Costs and Limitations

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Costs and Limitations For Certified Healthcare IT EHR EMR Version 10.0 07/14/2017 Penn Medical Informatics Systems, Inc

Costs and Limitations for EyeDoc EMR Version 10.0 Capability and Description 2014 Edition criteria applicable to EyeDoc EMR Version 10.0: a1, a2, a3, a4, a5, a6, a7, a8, a9, a10, a11, a12, a13, a14, a15, b1, b2, b3, b4, b5a, b7, c1, c2, c3, d1, d2, d3, d4, d5, d6, d7, d8, e1, e2, e3, f1, f2, f3, g2,g3,g4 EyeDoc EMR Version 10.0 is an EHR that supports healthcare professionals in ophthalmology and optometry in outpatient ambulatory environments.. It allows users to perform a wide range of functions such as to: document, review, and edit patient health information including but not limited to problem lists, medication lists, medication allergy lists, family health history, and all aspects of the patient's eye exam, perform CPOE (computerized provider order entry) for medications, laboratory orders and imaging procedures, electronically create prescriptions and prescription-related information for electronic transmission to pharmacies, measure CQMs (clinical quality measures) and to export these in standard file formats, be alerted to possible CDS (clinical decision support) interventions, and Report information to PHAs (public health agencies) and clinical data registries. Types of Costs or Fees and Additional Types of Costs or Fees The EyeDoc EMR Version 10.0 solution includes one-time software license and implementation / setup fees and a monthly subscription fee (which includes support and upgrades). These fees are determined based on the number of providers and additional fees are required to increase the number of providers. Onsite training is available for separate per day fees. E-Prescribing, Secure Mail and Patient Portal are an additional cost in the EyeDoc EMR V10.0 for all clients Additional software may be required dependent upon any other installed programs apart from The EyeDoc EMR Version 10.0 (i.e., Peripheral and/or Imaging device interfaces such as Visual Field, Automatic Refractors, Corneal Topography, etc). Separate fees may apply depending on the software or device manufacturer/vendor. The PennMedical Fee for device integration is based on whether the peripheral or imaging device is Screening (data only) or Imaging (Data + Images). Fee includes a one-time implementation charge and an annual maintenance fee American Academy of Ophthalmology (AAO) patient education documents are available as an annual subscription. Subscription Fees apply and are subject to automatic annual renewal. Penn Medical does not charge any additional fees for electronic integration with the following public health registries at this time, IRIS. Limitations (Contractual/Business) Base contractual obligation is for 1 years. Automatic annual renewal thereafter. Limitations (Technical/Practical) Monitor of 20 or larger is recommended for EyeDoc EMR Version 10.0 Wireless is not recommended in EyeDoc EMR Version 10.0 Additional software may be required dependent upon any other installed programs apart from EyeDoc EMR Version 10.0 i.e., Peripheral and/or Imaging device interfaces. A standalone terminal server is required if more than 8 users will be connecting EyeDoc EMR Version 10.0 via terminal services. Also, additional terminal servers may be required if the practice has a large number of remote users. Required Software: Microsoft SQL Server Standard (Newest Version) Microsoft.NET Framework 3.5 SP1 & 4.0 Extended Microsoft Visual C++ 2010 Runtime (X86)

This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services. Vendor Version Date Certified Certification Number Penn Medical Informatics Systems, Inc EyeDoc EMR Version 10.0 May 23, 2014 IG-3149-14-0022 Criteria Certified 170.314(a)(1) COMPUTERIZED PROVIDER ORDER ENTRY 170.314(a)(2) DRUG-DRUG, DRUG-ALLERGY INTERACTION CHECKS 170.314(a)(3) DEMOGRAPHICS 170.314(a)(4) VITAL SIGNS, BODY MASS INDEX, AND GROWTH CHARTS 170.314(a)(5) PROBLEM LIST 170.314(a)(6) MEDICATION LIST 170.314(a)(7) MEDICATION ALLERGY LIST 170.314(a)(8) CLINICAL DECISION SUPPORT 170.314(a)(9) ELECTRONIC NOTES 170.314(a)(10) DRUG-FORMULARY CHECKS 170.314(a)(11) SMOKING STATUS 170.314(a)(12) IMAGE RESULTS 170.314(a)(13) FAMILY HEALTH HISTORY 170.314(a)(14) PATIENT LIST CREATION 170.314(a)(15) PATIENT-SPECIFIC EDUCATION RESOURCES 170.314(b)(1) TRANSITIONS OF CARE - RECEIVE, DISPLAY, AND INCORPORATE TRANSITION OF CARE/REFERRAL SUMMARIES 170.314(b)(2) TRANSITIONS OF CARE - CREATE AND TRANSMIT TRANSITION OF CARE/REFERRAL SUMMARIES 170.314(b)(3) ELECTRONIC PRESCRIBING 170.314(b)(4) CLINICAL INFORMATION RECONCILIATION 170.314(b)(5) INCORPORATE LABORATORY TESTS AND VALUES/RESULTS 170.314(b)(7) DATA PORTABILITY 170.314(c)(1) CLINICAL QUALITY MEASURES - CAPTURE AND EXPORT 170.314(c)(2) CLINICAL QUALITY MEASURES - IMPORT AND CALCULATE 170.314(c)(3) CLINICAL QUALITY MEASURES - ELECTRONIC SUBMISSION 170.314(d)(1) AUTHENTICATION, ACCESS CONTROL, AND AUTHORIZATION 170.314(d)(2) AUDITABLE EVENTS AND TAMPER-RESISTANCE 170.314(d)(3) AUDIT REPORT(S) 170.314(d)(4) AMENDMENTS 170.314(d)(5) AUTOMATIC LOG-OFF

Criteria Certified Cont d 170.314(d)(6) EMERGENCY ACCESS 170.314(d)(7) END-USER DEVICE ENCRYPTION 8 170.314(d)(8) INTEGRITY 170.314(e)(1) VIEW, DOWNLOAD, AND TRANSMIT TO 3RD PARTY 170.314(e)(2) CLINICAL SUMMARY 170.314(e)(3) SECURE MESSAGING 170.314(f)(1) IMMUNIZATION INFORMATION 170.314(f)(2) TRANSMISSION TO IMMUNIZATION REGISTRIES 170.314(f)(3) TRANSMISSION TO PUBLIC HEALTH AGENCIES - SYNDROMIC SURVEILLANCE 170.314(g)(2) AUTOMATED MEASURE CALCULATION 170.314(g)(3) SAFETY-ENHANCED DESIGN 170.314(g)(4) QUALITY MANAGEMENT SYSTEM Clinical Quality Measures Certified CMS50 CLOSING THE REFERRAL LOOP CMS65 HYPERTENSION: IMPROVEMENT IN BLOOD PRESSURE CMS68 DOCUMENTATION OF CURRENT MEDICATIONS IN THE MEDICAL RECORD CMS69 PREVENTATIVE CARE AND SCREENING: BODY MASS INDEX (BMI) SCREENING AND FOLLOW-UP PLAN CMS127 PNEUMOCOCCAL VACCINATION STATUS FOR OLDER ADULTS CMS131 DIABETES EYE EXAM CMS138 PREVENTIVE CARE AND SCREENING: TOBACCO USE: SCREENING AND CESSATION INTERVENTION CMS142 DIABETIC RETINOPATHY: COMMUNICATION WITH THE PHYSICIAN MANAGING ONGOING DIABETES CARE CMS143 PRIMARY OPEN ANGLE GLAUCOMA (POAG) OPTIC NERVE EVALUATION CMS146 APPROPRIATE TESTING FOR CHILDREN WITH PHARYNGITIS CMS165 CONTROLLING HIGH BLOOD PRESSURE CMS167 DIABETIC RETINOPATHY: DOCUMENTATION OF PRESENCE OR ABSENCE OF MACULAR EDEMA AND LEVEL OF SEVERITY OF RETINOPATHY Additional Software for Demonstration Windows Professional, Microsoft SQL 2005 or Newer, Windows Server

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