Physician EMR Overview and Opportunity

1. Physician EMROverview and Opportunity KEN SHUMARD, PRESIDENT PRECISION PRACTICE MANAGEMENT www.precisionpractice.com shumardk@ppmatl.com

2. www.extormity.com

3. PPM Philosophy • The EMR can’t mess up billing and collections. • We use web-delivered software. • It’s inexpensive • Hardware costs are minimal • Software costs are pay as you go • Easy to implement and support • It’s has to play well with others. • Our billing technology is non-exclusive • Active interfacing strategy • One size doesn’t fit all

4. EMR Basics • Two general types • Template driven • Document driven • Delivery method • Web-delivered • Hosted • Installed • Interface vs. Integrate • Provider hardware requirements • Market Mandate to software companies • Build it or die • Price distortions

5. E-Prescribing Basics • Three components • Prescription Routing • Benefit Information • Prescription History • Stimulus Requirement • 2% Bonus • Have all three components listed above • Billing Requirements to collect (G codes) • Significant use requirements • http://surescripts.com/downloads/MIPPA%20summary%20sheet.pdf

6. Opportunities • E-Prescribing will save lives • Chart access • Uses for clinical data • Safety net reporting • Recall patients based on clinical data • Clinical Integration • Share chart • Share diagnostics • Multi-practice contracting

7. Opportunities • Patient Portal • Share chart components electronically • Send statements and collect payments via email (yea!) • Schedule appointments • Gather and update history information • Secure Clinical Communication • Encrypted Email service (www.max.md) • 100% HIPAA Compliant • Works with any email address • eCast is the only EMR that is integrated with this solution • Technology costs will continue to plummet

8. Bumps, Bruises and Scars Fast, Good or Cheap – Pick Two Good + Fast = Expensive Choose good and fast and we will postpone every other job, cancel all appointments and stay up 25-hours a day just to get your job done. But, don't expect it to be cheap. Good + Cheap = Slow Choose good and cheap and we will do a great job for a discounted price, but be patient until we have a free moment from paying clients. Fast + Cheap = Inferior Choose fast and cheap and expect an inferior job delivered on time. You truly get what you pay for, and in our opinion this is the least favorable choice of the three.

9. Bumps, Bruises and Scars Flexibility Technology should adapt to the provider not the other way around

10. Bumps, Bruises and Scars Interface Costs

11. Good Luck!