1. HIE Networks Introduction

2. 2 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks HIE Networks runs BigBendHealth.com - recognized as one of the most advanced HIE systems in the country and based out of in Tallahassee The National eHealth Collaborative (NeHC) cited Big Bend Health as one of 12 successful leaders in the emerging digital integration of medical records: http://www.nationalehealth.org/ckfinder/userfiles/files/REPORT%20SecretsofHIESucce ssRevealed.pdf The eHealth Initiative profiled Big Bend Health as one of only 24 sustainable HIEs nationally in their report Health Information Exchange: Sustainable HIE in a Changing Landscape: http://www.ehealthinitiative.org/about-us/press/press-releases/747-ehealth-initiative- releases-2011-report-on-health-information-exchange-sustainability-.html Nationally Recognized Leader in HIE

3. 3 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks What’s the difference? Simply put, an EMR is a replacement to your paper charts WITHIN the four walls of your office. Health Information Exchange (HIE) is the term used to describe large-scale electronic communication of patient information between unaffiliated healthcare providers. If you think of an EMR as what is INSIDE the four walls of your office, think of EHR as an EMR that is connected to other healthcare providers through HIE. EHR= Electronic Health Record 1 2 33 EMR, EHR, & HIE EMR = Electronic Medical Record HIE = Health Information Exchange

4. 4 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks The Purpose of HIE HIE provides a more efficient electronic replacement to traditional phone, fax and paper communications among healthcare providers

5. 5 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Why Should I Care HIE – Is It Worth It? Provider

6. 6 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Care Coordination - Accessing patient demographics, transferring medical records, diagnostic reports, & patient referrals Phone Calls / Lines Printing & Faxing Documents Paper Storage / Shredding Reduce scanning Waiting for Information! Toner Cartridges Fax Machines Personnel Reduced Denial of Claims through Information Access Save Time & Dollars on:

7. 7 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Operational & Legal Agreements Federated Infrastructure Management and HIE Services –hMessage –hFax –hPrint –hCloud –hConnect Service Fee Model (Happy Paying Customers!) HIE Components

8. 8 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Operational & Legal Agreements Operational Legal Agreements for HIPAA/HITECH Security HIE Networks

9. 9 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks HIE Networks Federated “Spine” Architecture Data is not comingled – each connected data source has their own participation agreement & database… Regional, State, and National Exchange Imaging Clinic Payor Hospital Physician Lab

10. 10 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks HIE Networks Services

11. 11 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Easy to Use Our software is intuitive and easily adapts you YOUR workflow.

12. 12 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hMessage Care coordination simplified. Think email and social networking that is HIPAA compliant. Efficiently manage in- coming and out-going patient referrals, orders, and transfers. No more “To leave a message, please select from the following options: press 1 for…”

13. 13 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hFax HIPAA compliant inbound and outbound faxing directly in an electronic work queue. No more piles of paper faxes...

14. 14 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hPrint Secure electronic document publishing with simple-to-use document upload capabilities. Share medical records securely with any connected healthcare provider. Sending documents is as easy as printing them! No more print-scan-fax-shred, print-scan-fax-shred...

15. 15 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hCloud Instant access to demographic and clinical data from connected healthcare providers. View medical records from a secure HIPAA compliant Web Portal. Streamline the processes of gathering and sending patient chart information

16. 16 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hCloud / hConnect Support for CCD, HL7 and other data formats

17. 17 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks hConnect Solve communitywide PM, LIS, RIS, and EMR interfacing needs. State connectivity for pubic health reporting requirements.

18. 18 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Basic Service Fee Model

19. 19 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Current System MetricsValue Electronic Offices & Facilities120 Electronic Providers440 Offices & Facilities in Index1,175 Providers in Index2,600 Users1,150 Data Interfaces20 Total Patients in HIE (approximately) 1,000,000 Messages Processed (per month) 1,000,000 User Access (per month) 49,000 Electronic Referrals (per month) 6,000 Files Published (per month) 8,600 Secure eFax Pages (per month) 30,000 Private Messages (per month) 200 fl.hienetworks.com – The Numbers

20. 20 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Meaningful Use Compliance Are you ready for MU Stage 2? Although it is not included in most certified EHR systems, HIE is an integral part of Meaningful Use (MU). Achieve the exchange requirements of measures for MU stage 1 AND have a real-world path for the exchange requirements for MU stages 2 and 3.

21. 21 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Provider Run Data Analytics

22. 22 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks To build an HIE system that works you must understand what data is available and how it fits into a healthcare providers workflow (discrete data) Data Types and Data Flow

23. 23 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Health Bank or PHR Support Organization Community #1 Integrated Delivery System Community Health Centers State and Local Gov Labs Pharmacies CDC VA IHS DoD SSA The Internet Standards, Specifications and Agreements for Secure Connections eHealth Exchange – Healtheway (previously NwHIN) National Connectivity HIE Hub

24. 24 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Contacts: Kyle Crews: kyle@HIEnetworks.com Zach Finn: zach@HIEnetworks.com

25. 25 3411 Capital Medical Blvd., Tallahassee Florida 32308 HIE@HIEnetworks.com 850-702-0365 Copyright © 2011 HIE Networks Florida Health Information Exchange Florida Health Information Exchange (HIE) Cooperative Agreement Program – In March 2010, Florida's Agency for Health Care Administration (AHCA) was notified that it was awarded $20.7 million in federal funding to be used over a four-year period for the purpose of supporting statewide health information exchange. The 2010 Florida Legislature directed the Agency to issue an Invitation to Negotiate (ITN) and, through the ITN process, Harris Corporation was awarded a four-year, $19 million contract by AHCA on December 22, 2010 to implement a statewide health information exchange (HIE) infrastructure that will improve the delivery and coordination of health care. The FHIE project has been implemented as two Disparate platforms and products: 1)The Patient Lookup Network of Networks 2)Direct Secure Messaging