1. T RI - STATE REGIONAL EXTENSION CENTER A HEALTHBRIDGE REGIONAL COLLABORATION F RIDAY, JUNE 18, 2010 Calculating the Cost and Benefit of Meaningful Use: A User Friendly Overview

2. C RITICAL TO S UCCESSFUL IMPLEMENTATION OF EHR Over 400 EHR Vendors….Which product is right for you? Assessment of Practice Size of Practice One office or multiple sites # of Employees # of Patients Practice Specialty (One size Does Not Fit All) Specific Goals of Practice Patient Requirements Patient Portal PQRI Current Medical Devices Current Network Configuration

3. HIE U TILITY M ODEL Applications Security Layer (Identity Management/Secure Authentication) Network Layer (Private /Public Internet) EMR eRX PMS Labs INS Hospital Physician Practice Public Health Clinics PMS PHR INS RCM

4. EHR S OFTWARE I TEMS TO C ONSIDER o EMR Software $10K-$20K o ASP $0 o Client Server$5K-$15K o ASP or Hosted Software o Typically less up front cost (but not zero) o Pay indefinitely o Relies on Internet Connectivity o Client Server Software o More up front costs o Own hardware and software o Doesn’t rely on Internet Connection o What do I get?

5. S ERVERS Application Servers Interface Servers Lab Systems PAC Systems Imaging Systems Other Storage Storage Area Networks (SAN) Network Attached Storage (NAS) Web Servers Backup Servers

6. W ORKSTATIONS Minimum Requirements Operating System Windows 7 capable? Memory Processor Speeds Current Machines Are the minimums met Can you upgrade Laptops Tablets Netbooks Ipads Monitors Dual Monitor Capable

7. I NFRASTRUCTURE Current Infrastructure Network (CAT 5 Wiring) Internet (DSL vs DS1) Security Firewalls Routers Disaster Recovery Wireless Network Secure Reliable Exam Rooms Space Wired

8. C ONNECTIVITY Site to Site Connectivity Internet Connectivity T1 Speed or higher Redundant Internet Connectivity DSL or Cable Remote Site Internet Connectivity

9. A NCILLARY ITEMS Tablet PC’s Handhelds Blackberry iPhone Android Phones Printers MFP Devices Specialty Printers Scanners Specialty scanners X-Rays Photos

10. O FTEN O VERLOOKED ITEMS Software Compatibility Specialty machines or devices Proprietary software Construction Exam Rooms Server location Cooling Electrical Secure Backup Software Virus Protection

11. L ONG TERM C ONSIDERATIONS IT Staff Employee(s) Outsource Maintenance Contracts Servers Workstations Scanners Printers Software Growth New Office Additional Providers

12. C ONCLUSION Q UESTIONS TO A SK Can I use any existing equipment? Can I use Virtual Servers? Can I get a shopping list? Price Comparisons Expertise What is my current network infrastructure and capacity? Do I have room to grow? Do I have to know all of this?

13. T HANK Y OU John Reinhart John.reinhart@c-leverage.com Sheri Rose Sheri.rose@c-leverage.com Jeff Amrein Jeff.amrein@c-leverage.com Office: 502 855-3680