1. Maine Regional Extension Center (MEREC) January 21, 2010 Maine HIT Steering Committee Meeting

2. Regional Extension Center (REC) Program Applicant: −Merit-based Cooperative Agreements to be awarded in two batches to non-profit entities by the Office of the National Coordinator for HIT −An applicant may serve: A geographic area within a state; A Metropolitan Statistical Area (MSA) or other medical trading area An entire state, including any and all MSAs and rural areas; or Multiple contiguous states, including any and all MSAs and rural areas within. Target Audience −Primary-care providers in individual and small group practices (fewer than 10 providers −Physicians, physician assistants, or nurse practitioners who provide primary care in settings that predominantly serve uninsured, underinsured, and medically underserved populations −FQHCs, RHCs, CAHs, and Public Hospitals 2

3. REC Core and Direct Services Core Services Practice HIT Stage Assessment Vendor Selection and Group Purchase Outreach and Education National Learning Consortium Functional Interoperability HIE Privacy and Security Practices Quality Measurement, Reporting, and Improvement Local Workforce Development Direct Services Practice Workflow Redesign EMR Implementation HIE Interface Support eRx Implementation Support “Meaningful Use” Compliance 3 REC Services Divided into 2 Programs 1.Support providers with NO EMR 2.Support providers with EMR

4. REC Performance Milestones Milestones Signed contracts with financial commitments by priority primary-care providers. Number of priority primary-care providers that are actively using an EHR, including active use of electronic prescribing. Utilization of EHRs and promoting features essential for meaningful use. Helping priority primary-care providers to understand, and implement technology and process changes needed to attain, and demonstrate attainment of, meaningful use requirements 4

5. Proposed Maine REC (MEREC) Structure HealthInfoNet (Prime Contractor) HealthInfoNet (Prime Contractor) MEREC Controller Office Direct Brokerage for REC Direct Services Request for Proposal (RFP) Process for all Direct REC Services Vendor Neutral Contracting Processes Builds off Wholesale and Retail Marketplace Needs Direct Brokerage for REC Direct Services Request for Proposal (RFP) Process for all Direct REC Services Vendor Neutral Contracting Processes Builds off Wholesale and Retail Marketplace Needs Direct Services Practice Workflow Redesign EMR Implementation HIE Interface Support eRx Implementation Support Meaningful Use Compliance Direct Services Practice Workflow Redesign EMR Implementation HIE Interface Support eRx Implementation Support Meaningful Use Compliance REC Contracts Core Services (HIN and Partners) Provider Education and Outreach Project Management Workforce Integration National Learning Consortium Functional Interoperability Privacy and Security Group purchasing Quality Improvement Core Services (HIN and Partners) Provider Education and Outreach Project Management Workforce Integration National Learning Consortium Functional Interoperability Privacy and Security Group purchasing Quality Improvement Unaffiliated Practices (Retail Marketplace) Private Practices Small-Med Groups Independent Clinics / Hospitals Unaffiliated Practices (Retail Marketplace) Private Practices Small-Med Groups Independent Clinics / Hospitals Affiliated Practices (Wholesale Marketplace) Eastern Maine Maine General Central Maine Maine Health Maine PCA Others Affiliated Practices (Wholesale Marketplace) Eastern Maine Maine General Central Maine Maine Health Maine PCA Others 5

6. Proposed MEREC Technical Assistance Program 6

7. HealthInfoNet Organizational Chart with MEREC Award HIN Board of Directors HIN CEO Senior Operations Director Quality / Systems Improvement Contractor Communications Consultant REC Contracting Office Director EHR Loan Administrator Service Representatives (2) HIE Core Staff Office of the State Coordinator State HIT Coordinator HIN Project Management Office REC Controller Office 7

8. Questions/Comments The REC application is being submitted January 27 th Expected award date is April 1, 2010 Sustainability planning underway 8