1. Steve Long Business Operations Manager The Neurology Center www.neurologycenter.com

2.  # of Providers  # of Locations  Assign a Committee  Customization  Internal Resources  Outside Consultants

3.  Hardware and IT  Trigger for Pre-Load  What Gets Scanned? ◦ Order of Contents ◦ Huge Charts ◦ Indexing into the EHR  Quality Assurance  Work loads  Chart Destruction after Pre-Load

4.  Space in the Office  Network  Software Interfaces ◦ Labs ◦ Radiology ◦ Hospitals  Hardware ◦ Tablets/Laptops/Thin Clients ◦ Scanners/Fax Servers  Vendor Guidance or lack thereof

5.  Identify “Super Users”  New Software  New Hardware  Workflows  Change Management

6.  Decreased Productivity  Inefficiency  System Down Time  Cost  Frustration  Training  Missing Important Data  Paradigm Shift