopted by the Secretary of Health and Human Services... |
Practice Partner® Instant Medical History™ Product Bulletin
Instant Medical History™ is a patient interview software application created by Primetime Medical Software, Inc. Practice Partner has partnered with Primetime to integrate the ASP (web-based) version of Instant Medical History with Practice Partner Patient Records. Beginning with Patient Records 8.2, practices are able to easily import patient interview responses from Instant Medical History into the patient's chart in Patient Records... |
Practice Partner® Web View® Product Bulletin
Web View® is a full-featured patient portal that allows physicians to share Patient Records charts online safely and conveniently. This service provides the ability for patients, providers, and consulting physicians to view Patient Records charts over the Internet in a secure and confidential manner. Patients can view chart data including future appointments, lab results (with notes from their provider), overdue health maintenance, and current prescriptions (with clinical notations translated into plain English)... |
Practice Partner® Zoom Product Bulletin
Practice Partner Zoom is a document management application that makes it easy to electronically file and store outside documents in Practice Partner Patient Records, Medical Billing, or Appointment Scheduler Version 8.1 or higher. Zoom is designed to help your office become completely paperless by enabling you to efficiently import scanned or faxed documents into the appropriate patient charts. With Version 9.1 or higher, you can also store patient photos, patient images, (e.g. insurance cards, driver's licenses), and EOBs... |
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Unique Design Makes Patient Documentation More Efficient Lytec MD features Bright Note Technology™ inside, which is a dynamic processing engine that allows physicians to complete the entire chart from a single note. When the note is completed, one touch sends searchable patient data instantly across the chart.
Bright Note Technology uses dot codes to help complete the single screen note and then synchronize discrete and reportable data to the appropriate folders within the electronic chart. As a result, physicians and staff have quick access to information to facilitate clinical care reporting, help optimize reimbursements and generate pay-for-performance data.
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Finally, because Lytec MD looks like a paper patient chart and uses physicians’ preferred charting style, it helps physicians feel more comfortable with using an EHR to care for their patients. |
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ONC-ATCB 2011/2012 Certification
*Lytec MD 2011 is 2011/2012 certified
as complete EHR by the Certification
Commission for Health Information
Technology (CCHIT®), an ONC-ATCB, in
accordance with the applicable certification
criteria for Eligible Providers adopted by the
Secretary of Health and Human Services. This
certification does not represent an endorsement
by the U.S. Department of Health and
Human Services or guarantee the receipt of
incentive payments. Certification was granted
December 6, 2010.
Unique Certification ID: CC-1112-589589-1 Quality Measures Certified: NQF 0421, NQF 0013, NQF 0028, NQF 0041, NQF 0024, NQF 0038, NQF 0059, NQF 0064, and NQF 0061. The additional software that Lytec MD 2011 relied upon to demonstrate compliance includes: Windows Server® 2008 Server which includes BitLocker® and IPSec for 170.302(u) & 170.302(v); SureScripts MessengerTM Services for 170.304(b) & 170.302(b); Medi-Span® for 170.302(e) & 170.302(a); AMA’s CPT® codes for 170.302(d), 170.304(e) & 170.304(a); and RelayClinicalTM Education for 170.302(m). |
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Recommended Configurations
Below are the Lytec MD infrastructure recommendations. These recommendations are based on a mix of industry standard technologies and proven experience of our customers. These recommendations are also based on the minimum requirements listed in this document. Adding additional resources to some equipment may change the recommended configuration.
These recommendations are for production environments only. Additional infrastructure requirements may be necessary for reporting, failover, testing or training environments.
Please note that recommendations are based on a maximum of 5 concurrent Lytec MD sessions per provider. For customers with multiple databases, the number of providers is calculated per database instance.
Also note that these requirements are specific to Lytec MD 2011. Although we try to anticipate future hardware and software needs and compatibilities, recommended/required configurations may change with future versions so please be sure to consult the documentation appropriate to the version you are installing or upgrading to.
Required Servers
Fax Server
For smaller customers, the fax board may be installed on one of the existing servers in the environment, typically the application server. For larger customers doing significant volume of faxing, a separate fax server may be required. This server cannot be virtualized.
Web View Server
If you are using the Web View product, you must also have a separate server to run the web services. This must be its own server and cannot have patient data on it as the server must be configured to reside in the network’s DMZ or have an encrypted tunnel to the internet to facilitate web traffic.
Below are the Lytec MD infrastructure recommendations. These recommendations are based on a mix of industry standard technologies and proven experience of our customers. These recommendations are also based on the minimum requirements listed in this document. Adding additional resources to some equipment may change the recommended configuration.
These recommendations are for production environments only. Additional infrastructure requirements may be necessary for reporting, failover, testing or training environments.
Please note that recommendations are based on a maximum of 5 concurrent Lytec MD sessions per provider. For customers with multiple databases, the number of providers is calculated per database instance.
Also note that these requirements are specific to Lytec MD 2011. Although we try to anticipate future hardware and software needs and compatibilities, recommended/required configurations may change with future versions so please be sure to consult the documentation appropriate to the version you are installing or upgrading to.
Required Servers
- An application server is required.
- Thin client server technology is required for users connecting remotely (from home, over a WAN, through a VPN, etc.) or through wireless devices.
- A separate thin client server is required if the total number of thin client users exceeds 10.
Fax Server
For smaller customers, the fax board may be installed on one of the existing servers in the environment, typically the application server. For larger customers doing significant volume of faxing, a separate fax server may be required. This server cannot be virtualized.
Web View Server
If you are using the Web View product, you must also have a separate server to run the web services. This must be its own server and cannot have patient data on it as the server must be configured to reside in the network’s DMZ or have an encrypted tunnel to the internet to facilitate web traffic.
Thin Client Workstation/Laptop/Tablet
Since thin client workstations, laptops and tablets do not run any Lytec MD software, any operating system capable of running the appropriate thin client software is acceptable.
Some thin client devices come with a limited amount of on-device storage. Lytec MD has not been tested to run in this configuration and there will very likely be problems. Thin client devices that will be accessing Lytec MD must do so through a thin client server.
Supported
Below are additional supported operating systems for use with Lytec MD 2011.
Application Server
- Windows Server 2003 SP2 (32-bit)
- Windows Server 2008 (32 or 64-bit)
- Windows Server 2003 SP2 (32-bit)
- Windows Server 2008 (32 or 64-bit)
- RemoteApp feature is not supported
- Citrix MetaFrame 4.5
- Windows Server 2003 SP2
- Windows Server 2003 SP2
- Windows Vista Business
Lytec MD sells several third-party software solutions that integrate with the Lytec MD software. Customers may already own this software or can purchase it through other vendors. To ensure proper operation, below is a list of the specific software versions that are compatible with Lytec MD 2011.
- Dragon Naturally Speaking 9.5 and 10.0
- RemoteApp feature is not supported
- ZetaFax 2009
- Midmark ECG 8.1
- Midmark Spirometer 8.1
- ExitCare 7.4.2 (required for Windows 7)
Operating Systems
- Microsoft Small Business Server products are not supported
- Microsoft Home operating systems are not supported
- Operating systems not listed are not supported
Below are the recommended operating systems for use with Lytec MD 2011.
Application Server
- Windows Server 2003 R2 SP2 (32-bit)
- Windows Server 2008 R2
- Microsoft SQL Server 2008 R2
- Microsoft SQL Server 2008 R2 will be installed/upgraded as part of the implementation
- Windows Server 2003 R2 SP2 (32-bit)
- Windows Server 2008 R2
- RemoteApp feature is not supported
- Citrix MetaFrame 6.0
- Windows Server 2003 R2
- Windows Server 2003 R2
- Windows XP Professional SP3
- Windows 7 Professional or Ultimate (32 or 64-bit)
- EKG and Spirometry devices are not supported on Windows 7 64-bit
Hardware Requirements
The hardware requirements listed below are designed to allow customers flexibility in their deployment of Lytec MD. For specific formulas in determining how much hard drive space you need, please see the “Disk Storage Requirements” section.
The below minimum requirements are for the Lytec MD software only. If you decide to run additional services (for example, DNS or Active Directory on your application server, or Microsoft Office on your thin client server) you will need to add additional CPUs and/or RAM.
Standard Workstation/Laptop/Tablet
For smaller customers, the above specifications will support up to 10 thin client users and the Lytec MD application folder. |
Application Server
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Thin Client Server
Thin client servers are designed to support 25 sessions of Lytec MD only. For each additional 25 sessions of Lytec MD, add 4GB of RAM and 2 more CPU cores. |
Web View Server
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Thin Client Workstation/Laptop/Tablet
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Disk Storage Requirements
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Notes
- For large multi-provider/specialty single-database installations, more and more data becomes shared between providers so the total amount of space is not linear. For 50+ providers in a single database, please allocate 1GB per provider per year for black and white imaging and 1GB per provider per year for database growth.
- ePrescribing formulary files can be relocated to a less expensive drive configuration. Please contact your implementation technician or McKesson PPS support for information regarding this configuration option.
- No single formula can account for every circumstance. If you will be doing an extraordinary amount of scanning (for example, full patient charts for every patient in your clinic), please discuss your storage needs with our support team.
Peripherals
Printers
McKesson recommends TCP/IP-enabled, PCL5-compatible printers.
For customers using thin client technology, use of the Uniprint software is recommended. More information can be found at http://www.uniprint.net.
Recommended Models
McKesson requires TWAIN-compatible scanners. Please ensure any scanner that you purchase includes the necessary TWAIN driver software for use with the scanner.
For customers using thin client technology, use of the Remote Scan software is recommended. More information can be found at http://www.remote-scan.com.
Recommended Models
For small clinics, the fax board can be installed on the application server or a thin client server. For customers that do a larger amount of faxing, a dedicated fax server is recommended.
Recommended Models
Printers
McKesson recommends TCP/IP-enabled, PCL5-compatible printers.
For customers using thin client technology, use of the Uniprint software is recommended. More information can be found at http://www.uniprint.net.
Recommended Models
- HP P2035N (for light duty work, such as prescriptions)
- HP P4515N (for medium to heavy duty work, such as charts and reporting)
McKesson requires TWAIN-compatible scanners. Please ensure any scanner that you purchase includes the necessary TWAIN driver software for use with the scanner.
For customers using thin client technology, use of the Remote Scan software is recommended. More information can be found at http://www.remote-scan.com.
Recommended Models
- HP ScanJet 5000/7000
- Fujitsu 6130
For small clinics, the fax board can be installed on the application server or a thin client server. For customers that do a larger amount of faxing, a dedicated fax server is recommended.
Recommended Models
- Brooktrout TR1034 Series
- Brooktrout TruFax Series
Lytec MD Best Practices
Required
Special Considerations
Clustering
Lytec MD currently does not support clustering. The application server cannot be clustered.
Virtual Machines
McKesson supports the use of virtual servers to run the Lytec MD application. Virtual servers should only be implemented by IT staff familiar in their implementation, configuration and administration. Hardware resources allocated to virtual servers should be equal to the resources required for physical hardware. McKesson recommends VMWare vSphere 4.0 (or higher) or Microsoft Hyper-V for hypervisors.
Workstation virtualization (such as VMWare View) is currently being evaluated and is not currently supported with Lytec MD.
Thin Client Server Limitations
Use of a thin client server has certain limitations. These limitations are discussed below. If you have any questions about these limitations, please contact our support team.
Midmark ECG
The Midmark ECG is supported in a stand-alone environment meaning that you create and save results using Midmark’s software. You can then export the results from Midmark and import them into Lytec MD’s database. By assigning the Patient IDs in the Midmark software, Lytec MD will automatically import the report into the appropriate patient chart. In order for this configuration to function, the workstations must have a serial port; some tablet PCs do not have a serial port and therefore would not work. If the computer doesn’t have a serial port you can purchase a Midmark Serial to USB adaptor.
Midmark Spirometer
The Midmark Spirometer is supported and can be used in real time. To use the Spirometer in real time you must have the serial version of the Spirometer and the workstations must have a serial port; some tablet PCs do not have a serial port and therefore would not work. If the computer doesn’t have a serial port you can purchase a Midmark Serial to USB adaptor.
Dragon NaturallySpeaking
You can use the Dragon speech recognition product in a thin client environment. You must install Dragon locally. Using the “show dictation box” feature in Dragon, you can dictate directly into Lytec MD running on the thin client server. Note that certain integration features are not compatible and do not function, but this method does allow for speech recognition capabilities within Lytec MD.
Workstations running Dragon NaturallySpeaking must have a minimum of 4GB of RAM.
Required
- The Lytec MD application folder must be on its own logical partition.
- The logical drive on your application server must be a drive letter that is not reserved by any workstation (P: is the recommended drive letter).
- The drive letter where the application folder resides on the application server must be available to be mapped on each and every Lytec MD computer.
- Backups are not optional, they are required. A tape rotation with periodic offsite backups is recommended.
- McKesson does not install, support or maintain backup solutions. This is completely the responsibility of the customer.
- McKesson can not be held responsible for data loss incurred due to incomplete or corrupt backups.
- Anti-virus must be installed with the McKesson recommended configurations.
- The application folder, client folder and SQL database folders must be excluded from real-time/on-access scanning. Scheduled scans when users are not in the system are recommended.
- Trend Micro and CA eTrust are unapproved anti-virus solutions that may cause instability in the Lytec MD application.
- The use of teamed network interface cards (NICs) is not supported at this time.
- Lytec MD requires a domain/Active Directory infrastructure
- Thin client server technology is required for wireless users, remote users (including remote clinics and home users) and any other non-locally networked workstation
- The Windows pagefile should be on its own disk controller and should be two times the amount of RAM in the server.
- DNS should be on the same subnet as the Lytec MD computers.
- Hardware from experienced and trusted vendors (HP, Dell, IBM) is highly recommended. White-box servers are strongly discouraged.
- Provision enough space on your operating system partition for growth. McKesson recommends 32GB+ for your operating system partition.
- Customers should have a hardware-level firewall protecting their network.
- For customers utilizing thin client technology, a separate Active Directory Organization Unit is recommended.
- McKesson recommends serial attached SCSI (SAS) hard drives in application servers for best performance.
Special Considerations
Clustering
Lytec MD currently does not support clustering. The application server cannot be clustered.
Virtual Machines
McKesson supports the use of virtual servers to run the Lytec MD application. Virtual servers should only be implemented by IT staff familiar in their implementation, configuration and administration. Hardware resources allocated to virtual servers should be equal to the resources required for physical hardware. McKesson recommends VMWare vSphere 4.0 (or higher) or Microsoft Hyper-V for hypervisors.
Workstation virtualization (such as VMWare View) is currently being evaluated and is not currently supported with Lytec MD.
Thin Client Server Limitations
Use of a thin client server has certain limitations. These limitations are discussed below. If you have any questions about these limitations, please contact our support team.
Midmark ECG
The Midmark ECG is supported in a stand-alone environment meaning that you create and save results using Midmark’s software. You can then export the results from Midmark and import them into Lytec MD’s database. By assigning the Patient IDs in the Midmark software, Lytec MD will automatically import the report into the appropriate patient chart. In order for this configuration to function, the workstations must have a serial port; some tablet PCs do not have a serial port and therefore would not work. If the computer doesn’t have a serial port you can purchase a Midmark Serial to USB adaptor.
Midmark Spirometer
The Midmark Spirometer is supported and can be used in real time. To use the Spirometer in real time you must have the serial version of the Spirometer and the workstations must have a serial port; some tablet PCs do not have a serial port and therefore would not work. If the computer doesn’t have a serial port you can purchase a Midmark Serial to USB adaptor.
Dragon NaturallySpeaking
You can use the Dragon speech recognition product in a thin client environment. You must install Dragon locally. Using the “show dictation box” feature in Dragon, you can dictate directly into Lytec MD running on the thin client server. Note that certain integration features are not compatible and do not function, but this method does allow for speech recognition capabilities within Lytec MD.
Workstations running Dragon NaturallySpeaking must have a minimum of 4GB of RAM.
