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Software-as-a-Service (SaaS) pushes the limits of outsourcing and reduces the exorbitant costs of specialized practice management software. SaaS model is available for all aspects of chiroprac

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

tic clinic management, including scheduling, billing, and SOAP note documentation, which are mission-critical for high quality health care, practice building, and regulatory compliance.

Wh

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

at is Software-as-a-Service?

Software-as-a-Service (SaaS) is a logical step in the progression from build to buy to subscribe and a manifestation of a major software trend towards Service

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

Oriented Architecture (SOA). SaaS is the software industry term for delivery of software product and services over a network (typically the Internet) under subscription business model.

The i

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ncreasing reliability of the Internet coupled with availability of completely integrated practice management and billing software, create supportive conditions to pay-as-you-go business model.

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

SaaS liberates the users in two significant ways:

SaaS requires no large upfront investment in hardware and software licenses on the part of the user
SaaS shifts the onus of

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

systems management from the user to the SaaS vendor, including

Internet connectivity, bandwidth, and routers
Servers for Web server software, email, firewalls

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

Capacity management

Redundancy management

Application upgrade management

In financial management terms, SaaS proposition is equiv

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

alent to turning capital expense into operating expense, which translates into

Better balance sheets
Lower risk, especially during the period of rapid technology innov

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

ation on one hand and practice-building stages on the other hand

SaaS differs from Applications Service Providers (ASP) in two ways, namely, domain expertise and software develop

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ent skills. While ASP vendors developed primarily hardware and systems expertise and offered foreign business applications, SaaS vendors are experts in the specific application domain.

Sa

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

aS Vendor Selection

For the manager of chiropractic clinic, the main challenge could be the integration of newer applications with the subscribed SaaS application. SaaS Integration Platf

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

orms (SIP) is a popular way to handle the integration challenge. A SIP, such as Vericle, offers a suite of integrated applications, such as Patient Relationship Management, Patient Scheduling,

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

SOAP notes, and Billing.

Chiropractic clinic in search of SaaS vendor must focus on the following topics:

Functionality: Does the application deliver required functional

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

ity?

Training: Will the vendor provide sufficient application training?

Third-Party Application Interface: Does the application work with existing app

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

lications already deployed in the office? What requirements must be satisfied if you decide to purchase another application later?

Performance: How do you measure applica

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

tion performance? Are formal performance metrics available continuously?

HIPAA Compliance: What controls are in place to enable access only on a "need to see" basis? Is e

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

very access instance logged using secure mechanism?

Service Level Agreement: What minimum service levels the vendor guarantees to the client? What are the penalties for v

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

iolating SLA?

Data Ownership: Who owns the data?

Disaster Recovery: How long would it take to recover from a disaster? Is a secondary data center a

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

vailable 24 x 7?

Disengagement Procedures: How long is data available upon severing the relationship? Who is responsible for data transfer to the new vendor?

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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The various norms followed in Posting and Balancing the cash books are discussed here. A business may like to get more information from the cash book, such as the receipts from different heads of income and payments on different accounts. Analysis of various aspects of cash transaction is important to know real profitability of the business.

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