Orlando González Rivera, Esq., CPA President MMM & PMC

1. Healthcare Information Technology Executive Summit 2011 June 16, 2011 Orlando González Rivera, Esq., CPA President MMM & PMC

2. Changing Healthcare in Puerto Rico • InnovaMD is the first operational Health Information Exchange (HIE) in PR • Launched November 2010 • Signed an agreement with the REC to provide HIE services to all participant providers for all payers. • The Vision • Reduce clinical errors • Improve the quality of care offered in PR • Reduce costs • Empower consumers to better understand and address their own healthcare needs

3. Connecting Providers • Over 6,000 providers connected and accessing InnovaMD HIE • Including 14 Hospitals and counting • Accessing the Participant Patient’s Clinical Profile • Medication Reconciliation • Current Conditions • Lab Results • Relevant Clinical information

4. E-Prescribing • 100 Physicians actively e-prescribing • Over 5,000 scripts electronically sent • 510 Interaction alerts raised • Improve Patient safety • Avoid possible visits to the ER • Access to current medications list avoids unnecessary medications • Support Meaningful Use (MU)

5. Connecting Physicians with their Electronic Health Record • Working with 22 EHR Vendors approved by the REC • Exchange of Clinical Information using the exchange standard • CCD (Continuity of Care Document) • Send Encounters • Send Quality Metrics • Send Lab and Radiology Orders • Live in July with the first 2 EHR’s

6. E-Labs • Over 300,000 Structured Lab results loaded and available in the system • Using national nomenclature standards • 90 clinical laboratories and growing • Lab Order entry live in July • Benefits • No need to pick up lab results • Results will be available for Doctors to review

7. E-Radiology • Will start pilot project with CIRT (Ponce) and San Patricio CT & MRI • Share Images and Results Reports • Benefits • Imaging centers will receive electronic orders • Avoid handwriting errors • Automatic Eligibility verification • Send results to ordering Physician and the Patient

8. What’s next • Launching Member Portal in July • Access their Personal Health Record • Mobile applications to access clinical information at the point of care • Population Health Metrics • Rollout connected EHR’s to more Physicians to benefit from the exchange

9. Questions