Beyond the AAO EHR Checklist: The Six Essential Criteria Smart Shoppers Demand from EHR Partners.

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1 Beyond the AAO EHR Checklist: The Six Essential Criteria Smart Shoppers Demand from EHR Partners.

2 With so much at stake for your ophthalmic medicine practice, the search for the right electronic health record (EHR) solution can be complex and overwhelming. To offer some guidance for prospective EHR users, the American Academy of Ophthalmology (AAO) recently introduced 24 requirements for EHR systems in ophthalmology. As an AAO partner, NextGen Healthcare is actively working with the AAO in the promotion and development of these types of IT standards for the eye care industry. While the AAO checklist is a good starting point for your technology search, in the ever-changing and complex ophthalmic medicine landscape, there are numerous other essential criteria to consider and demand from your potential technology partners. When your technology partner meets each of the following six criteria, you re well-positioned for immediate success, as well as positive, future growth. 1Find an integrated, single database solution enabling streamlined reporting, a simplified infrastructure, and reduced costs. How many technology partners deliver a truly integrated solution? To help ensure a simple, seamless, and straightforward user experience, NextGen Healthcare develops and supports our own products and designed our integrated EHR and practice management solution to leverage a single database on a single server. When you utilize and update your NextGen system, all activity is happening on one system, rather than separate systems. That s why our integrated system works seamlessly, as a cohesive whole, for the best possible user experience and results. Several non-nextgen Healthcare systems employ an interfaced solution, which links different products that reside on separate databases and often separate servers. Why does this make a difference? An integrated solution, like ours, enables combined reporting of administrative and clinical data because both data categories reside on the same database. This way, you can more easily avoid issues resulting from any inequality of technology. Also, data mapping issues are removed because no mapping is required with a single database. Plus, the additional costs incurred due to interface maintenance are lessened when interfaces are removed. When healthcare application products are designed to work together, are built by a common engineering team using a common application infrastructure, and are based on a common database schema, Gartner refers to them as truly integrated. According to Gartner, truly integrated applications almost always work together better than interfaced applications. 1 Why risk your practice and your future on an interfaced solution? Results At A Glance: Katzen Eye Group 12% increase in patient volume, or $3,600/day or $936,000/year more 43% reduction in billing staff Reduced A/R days from 53 to 23 A/R improvement of $720,000 Office supply expenses dropped by $1,000/month Tri-County Eye $100,000 a year in transcription savings 120% increase in revenue per patient encounter Access to patient records from multiple sites Diagnostic tests and imaging studies flow into patient chart Horizon Eye Achieved compliance via better documentation Improved quality of care and user satisfaction A/R days reduced from 31 to 26 Produce clean claims 97% of the time Annual transcription savings of $100,000 a year 1. Gartner, Inc., For EHRs, Application Integration Does Not Product Truly Integrated Applications, September 2010.

3 Choose a technology partner with a strong, stable, and proven market position. Where will your technology partner be in five, 10, or 15 years? What s your partner s track record of success? NextGen Healthcare in business for nearly 20 years is an award-winning, widely-respected, profitable, cash-flow positive subsidiary of Quality Systems, Inc. With record growth, virtually no debt, and one of the strongest balance sheets in the industry, you can be confident that we have the financial strength and unrivaled growth to support your needs over the long term. As a publicly-traded company with open financials, you can be sure that NextGen Healthcare is a fiscallystable organization moving in a positive direction, and that we are well-equipped to quickly gain critical industry certifications. 3Pick a market-leading, certified solution tailored for ophthalmic medicine. With 550 ophthalmic medicine practices (comprised of multiple sites per group), NextGen Healthcare boasts the largest install base in the industry (roughly 52% of the market). Why is our solution so appealing to ophthalmic medicine users? One key reason it s designed, developed, and continually updated with the input of hundreds of practicing ophthalmologist users via regularly scheduled focus groups. 2 Results At A Glance: 4 With more than 1,600 employees, 2,600 clients, and 60,000 users and growing by leaps and bounds we have a demonstrated focus on research, development, and ongoing growth, as well as the resources necessary to grow with you as your needs evolve. Texas Retina Electronic access to patient data across multiple locations Digital data mining for clinical research and patient care A/R days reduced from 32 to 22 days Denial rates down from 6% to 3.5% Eye Physicians and Surgeons of Chicago Reduced dictation time by 1-2 hours each week Simplified and accelerated referral documentation Fostered a stronger referral base Earned medical malpractice premium discounts Barnet Dulaney $200,000 savings a year by interfacing equipment Improved processes through paper elimination Increased revenue/ reduced expenses Improved collections/ billing Automated document generation and reporting Some of the other benefits especially appealing to our ophthalmic medicine client base include: Rich ophthalmic templates and workflow Clinical decision support and alerts Flexible and comprehensive reporting A 5-star usability rating MU certification under ONC Image management And, while our ophthalmic solution is robust right out of the box, you can also tailor our solution and edit our templates for a truly customized experience. Electronic connectivity between the CCHIT Certified * NextGen Ambulatory EHR and disparate ophthalmic vendors helps improve staff productivity, support improved quality of care, and reduce overall costs. What s more, you can facilitate merchandise sales management via the NextGen Optical Management solution. Another critical consideration is the peace of mind that comes with superior ongoing support. Our staff of ophthalmic medical experts and our dedicated Ophthalmic Specialty Director (with over 25 years of experience in ophthalmology) are on hand to assist and guide you. Our project managers and fully-certified ophthalmic trainers, who function much like business analysts, help execute our proven implementation methodology to help ensure your success. With NextGen Healthcare as your partner, you can also count on top-notch products and ongoing support via our robust client support and development departments. Meet your Meaningful Use (MU) goals by choosing a partner with proven expertise, resources, and results. Do you have all the tools, resources, and expertise you need to reach your MU goals? What does your technology partner provide to help ensure your success reaching MU? To date, NextGen Healthcare clients have claimed $11.3 million in total MU payments. In fact, one ophthalmic client, Kernersville Eye Surgeons, recently used NextGen software to attest for two physicians and $36,000 under the Medicare EHR incentive program. NextGen Healthcare clients are leveraging extensive resources to ensure their MU goals are met, such as: A continually-updated stimulus website Complimentary webinars Regularly-scheduled seminars Step-by-step guides A lively community forum Expert consulting services A dedicated address for questions Plus, our dedicated government regulations team helps to ensure that our company and our clients are well-prepared for ever-changing government programs and rulings. In a recent Black Book Rankings poll which surveyed more than 30,000 healthcare records professionals, physician practice administrators, and hospital leaders vendors were ranked on EHR effectiveness in three areas of Meaningful Use: CPOE, nursing automation, and medical administration. According to Black Book s findings, NextGen Healthcare was one of the top MU implementation standouts!

4 Next Steps We re ready to help your ophthalmic medical practice grow and thrive, improve your clinical and business outcomes, and meet your Meaningful Use goals. To find out more, please contact us at or 5 6 Pick ONE partner with a full suite of innovative, easy-to-use solutions that will grow with you. As the healthcare market evolves particularly, as a result of quality initiatives and the demands for community data sharing we can help ensure that your technology investment is continually relevant and adjusts to your ever-changing needs. NextGen Healthcare is a full-service organization. We re committed to transforming healthcare through the innovative use of award-winning, easy-to-use software products, business services, and strategic consulting. Our rich, comprehensive portfolio delivers the peace of mind that you won t need to search for multiple vendors to fulfill your growing needs. Our complete portfolio includes: Ambulatory NextGen Ambulatory EHR, NextGen Practice Management, NextGen Optical Management Inpatient NextGen Inpatient Clinicals, NextGen Inpatient Financials, NextGen Lab, NextGen Enterprise Scheduling, NextGen Surgical Services Connectivity NextGen Health Information Exchange, NextGen Patient Portal, NextGen Mobile, NextGen Electronic Data Interchange, and more Services NextGen Consulting Services, NextGen Practice Solutions, and more Select a technology partner with a longstanding, respected industry presence. Your technology partner s track record in the healthcare industry speaks volumes. NextGen Healthcare is proud of our recent industry recognition and long-term success: Business Week recently ranked NextGen Healthcare a Top 20 Hot Growth Company Our stock was rated among the 40 Best performing stocks of the last decade with a 3436% increase in stock price (NASDAQ:QSII) Forbes named NextGen Healthcare one of the Top 5 Best Small Companies in the U.S. Fortune recognized NextGen Healthcare as One of the Top 100 Fastest Growing Small Companies in the U.S. Business 2.0 included us on its 100 Fastest Growing Tech Companies list We re also a member of numerous critical industry organizations, such as the American Medical Association, the ehealth Initiative, Electronic Health Record Vendors' Association, and IHE (Integrating the Healthcare Enterprise). As part of our five-year association with IHE, we re helping to drive the adoption of standards to address specific clinical needs and participating in a national vision of a connected and interoperable healthcare infrastructure.

5 For more information on NextGen Healthcare s portfolio, and to view initial product demonstrations, visit To speak with a sales representative, call or us at Copyright 2011 NextGen Healthcare Information Systems, Inc. All rights reserved. Patent Pending. NextGen is a registered trademark and trademark of NextGen Healthcare Information Systems, Inc. in the United States and/or other countries. All other names and marks are the property of their respective owners. CCHIT Certified is a registered mark of the Certification Commission for Health Information Technology. * NextGen Healthcare's NextGen Ambulatory EHR 5.6 is a CCHIT Certified 2011 Ambulatory EHR, additionally certified for Child Health, Cardiovascular Medicine with Advanced Reporting, Behavioral Health, and Dermatology. BRO /11

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