1. Parent School Nurse School Liaison Strategic Nursing Team ??? Billing Operations Forms / Job Aids / Systems Work content Time Elapsed Time Start © Continual Impact LLC 7/15/15 NextGen SNT Process Map (New State) Page 1 Total time Time Sub Step: 1 School Coordination Wait Time = CCS send letters to parents Coordinate yearly letter Sign consent form and return to school WT= _____ ET = _______ WT= _____ ET = _______ Verify returned consent forms Coordinate non-CCS letter Consent Form Letter VIS Provide completed forms to CPH Schedule nurse (leads) Receive consent forms from schools A Coordinate non-CCS letter Send final letter to non- CCS schools Non-CCS schools set letter to parents NextGen Sub Step: 2 Pre-Clinic Preparation Consent Form Letter VIS Consent Form Letter VIS Consent Form Letter Consent Form Letter Consent Form Enter demographics and set insurance Create encounter NextGen

2. Parent School Nurse School Liaison Strategic Nursing Team ??? Billing Operations Forms / Job Aids / Systems Work content Time Elapsed Time © Continual Impact LLC 7/15/15 NextGen SNT Process Map (New State) Page 1 Total time Time Wait Time = WT= _____ ET = _______ WT= _____ ET = _______ Verify vaccination count day before A Impact SSIS Statewide IZ Registry Verify vaccination count day before Clinic Prep NextGen Enter screening questions Verify previous vaccinations Order vaccine Travel to school Setup clinic Get children Verify medical screening with child B Sub Step: 3 On-site VaccinationSub Step: 2 Pre-Clinic Preparation (Continued) NextGen

3. Parent School Nurse School Liaison Strategic Nursing Team ??? Billing Operations Forms / Job Aids / Systems Work content Time Elapsed Time © Continual Impact LLC 7/15/15 NextGen SNT Process Map (New State) Page 1 Total time Time Wait Time = WT= _____ ET = _______ WT= _____ ET = _______ Make record for child B Send vaccinated children back to class NextGen Okay to vacc.? Vaccinate child Receive yellow shot cards Give school all yellow card copies Send child back to class and inform parent Sub Step: 3 On-site Vaccination (Continued) Yes No End Document vaccine given Yellow shot card Last child? Yes No D Yellow shot card Close Clinic

4. Parent School Nurse School Liaison Strategic Nursing Team ??? Billing Operations Forms / Job Aids / Systems Work content Time Elapsed Time © Continual Impact LLC 7/15/15 NextGen SNT Process Map (New State) Page 1 Total time Time Wait Time = WT= _____ ET = _______ WT= _____ ET = _______ D Billing Process End Return to CPH Sub Step: 3 On-site Vaccination (Continued) Replenish stock bag Plug-in equipment Synch data, if needed Get stats Continuous Improvement System