TUSTIN, Calif., December 16, 1999 -- MicroMed Healthcare Information Systems, a division of Quality Systems, Inc. (Nasdaq: QSII) and the result of a combination of Clinitec International, Inc. and MicroMed Healthcare Information Systems, Inc., announced today an agreement with the world-famous Joslin Clinic.  Joslin is headquartered in Boston with facilities throughout Massachusetts.

Joslin Clinic and Joslin Diabetes Center are international leaders in diabetes treatment, research, and education. Established in 1898, and affiliated with Harvard Medical School, Joslin leads the field in both basic and clinical research, and is devoted to educating both patients and professionals.  Joslin Clinic provides a full range of services for children and adults with diabetes in Eastern Massachusetts, providing the medical care, training and support they need to live with this disease.  Joslin Diabetes Center conducts cutting-edge research and has affiliated diabetes treatment centers nationwide.

Joslin Diabetes Center originally purchased a limited license to NextGen® EMR  3 years ago to assist in the research and development efforts of the Joslin Vision Network (JVN), the tele-ophthalmological platform designed to help provide access to annual eye examinations for all diabetic patients. The JVN program provides eye examination stations at primary care sites connected to Joslin’s central storage and reading center. In this way, eye exams can be performed at remote sites without the need for dilation of the eye and usually without the need for direct involvement of an ophthalmologist. The captured images are sent electronically to the Joslin Diabetes Center, where an assessment of changes in the diabetic eye are made and a suggested treatment plan is generated using NextGen, which is transmitted back to the primary care site before the patient leaves that site.

With this new agreement, Joslin Clinic will install NextGen EMR and NextGen Web in its Eastern Massachusettes facilities allowing their physicians and patients to benefit from  a powerful, centralized electronic medical record system.

“As we began to look toward improving access of information for both physicians and patients, it became clear that an electronic medical record system was essential to our desire to redesign our diabetes practice,” said Alan Moses, Chief Medical Officer of the Joslin Clinic and Joslin Diabetes Center. Moses added: “NextGen offers unique advantages over competitive products, including ease of use for the clinician, and the ability to instantly relay information to referring physicians. We also appreciate the ability to provide patients with access to information via the Internet. We already had experience with NextGen’s flexibility, and we knew we could take advantage of its advanced data-handling capabilities. Joslin views NextGen as the ideal tool for a new type of practice where patient care and clinical research are data driven and where the data is always within the grasp of the clinician. With NextGen, we can extend patient education from the clinic to the home, and we can facilitate a cooperative model of care with primary care physicians.”

MicroMed's president, Patrick Cline commented, "We're delighted that the Joslin Clinic is implementing NextGen in its practices. It’s a reflection of their forward thinking and commitment to quality care, and it’s an indication of our previous success and commitment while working with Joslin on the JVN project.  We’re excited to continue working with them.”

MicroMed's NextGen EMR is an innovative electronic medical records system designed to improve quality of care, reduce risk, cut costs and increase revenue. NextGen EMR creates and maintains complete electronic medical records, streamlines workflow, controls utilization of resources and manages critical data related to outcomes of patient care.  It automatically creates documents and letters, generates prescriptions, stores clinical images, provides patient education, and exchanges data with hospitals, labs and practice management systems. NextGen Web is a "patient-centric" Internet-based suite of applications, allowing medical practices to achieve a higher level of communication with their patients by using the Internet.  NextGen Web provides patients with: access to key parts of their medical record, including certain test results; access to health-education materials; direct input of demographic and insurance information, as well as medical and social history; satisfaction surveys; appointment requests, confirmations and cancellations; and links to other related/informative sites.

Quality Systems is one of the leading developers and providers of computer-based practice management and electronic medical records systems for medical and dental group practices, with a customer base of approximately 600 clients in 45 states, Canada and Saudi Arabia.

This press release contains forward-looking statements, including those related to revenue and net income that involve a number of risks and uncertainties.  Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are volume and timing of systems sales and installations, length of sales cycles and installation process, seasonal patterns of sales and customer buying behavior, the development by competitors of new or superior technologies, delays in product development, undetected errors or bugs in software, product liability, changing economic, political or regulatory influences on the healthcare industry, changes in product pricing policies, competitive pressures, possible regulation of the company’s software by the U.S. Food and Drug Administration, general economic conditions, and the risk factors detailed from time to time in Quality Systems’ periodic reports and registration statements filed with the Securities and Exchange Commission as applied to the company as of the date hereof.

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