1. esMD Pilot for PMD Presented By: MedAZ.Net, LLC.

2. Agenda  Objective  MedAZ Introduction  Pilot Role  Standards To Be Demonstrated  Resources  Pilot Ecosystem  Organizations Involved  Success Measure  Current Status

3. Objective Assist in improving end to end workflows using electronic transitions of care in structured format

4. MedAZ Snapshot   Wholly owned subsidiary of Koni Ameri Tech Services, Inc. (KATSI) – Woman and minority owned Global information systems services firm, founded in 1991 (SBA 8(a) graduate)   Offices & Development Centers:   North America (US & Canada)   Asia (India)   IT Expertise:   Health Care   Government   Financial

5. MedAZ Snapshot Mission: “We take care of the business of medicine so that our providers can take care of the practice of medicine”  Accredited Solution:  1 of 3 Interoperability certified in Canada  CCHIT Certified in 2006  Surescripts Certified  ONC Accredited 2011/2014:  Complete Ambulatory E.H.R  Complete inpatient E.H.R – 2011  E.D.E.N analytics/platform solution for D.M.E

6. Pilot Role  Role:  Provide E.H.R platform for originating D.M.E order  Create eClinical templates within E.H.R for documentation.

7.  eClinical Templates For Documentation:  Tinetti Performance Oriented Mobility Assessment  Berg Balance Scale  Joint Motion Evaluation Chart  Modified Borg Dyspnea Scale  Oswestry Low Back Pain Disability Questionnaire  7-element Order  Transitions of Care – Create and Transmit Summary Care Records  §170.314(b)(2) Standards To Be Demonstrated

8.  Internal:  Business Analyst  Chief Medical Officer (part-time)  Three Development Resources  External:  Client Provider Partner:  Swarna Shah, MD; Brooklyn, New York  PT/OT (TBD)  DME Partner:  Colonial Medical  Digital Certificate Partner:  Digicert, Inc. Resources

9. Pilot Ecosystem Payer Patient PT/OT DME Supplier Physicians Content Transport Services ECM CMS Private Network Medicare Administrative Contractors 9 HIH eClinical Template Electronic Referral Bundled PDF Detailed Product Description Electronic Referral + PT/OTEvaluation

10. Organizations Involved   MedAZ.Net, LLC   Colonial Medical Supplies (D.M.E)   Digicert, Inc. (Certification Authority)   Swarna Shah, MD, PC (Provider)

11. Success Measure   Fluid electronic flow of data from Provider to DME to CMS for the following types of patient encounters:   Patient requires POV/PMD.   Patient requires manual wheelchair(not a pilot requirement).   Patient requires walker (not a pilot requirement).

12.  Internal:  Template creation: completed  Transitions of Care: completed  7-element Order: need to add signature pad for wet signature  External:  Certificate for HIH: completed  Assist D.M.E to incorporate Referral Summary in their workflow: pending Current Status

13. Thank You