1. Ohio Shared Information Services & Meaningful Use Jeff Lowrance, CHCIO CEO OSIS June 18, 2010

2. Today’s Snapshot Double Funding to Primary Care Access OSIS has built capacity to support this expansion More complexity coming OSIS allows CHCs to pool expertise

3. OSIS History Arose from CHCs’ need to operate more efficiently Products and Services developed by controlling CHCs Designed to supplement standard Offerings

4. OSIS Present Leading CHCs’ to participation in HIE and RECs Positioning member CHCs within the broader health system Support member CHCs in partnering with other agencies

5. OSIS Services Measuring & Demonstrating Health Disparities among Communities Clinical Data analysis Outcome Tracking Custom Clinical Reporting Clinical Quality Improvement

6. OSIS Services EPM EMR Interfaces Desktop Support Helpdesk Data Management Health Information Technology

7. OSIS Technical Operations HelpdeskField ServicesDatacenter Application Service Provider Network DesignConsulting Hardware/Software Procurement

8. OSIS Helpdesk Hardware Support Thin ClientsPersonal ComputersPrintersLaptopsScannersWireless

9. OSIS Helpdesk Software Support NextGen EPMNextGen EMRNextGen ICSDentrixMicrosoft Products

10. OSIS Datacenter Environmental –Power 225Kva Generator Automatic Transfer Switch Power Conditioning Two 65Kva UPS –Cooling Two 20 ton Liebert AC Units Control Unit Environmental Monitoring

11. OSIS Datacenter Hardware –Servers 78 Physical Servers 122 Servers Total 42 Terminal Servers –Storage HP EVA 6100 SAN 9.0 TB Total Space Expandable to 23 TB

12. OSIS Datacenter Security –Cisco IronPort –Cisco ASA 5510 –Trend Micro Anti-virus –Burstek Web Filtering –Biometrics

13. OSIS Application Services Provider Over 900 Users EPM 129 Providers, 726 Users EMR 67 providers live EMR 42 providers scheduled 27 operatories live 12 operatories scheduled Dentrix

14. OSIS Microsoft TM Applications Office 2007 OutlookWordExcelAccess Power Point PublisherProjectVisioDynamicsSharePointExchange

15. OSIS Primary Applications NextGen PMNextGen EMRNextGen ICSDentrix DxOneDentrix ImagingQS1 Pharmacy Clinical Management

16. Meaningful Goals Improve quality, safety, and efficiency Engage patients and their families Improve care coordination Improve population and public health Ensure privacy and security protections Enable significant and measurable improvements in population health through a transformed healthcare delivery System. Vision

17. Meaningful Use will Require: Use of certified EHR technology Clinical data sharing (interoperability) Reporting on specified clinical quality measures Electronic prescribing

18. Achieving Meaningful Use Clinical Workflow Analysis Software Selection Assistance Specialized EMR Provider Training Basic Computer Training Hardware Selection Assistance CCHIT 2011 Certified EMR package Custom Interfaces Ohio Board of Pharmacy approved eRx HIPAA compliant solutions OSIS Offers:

19. Closing Thoughts Vendor relationships are more important than ever Sifting fact from speculation Availability of resources Vendor supplied Vendor experts Contingency plans if vendor cannot get certified Contract remedies Practical plans to get to certified vendor

20. Closing Thoughts Sufficient skilled resources Technical Analytical Financial ONC estimates a shortage of > 50,000 implementation support staff Staffing

21. Questions Contact Information Jeff Lowrance 8790 Governor’s Hill Drive, Suite 202 513-677-5600 jlowrance@osisonline.net