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The Client

Established in 1974, Arthritis Consultants, Inc. is a Rheumatology practice with three locations in the St. Louis area. The firm is the oldest Rheumatology practice in operation in St. Louis.

The Situation

As medical practices continue to mature in their use of Electronic Health Records, many are looking for more functionality and integration between systems. In addition, Meaningful Use Stage 2 requires that specific integrations be in place for the sharing of information. One such integration is lab device integration with the electronic health record. Practices are turning to technology partners to help them design and implement these interfaces.

The Client’s Need

Arthritis Consultants operates with two lab devices, Beckman Coulter and ACE Alera, and uses eClinicalWorks as their EHR. The practice had implemented a rudimentary device interface between their devices and eClinicalWorks. Unfortunately, their interface software was unreliable. It was also inflexible and lacked a reconciliation utility for managing and resending results that could not be matched to patients in their eClinicalWorks system. The interface computer recently crashed and they were faced with having to not only replace the unit, but also rebuild the interface which could not be recovered.

How Mi7 Solutions Helped

Mi7 Solutions worked closely with Arthritis Consultants to design the new lab device interface that would operate similar to what they had before, but that was more stable and a lower cost to maintain. Through the implementation and testing process, Mi7 identified additional modifications they could make that would better fit Arthritis Consultants’ workflow. The interface also includes a user interface for assisting the practice in reconciling results when there is a data entry problem on the device side.

As a safeguard, Mi7 also implemented off-site backup of the configuration and interface so that if there ever was a problem with the computer again, they could easily restore the interface.


Mi7 was able to install the new interface in just a couple weeks time, and has helped Arthritis Consultants gain greater efficiency in their workflow while providing a better, more functional environment for the lab device interface. In fact, the new system functions so well that, to date, Arthritis Consultants has made only one support call to Mi7, who quickly discovered an issue not with the interface, but with the lab device itself which required a simple restart.


“The Mi7 staff is very professional and knowledgeable, working one-on-one with us to build our new system with the features we wanted. Our experience with Mi7 was fabulous. It’s nice to work with a company that aims for customer satisfaction.”

Tracy Hickles, Office Manager