1. Implementation 60-120 days 10 Days Onsite Training Additional Hardware Automated Workflow Paperless Environment MD with PC Tablet / iPad Workflow Analysis Change Management Full Office Impact Implementation 1 day 1 Day Onsite Training No Additional Hardware Web Based Application Obtain Stage 1 MU incentive $ Fast & Easy Guaranteed MU Dollars Go Live in 15 Days | Traditional EHRPerfect Care EHR

2. Core 1-CPOE for Medication Orders Core 2-Drug Interaction Checks Core 3-Maintain Problem List Core 4- e- Prescribing (eRx) Core 5-Active Medication List Core 6-Medication Allergy List Core 7- Record Demographics Core 8- Record Vital Signs Core 9- Record Smoking Status Core 10-Clinical Quality Measures (CQMs) Core 11- Clinical Decision Support Rule Core 12- Electronic Copy of Health Information Core 13- Clinical Summaries Core 14- Electronic Exchange of Clinical Information Core 15- Protect Electronic Health Information The 25 Meaningful Use Objectives Menu 1- Immunization Registries Menu 2- Syndromic Surveillance Menu 3- Drug Formulary Checks Menu 4- Clinical Lab Test Results Menu 5- Generate patient Lists Menu 6- Patient reminder preference Menu 7-Patient Electronic Access Menu 8- Patient-Specific Education Resource Menu 9-Medication Reconciliation Menu 10- Transition of Care Summary Only 20 required for Stage 1 MU

3. Core 1-CPOE for Medication Orders Core 2-Drug Interaction Checks Core 3-Maintain Problem List Core 4- e- Prescribing (eRx) Core 5-Active Medication List Core 6-Medication Allergy List Core 7- Record Demographics Core 8- Record Vital Signs Core 9- Record Smoking Status Core 10-Clinical Quality Measures (CQMs) Core 11- Clinical Decision Support Rule Core 12- Electronic Copy of Health Information Core 13- Clinical Summaries Core 14- Electronic Exchange of Clinical Information Core 15- Protect Electronic Health Information The 25 Meaningful Use Objectives Menu 1- Immunization Registries Menu 2- Syndromic Surveillance Menu 3- Drug Formulary Checks Menu 4- Clinical Lab Test Results Menu 5- Generate patient Lists Menu 6- Patient reminder preference Menu 7-Patient Electronic Access Menu 8- Patient-Specific Education Resource Menu 9-Medication Reconciliation Menu 10- Transition of Care Summary 10 are completed by the system

4. Core 1-CPOE for Medication Orders Core 2-Drug Interaction Checks Core 3-Maintain Problem List Core 4- e- Prescribing (eRx) Core 5-Active Medication List Core 6-Medication Allergy List Core 7- Record Demographics Core 8- Record Vital Signs Core 9- Record Smoking Status Core 10-Clinical Quality Measures (CQMs) Core 11- Clinical Decision Support Rule Core 12- Electronic Copy of Health Information Core 13- Clinical Summaries Core 14- Electronic Exchange of Clinical Information Core 15- Protect Electronic Health Information The 25 Meaningful Use Objectives Menu 1- Immunization Registries Menu 2- Syndromic Surveillance Menu 3- Drug Formulary Checks Menu 4- Clinical Lab Test Results Menu 5- Generate patient Lists Menu 6- Patient reminder preference Menu 7-Patient Electronic Access Menu 8- Patient-Specific Education Resource Menu 9-Medication Reconciliation Menu 10- Transition of Care Summary 10 are completed by the practice

5. Input Demographic Info preferred pharmacy race, ethnicity, smoking status, preferred language, Vitals Maintain active Problem List (diagnosis) Input Procedures Maintain active allergies Maintain active Medication List Electronic Prescriptions 4 Simple Tabs = Meaningful Use $$

6. October 23, 2009 | Slide 6 | 2009 Meaningful Use Dashboard

7. Timelines – Medicare Stage 1 Stage2Stage 3 Penalties for No Meaningful Use Begin in 2015 20151% Reduction in payments 20162% Reduction in payments 2017 and beyond3% Reduction in payments

8. Timelines – Medicaid