2. To improve the quality and efficiency of health care for all stakeholders in the Santa Cruz community. To deliver technology assistance, guidance and information on best practices to providers with the goal of creating a healthcare delivery system that offers a seamless, integrated experience for patients and providers. Provide services and tools to participating healthcare providers to become meaningful users of EHRs connected to the Santa Cruz Health Information Exchange. These are foundational for Accountable Care, Clinical Integration, Medical Home Model and surviving payment reform as independent physicians

3. Summer of 2013 Users of Elysium e-Lite will no longer be supported. PMG is recommending Cal-Med or Lytec MD for providers currently using Elysium’s Meaningful Use EHR. Vendors announcing plans to discontinue support for Meaningful Use certification for Stage 2. Examples, Allscripts MyWay, GE, etc)

4. There are startup and on-going costs from PMG and possibly from the EHR vendors to the practice and you should be aware BEFORE YOU MAKE A DECISION so you have the complete picture of your costs. You have the most leverage with the vendor if you work through these points BEFORE YOU COMMIT to using their software. The EHR selection process PMG recommends is:  Narrow down the list of candidate EHR vendors  Review your candidates and EHR contact info with Bill Beighe ◦ Optional – a member of the PMG team will attend demos and go through the due-diligence process with you  Bill will review specifications with the candidates and provide you a report  Bill will provide you and your vendor a interface guide which is intended to be a contract amendment between you and your EHR vendor.  You MUST MAKE SURE your contract with your vendor includes a commitment to follow the interface specifications and deliver a fully tested interface BEFORE YOUR PRACTICE GOES LIVE.  Inform Bill when you have signed your EHR vendor contract and provide a copy of the interface deliverables – or the entire contract if you are comfortable with that.  Inform your vendor that PMG will be a participant on your EHR planning and implementation sessions (usually held weekly and run by the EHR vendor)

5.  Costs / Financing  Workflow and User Experience  Features  Patient portal with bidirectional data exchange  Commitment to Meaningful Use  Interoperability with SCHIE  Mobile Support  Support – Hours

6. Vendor EHR / PM Offerings for a PMG Contracted Solo Provider (discounts available for multi-provider) Practice PartnerLytec MDeMDAthenahealthCalMed ServerHosted Client or HostedCloud-BasedPMG Hosted Licenses Per provider + 4 Users Per provider + 4 Users Contact Vendor Per Provider Patient Scheduler Meaningful Use Reporting Patient Education?? e-Prescribing * Results (Labs, Rads, Transcribed Reports, Hospital Discharge Summaries, etc.) HIE Interface Patient Portal* $$?? Mobile Devices$$??$ Support* PMG Vendor PMG Back-up & Archive*PMG Contact Vendor PMG Features/Applications Practice Mgmt * $$**** Vendor Interface FeePaid by PMG $3,000 (1)Free (1) Paid by PMG HIE Interface $2,500 $4,000$2,500 Electronic Facility Ordering (Labs, Rads) $3500 / per Contact Vendor Quest & Labcorp Implementation Fee/Training $3500$5500 Contact Vendor $2,500 Monthly Fee (per Provider $595$695Contact Vendor $645 *Components require additional scope and services review as the options vary by practice needs and application offerings. There may be additional costs for services and/or integration. (1) Provider must get this in their vendor contract in writing

8. Practice Partner Lytec MD CalMed Contact PMG support@pmgscc.com (831) 465-7877 eMD Robert C. Grupe Regional Sales Manager rgrupe@e-mds.com Mobile: 916.708.4628 www.e-mds.com AthenaHealth Laurie Saltonstall Director, Channel Partnerships Email: lsaltonstall@athenahealth.com http://www.athenahealth.com 800.981.5084 Contact Vendor Notify PMG

9. https://portal.pmgscc.com/default.aspx

10. What’s Next? 2013 PMG Electronic Citizenship – Webinar, Thurs, Feb 28, 2013

11. Contact PMG IT Department with any questions (831) 465-7877