Gerard P. Filicko, CMPE Sr. Vice-President Physician Services

1. Gerard P. Filicko, CMPE Sr. Vice-President Physician Services

2. Organizational Purpose • Collaboration in HIT • Clinical data exchange • Practice automation Vision: “…the most electronically integrated medical community in the U.S.”

3. Physicians 300 Owners 900 Par Shared Services 501(c)3 50% 50% Nurse Call Center, Health Coaching, Disease Management, CMS Demonstration, Risk Management, Managed Care Contracting MedAtlantic 20% 80% Health Information Exchange

4. MedVirginia Advisory Council • Bon Secours Richmond Health System • VaLiance • Va Department of Health • Virginia Association of Free Clinics • VMGMA • Virginia Academy of Family Physicians • Anthem WellPoint • Ukrops • Virginia Hospital and Healthcare Assoc.

5. MedVirginia - Health Information Exchange Physician View • e-Chart • Meds/Allergies List • Ancillaries • IP / OP • Secure Messaging Data Flowing to Solution Clinical Results from Hospitals and Providers Discharge Summaries Reference Lab Results Physician Suite of Services Physician e-Prescribing • PM Integration • Practice Notes • e- RX • Electronic Health Record • Interface with EMRs Medications Allergies

6. Northern Neck H H H H H H H Henrico 175 pharmacies Thru SureScripts Hanover Richmond Chesterfield

7. Development Timeline Major Milestones * Value-added Services Prototype Rural e-Health Collaborative Launch of Solution NHIN II 2001 - 2004 2004 2005 1Q06 1Q07 4Q07 1Q08 Mar 05 Product development begins Ongoing System Enhancements VA HIT Council & Free Clinic integration * 530,000 charts / 110 practices / 330 physicians / 1100 users

8. A Few Stats • 530,000+ unique patients • 3,000+ unique physicians • 1M+ messages/month • Users: • 110 practices • 330 physicians • 1100 distinct users • Connectivity (via SureScripts) to 172 pharmacies • Safety Net Providers

9. Safety Net Providers: Governor’s HIT Council Grant • 4 Richmond Free Clinics needed access to an integrated data platform • To receive hospital & clinic results • Document routine care • Labs & medications • Continuity among clinics • Sought a common eligibility screening process, to be shared by all community providers • Did not have capital and needed to keep operating costs low

10. Reporting, Grant Writing Free Clinic Pharmacy E-Scripts Community Pharmacy Updated Meds MedVirginia Health Information Exchange Demographics Schedule MEDfx Practice Management System Results Discharge Meds Hospitals & Eligibility Screening Tool Referrals Eligibility Data Clinicals Specialists Referral Back to Medical Home Care Coordination Monitoring of Sentinel Events

11. Current Clinical inbox & messaging Community e-chart Demographic & clinical patient summaries Consult/referrals Integrated practice notes Practice Management interfaces 3Q08 e-Rx & Med Histories PACS interface EMR connectivity NHIN interoperability Features and Functions

12. NHIN II: Interoperability Other NHIN II HIEs Other Future Interoperability Partners

13. MedVirginia Expertise Health Information Technology Care Coordination Engaged Physicians MedVirginia “Sweet Spot”