1. OPIE Software July 24, 2014 esMD OPIE LLP Pilot

2. Agenda Who are we? How did we approach the pilot? What are our goals? Ecosystem Review Workflow Review Timeline

3. Who are we? Clinicians/Owners/Thought Leaders Common Technology Platform OPIE is EMR for O&P

4. Who are we? Clinics Alabama Artificial Limb and Orthopedic Service Fikes Brace and Limb Gainesville Prosthetics Limb Lab Optimus Prosthetics Syracuse Prosthetic Center 15-20 Licensed, Certified Prosthetists 10-20 ‘Functional Level Assessors’ Quality Outcomes OPIE Software

5. Approach Core Problem Medicare Requires: Quality Documentation from Qualified Provider Typical ordering provider doesn’t/won’t/can’t create this quality documentation.

6. Approach Relationship problem Establish relationship with ‘Functional Level Assessors’ (Doctor, Physical Therapist, Physiatrist, PA, LNP, Clinical Nurse Specialist) 2 referrals Explain need for enhanced documentation Explain how to complete required documentation

7. Approach Technology problem Use ‘new’ workflow and clinical relationship in manual setting. Bring in technology ‘low hanging fruit’ 3 rd party HIH for connection to esMD Gateway Consider a portal proof of concept for document exchange between concerned parties. Beyond Scope: Provider Directory, Digital Signatures, Direct integration with Functional Level Assessor EMR

8. Goals (Primary) Demonstrate usage of LLP eClinical Template in manual workflow Effectively find and coordinate with functional level assessors? Documentation meets CMS requirements? Bundle documents as PDF and communicate with esMD Gateway

9. Goals (Secondary) Create a portal proof of concept to facilate exchange of documents between functional level assessor and prosthetist. Create a “closed network” system where all actors are known and validated through appropriate mechanism

10. Ecosystem Review

11. Workflow Review (Highlevel) Establish Relationship With Functional Assessors Get 2 nd referral from Ordering Provider where applicable Conduct evaluations, compare results, do documentation exchange.

12. Workflow Review (Sequence)

13. Milestones 07/23 – Establish Participating Prosthetic Clinics 08/15 – Establish Relationships Between Prosthetists and Functional Level Assessors 08/15 - Establish Relationships Between Prosthetists and HIH for esMD connection 09/30 - Process first patient’s through sequence 10/30 – Wrap up Pilot