1. Collaborative Partnership Edmund Billings MD HIMSS 2014

2. 2  4 versions: Serviced VA VistA, FOIA VistA, RPMS, OpenVista  4 markets: Deployed Federal, State, Acute Care, Behavioral Health  Largest deployment of VistA outside VA: Indian Health Service’s 395 facilities  Totals: 64 hospitals, 360+ clinics and health centers, 1000s of clinicians, millions of patients  Code Convergence & Maintenance Outside of the VA, extensive experience with VistA versions and services.

3. Our Clients Blue Mountain Hospital Stilwell Memorial Hospital Guadalupe County Hospital

4. Collaborative Partnership Proven & Preferred Proven & Preferred Affordable TCO Affordable TCO Partner for Results Partner for Results

5. Partnership  Pricing based on Net Patient Revenue  No Licensing Fee  Quarterly payments over 5 years  Go at-risk for results: e.g. MU  Collaborative development

6. eCollaborative Projects

7. Open Platform 7 OpenVista Database OpenVista Database OVID Mirth Connect FM Projection VueCentric Java WPF HTML 5 CPRS Apps Plug-in Arch API HL-7 SQL

8. Collaborative Projects FlowsheetsIHS/Midland Patient Tracking DashboardsLutheran Medication ReconciliationLutheran Evidence Based Order SetsLutheran ER ChartLutheran Patient SearchLutheran Patient Chart PrintingLutheran D/C SummaryLutheran Handoff ToolLutheran Pharmacy ReportsLutheran SurgeryKern Multidisciplinary Treatment PlanSilverhill FM SQL ProjectionKern NHS Vista LabRoyal Collage of Surgeons 8

9. Lutheran Medical Center

10. About Lutheran  476-bed Brooklyn teaching hospital with integrated delivery network  687 attending physicians; 200 residents; 600 nurses; 627,000 outpatient and 66,000 emergency room visits annually  Anchor healthcare system for New York and surrounding areas OpenVista Success  93% CPOE use in 30 days after go live proves system adoptability  $10M saved proves OpenVista’s affordability  Customizations to Lutheran workflow proves system flexibility

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12. Sustainable Lutheran Hospital Budget $400 IT Budget 3.8 Percentage <1% EHR Staff 16 Support 9 Developers 7 Industry  BIDMC 1.9%  Big Vendors~4 - 4.5% Staff  Maine Medical Center 125  Meditech 250 bed 25 12

13. Patient Dashboards & Tracking Lutheran Medical Center

15. Medication Reconciliation Lutheran Medical Center

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17. Evidence Based Medicine Order Sets Lutheran Medical Center

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21. The ER Chart Lutheran Medical Center

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26. Multi-disciplinary Treatment Plans Silverhill

29. Surgery Kern Medical Center

32. NHS VistA Lab Royal Collage of Surgeons

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39. Thank You Royal Collage of Surgeons