Arnett
Clinic is one of the largest multi-specialty medical clinics in Indiana,
offering comprehensive health care services to patients across 14 counties. PHCS is the second largest care management
company in the nation as well as the largest proprietary PPO in the
country. David Pierce of Beaverton, OR, said of MD Consult, "It's hard to
practice medicine now without it. But I
don't have to do that now - I just go to MD Consult. The MD Consult Clinical Knowledge System
offers an integrated family of online medical information services, which may
be used stand-alone or in combination with each other.news.

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.com.mdconsult.com), MD Consult (
http://www.

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"We are pleased that
through our participation in the PHCS Network, the communities we serve now
have convenient access to a full spectrum of top health care providers.
In addition to the survey, MD Consult conducted case studies to determine
the value the service brings to two Texas medical centers.
About MD Consult
MD Consult, headquartered in St.

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PRESS RELEASE Arnett HealthSystem Joins Private Healthcare Systems PPO Network in Indiana

"

"As one of the largest multi-specialty physician practices in the state,
Arnett HealthSystem is an important addition to the PHCS Network," said
Keith Vangeison, PHCS Executive Vice President, Networks .. The Medical City librarian was
contacted from surgery and within minutes found information on MD Consult
about the interaction and how to combat it.

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"

About PHCS

For 20 years, Private Healthcare Systems has been meeting the network and
care management needs of customers across the country.3 hours per week
on average and allowed them to answer questions more quickly in 61% of their
cases.In the old days you had to rummage through
multiple books and call a consultant to get the latest information."
The survey also proved that MD Consult is an especially useful tool for
improving patient care.
For more information regarding the case studies and physician survey
contact Drew Karl at +1-314-995-3263 or d. Its flagship service,
MD Consult Core Collection, was introduced in 1997 and is accessed today by
more than 275,000 health professionals under paid subscription plans at more
than 1,700 institutions, including more than 90% of American medical schools. All services deliver single point, integrated access
to trusted medical content including: leading reference books , full-text
articles from influential medical journals, MEDLINE and other databases,
peer-reviewed clinical practice guidelines, a comprehensive drug database,
customizable patient education handouts , continuing medical education
materials, and a suite of features which identify and report on current
developments in medicine.scopus.
Elsevier (http://www. Elsevier is part of
Reed Elsevier Group plc (http://www.

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More than 140 physicians practice in more than 45 medical specialties and
subspecialties, including: family medicine, internal medicine, pediatrics,
cardiac and thoracic surgery, obstetrics/gynecology, oncology and urgent
care.

specialties health

"Arnett HealthSystem is committed to providing comprehensive, quality
health care to Tippecanoe county and the surrounding counties ," said Dr. Corporate
headquarters are in Waltham, Massachusetts, with regional offices located
throughout the United States. By using MD
Consult, Medical City Dallas Hospital will realize a projected five -year net
benefit of more than $5 million, and an annual return on investment (ROI) of
3776%. Using the information, the
anesthesiologist was able to solve the medical emergency.
About Elsevier
Elsevier is a world-leading publisher of scientific, technical and
healthcare information products and services.

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Arnett Clinic has eleven locations in Tippecanoe County and seven Regional
Medical Clinics in surrounding areas.

MD Consult Proven to Improve Patient Care and Physician Productivity Cut Healthcare Costs

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PHCS is the first and only national PPO to earn four
endorsements of quality from two independent, nationally recognized quality
assurance organizations, NCQA and URAC.
According to the survey, MD Consult saved physicians 2. One hundred percent of physicians surveyed said the
service offers more accurate assessments, effective diagnosis and better
solutions for patients.

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ST. Reed Elsevier's ticker
symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and
ENL (New York Stock Exchange).

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Based in Lafayette, Indiana , Arnett HealthSystem is a provider-directed
organization that operates Arnett Clinic and Arnett Health Plans.

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karl@elsevier. Working in partnership with the
global science and health communities, Elsevier 's 7,000 employees in 74
offices worldwide publish more than 1,800 journals and 2,200 new books per
year, in addition to offering a suite of innovative electronic products, such
as ScienceDirect (http://www.com) is a global business headquartered in
Amsterdam, The Netherlands and has offices worldwide.com), a world-leading
publisher and information provider.

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"Arnett Clinic
is instrumental in providing our customers and their members in western
Indiana with access to the most comprehensive and cost-effective health
care possible.
Dr.

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com), bibliographic
databases, online reference works and subject specific portals.

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specialties resources

The PHCS Network includes nearly 450,000 providers and over 4,000
facilities. One hundred percent of those surveyed said MD Consult keeps them more
current within their specialties and with best practices. The financial benefits included increases in the number of patients
seen per week, a reduction in the cost of interlibrary loans, and an increase
in librarian productivity. Louis, MO, is a part of world-leading
health science publisher, Elsevier.

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Mike Skehan , President of Arnett HealthSystem.

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Physicians said the use of MD Consult has led to
better patient care in 29% of their cases.

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LOUIS, September 12 -- A recent survey conducted with
physicians across the US who use MD Consult, Elsevier's family of online
clinical information services for medical professionals, found the web-based
resource significantly improves their productivity, aids with quicker, more
accurate diagnoses, and helps them stay abreast of the latest medical
findings.

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com, or call +1-800-401-9962 for more
information.
MD Consult also offers specialty-focused editions including: MD Consult
Respiratory + Critical Care Medicine, MD Consult Infectious Disease , and MD
Consult Pain Medicine.elsevier. Operating in the science and healthcare,
legal, education and business-to-business sectors, Reed Elsevier provides
high-quality and flexible information solutions to users, with increasing
emphasis on the Internet as a means of delivery.

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Even more important than the financial benefits is the impact on patient
care. To preview MD
Consult's services first hand, physicians and organizations can register for
a free trial at http://www.sciencedirect.

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Private Healthcare Systems (PHCS), the nation's
leading health care cost management company, announced today that Arnett
HealthSystem has joined its PPO network in Indiana, effective November 1,
2005 . In one instance, a patient in an operating room suffered complications
due to a little-known drug interaction. An extensive range of add-on clinical reference
collections allow customers to enhance the depth of the service within an
expanding range of specialty fields, presently including: Pediatrics , OBGYN,
Emergency Medicine, Dentistry and Surgery.