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2 Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some state laws. This should not be used as legal advice. Itentive recognizes that there is not a one size fits all solution for the ideas expressed in this webinar; we invite you to follow up directly with us for more personalized information as it pertains to your specific practice and issues. Thank you, and enjoy the webinar.

3 About Us Our passion is to provide solutions for our healthcare provider partners which help them improve patient care, enhance the patient experience and maintain a financially healthy practice. Since 2003 we have specialized in NextGen Healthcare services including: Consulting Hosting Customization And productivity tools such as ChartGuard and RefundManager

4 Upcoming Webinars: The Future of Healthcare Delivery: Telemedicine Wednesday, October 12, 2016

5 Welcome (Housekeeping) To prevent random noises from interrupting the demonstration, the phones will be muted. We ll take questions via the control panel on the right while the demonstration is proceeding. After the demonstration, we ll answer many of the questions sent in during the demonstration. Let us know in the chat box if you are experiencing and audio quality issues.

6 Introduction Tom Siko Business Development Manager Joseph Schulz Director of Product Solutions

7 ChartGuard Your EHR Downtime Solution

8 Agenda What is ChartGuard EHR dependencies Why practices buy ChartGuard How it works Show the ChartGuard output Brief Itentive overview Your questions

9 What is ChartGuard? ChartGuard Business Continuity Solution Ensures the availability of patient charts during EHR downtime Addresses downtime preparedness at each clinic location

10 HIPAA (a)(7)(i) Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence that damages systems that contain electronic protected health information. responding - Contingency Plan Data Backup Plan Disaster Recovery Plan Emergency Mode Operation Plan Testing and Revision Procedures Applications and Data Criticality Analysis

11 EHR Dependencies EHR is dependent on Complex Technology Servers, Workstations, Tablets, Scanners Local Networks, T1 Lines, VPNs, Wireless Internet Connections (Hosting) Power, Cooling Loss of Access to EHR means Quality of Care may be impacted Lost Productivity Lost Revenue (multiple sources show Downtime Cost at $488 per Hour per Provider) Embarrassment/Reputation

12 EHR Downtime Options Temporarily Close the Practice/Location Paper Charts Manually maintained Labor intensive Fully redundant technologies Servers, Network, SANs Data centers, Power, Cooling Even going Hosting has it s risks for access

13 Cooling failed drain was plugged Examples of failures Sprinkler line failed water started to seep into the server room SAN LUN failed and detached the Host Servers Network/Failover switch failed affecting a satellite office August Time-Warner had an outage that lasted 3 hours and affected 11.4M Internet Customers July 2015 United Airlines, NYSE, Wall Street Journal, Brookings Institute all had failures on the same day United a network connectivity issue caused by a router causing it to ground hundreds of flights worldwide for 2 hours NYSE a faulty software upgrade caused them to stop trading on the exchange for nearly 4 hours WSJ.com - insufficient capacity for unanticipated demand and a failure of server connections Brookings Institute was offline for an hour due to a content publishing error May 2016 Time Warner Cable and Cox customers in New York City, Massachusetts, and Rhode Island lost internet connections because of multiple fiber cuts by Level 3 in PA and MA 10 Provider Practice down for 4 hours costs $19,520

14 The Questions are... Do I pursue uptime or do I pursue a solution that enables me to continue on with my business until NextGen comes back online? The question isn t whether your clinic will lose connectivity, the question is how to minimize the loss and minimize the disruption when it does happen. Am I going to be reactive or proactive in my clinic s preparedness for downtime? What are the type of impacts that a NextGen downtime incident can have on our clinic? How significant can the impact be to our clinic based on the duration of downtime incident?

15 The ChartGuard Option ChartGuard Affordable Business Continuity Solution Ensures your practice is productive, profitable, and secure during EHR downtime Complete Clinical Record Available Off-Line as PDFs!

16 How ChartGuard Works

17 Nightly Deliverables Out of the Box Daily Appointment Listing each location Patient Data Sheet Module Data: Allergies, Immunizations, Labs, Medications and Problems Vitals (KBM template) Documents

18 Demonstration Sample Appointment Book Sample Chart PDF Output

19 Customization Practice defined safety net You pick how many days to generate You pick the depth of information on the chart ChartGuard can be customized to match your Specialty, KBM level, Number of locations Appointment Listing can be customized to meet front office needs

20 Testimony We had a WAN outage that took down our NextGen access to 2 of our biggest clinics today (December 9th). Thanks to your product we did not have to close clinics and turn away patients. We were able to keep our clinics at least functioning and the doctors were pleased with our backup plan of ChartGuard. -John, Network Manager

21 ChartGuard Versions ChartGuard Business Continuity Solution Automated Updates Complete Clinical Record Available Off-Line as PDFs! ChartGuard OnDemand Create a patient chart on request You control how much history to generate Fulfill audit requests, patient requests ChartGuard Archiver Comprehensive Chart Archive to PDF Long Term Chart Storage and Retrieval Assists in Migrating Between EHR Systems

22 ChartGuard OnDemand

23 ChartGuard OnDemand

24 The Itentive 411 Founded in 2003 Mission is to create additional value for your NextGen investment Our passion is to work with our clients to improve patient care enhance the patient experience maintain a financially healthy practice 16+ years experience with NextGen 70+ Employees Coast to Coast 350+ Clients using NextGen NextGen Strategic Partner We live NextGen Everyday

25 Itentive Service Lines Consulting Services Technology Services Product Solutions Information Solutions Reseller Solutions

26 NextGen Life Cycle Solutions Implementations Process Improvements Enhancements, Upgrades & Support IT Managed Services & Cloud Hosting Productivity Tools

27 Itentive s Other Productivity Tools RefundManager Automates the Refund Process Workflow Management Accounting System Integration Phreesia Clinical Interface for NextGen Patient Encounter, Allergies, Medications, Surgical History, Family History, etc DrsLink Integrate with NextGen to seamlessly pass files to Transworld Systems Lower cost to collect

28 Questions Tom Siko Business Development Manager Joseph Schulz Director of Product Solutions

29 Thank You

30

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