Presenter(s): Topic New Care Guidelines. Level 100. S. David Maddirala, M.D., PCMH Bob Murry, Ph.D., M.D., FAAFP. Charlie Burger Kayte Oliver

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2 Presenter(s): S. David Maddirala, M.D., PCMH Bob Murry, Ph.D., M.D., FAAFP CCE Charlie Burger Kayte Oliver Topic New Care Guidelines Level 100

3 Introductions Dr. Maddirala NextGen Physician Consultant Dr. Murry NextGen Vice President of Clinical Product Management Charlie Burger NextGen Sr. Business Systems Analyst / Technical Solutions Arhitect Kayte Oliver NextGen Business / Clinical Systems Analyst

4 Safe Harbor Provisions/Legal Disclaimer This presentation may contain forward-looking statements within the meaning of the federal securities laws, including statements concerning future prospects, events, developments, the Company s future performance, management s expectations, intentions, estimates, beliefs, projections and plans, business outlook and product availability. These forward-looking statements do not represent a commitment, promise or legal obligation to deliver any material, code or functionality. The development, release and timing of any features or functionality described for our products remains at our sole discretion. Future products developed beyond what is contemplated by existing maintenance agreements, will be priced separately. This roadmap does not constitute an offer to sell any product or technology. We believe that these forward-looking statements are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: the volume and timing of systems sales and installations; the possibility that products will not achieve or sustain market acceptance; the impact of incentive payments under The American Recovery and Reinvestment Act on sales and the ability of the Company to meet continued certification requirements; the development by competitors of new or superior technologies; the timing, cost and success or failure of new product and service introductions, development and product upgrade releases; undetected errors or bugs in software; changing economic, political or regulatory influences in the health-care industry or applicable to our business; changes in product-pricing policies; availability of third-party products and components; competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract and retain qualified personnel; uncertainties concerning threatened, pending and new litigation against the Company; general economic conditions; and the risk factors detailed from time to time in the Company s periodic reports and registration statements filed with the Securities and Exchange Commission.

5 Agenda Current Care Guidelines Dr. Maddirala 30 minute demonstration New Care Guidelines Overview Dr. Murry 30 minute demonstration Questions 15 minutes

6 Note! Hold questions till the end of the presentation

7 Current Care Guidelines

8 Current Care Guidelines Demonstration Topics Review due, ordered, and completed Care Guideline items Activation of a Care Guideline Completion of a Care Guideline item(s) Historical Interfaced item Non-interfaced item Performed elsewhere Editing a Care Guideline item(s) Ordering a Care Guideline item(s) Ordering Immunizations from Care Guidelines Recommended Care

9 Review of Care Guideline Items Home Page

10 Review of Care Guideline Items Chronic Conditions template

11 Review of Care Guideline Items Care Guidelines Pop Up

12 Activation of a Guideline

13 Activation of a Guideline

14 Completion of a Historical Guideline Item(s)

15 Completion of an Interfaced Guideline Item(s)

16 Completion of an Non-Interfaced Guideline Item(s)

17 Completion of an Non-Interfaced Guideline Item(s)

18 Completion of a Guideline Item(s) Performed Elsewhere

19 Completion of a Guideline Item(s) Performed Elsewhere

20 Completion of a Guideline Item(s) Performed Elsewhere

21 Order a Guideline Item(s) In Care Guidelines

22 Order a Guideline Item(s) In New Chronic Conditions Template

23 Order a Guideline Item(s) In New Chronic Conditions Template

24 Order Guideline Item(s) In My Plan

25 Ordering Immunizations from Care Guidelines

26 Ordering Immunizations from Care Guidelines

27 Editing Care Guideline Item(s) Care Guidelines Pop Up

28 Editing Care Guideline Item(s) Care Guidelines Pop Up

29 Recommended Care

30 New Care Guidelines

31 Care Guidelines Pop up 4 Panels Only 4 panels which will support more streamlined navigation. Clinical Guidelines in a new Paged View format (default view) Recent Orders Immunizations Metrics

32 Care Guidelines Pop up Info. Button New I info button Explains How to use this template Launches a PDF document complete with information and screen shots.

33 Several Filtering Options Numerous filtering options: Orderable only Recommended Care (medication) Recommended Care (nonmedication) Due by Due items only Due within Order types

34 8 Items Per a Page Ability to view up to 8 guideline items/recomm ended Care items per page. Easy to use navigation arrows to page to the next page of items in the list.

35 Order Multiple Tests / Change the DNX. Ability to select up to 8 items and order all with a single click. Ability to click on an Orderable item and view the linked diagnosis and change the diagnosis

36 Modify An Item - Blue Active Link Ability to easily see the interval, start and stop ages for an Orderable item. Ability to quickly modify these settings at the patient level. Yellow exclamation mark next to the modified item

37 Easily See Items Due Ability to easily see what is due for patient. All due items will have a due date of today in red font with a yellow exclamation mark.

38 Document - Status and Last Completed Date A status field to easily change the status of an item. Last completed field to quickly update the last completed date if needed.

39 Comments Field A new comments field for each orderable test or Recommended Care item. Holds 100 characters of free text. Carries forward until manually removed by a user.

40 Recommended Care

41 Sort Each Column Ability to sort each column by clicking on the column header.

42 Add Personalized Guideline Item(s) Ability to create a Personalized Guideline item(s) by adding a single orderable test(s) without having to apply an entire Guideline to a patient s chart.

43 Add Personalized Reminders Ability to add free text ticklers or Personalized Reminders with due dates and the ability to task to a workgroup.

44 Future Due Dates All guideline items will show due dates even if those dates are in the future.

45 A new consolidated Care Guidelines Set up template 4 easy to follow panels Arranged in the order needed Can set up custom Guidelines Maintain/alter out of the box Guidelines

46 A new consolidated Care Guidelines Set up template Active text links to access guideline related system/practice templates Medication Classes Diagnosis Groups Management Recommended Care

47 A new consolidated Care Guidelines Set up template Ability to copy Care Guidelines set up to other practices. Ability to opt out (at the practice level) of Recommended Care meds. Ability to opt out of Recommended Care non meds.

48 A new consolidated Care Guidelines Set up template Create new or modify existing Guideline Conditions/Reasons Ability to set Guideline Conditions/Reasons to auto apply

49 A new consolidated Care Guidelines Set up template Ability to easily associate new tests, instructions, exams, office medications, office procedures, office labs, immunizations to either an out of the box or custom created Guideline Conditions/Reason.

50 Ability to easily associate Test Descriptions and/or Test codes that are an exact match to a Test name (Test Equivalents). Ability to easily associate Test Descriptions and/or Test codes that are not an exact match to a Test name but are an alternative test that the practice feels would also satisfy the test (Test Alternatives).

51 Easy view of the File Maintenance Mappings for the tests that are currently mapped in the Order NextGen Test Compendium table. The ability to verify during set up if a Test Equivalent or Test Alternative Code has a valid SIM code.

52 An FAQ panel Most commonly asked questions/answers regarding set up and use of Care Guidelines. Printable PDF document attached with additional information. Helpful screen shots.

53 Any Questions?