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Using the EMR Evaluation Tool Step-by-Step Instructions for Using the Supplemental Tool for the Report Electronic Medical Records: A Buyer s Guide for Small Physician Practices. Download File If you haven t done so already, download a Zipped version of the EMR Evaluation Tool Excel file from http://www.chcf.org/topics/view.cfm?itemid=21520. Click the link at the bottom of the page to start the download, then follow the prompts in the dialog boxes. Open File If necessary, double-click the Zip icon to see the Excel file, then double-click the file to open it. Macro Enablement You will then be prompted to Enable or Disable Macros. Please read below and choose the most appropriate option. Macros are specialized functions in this Excel file that allow you to take advantage of advanced features such as being able to add and score new vendors. Disable Macros. By choosing this option you will be able to use most functions in the tool. However, you will not be able to add or score new vendors. Enable Macros. By making this selection you will be able to use all tool features. More Info. You can read more about macros by clicking this button. Step 4: Tool Overview The Excel tool you have just opened can be used for three primary functions: 1. Review ratings and scores of select EMR vendors (as scored by Forrester Research) including Allscripts, Amicore, GE Medical, imedica, Medical Manager, Misys, NextGen, Physician Micro Systems. See Function 1. 2. Modify and customize ratings and scores of select EMR vendors. See Function 2. 3. Add new vendors and use the tool to rate, score, and compare with select EMR vendors (requires macros to be enabled). See Function 3. CALIFORNIA HEALTHCARE FOUNDATION Using the EMR Evaluation Tool 1

Function 1. Review Vendor Ratings and Scores Click the Scores and weightings tab located at the bottom of the Excel file. Scores and Weightings Worksheet Overall Score. Overall product rating scores can be found in the row titled CURRENT OFFERING under the respective vendor name in bold. A score of 5.0 is the highest possible score and a score of 1.0 is the lowest. This score represents the weighted averages for Functionality, Usability, Support, and Cost. Strategy and Market Presence Scores. These scores are used to help understand the business stability of the vendor and provide the basis for the Forrester Wave graphic (see Custom Forrester Wave tab). TIP: To better understand ratings and scores, it is recommended you click on the Criteria tab at the bottom of the Excel file and print the list of attributes and rating scales. This will serve as a helpful reference when using the tool. CALIFORNIA HEALTHCARE FOUNDATION Using the EMR Evaluation Tool 2

Function 2. Modify and Customize Vendor Ratings and Scores Select an EMR vendor by clicking the scroll right arrow at the bottom left location of the Excel file and scroll to the tab with the name of the vendor you would like to examine. Vendor Data Modification Select the vendor tab. (For this example, we chose Medical Manager.) Modify the scores of the product features starting in cell H11 and working your way down column H. CALIFORNIA HEALTHCARE FOUNDATION Using the EMR Evaluation Tool 3

Step 4: If you wish to modify the weighting of different features, click on the Scores and weightings tab at the bottom of the Excel file. Custom Weightings Modification Under the Custom weightings column, modify the weights of each feature, making sure that each section still adds up to 100 percent. Step 5: Final adjusted scores can be seen at the Scores and weightings tab. For detailed instructions on how to read the vendor scores, go to Function 1. CALIFORNIA HEALTHCARE FOUNDATION Using the EMR Evaluation Tool 4

Function 3. Add Vendors / Use Rate, Score and Comparison Tools To activate this feature, you must have macros enabled. If you are unsure, close and re-open the file. Click the Scores and weightings tab at the bottom of the Excel file. Click the Add vendor button and enter the name of the product and vendor as prompted. Add Vendor Step 4: Click the scroll right arrow at the bottom left location of the Excel file, scroll to the tab with the new vendor name, and click on the tab. Step 5: Enter in the scores of the product features starting in cell H11 and work your way down column H. Enter Custom Weightings Scoring criteria are listed for your reference in column F. Step 6: If you wish to modify the weighting of different features, click on the Scores and weightings tab at the bottom of the Excel file. See Function 2 for details. CALIFORNIA HEALTHCARE FOUNDATION Using the EMR Evaluation Tool 5