1. 1 Lakewood Health System Tim Rice, President Minnesota Rural Health Conference, Smart Health 2006: Focus on Technology July 17-18, 2006

2. 2 SMALL, RURAL, INTEGRATED HEALTH SYSTEM PRIVATE, NOT FOR PROFIT ORGANIZATION

3. 3 SMALL, RURAL, INTEGRATED HEALTH SYSTEM Twenty-five bed critical access hospital Ninety-eight bed long term care Sixteen active medical staff – integrated clinic Four satellite clinics Sixty consulting specialists Ambulance/transportation Home Care/Hospice Forty independent senior living apartments Twenty-seven assisted living apartments Full continuum of services 650 employees

4. 4 INFORMATION TECHNOLOGY HISTORY Telemedicine Clinical Information System – Care Center Clinical Information System – Home Care IT Staff and Support PACS – Radiology Clinic Practice Management System Clinic EMR Hospital Clinical Information System USDA Grant System Connectivity Web-site/Intranet

5. 5 EHR IMPLEMENTATION PROCESS Administrative Direction RFI In-House Demonstration Site Visits Product Selection – Best Breed Team EMR – Clinic Physician Leadership Dedicated Support Team Selected Hospital System Team EMR – Hospital Team EHR

6. 6 LESSONS LEARNED Have Physician Champions Utilize a Team Approach Dedicated Clinical and IT Support Address Negativity Right Away Be Sensitive to Your Work Culture No Program or System is Right for Everyone Cannot Accommodate Every Wish / Set a Standard Have a Game Plan / Be Flexible Expect the Unexpected Celebrate the Victories

7. 7 FINANCIAL AND QUALITY CARE BENEFITS Increased Staff and Physician Productivity Capture Charges at Point of Care Significantly Reduced Clinic AR Days Enhanced Clinic Prescriptions Enhanced Quality Improvement Enhanced Transfer of Information

8. 8 SUMMATION Would Never Go Back Increased Public Perception Increased Professionalism Improved Patient Care

9. 9