EHR Implementation, Integration and Administration

Architected EHR Solution Built to adapt to internal processes Talks to third party systems, currently used by the clinics User's involved from system conception and design, creates ownership and acceptance Higher initial cost but no license cost Makes sense only when a large number of captive clinics are involved

Standard Boxed EHR  software Built to accommodate multiple process logic in industry. Clinics have to adapt to that May have open interfaces but less likely to accommodate all third party software in clinics. Also involves future integration cost Lower initial cost, but high licensing fee Data migration major challenge sometimes Upgrades expensive

Using core components of FQHC-specific EHR and customizing to make it cost-effective and still flexible Any group with more than $15M in annual revenue has critical mass to tailor a EHR User involvement in development phase => acceptance and ownership Need not accommodate all PM systems except the ones used by group clinics Lower initial cost than 'pure build', lower subscription than 'pure buy'. Better negotiating power if all clinics use the same software.

R Systems, developed integrated systems for the State Govts since more than 15 years

Created online solution to implement Megan's Law for CA Dept. of Justice Created online Medi-Cal eligibility and optical ordering system for CA prisons Currently implementing major projects for Dept. of Health Dept. of Social Services, Dept. of Fair Employment, Dept. of General Services Built PM, EHR, HIPAA transaction systems for several private healthcare product companies Certified Level-5 in CMM; highest level in among software technology firms

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Reimbursement and Cash Acceleration