July 8 , 1999

Medical College of Wisconsin Implements NextGen EMR for Physician Residency Program
Horsham, Pa. — MicroMed Healthcare Information Systems, a division of Quality Systems Inc. (NASDAQ:QSII), Thursday announced an agreement under which the Medical College of Wisconsin will install NextGen(R) EMR.

The Medical College of Wisconsin is a private, freestanding academic institution dedicated to excellence in education, research and patient care. It's multispecialty group practice, comprising more than 600 physicians offering care in every specialty of medicine, is eastern Wisconsin's sole academic-based practice.

Each year its physicians care for more than 180,000 patient at major affiliates — Froedtert Hospital, Children's Hospital of Wisconsin and the VA Medical Center-Milwaukee — and at many other urban and rural hospitals and clinics throughout the region.

NextGen EMR is an innovative electronic medical records system designed to improve quality of care, reduce risk, cut costs and increase revenue. NextGen creates and maintains complete medical records, streamlines workflow, controls utilization and manages critical data related to outcomes of patient care.

NextGen automatically creates documents and letters, generates prescriptions, stores clinical images, provides patient education and exchanges data with hospitals, labs and practice management systems.

NextGen EMR has been successfully implemented at a number of other physician residency programs in university medical center settings.

Patrick Cline, president of MicroMed, said: "NextGen is a great match for teaching institutions. We've incorporated advanced resident and faculty security and sign-off capabilities, sophisticated work flow triggers and customizable alerts and clinical pathways. NextGen is also very easy to use. We're pleased that the product has been chosen by the Medical College of Wisconsin and look forward to working with this innovative organization."

The MicroMed division is a result of the recently announced combination of Clinitec International, Inc. and MicroMed Healthcare Information Systems Inc., both of which are wholly owned subsidiaries of Quality Systems Inc.

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 500 clients in 45 states, Canada and Saudi Arabia.

This news 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; the 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 in the health-care industry; charges in product 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 Quality Systems' periodic reports and registration statements filed with the Securities and Exchange Commission.