Topic

Level

Presenter(s):Greater Elgin Family Care Center:

Lupe Fonseca COO and Jason Carey CFO

CISCON Consulting: Tarie Fortner and Nancy Wallberg

Successes with NextGen Optimization

Consulting Partner Session

Safe Harbor Provisions/Legal Disclaimer

This presentation may contain forward-looking statements within the meaning of the federal securities laws, including statementsconcerning future prospects, events, developments, the Company’s future performance, management’s expectations, intentions, estimates, beliefs, projections and plans, business outlook and product availability. These forward-looking statements do not represent a commitment, promise or legal obligation to deliver any material, code or functionality. The development, release and timing of any features or functionality described for our products remains at our sole discretion. Future products developed beyond what is contemplated by existing maintenance agreements, will be priced separately. This roadmap does not constitute an offer to sell any product or technology. We believe that these forward-looking statements are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: the volume and timing of systems sales and installations; the possibility that products will not achieve or sustain market acceptance; the impact of incentive payments under The American Recovery and Reinvestment Act on sales and the ability of the Company to meet continued certification requirements; the development by competitors of new or superior technologies; the timing, cost and success or failure of new product and service introductions, development and productupgrade releases; undetected errors or bugs in software; changing economic, political or regulatory influences in the health-care industry or applicable to our business; changes in product-pricing policies; availability of third-party products and components; competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract and retain qualified personnel; uncertainties concerning threatened, pending and new litigation against the Company; general economic conditions; and the risk factors detailed from time to time in the Company’s periodic reports and registration statements filed with the Securities and Exchange Commission.

Introductions

• Lupe Fonseca, COO GEFCC• Jason Carey, CFO GEFCC• Tarie Fortner, RN, NCP CISCON Consulting• Nancy Wallberg, NCP CISCON Consulting

Objectives

• Define goals to achieve over a period of time. • Understand that optimizing the current utilization of

NextGen will indeed assist with achieving these goals.• Identify the need for consulting assistance to achieve

your organizational goals. • Communicate goals and objective to all staff• Utilize internal and external resources to accomplish

optimization• Celebrate the success of the hard work to get there.

Who We Are

Greater Elgin Family Care Center (GEFCC) FQHC:- Live on NG EPM July 2010- Live on NG EDR Fall 2010- Live on NG EHR Spring 2011- CISCON Consulting Assistance started in March 2013

Our History

March- Began working with Ciscon December – Opening of Center for Family Health

June – Opening of Lake Health CenterAugust –Opening of Creekside Health Center

July - Service Delivery Initiated

May – Opening of Slade Health Center

March – Introduction of Adult DentistryOctober – Opening of McHenry Community Health CenterJune- Go-Live with NG EHR

August – Opening of Streamwood Community Health Center

January – Opening of Seneca Health CenterSeptember – Initiation of Behavioral Health & School-Based Dental CareDecember – Initiation of School-Based Primary Care

September – Opening of Dental Clinic

2001 2007 2008 2009 2010 2011 2012 2013 2015

July– Go-Live with NG Practice Management

September- Go – Live with EDR

Services Provided Pediatrics

Well Child CarePhysical Examinations & Immunizations

Sick Care Chronic Disease Management Flu ShotsWomen’s Health Care

OB & GYNFree Pregnancy TestingUltrasounds

9 Full time Health Centers

Oral Health Preventive & Restorative

Behavioral Health Care Psychiatry and Therapy

Additional Services Laboratory and Diagnostic Testing

Medical & Family Case Management

All Kids Application Site

Specialty Clinics

Education Seminars

Unduplicated Patients/Visits

05,000

10,00015,00020,00025,00030,00035,00040,000

# O

F P

ATI

ENTS

CALENDAR YEAR

Unduplicated Patients with Visit

NUMBER of PATIENTS2014 Unduplicated: 37,590

010,00020,00030,00040,00050,00060,00070,00080,00090,000

100,000110,000120,000130,000

# O

F EN

CO

UN

TER

S

CALENDAR YEAR

GEFCC # of Visits

NUMBER of VISITS2014: 125,876

Our Commitment to QualityClinical and Financial Outcomes

• 29% Lower Cost per Patient than State Average; 43% Lower Cost per • Patient than National Average• 6X State and 8X National Growth Rate in Total Number of Patients Served• over a 3-year trend• Outperforming IL average on 11 of 15 Clinical Performance Measures:

• Focusing on: Adult Weight Screening and Follow-Up; Cervical Cancer • Screening; Childhood Immunizations; Diabetes Control

• Outstanding Patient Satisfaction: 93%!Source: UDS 2014 UDS Summary Report

• Access to Prenatal Care• Low Birth Weight• Child and Adolescent Weight

Assessment and Counseling• Tobacco Use Screening and

Cessation Counseling• Depression Screening and Follow-Up

• Colorectal Cancer Screening• Asthma Treatment• Cholesterol Treatment• Heart Attack/Stroke Treatment• HIV Linkage to Care• Blood Pressure Control

Where oh were to begin!!!

Process

• Evaluate your current state• Assessment with recommendation of current state of

each area• IT• Clinical Operations• Financial Operations

• Develop High Level Roadmap• Develop Detailed Project Plan

.

IT Overhaul

IT Overhaul

Areas to Evaluate1. Staff knowledge and number to support your

organization size and desired growth2. Infrastructure and Hardware: Servers, Printers,

Scanners, and Software3. Create a plan to update the infrastructure in a cost

effective manner for the organization4. Deploy the plan as the foundation for next steps

IT Overhaul

Results Technical Solutions improved:1. Performance2. Ease of Upgrades3. Resolved Printing Issues 4. Improved end user acceptance

Operational Changes

Operations

1. Began sharing of information among specialties2. Implemented charge passing to EPM3. Implemented Orders Module for Lab and Radiology4. Customizations reduced with KBM upgrade5. Improved NextGen maintenance processes6. Strengthened the internal core team and IT knowledge

and structure to support NextGen

Operations

7. Improved the upgrade process8. Implemented the NextGen Portal9. Implemented Population Health10.Reported Meaningful Use11. Implemented Provider Dashboard12.Became Joint Commission compliant13.Maintained and improved Overall patient satisfaction

Financial Changes

Financial

1. Implemented Autoworker in EPM2. Implemented Background Business Processor3. Maintained provider productivity while maintaining

reporting requirements4. Staffing was not reduced but avoided hiring5. Improved revenue6. Improved clinical measures and allowed for accurate

UDS reporting7. Implemented Population Health

Next Turning Point

1. Implementing inbound faxing within Document Manager2. Implementing Patient Signature Pads

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Any Questions?