PULSE (Police Using Leading Systems Effectively) is a computer system used by an Garda Síochána, the police force of the Republic of Ireland. The system was introduced in November 1999. The contract for the system was awarded to Andersen Consulting (now Accenture) and is managed by a directorate of three senior Gardaí and an Accenture consultant. The system is run by the PULSE Project teams of the IT section of an Garda Síochána. Pulse Systems, Inc. develops, implements, and supports electronic health record (EHR) and practice management solutions for ambulatory care practices in the United States. It offers PulsePro Practice Management software, a modular solution that provides clients with customized practice management solution, 2011 Pulse Complete EHR/EMR, a customizable suite of applications for going paperless, PulseMobileMD that allows clients to schedule appointments, capture charges and send to billing, write prescriptions, send lab orders, review patient charts, and capture dictation, and Pulse Patient Portal, a Website that enables physicians, administrative staff, and patients to exchange key information. The company also provides Pulse Patient Kiosk that allows patients to check-in, update insurance information, accept and decline practice consent forms, and pay, Pulse EDI, a Web portal for revenue cycle management that allows users to submit claims, download reports, receive electronic remittance advice, and validate insurance eligibility electronically, Pulse EHR for iPad, a suite of applications for use with Apple iPad, PulseIQ, a solution that provides users with high-level analysis to optimize productivity in medical organizations, and interoperability hub and ePrescribing solutions. In addition, it offers revenue cycle management, network monitoring and hardware support, and implementation and training services, and PACE e-learning system, a Web-based self-directed set of training courses that allows clients to learn on their own schedule and pace. Further, the company supports ambulatory physician offices through software that integrates clinical, financial, and administrative processes into a single solution. Pulse Systems, Inc. was formerly known as Advanced Health Care Systems Inc. The company was founded in 1982 and is headquartered in Wichita, Kansas. As of July 27, 2010, Pulse Systems, Inc. operates as a subsidiary of Cegedim SA.