1. INTERFACED OR INTEGRATED?  Determining an EMR Vendors ability to accommodate the CAH/RHC environment:  Can integrate in such a fashion that the Clinician can order a “CAH Lab test” from the RHC receive the results back to the RHC, as well as generate the Hospital Encounter in which the Lab Test will be billed electronically on “UB04 or Institutional” format?  Is the system capable of allowing the RHC to bill the draw fee as a venipuncture on a HCFA 5010 837-Professional format, and auto populate the hospital encounter in which the Lab test would be billed on a UB04 5010 837-Institutional format? NMHITA

2. SEPARATE VENDORS NMHITA CLINICIAN RHC EMR ORDER CAH LAB RHC ENCOUNTER CAH EMR PM ENCOUNTER LIS BILLING RESULTS Separate DB/Interfaced

3. ALL-IN-ONE NMHITA CLINICIAN ENTERPRISE EMR RHC ENCOUNTER PM ENCOUNTER LIS BILLING RESULTS CONSOLIDATED HEALTH RECORD

4. EMR VENDOR EVALUATIONS BY JOB ROLE  CFO/CEO  Total Project Budget, Concern of any Clinic productivity loss, Patient Service Eligibility  IT  Integrated, Timely Implement to receive HealthShare Grant, Web Based or In-House Server, MU Progress Reporting.  Clinician  Customizable, Consolidated EHR  Clinic RN  Integrated with Patient Schedule, Quick Documentation of Complaint, Vitals, Allergies, Current Medications. Follow up reminder on Ref. LAB Results.  IP/ER/NH RN  System Displays Patients Current Medications, Allergies, Immunizations captured from the last Clinic Outpatient Visit. Bedside Medication Administration.  Nursing Home MDS Coder NMHITA