LSS Customer Spotlight

1. LSS Customer Spotlight Integrating Care at Northfield Hospital Positive Outcomes Through Strategic Planning Cindy Grolla, RN Clinical Informatics Director

2. LSS Data Systems 26 Years Implementing and Supporting Physician Practices MEDITECH 40 Years developing, implementing and supporting Healthcare Information Systems LSS / MEDITECH products coded in the same programming language Integration from the ground up Growth through sales, not acquisitions Partnered for Success

3. The Medical and Practice Management Suite

4. Connect your Practices • Patient Registration • Shared demographics & more • Integration of Patient Health Information • Care without boundaries • Electronic Ordering & E-Prescribing • Automated data flow • Clinical decision support • Physician Desktop • Centralized access point • Patient Portal • Secure, web-based access

5. Seamless Integration Clinic Clinic 2 Acute Setting Home Health Care Outpatient Clinic Specialty Clinic Emergency Room

6. EHR Initiatives: 2009 and Beyond • Healthcare Information Technology Act of 2009 (HITECH Act) • Part of the American Recovery and Reinvestment Act of 2009 (A.R.R.A) • Accelerate adoption of EHR systems by physicians & hospitals • Coordination & Improvement of Care • Quality Reporting

7. EHR Initiatives: 2009 and Beyond • Incentives provided directly to physicians for meaningful EHR use • Penalties for non-adoption start in 2015 • More information on www.lssdata.com\govt

8. LSS and A.R.R.A • Commitment to certification • Tools for implementation • Standard content • Accelerated implementation services • Ongoing advocacy as regulations are finalized • Customer support and education

9. Northfield Hospital and ClinicsProviding Integrated Care April 28, 2009

10. Northfield Hospital Overview • 37 Acute Care beds • OB • MedSurg/Critical Care • Same Day Surgery/OR • Emergency Room • 40 bed Long Term Care Center • EMS

11. Northfield Hospital Overview • Outpatient Services • Endo clinic, infusion clinic, stress testing • Diagnostic Services • Center for Sports Medicine and Rehab • Northfield • Lakeville • Children’s Therapy and Speech

12. Northfield Clinics Overview • Four Primary Care Clinics • Lonsdale, Lakeville, Farmington, Northfield • Orthopedic and Fracture clinic • Women’s Health Center • Occupational Health

13. ENT General Surgery Cardiology Nephrology Pediatric Cardiology Maternal Fetal Medicine Rheumatology Pediatrics Urology Oncology Ophthalmology Internal Medicine Northfield Specialty Clinic Overview

14. Meditech Implementation • Only registration and billing system until April 2004 • Vendor selection committee chose Meditech – one of the main reasons is the integration between Acute Care, Long Term Care and Ambulatory Care • Meditech implementation began April 1, 2004. Current Meditech version 5.55 SR 15

15. General Ledger Payroll/HR Fixed Assets Billing and Accounts Receivable Accounts Payable Admissions Medical Records Abstracting Order Entry/Provider Order Management EMR Pharmacy Lab/Microbiology Imaging and Therapeutic Services Community Wide Scheduling Hospital Meditech Applications

16. Executive Support Summary Emergency Department Management Order entry by providers Patient Instructions Operating Room Management E-signing Materials Management Patient Care Services – with e-MAR Scanning and Archiving Physician’s Desktop Reference Lab Interface Bedside Medication Verification Hospital Meditech Applications

17. Admissions Abstracting Medical Records Billing and Accounts Receivable E-Mar and medication ordering Patient Care Services Order Entry/Provider Order Management Long Term Care Applications

18. MPM Clinic Applications • Billing • Scheduling • Ambulatory Order Management • Rx ordering • Procedure ordering with integration to hospital system • Referrals • Charging on order • Provider Workload Management • Messaging • Office patient result tasks

19. MPM Clinic Applications • Clinic Scanning • Routing scanned tasks • Ambulatory Patient Record • Patient letters • Standardized templates for Well Child Visits • Charging from templates • Medical Problem Lists • Limited utilization at this point

20. Implementation Highlights • Aggressive IT strategy with most modules implemented in the first 2 years • Information Technology department increased from 4 FTEs in 2003 to the current 12 FTEs • Northfield opened 3 Primary clinics in 2007 with all new providers • All specialty clinics opened between 2007 and 2008 • Many “lessons learned”

21. Implementation Improvements • Clear IT Governance with a revived IT Steering Committee • Department “owners” for all IT projects • Project teams are lead by department managers, not IT staff • Standardization! • Provider involvement in all projects • Dedicated clinic and hospital trainers

22. Improved Integration • The entire patient’s chart is available from anywhere the clinician needs to access data • Monitoring and following “Critical Care Indicators” • CHF • Diabetes • COPD • Drug Resistant Organisms • Standardized past medical history questions in all departments that capture history data

23. Improved Integration • Improved methods of collecting and viewing patient’s home medications • Messaging for Pharmacy and Social Services during the patient’s hospital stay • Implementing integrated orders for Endo and Stress Tests to improve provider notification of results • Improved messaging from scanned results

24. PACS Health Maintenance E-prescribing Patient Portals Problem Lists Single Sign On Hospital CPOE Disaster Recovery Blood Bank Scheduling and documentation in Stress Test, Endo and Infusion Hospital clinics IT Projects for 2009-2010

25. Questions?