QHR Technologies maximum pricing

QHR Technologies maximum pricing Below are summaries of the maximum pricing QHR Technologies may charge for their Manitoba Approved EMR Solution. They may choose to charge less than this cost and/or to offer products and services over and above the approved solution. Please speak directly to QHR Technologies for further information. The pricing is divided into several components, including one-time costs, monthly recurring in year 1 and monthly recurring after year 1. The maximum price refers to the total of these components. In other words, QHR Technologies can choose to charge less or more for any one component as long as the total of all components remains the same or less. If you would like to confirm that a quote is within the maximum pricing, please contact the PCIS Office at (204) 926-3482. Understanding the tables The tables list prices per tier, which is based on the number of. A physician unit is one physician and any number of medical trainees who do not bill for medical services and up to three full-time equivalent staff members or medical office assistants, nurses and other staff members (excluding medical trainees). For all tables below, refer to Appendix A Glossary of Terms for definitions and further information. Maximum pricing is listed for both the locally hosted and application service provider (ASP) models. Locally hosted models describe practices with their own stand-alone server upon which the EMR application is directly installed and which stores all of the associated EMR data. ASPs are companies that host a client s information system on its computer servers so the client does not have to manage the computer servers and other related technologies themselves. SUMMARY of approved vendor for locally hosted complete EMR solution Purchaser size Tier 1: One to three Tier 2: Four to eight Tier 3: Nine to 15 Tier 4: Greater than 15 One-time recurring year 1 $5,500 $300 $350 $4,875 $300 $350 $3,750 $300 $350 $3,625 $300 $350 recurring after year 1

SUMMARY of approved vendor for application service provider (ASP) complete EMR solution Purchaser size Tier 1: One to three Tier 2: Four to eight Tier 3: Nine to 15 Tier 4: Greater than 15 One-time recurring year 1 $5,500 $900 $950 $4,875 $900 $950 $3,750 $900 $950 $3,625 $900 $950 recurring after year 1 DETAILS of approved vendor for locally hosted complete EMR solution Locally hosted model -Tier 1: 1-3 Physician Units licenses $2,000 - - Implementation and Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions). Staff: 6 hours (3X2 hour sessions followed by working sessions), including Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $1,000 - - $2,000 - - Years 2 & 3

Total $5,500 $300 $350 $3,600 $4,200 Locally hosted model - Tier 2: 4-8 Physician Units licenses $1,750 - - Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions). Staff: 6 hours (3X2 hour sessions followed by working sessions), including Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $875 - - $1,750 - - Years 2 & 3 Total $4,875 $300 $350 $3,600 $4,200 Locally hosted model - Tier 3: 9-15 Physician Units licenses $1,300 - - $650 - - Years 2 & 3

Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions). Staff: 6 hours (3X2 hour sessions followed by working sessions), including Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $1,300 - - Total $3,750 $300 $350 $3,600 $4,200 Locally hosted model - Tier 4: more than 15 Physician Units licenses $1,250 - - Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions). Staff: 6 hours (3X2 hour sessions followed by working sessions), including $625 - - $1,250 - - Years 2 & 3 Includes unlimited calls for defects, unlimited

calls for the first three weeks, and 72 calls per year afterwards. Total $3,625 $300 $350 $3,600 $4,200 DETAILS of approved vendor for application service provider (ASP) complete EMR solution ASP - Tier 1: 1-3 licenses $2,000 - - Implementation and Includes patient demographics, appointment history, and physician records. EMR data conversion is also available at a cost of up to $1000 per physician unit. Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions) Staff: 6 hours (3X2 hour sessions followed by working sessions) $1,000 - - $2,000 - - Years 2 & 3, including Level 2 Support and Level 3 Support Data Centre Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. - $600 $600 - $221 $227 Total $5,500 $900 $950 $10,800 $11,400

ASP - Tier 2: 4-8 licenses $1,750 - - Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions) Staff: 6 hours (3X2 hour sessions followed by working sessions), including Data Centre Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $875 - - $1,750 - - Years 2 & 3 - $600 $600 Total $4,875 $900 $950 $10,800 $11,400 ASP - Tier 3: 9-15 licenses $1,300 - - $650 - - Years 2 & 3

Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions) Staff: 6 hours (3X2 hour sessions followed by working sessions), including Data Centre Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $1,300 - - - $600 $600 Total $3,750 $900 $950 $10,800 $11,400 ASP - Tier 4: more than 15 licenses $1,250 - - Initial User Training Includes 12 hours in total over 2 days on site. Providers: 6 hours (2 X 3 hour sessions) Staff: 6 hours (3X2 hour sessions followed by working sessions), including Includes unlimited calls for defects, unlimited calls for the first three weeks, and 72 calls per year afterwards. $625 - - $1,250 - - Years 2 & 3

Data Centre - $600 $600 Total $3,625 $900 $950 $10,800 $11,400

Appendix A - Glossary of Terms Maximum Pricing The terms below describe the minimum products and services that are included in each of the components categories in the tables. Licenses Pricing for License includes, at a minimum, a Complete EMR Solution that meets all of the Core Requirements. Before an implementation starts, the Approved Vendor will work with the Purchaser to deliver a plan for the implementation; The Approved Vendor will provide assessment services to the Purchaser so that they understand their needs such as hardware, network, electrical wiring, physical space, and data conversion; The Approved Vendor will work with the Purchaser to plan and prepare for business process redesign such as changes in clinical workflow, office workflow, changes in roles and responsibilities, etc. that will support the Purchaser in the implementation of the Complete EMR Solution; The Approved Vendor will configure the Complete EMR Solution, including the set-up of user accounts and the installation and set-up of software drivers and other necessary tools and software needed to run the Complete EMR Solution; The Approved Vendor will perform end-to-end testing to validate that the Complete EMR Solution functions according to the Requirements and is ready for Acceptance Testing by the Purchaser; The Approved Vendor will lead the Purchaser through a formal user acceptance testing session. This session will include multiple staff (representing core function areas such as physician, nurse, admin, etc.) This will be a scripted session covering significant core functionality to ensure consistency across implementations. Note that the User Acceptance Testing must occur after training or as a part of training to ensure that the Purchaser s staff understand what they are accepting; At Go-Live, the Approved Vendor will support the Purchasers and their staff in the transition from their existing system or process to the new Complete EMR Solution; The Approved Vendor will provide user documentation to assist users during implementation and for ongoing use; After Go-Live, the Approved Vendor will continue to support the physicians and their staff in the use of The Complete EMR Solution. Post Implementation will continue until users are comfortable in their day-to-day use of the Complete EMR Solution The Approved Vendor will import, at a minimum, patient demographic data; The Approved Vendor will assist Purchasers in defining and planning for conversion from paper sources. The actual data entry or scanning tasks related to paper based conversion is out of scope. Initial User Training The Approved Vendor will provide training services for the Purchaser including all staff. Training will be sufficiently comprehensive to ensure that Purchasers and their staff are self-sufficient in the use of the Complete EMR Solution; Training and packages will be flexible to meet the needs of clients.

Including Release Upgrades The Approved Vendor will follow a standard product release cycle for the production and implementation of new software releases for the Complete EMR Solution Products. The product release cycle will manage the following areas: development, testing, piloting, documentation, release, and additional training; The Approved Vendor will provide user training related to new release upgrades. The Approved Vendor will provide to all Purchasers with whom they have an Approved Vendor-Purchaser Agreement. The will provide a single point of contact (one phone number and one email address) for the purpose of reporting problems and raising questions related to the Approved EMR Solution, network, hardware, and email and will attempt to diagnose and address problems or answer questions at that level. Where further assistance is required, calls and emails will be prioritized and triaged to the appropriate resources for resolution as follows: o For topics related to the Complete EMR Solution, calls and emails will be triaged and transferred to the Approved Vendor s Level 2 Support o Where an Approved Vendor provides client-side hardware (as a supplement to the Complete EMR Solution) and clientside software, calls and emails will be triaged to the Approved Vendor s Level 2 Support. o For topics related to physician s own hardware, calls and emails will be triaged, and the physician will be notified to contact their hardware vendor, hardware warranty provider, or other technical support. Minimum operation hours Unlimited calls and emails for any incident during the first three (3) weeks after Go-Live; Unlimited calls and emails for defects and, in respect of ASP solutions, hosting failures of the Approved EMR Solution For the first twelve (12) months each Physician Unit will include at least six (6) incident help desk calls (by phone or email) per month (with volume averaged over one (1) year); After the first twelve (12) months each Physician Unit will include at least three (3) incident help desk calls per month (with volume averaged over one (1) year) and For greater clarification, an incident help desk call does not include any further follow on calls by either the Approved Vendor or the physician or staff, or any calls related to requesting new products or services. Additional calls to the may be charged as per the Approved Vendor Physician Agreement, up to a per call or email maximum price of thirty-five dollars ($35) Canadian per call or email (subject to any adjustment permitted under the provisions of the MSA). The Approved Vendor will provide for an initial three (3) year term. This term can be automatically extended by additional one (1) year terms until expiration of the MSA. After the initial three (3) year term Manitoba reserves the right to repatriate these services into a Manitoba ehealth Service. Level 2 and will be provided by the Approved Vendor to all Purchasers with whom they have an Approved Vendor Purchaser Agreement for services within the scope of the Complete EMR Solution. If, as a result of Level 2 Support, an end user issue is deemed to be the result of a problem with or defect of the Complete EMR Solution, it will be forwarded to where the Approved Vendor will provide solutions, upgrades and/or workarounds to correct the problem.

Data Centre (ASP Only) Ongoing support and maintenance of the Data Centre including support of data (including Patient Personal Information) hosting and EMR application hosting and Internet connectivity in accordance with the Service Levels. General The Approved Vendor will establish and maintain a Manitoba-specific user group to facilitate input on new features and changes. The Approved Vendor will hold meetings of the user group not less than annually. The Approved Vendor will provide the Purchaser with a Customer Relationship Manager to handle all nonhelp desk requests, such as requests for information, new products, or services. The Approved Vendor will establish an escalation procedure for the Purchaser to follow in the event that the Customer Relationship Manager is non-responsive to the Purchaser s needs. The Approved Vendor will provide the Purchaser with a standard turnaround time regarding requests for information or service from the Purchaser to the Customer Relationship Manager. The Approved Vendor will develop and maintain knowledge and understanding of the Purchaser s needs. The Approved Vendor will maintain an understanding of the Manitoba Health and Healthy Living and Manitoba ehealth environment and will remain current with developments that may affect physicians and Clinics. Termination The Approved Vendor will provide the Purchaser with termination services including providing an export of the core patient data in a format that can be imported into the Purchaser s replacement EMR. The Approved Vendor will provide an electronic print-out in chronological order of patient personal information, in Adobe Acrobat Portable Document Format (or equivalent). The Approved Vendor will provide a viewer for archived data to ensure that all patient information that was documented in the EMR remains accessible for an indefinite period of time after the Approved Vendor - Purchaser agreement has been terminated.