In This Issue:
  • Dallas, Texas and Oklahoma City, Oklahoma join the growing Tier3MD Market
  • Tier3MD was voted one of Atlanta's Best Places to Work 2014
  • Tier3MD President and CEO Appear On Atlanta Tech Edge
  • Telemedicine Call Center Helps Reduce Cardiac Readmissions
  • Back to School - Health Issues
  • A Message from the CEO
  • Elmers Introduces the Flex IT Act
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Dallas, Texas and Oklahoma City, Oklahoma join the growing Tier3MD Market
Posted by Michael H Brown
 - National Director, Tier3MD

Tier3MD, one of the nation’s leading medical IT companies for physician practices, is extremely pleased to announce that they have opened up offices in the Dallas, Texas and Oklahoma City, Oklahoma markets. Dennis Butts will be heading up our Dallas office (Dennis.Butts@tier3md.com / 972-643-8379) and Scot Fikes will be heading up our Oklahoma City office (Scott.Fikes@tier3md.com / 405-365-8999). Both offices are part of Tier3MD reseller program.

“The program is a win-win-win says” Michael Cherico, President of Strategic Development. “The program allows us to expand our services throughout the country, and provide the same high level, medical grade IT support that we are currently providing in all over the country.”

Tier3MD started out in 2005 as a way to provide necessary support to a very distinct industry. “Medical is completely different”, says Adam Holtman, Director of Operations. “You have to totally understand their practice, and what it takes to see patients without interruption, as well as allow the physicians and staff to provide quality healthcare to their patients. “We knew the physician practice industry was special, and had needs that we had the experience to meet.”, says Holtman.

Tier3MD currently has physical offices in Chamblee, GA, Savannah, GA, Raleigh/Durham, NC and Chattanooga Tennessee. With the structure and scalability of Tier3MD it is able to service clients all over the country.

Tier3MD was voted one of Atlanta's Best Places to Work 2014

Each year, the Atlanta Business Chronicle, in partnership with Quantum Workplace, surveys the metro area’s employers to find those that have discovered how to become one of Atlanta’s best places to work.

Only companies with at least 10 employees can participate. Each nominated company was contacted by Quantum and asked to participate in a scientifically valid survey conducted during the month of July 2014 and beginning of August. Companies were rated based on survey responses on work environment, people practices and other matrices. All of our employees took the Quantum survey confidentially.

Earlier this month, we were notified by email that according to the formula used to score the surveys, Tier3MD has made the top 100 list!

Tier3MD President and CEO Appear on Atlanta Tech Edge
September 8, 2014

On Sunday, September 7, 2014, Tier3MD CEO Sheryl Cherico and President of Strategic Development, Michael Cherico appeared on Atlanta Tech Edge, a television show for the technology industry. ”It was an awesome experience” says Sheryl Cherico. ”I am very proud of our company, and to be able to talk about it on a forum like Atlanta Tech Edge was a real privilege. Wes Moss is a fantastic host!”

Atlanta Tech Edge reveals the fastest growing Atlanta Tech companies.



Telemedicine call center helps reduce cardiac readmissions
posted by Susan D. Hall

Telemedicine helped reduce the rate of readmissions among patients after hospitalization for acute myocardial infarction (AMI), according to new research published this month in Telemedicine and e-Health.

The study looked at 30-day readmission rates among 897 patients who subscribed to a telemedicine call center post-discharge. The call center kept the patient record on file, including an electronically stored electrocardiogram (ECG). Patients carried a cardio-beeper capable of transmitting a ECG by phone for comparison. The attending nurse had the option to dispatching a mobile intensive care unit staffed with a doctor or to make other recommendations while consulting with the physician on call.

Related Articles:
Telemedicine beneficial in management of chronic diseases, lowering costs
Telemedicine a 'cornerstone' solution to Triple Aim efforts
At Penn State, telemedicine boosts stroke care to rural patients

Back to School - Health Issues - Head Lice- The letter home you do not want to receive:


There has been a case of head lice reported. I would like to give you information about the symptoms and how best to manage this at home. If your child is found to have head lice they will be sent home from school. Call your child’s pediatrician for treatment right away.

Your child should stay home from school until he has had one lice shampoo treatment and all live lice are removed. Lice nits, or eggs, should be removed with a fine-tooth comb. The best way to prevent the spread of head lice is to check your child’s head regularly and to discourage sharing of items such as combs, brushes, hair accessories, scarves, towels or hats. Head lice may be transmitted through hair brushes, combs, scarves, caps In order to stop further transmission, the school and parents must work together. 

Your child will need to be checked upon return by the school nurse after treatment, before they return to the classroom. Housekeeping will perform additional cleaning of the classrooms as well as the school buses. If your child travels on a private bus, please inform the company so they can clean and vacuum their buses also.


Signs and Symptoms:
  1. Itching of the scalp, especially near the ears and back of the head.
  2. The presence of small, oval greyish-white nits (eggs) attached to the hair shaft particularly at the nape of the neck and behind the ears. Unlike dandruff scales, these nits cannot be easily dislodged.
  3. Lice are tiny and are brownish in color about the size of a sesame seed. They can look darker on some children. Nymphs (baby lice) are smaller and become adult lice after they hatch, usually about 7 days.
Prevention and Treatment
  1. If lice or nits are found when checking your child’s hair, call your pediatrician for treatment.
  2. Refer to the Center for Disease Control’s website for effective household treatment guidelines.

  3. The treatment should be repeated in seven to ten days to prevent re-infestation.
  4. ALL NITS SHOULD BE REMOVED FROM THE HAIR SHAFT BEFORE THE CHILD RETURNS TO SCHOOL. I understand this can be a tedious and an inconvenient procedure but it is an essential one.
  5. Articles that touch the head and shoulders, such as coats, hats, combs, brushes, bedding and pillows should be cleaned by laundering in hot water and dryer. Items that can’t be laundered need to be sealed in plastic for three weeks. The CDC does not recommend pesticide sprays for furniture and rugs and car interiors especially those diagnosed with Asthma and allergies; thorough vacuuming is sufficient.
  6. It is mandatory upon return to school the following day after treatment that the student be checked by the school nurse before being cleared to go to the classroom.

Please check your child’s head; if you are not sure what to look for, I will be glad to show you. If you discover that your child has head lice or nits, it is very important that you report it to the school nurse AS SOON AS POSSIBLE, so we can alert other parents. We want to take every precaution we can to prevent further transmission.


Message from CEO
2003 Server -- End of Life

It's time to start thinking about replacing your Windows 2003 servers. It's definitely not too early to start planning out. Actually, if you wait much longer, you will be late. In April, 2014, Microsoft ended the support for Windows XP. We had clients starting to replace them in January, which eased the pain a bit. Some purchased 3-4 PC's per month, while others went ahead and did 50 or more at one time. However they did it, it needed to be done.

What I noticed at the time, was that a lot of people waited until the very last minute. The staging area in our office was filled with hundreds of PC's. It was ok, we pulled our resources together, and got everyone installed on time, with no problems. After the installs were all done, I started thinking about Windows 2003. Waiting until the last minute is NOT going to work. Moving data off of your servers is going to take planning. Depending on which solution you choose, could also cost you more money. Here are some things you need to think about:

  1. Do you want to purchase a new server, or go into the cloud? If you purchase your own computer, keep in mind that you will also need to purchase a backup solution.
  2. Does your application vendor support you working in the cloud? Does the application itself have the right spec's to be put into the cloud?
  3. Will upgrading your server mean you have to upgrade your software? If so, will that involve training of your staff?
  4. How many applications are on your server, and what would the migration look like?
  5. Is your 2003 server an exchange server hosting your email? If so, what would that migration look like?

These are just a few things to think about with the end of life coming for Windows server 2003 in July, 2015. In order to remain HIPAA compliant, you will need to replace these servers. The End Of Life means there is no support for the operating system, and no critical security updates. This would make your system vulnerable to hackers. For example...if a virus or hack comes out that targets Internet Explorer, Microsoft will not come out with a patch for it.

Call your IT provider now and schedule a consult to get started on your Windows server 2003 migration. Don't wait until the last minute. Waiting will not change anything.

Sheryl J. Cherico,
CEO/COO, Co-Founder
Sheryl is the CEO of Tier3MD and one of the leading Healthcare IT Consultants in the country.

Ellmers Introduces the Flex-IT Act
September 16 2014

H.R. 5481 Will Provide Flexibility for Health Care Provioders WH Face Burdensome Restrictions and Fines Due to Harsh Health IT Reporting Requirements

WASHINGTON – Congresswoman Renee Ellmers (R-NC-02) released the following statement after introducing H.R. 5481 - The Flexibility in Health IT Reporting (Flex-IT) Act of 2014 this afternoon:

“Health Care providers have faced enormous obstacles while working to meet numerous federal requirements over the past decade. Obamacare has caused many serious problems throughout this industry, yet there are other requirements hampering the industry’s ability to function while threatening their ability to provide excellent, focused care.”

“The Meaningful Use Program has many important provisions that seek to usher our health care providers into the digital age. But instead of working with doctors and hospitals, HHS is imposing rigid mandates that will cause unbearable financial burdens on the men and women who provide care to millions of Americans. Dealing with these inflexible mandates is causing doctors, nurses, and their staff to focus more on avoiding financial penalties and less on their patients.”

“The Flex-IT Act will provide the flexibility providers need while ensuring that the goal of upgrading their technologies is still being managed. I’m excited to introduce this important bill and look forward to it quickly moving on to a vote.”

This afternoon, Congresswoman Renee Ellmers introduced H.R. 5481 - The Flexibility in Health IT Reporting (Flex-IT) Act of 2014. This important legislation would ensure that health care providers receive the flexibility they need to successfully comply with HHS’ Meaningful Use Program.

To learn more:

-Read here



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