August 24 , 1999

Washington National Eye Center Implements Internet-Based NextGen Suite of Products From MicroMed
NextGen Servers, Database to Be Hosted From MicroMed Office In Horsham

HORSHAM, Pa.— MicroMed Healthcare Information Systems, a division of Quality Systems Inc. (Nasdaq:QSII - news) and the result of a recent combination of Clinitec International Inc. and MicroMed Healthcare Information Systems Inc., Tuesday announced an agreement with Washington National Eye Center (WNEC) for the implementation of the company's NextGen� suite of products.

WNEC will be the first to utilize the NextGen EPM practice management system and the NextGen EMR electronic medical records system by accessing NextGen via the Internet through a remote data warehousing service hosted at MicroMed's facilities in Horsham.

WNEC provides a variety of continuing medical education, clinical, surgical and professional services to its 90-plus members, the ophthalmology profession, and to the Washington, D.C. metropolitan area. Founded more than 100 years ago, WNEC manages a nationally recognized, 12-person ophthalmology training program.

WNEC's program has graduated nearly 200 physicians who practice throughout the nation. WNEC operates a busy public, nonprofit clinic within the Washington Hospital Center as its Department of Ophthalmology.

After a comprehensive analysis of ophthalmology specific and general EMR systems, WNEC chose the company's NextGen product. "We had to modernize both our paper medical records system and a DOS-based practice management system that's long past its prime," said WNEC's president, Dr. Maxwell Helfgott.

"We needed a system that not only does the usual scheduling, billing and encounter functions, but also supports our clinical program's specific needs.

"Our residents operate our clinic under attending supervision. For both legal and professional reasons, we needed a system that allows residents to make findings in the EMR, and then lets attendings assess the encounter and generate orders and charges.

"Supervision was critical, but only a few packages could accommodate supervision and also provide well-rounded support for our specialty. NextGen facilitated supervision comfortably while also providing a high level of ophthalmology support.

"NextGen's ability to operate off-site via the Internet also figured in our decision. Remote access, within a secure environment, means we are freed from building a series of stand-alone servers with their attendant installation and maintenance costs."

Patrick Cline, president of MicroMed, commented: "We are pleased that Washington National Eye Center has chosen our leading-edge technology and new server-hosting services as part of their information systems strategy. They have a long tradition of leadership in their field, and we are excited to work with them as they prepare for the new challenges of the future.

"Our new Internet-based service bureau will enable them to make strides in the manner in which they provide care, with an investment in computer infrastructure appropriate to their business plan."

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 medical records, streamlines workflow, controls utilization 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 EPM is one of the most feature-rich applications available for practice management. NextGen EPM helps offices operate more efficiently through its Master Patient Index (MPI), quick appointment scheduling, and scanning images of patient insurance and identification cards to be stored in the patient files.

The billing and collections module readily handles managed care, capitation and fee-for-service reimbursements, while editing claims prior to submission to create "clean" submissions and to shorten accounts receivable days. The smooth workflow across the various modules creates improved operational efficiencies for both the practice and central management offices.

Quality Systems is one of the leading developers and providers of computer-based practice management and 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 possibility that the products will not achieve market acceptance; 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; 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.