ehealthconnecticut A response to Allscripts MyWay

Transcription

1 Allscripts MyWay A response to ehealthconnecticut Prepared by: Dan Stoke, VP, Business Development, Regional Extension Centers AllscriptsMisys Healthcare Solutions, Inc. (704) dan.stoke@allscripts.com

2 Important Notices 08/18/2010 Important Notices Statements made in this document are not intended to be express warranties of any kind or nature, unless they are incorporated into a binding written agreement for the procurement of Allscripts software and related hardware and third party software (a system ), duly authorized by Allscripts. Descriptions of the capabilities of Allscripts information systems are made based upon general assumptions about our systems, and not upon a specific implementation for your institution or company. Even though we may respond specifically to questions about the capabilities of our systems in this document, those statements must be specifically incorporated into the definitive written agreement before they are intended to become express warranties. Each installation for each customer is different, and the truth, accuracy and completeness of any statement made herein will depend upon the specific facts applicable to your installation. This document contains confidential information belonging to Allscripts. It is delivered to the specific potential customer who has requested it from Allscripts, solely for the purpose of assisting in evaluation of Allscripts and as a potential vendor of all or some components of an information system. It is intended that this document should be reviewed only by authorized agents of the potential customer, solely for the purpose of assisting the potential customer in its evaluation. The contents of this document are not to be disclosed to any other persons for any other purpose. This document may not be copied in whole or in part without prior written permission of Allscripts. This document describes Allscripts software products in general, as of the date of delivery of this document. Allscripts reserves the right to make changes to this document without notice. The software prices contained in this document are valid for 120 days from the date of its delivery. Hardware prices are subject to change at any time without notice. Important Information Allscripts is pleased to submit this response to a request for information (RFI). It is our intent that the information provided in this response will prove valuable in your review process. We have responded to this RFI to the best of our ability based on information provided in the RFI. The Allscripts products are highly flexible in design, providing many options for system implementation. Occasionally, due to this flexibility, the selection of one system feature may prohibit the selection of another. As such, an affirmative response to a question in the application requirements section of this proposal may preclude another system feature from being implemented. Statements made to you in the course of this sales process are subject to the Year 2000 Information and Readiness Disclosure Act. In the case of a dispute, this act may reduce your legal rights regarding the use of any such statements, unless otherwise specified by your contract or tariff.. Confidential Page i

3 Table of Contents 08/18/2010 Table of Contents Allscripts Executive Summary Tab 1. Connecticut REC RFI Responses Allscripts Attachments A. References B. MyWay Product Briefs C. MyWay Technical Specifications D. Allscripts Master Agreement E. MyWay Implementation Overview F. MyWay Support-SLA Agreement G. REC Overview. Confidential Page ii

4 Allscripts Executive Summary 08/18/2010 Allscripts Executive Summary Thank you for the opportunity to become your partner in clinical automation and for the chance to respond to your information request. There are a number of key qualities we believe make Allscripts the right choice for ehealthconnecticut, including product capabilities, product vision, and, most importantly, organizational culture and people. Allscripts (the trade name of Allscripts-Misys Healthcare Solutions, Inc.) is a leading provider of clinical software, services, information and connectivity solutions that empower physicians and other healthcare providers to deliver best-in-class patient safety, clinical outcomes and financial results. Our businesses provide innovative solutions that inform physicians with just right, just-in-time information, connect physicians to each other and to the entire community of care, and transform healthcare, improving both the quality and efficiency of care. We provide various clinical software applications, including Electronic Health Records (EHR), practice management, revenue cycled management, clearinghouse services, electronic prescribing, Emergency Department Information System (EDIS), hospital care management and discharge management solutions, document imaging solutions, and a variety of solutions for home care and other post-acute facilities. Nationwide, more than 160,000 physicians, 800 hospitals and thousands of other healthcare providers in clinics, post-acute care facilities, and homecare agencies turn to Allscripts to Connect to Health TM. By using Allscripts solutions to automate and connect their clinical and business operations, we help physicians and providers improve quality, eliminate errors, and reduce costs, transforming today s disconnected system of healthcare into a connected system of health. To assist ehealthconnecticut in achieving the primary objectives stated in this RFP, Allscripts is proposing Allscripts MyWay. Allscripts MyWay is a seamless, integrated solution designed to enhance the clinical, business and financial performance of small practices. In one comprehensive package users will find the key application features and functions necessary for Electronic Medical Records (EMR), Practice Management and Claims Management. Allscripts MyWay, available as both a hosted Software as a Service (SaaS) and on-premise solution, offers robust capabilities for Electronic Health Records, practice management and claims management. Designed to help small physician practices overcome cost and IT complexity barriers, the Allscripts MyWay Electronic Health Record offers many features that make it simple and intuitive for the user, including: Offline Synchronization: Physicians can be productive anywhere, any time, even without an Internet connection. Caregivers offline changes and entries are automatically synchronized to update records when they re-connect. Adaptive Learning: The EHR learns and adapts to each user s patterns and preferences, making workflow and charting faster and easier. Intelligent Navigation: Relevant clinical content is automatically displayed based on presenting symptoms, even suggesting next logical entry options. Users can move freely throughout the application without enter/exit screens. Template-Free Charting: Physicians can use their preferred workflow, so they can navigate wherever they need to in the application to document multiple complaints or easily handle multiple patients. Easy Customization: Physicians and other caregivers using the solution can quickly change and customize screens to match their individual preferences. Allscripts MyWay has also been certified by the Certification Commission for Healthcare Information Technology (CCHIT) as a CCHIT Certified Ambulatory EHR product for The Allscripts MyWay solution received 2007 CCHIT certification on 02/22/ Confidential Page iii

5 Allscripts Executive Summary 08/18/2010 What We Do Connect to Health Allscripts believes that now is the time to Connect to Health - to improve quality, to eliminate errors and to reduce cost. We help physicians and providers Connect to Health, transforming today s disconnected system of healthcare into a connected system of health. Connect Your Practice. For physician practices of all sizes and specialties, our leading clinical solutions - electronic health record, eprescribing, and document management - deliver just right, just-in-time information. Our advanced business solutions - practice and revenue cycle management - enable practices to run more efficiently. Together with our emergency department, care management, and homecare solutions, the end result is a single company to help you eliminate paperwork and eliminate information silos. Connect Your Community. Our solutions enable physicians and care providers to connect beyond the practice, ensuring seamless integration of patient information across the entire community of care. We are at the forefront in connecting healthcare, enabling the sharing of information securely across practices and with patients, hospitals, labs, pharmacies, payers, long-term care, and home health providers. Connect to Health. The value of information increases exponentially when it is shared safely and securely across all systems. We are leading the development of standards, enabling the sharing of information by all stakeholders while providing access to new opportunities for providers, including pay-for-performance, clinical trials, and medication dispensing. The end result is a dramatic move from a disconnected system of healthcare to a connected system of health, enabling providers to focus on disease management, prevention, and wellness. The Experienced Choice for Physician Practices Allscripts understands the challenges you face and provides the experience, solutions and, most importantly, the results to help your patients, physicians, providers, and practice thrive. Our Experience. Serving one in three physicians in the U.S. and over 800 hospitals, Allscripts is recognized as the industry expert. We leverage this experience to help you improve clinical workflow and practice performance. Our Solutions. Our solutions are consistently rated best in class and our commitment to innovation has set a standard in the industry. We help physician practices and hospitals like yours become more efficient and effective by automating and streamlining everyday tasks. Real-time alerts ensure patient safety. Income-generating services replace expensive chart rooms. Closer patient management reduces lengths of stay. Our Results. Our unique user-oriented implementation process drives rapid adoption and higher utilization to pay you back and drive transformation in your practice and in your community. For our clients, return on investment is no longer a dream, it s the norm. Due to our commitment and understanding of physician practices, we provide solutions that yield results. Through a long history of execution and performance, we are committed to delivering a full-spectrum of solutions for physician practices. Allscripts is one company with a portfolio of solutions building one interconnected healthcare system, helping to improve practice and hospital organizational performance and focus on patients, not paperwork. Commitment to Healthcare Testimony to our serious commitment is our leadership and participation in the $100 million initiative to provide free Internet-based prescribing software to every physician in the United States. The National eprescribing Patient Safety Initiative (NEPSI) is led by Allscripts and sponsored by Aetna, Dell (our national sponsor), Google, Microsoft, Sprint Nextel, SureScripts, Wellpoint, Wolters Kluwer Health, and Allscripts clients across America.. Confidential Page iv

6 Allscripts Executive Summary 08/18/2010 The goal of the NEPSI coalition is to provide every physician in America with free electronic prescribing in order to eliminate the 1.5 million injuries and over 7,000 deaths that are caused by preventable medication errors each year. Summary Allscripts has transformed clinics nationwide because we deliver solutions that physicians need to have and want to use. Our clients experience cost reduction and productivity improvement benefits because Allscripts MyWay adapts to physicians needs and preferred workflows while providing them with the options that make their practices more competitive on multiple levels. When you purchase from Allscripts, you are buying more than software. You re forming a partnership, and trusting that your new partner will deliver on their vision. We welcome the opportunity to respond to your questions and offer the attached response as a first step in partnering with ehealthconnecticut.. Confidential Page v

7 Connecticut REC RFI Responses Please answer all of the following questions: VENDOR PROFILE Name Any Previous Names AllscriptsMisys Healthcare Solutions, Inc. (dba Allscripts) Allscripts Address (Headquarters) 2024 Merchandise Mart Plaza, Suite 2024 Chicago IL Main Telephone Number (800) Website Corporate Status (Publicly Traded, Privately Held, For Profit, Not for Profit) PARENT COMPANY Name Publicly held company under NASDAQ symbol MDRX Misys plc Address One Kingdom Street Paddington London, England W2 6BL Telephone Number +44 (0) CONTACT PERSON Name Title Dan Stoke VP, Business Development, Regional Extension Centers Address 8529 Six Forks Road Forum IV Raleigh, NC Telephone Number (704) Address: MARKET DATA 1. Number of years as EHR vendor Over 26 years in healthcare and 14 in EHR 2. Total customer sites live and in process to go live Nationwide, Allscripts supports more than 160,000 physicians, 800 hospitals and thousands of other healthcare providers in clinics, post-acute care facilities, and homecare agencies utilize Allscripts solutions to automate and connect their clinical and business operations. a. Nationally Nationally, there are more than 1100 Allscripts MyWay clients. b. Connecticut There are 6 Allscripts MyWay clients in CT. 3. Breakdown of sites by number of providers (Solo, 2-5, 6-9, >10) For Allscripts MyWay: 1 provider= providers= providers= providers= 2. Confidential 1-1

8 4. Provide the number of installed sites by specialty and size a. Provide the names and contact information for 3 CT reference sites. 5. How Many De-Installations in last 36 months? 6. Please describe your relationship(s) with other ONC funded REC s 7. Additional Comments on Market Data Questions MyWay specialties include Arthritis, Cardiology, Dermatology, Endocrinology, Ear, Nose, & Throat, Family, Gastroenterology, General Surgery, Geriatrics, Internal Medicine, Mental Health, Nephrology, Neurology, Obstetrics/Gynecology, Ophthalmology, Orthopedics, Orthopedic Surgery, Pain, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Pulmonary, Rheumatology, Urgent Care, Urology, Vein Care, and other specialties not specifically stated. There are no CT MyWay reference sites, but we have provided a list of MyWay reference clients across the US. Please see the attached MyWay Reference list for these details. Allscripts is obligated to treat the identities and particulars of relationships with our customers as confidential. Further, Allscripts does not make public information about customer relationships on a selective basis, since such disclosures may be deemed material and in violation of securities laws to which Allscripts is subject. That said, Allscripts has a strong record of customer retention. Allscripts is on the preferred vendor list for most RECs across the nation and works to sponsor, support and promote opportunities for RECs. We participate in several forums, including ARRA promotional activities and local, state and regional events and conferences. We are willing to work with ehealthct REC to sponsor and promote additional activities as well. We wish to thank you for the opportunity to participate in the EHR vendor selection process. There are a number of key qualities we that believe make Allscripts an ideal EHR partner for the ehealthct REC and the providers it will work with to support and accelerate the meaningful use of Electronic Health Records. These include industry leading EHR solutions, system capabilities, product vision, a dedicated Regional Extension Center team, and, most importantly, organizational culture and people. The Allscripts portfolio is now unmatched in the industry, and our commitment to develop innovative new products and services will only increase. The overall goal remains to give you access to a worldclass suite of turn-key solutions that covers the entire healthcare spectrum. Allscripts will help you keep pace with the latest technologies and standards that mean the most to your operations. With an annual commitment of $72 million toward research & development, Allscripts is reinvesting heavily in making the best products and services available to our customers. Additionally, through our involvement in key industry member organizations such as HIMSS EHR Association (EHRA), Medical Group Management Association (MGMA) and Health Level Seven (HL7), Allscripts customers are confident that their systems will provide what they need as major changes occur in the U.S. healthcare market.. Confidential 1-2

9 PRODUCT INFORMATION 1. Product name and version # Allscripts MyWay v When is your next version release? In early fall Is your product a Client Server, ASP or Hosted model? Describe each offering. 4. Are Clinical Components Integrated? Yes. a. If yes, list integrated components (e.g. e-prescribing, lab, etc) We can provide ASP Hosting or on-premise installation, and allow you to choose the most costeffective balance point for your practice, and elect to do it your way. Please see the attached MyWay product brief and Hosted product brief for details. With a hosted solution, let Allscripts handle all the technical details and deliver the applications, services, and support you need with rock-solid reliability and security. Or, select an on-premise version to leverage the technical capabilities and infrastructure equipment at your practice. The on-premise version of Allscripts MyWay is installed on a server at your site. You have complete control to manage your own operations and leverage current systems and on-site support staff for economies of scale. Of course, if you need any support services for installation assistance, maintenance, or field engineering tasks, they re just a phone call away. Other practices will find the right choice in an Allscripts MyWay hosted solution. Delivered by an application service provider (ASP), you get to use the sophisticated software capabilities as a service and avoid some of the upfront and ongoing expenses tied to equipment, personnel and operations. And the advantage of being able to focus solely on medical issues without any IT distractions is especially attractive to some small practices. In exchange for a predictable and usually more manageable subscription fee, the hosted solution allows you to trust Allscripts with all your operational support needs. The Allscripts MyWay data center operates with 99.99% availability, so you know service reliability rivals the best in the industry. Plus, the IT pros at the Allscripts MyWay software hosting site will take care of maintaining servers, performing backups, installing upgrades and new software releases, and managing firewalls and security. Additionally, providers can choose to purposely work offline for instances when traveling to remote areas doing house calls, etc. All information will sync back to the main server once connection to the main server is achieved. Inactivity parameters are applied as well. For further information, please see the attached MyWay Technical Specifications. On-premise or hosted either Allscripts MyWay approach can equip your practice with the tools to be more productive, more efficient, and more successful. Here are just some of the special and unique capabilities that allow Allscripts MyWay to work the way you do: ASP Hosting or On-Premise Installation - Choose the most cost-effective balance point for. Confidential 1-3

10 your practice, and elect to do it your way. With a hosted solution, let Allscripts handle all the technical details and deliver the applications, services, and support you need with rock-solid reliability and security. Or, select an on-premise version to leverage the technical capabilities and infrastructure equipment at your practice. Offline Synchronization -Be productive all the time, working anywhere, anytime, even without a network connection. The data you need is on hand; and any changes or entries made while offline are automatically synchronized to update records when you re reconnected. Adaptive Learning -The application learns and adapts to each user s patterns and preferences, making workflow and charting faster and easier. Intelligent Navigation -Automatically displays relevant clinical content based on presenting symptoms, even to the point of suggesting next logical entry options. Move freely anywhere without enter/exit screens to quickly find information you need. Template-Free Charting -No restrictions; be flexible and work the way you want to. Document multiple complaints; move anywhere within the application; search by diagnosis, symptom, care plans; recommend preventive visits. You re in control. Easy Customization -Quickly change and customize screens and preferences without being a programmer. Match your personal workflow and preferences, and allow each user in the practice to do the same. MyWay offers: One integrated solution covering practice management, EMR, and claims management everything you need to keep your practice operating at top efficiency. One unified database that makes finding the information you need for clinical or business operations fast and effortless. One great way to apply healthcare information technology to your practice: Allscripts MyWay. Designed for smaller-sized physician practices. Designed for the unique working environments found in primary care specialties. Designed to give you a choice: select a hosted service to minimize the cost and effort of using advanced technology; pick the on-premise version to leverage your current IT infrastructure and inhouse capabilities. Designed to work the way you do quick, efficient, thorough, competent. And, despite its simplicity, Allscripts MyWay doesn t compromise on providing the features and functions you need to be successful in every aspect of your. Confidential 1-4

11 b. If no, list non-integrated components 5. Are Practice Management components integrated? practice. Practice Management- Schedule patients, allocate resources, pull reports, handle the demographic details that profile contact points, insurance coverage, pharmacies used, and link it all into your billing process. Electronic Medical Records- Build a patient history, do clinical charting, capture lab results, handle e-prescriptions, eliminate the paper chase. You ve got a full-featured EMR capability to enhance your clinical operations. Claims Management- Your financial performance is covered with features that span the entire revenue cycle and make transactions, filing claims and receiving payments easier and faster than ever before. Allscripts MyWay represents a different way to use sophisticated technology to enhance your practice your way. Please visit our website to learn more about the Allscripts MyWay Difference. Please see the attached MyWay product information for more details. N/A Yes. a. If yes, list all components. As mentioned above, MyWay is one integrated solution covering practice management, EMR, and claims management everything you need to keep your practice operating at top efficiency. One unified database that makes finding the information you need for clinical or business operations fast and effortless. Please see the attached Allscripts MyWay product information for details. b. If no, list non-integrated components N/A 6. Do you offer a Revenue Cycle Management or Billing Service for your clients? Yes. a. If yes, please describe Allscripts uses the Payerpath clearinghouse but others are also available. Our Payerpath solution is currently the third largest clearinghouse in the United States for processing 837 remittance claim file transactions. Currently, we have in excess of 2400 carrier connections for claims processing. 7. Describe your patient portal offerings and plans, if any. Allscripts offers the Allscripts Patient Portal and provides the following functionality: Pre-register, check-in, and complete pre-visit forms Request appointments and prescription refills online Self-service bill pay options. Confidential 1-5

12 Conduct virtual office visits with physicians Obtain lab results Receive messages With Allscripts Patient Portal, your practice can utilize a secure, uniquely-branded communication portal to interact with your patients effectively and efficiently. In addition, you can establish a robust and user-friendly web site designed to provide current and new patients with information such as practice and provider details and educational materials, as well as easy access to the self-service capabilities. Portal allows patients to: Pre-register Complete pre-visit forms and paperwork - Request appointments online Pay medical bills Request prescription refills. Provide review of systems and history of present illness Ask a non-urgent question Communicate with a physician Obtain lab results And more! Allscripts also integrates and interfaces will several of the market leading PHR platforms and applications including HealthVault, Google Health, RelayHealth and ihealth by Medem. CERTIFICATION 1. Is the product CCHIT certified? Yes. 2. Version, Year and Type (Comprehensive or Modular) of CCHIT Certification 3. List any other current or planned Certifications Meaningful Use Allscripts MyWay is CCHIT 2007 certified, comprehensive. We are working on repeat CCHIT certification for MyWay. Certification is good for three years, and we are certified through the end of Allscripts also has a team of employees that are working on future certification needs and requirements across the product lines, including ARRA/Meaningful Use certification as that process is developed and approved. 1. Do you offer a Meaningful Use Guarantee? a. If yes, describe the level of financial risk you will share with provider customers. Yes. Yes. We are proud to announce that our EHR solutions will meet the Meaningful Use certification criteria and if not, we will credit your organization up to 12 months of support fees. Guaranteed! Now that we know what the US Department of Health and Human Services (HHS) will require for electronic health record certification,, we are confident that our. Confidential 1-6

13 2. Describe your plans and timelines to become Meaningful Use Certified by ONC? products will be able to meet this criteria. All of our EHRs already meet the rigorous CCHIT requirements and many believe that the Meaningful Use criteria may actually be less robust than the CCHIT certification criteria. We are so confident in our products that we have created the best guarantee available in the industry today! Allscripts is already working on plans for future development and functionality needs to meet additional requirements as set forth by the Meaningful Use Criteria. We are in the development stages for a new release schedule, to incorporate changes that may be needed to comply with any new criteria as established. Allscripts has several key employees within our organization who are currently involved with and positioned to comment, review and work with leaders in the government to develop the criteria for meaningful use. Allscripts' active voice in the drafting process, on-site presence at the critical meetings, and ongoing relationships within Congress and the White House have given us a good sense of where the final rules will likely go, and our Solutions Management and Development departments have already begun the process of preparing our products for the rulings. This ensures that clients using one of our EHRs or preparing to implement are ready to collect the incentive payments at the earliest possible date. Please see the attached Master Agreement for more information. Allscripts is in process now for becoming Meaningful use/arra certified for our products. As soon as the ONC announces the certification, we are ready and will be certified! Health Information Exchange (HIE) 1. Describe your HIE capabilities and experience with HIE implementations. Allscripts is a leader in the area of interoperability and data exchange today. We have already demonstrated our interoperability platforms at HIMSS, and our strategy has us interoperable with every major competitor, device manufacturer and other healthcare stakeholder. We are committed to an open standards approach to an interoperable health system and have worked with several agencies, including the Secretary of Health and Human Services to discuss our strategy. From a technical perspective, Allscripts supports multiple standards based clinical document exchange formats including CCR and CDA depending on client s needs. Allscripts also allows the CCR patient information to be digitally sent to regional or community repositories or to a file ensuring that the patient always has their most up-to-date CCR. Standards- based interoperability is critical in driving deployment of a national health information. Confidential 1-7

14 2. What HIE connections and interfaces if any are included with your product. exchange. Through our partnerships and alliances that are already in place, your organization can benefit from an already developed Healthcare Information Exchange (HIE). Connecting to physician practices, hospitals, and other groups in the community through a central exchange to share patient data between organizations today, your organization can share information on the patient, making sure the most upto-date information is available when and where you need it. Addressing interoperability is critical to our mutual success and we have the resources focused on it. We have worked with and continue to develop several HIE partnerships and interfaces. Specific interfaces included can be reviewed with your Allscripts representative for timelines, development needs, costs and more. ehealthconnecticut HIE technical specifications are found on the ehealthconnecticut website at After reviewing, please comment on your ability to commit to meeting these requirements and in what timeframes. Please be sure to include specific responses regarding patient registration and query (PIX/PDQ) transactions, XDS transactions including Continuity of Care Documents, and BPPC: Allscripts currently supports the CCR and CDA standards through several different profiles, including both the XDS and point to point protocols. Allscripts also supports many of the national initiatives to improve the quality and efficiency of the Nation s healthcare delivery system. We are working on full interoperability with information systems and base our work on the emerging national standards. Allscripts also supports the use of CCR and CDA formats. Enterprise follows the Profiles developed by the IHE for sharing clinical information by document exchange. We support the concept of an Affinity Domain: a set of cooperating entities that have agreed to share documents by using one or more Repositories and a single document Registry. There are multiple supporting profiles needed to make this work in a secure and audited manner. We are committed to supporting standards-based Clinical Exchange Document formats. Allscripts is also able to go point-to-point from an Allscripts customer to another customer or other EHR vendor, to an HIS and so on. This can be done without the extra XDS infrastructure in place. Allscripts can go from your Enterprise system to another information system through an online VPN tunnel between sites or through secure encrypted (so no tunnel is needed). We exchange the certificates so the information remains secure in the transmissions. Some examples of the organizations and groups that Allscripts is working with include: Federal Government: AHIC, HITSP, CCHIT, NHIN and ONC EHR Vendors Association (EHRVA) Integrating the Healthcare Enterprise (IHE) Connecting for Health (CfH) Standards Development Organizations (SDO): HL7, ASTM, ANSI, ISO, W3C Specialty Organizations: SureScripts, BSBC, California Healthcare Foundation. Confidential 1-8

15 Pricing and Related Services 1. Are you willing to have us publish your pricing on our website? 2. Describe your software pricing in detail, including all components for which a practice may be charged. 3. Are you able to offer a discount for customers of the ehealthconnecticut REC? We would prefer not to have the pricing published, if possible. We are willing to discuss this in more detail and accommodate specific requests as needed. Please feel free to speak to your Allscripts representative, Dan Stoke, as needed. Please see the attached Pricing information for these details. Yes. a. If yes, please describe Please see the attached Pricing information for these details. Please feel free to speak to your Allscripts representative, Dan Stoke, as well for more information. 4. Do you bundle or arrange for any other related services such as hardware, network, and ISP purchasing and support? Yes. a. If yes, please describe all such relationships and services Implementation Training And Support Please see the attached Pricing information for these details. Please feel free to speak to your Allscripts representative, Dan Stoke, as well for more information. 1. Briefly describe your Implementation Plan. Address issues such as on-site versus website training, workflow analysis, existing data conversion, who is trained, and software and template customization An Allscripts MyWay implementation consists of a standard 100% remote implementation, leveraging the Allscripts Academy Learning Management System (LMS) for required training throughout the implementation process. The implementation consists of 5 phases, with a typical rollout in 6-8 weeks. Implementation Specialists provide remote Q&A and Consulting, and standard deliverables with mutually agreed upon timeframes. The Allscripts Academy & Learning Management System provides application training 24/7, with required course assessments. Please see the attached MyWay Implementation Overview for the specific details on Allscripts MyWay implementation planning. Allscripts provides Allscripts Academy, an education portal for our customers. Allscripts Academy also offers comprehensive training to ensure your staff is well informed about new regulatory requirements, new release enhancements, and helpful sessions to build competency in a variety of areas within the EHR solution. Allscripts Academy is available 24/7 and provides the opportunity for staff to take online instruction, apply the new skills in the clinical environment and return if necessary to training to reinforce skills. Our training offerings have been created to compliment our implementation process as well as support our existing clients in maximum utilization of our products.. Confidential 1-9

16 2. Provide the normal length of implementation by practice size (solo, 2-5, 6-9, >10) 3. Describe your ongoing support post implementation. 4. Describe your training and support pricing structure. Most implementations for MyWay are done in days. Allscripts provides 24/7 access to support professionals for urgent situations including: A down system Errors encountered during software installation that prevents the installation process from continuing Physician(s) cannot access pertinent patient information during rounds. Allscripts regular business hours are Monday through Friday from 8:00 am to 5:30 pm local time for the client, exclusive of published Allscripts holidays. Support staff is typically based out of the Raleigh NC office, but can also be regionally located across the US. The Allscripts Ambulatory Help Desk is organized to provide efficient, timely access to high quality support resources. By combining automated call distribution technology, a state of the art customer relationship management system and selfhelp Web access with our experienced application and IT professionals, Allscripts provides a support experience well suited to the demands of busy healthcare organizations. All calls may be placed directly to our support number at Calls of a non-urgent nature may be submitted directly to our call tracking system via the Allscripts client-only website. Outstanding issues and problems can be viewed online and downloaded as well. Allscripts will assign a tracking number to all reported problems and will work to determine the source of any Error, Malfunction or Defect and will use commercially reasonable efforts to provide a fix, bypass or workaround. Allscripts tracks the clients who report problems so that the company knows which clients need a maintenance release when it becomes available. There is no cost for these updates as they are covered by the client s Maintenance Agreement. The client s only responsibility is to install these maintenance releases as they are made available. Allscripts has a strong record of call-to-resolution with our clients. Our customer support is structured for immediate triage & resolution and 93% of calls are resolved within one business day. For more information, please see the attached Allscripts Support Overview. Allscripts is proud to offer a team with extensive knowledge and experience in their chosen field. Many of our project managers and account managers have clinical or consulting backgrounds. Your organization will have the opportunity to review all the deployment team members recommended by Allscripts that we will be using in relation to this assignment prior to implementation kick-off. Please see the attached Pricing information for details.. Confidential 1-10

17 Other Issues 1. Do you utilize other companies or services in the process of bringing a process through the implementation and go live process? 2. What is your current wait time to begin an installation in Connecticut? 3. Are you willing to help sponsor ehealthct REC promotional activities and conferences? Typically, this is done by Allscripts and not an external service. Please feel free to speak to your Allscripts representative, Dan Stoke, as well for more information. Approximately 48 hours after contract signing, we are able to begin the scheduling and process for onboarding. Yes. a. If yes, describe Allscripts sponsors and participates in several forums, including ARRA promotional activities and local, state and regional events and conferences. We are willing to work with ehealthct REC to sponsor and promote additional activities as well. Please visit for more information, educational webinars, seminars and more. 4. Any other information you would like to provide? Please see the attached REC Overview for more details.. Confidential 1-11

18 Allscripts MyWay Pricing Proposal 08/18/2010 Allscripts MyWay Pricing Proposal 1 Doctor 1 Location MyWay pre-discount pricing Licensing - EHR only. Hosted (ASP model) based on 60 month term. No payment first 3 months $599/mo per provider Licensing - EHR & PM. Hosted (ASP model) based on 60 month term. No payment first 3 months $699/mo per provider Training & Implementation First Year Maintenance Maintenance in Year Two One time start up fees Add Ons: Ex.(e-Prescribing, document management, patient portal etc) e-prescribing Electronic Claims Remittance Posting Patient Portal Upgrades Interfaces $125/mo 5 Year Total Cost of Ownership Depends on EHR or EHR/PM purchase, as well as provider's interest in a hosted or on-premise solution. TBD 5 Doctor 1 Location MyWay pre-discount pricing Licensing - EHR only. Hosted (ASP model) $599/mo per provider based on 60 month term. No payment first 3 months Licensing - EHR & PM. Hosted (ASP model) based on 60 month term. No payment first 3 months Training & Implementation $0.00 First Year Maintenance $0.00 Maintenance in Year Two $0.00 One time start up fee's $0.00 Add Ons: Ex.(e-Prescribing, document management, patient portal etc) e-prescribing Electronic Claims Remittance Posting Patient Portal $699/mo per provider $125/mo. Confidential 1

19 Allscripts MyWay Pricing Proposal 08/18/2010 Upgrades Interfaces 5 Doctor 1 Location MyWay pre-discount pricing 5 Year Total Cost of Ownership Depends on EHR or EHR/PM purchase, as well as provider's interest in a hosted or on-premise solution. TBD 10 Doctor 1 Location MyWay pre-discount pricing Licensing - EHR only. Hosted (ASP model) based on 60 month term. No payment first 3 months Licensing - EHR & PM. Hosted (ASP model) based on 60 month term. No payment first 3 months Training & Implementation $0.00 First Year Maintenance $0.00 Maintenance in Year Two $0.00 One time start up fee's $0.00 Add Ons: Ex.(e-Prescribing, document management, patient portal etc) e-prescribing Electronic Claims Remittance Posting Patient Portal Upgrades Interfaces $599/mo per provider $699/mo per provider $0.00 $125/mo 5 Year Total Cost of Ownership Depends on EHR or EHR/PM purchase, as well as provider's interest in a hosted or on-premise solution. TBD. Confidential 2