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Positioning: Why Allscripts?

Leadership and Vision:

Our vision at Allscripts is to not only become an indispensable part of the way physicians practice medicine, but to actually improve the quality, safety, and efficiency of health care. We are investing in "breakthrough initiatives", such as bringing Clinical Trial automation to our clients at the point of care, which in turn delivers better patient care while producing additional revenue for the practice. Allscripts led the launch of NEPSI (National Electronic Prescribing and Patient Safety Initiative) which provides free e-prescribing to every physician in America We serve in a leadership capacity in most industry standard committees and bodies. And we not only participate, we lead the discussions. For example we were a founding member of the EHR Vendors Association, and Allscripts CEO Glen Tullman is one of the CCHIT Trustees.

Workflow and Ease of Use:

A simple example of our superiority in workflows lies in one of the more critical components of an EHR: writing prescriptions. Allscripts is a Certified Gold Member with SureScripts. What this means is that, at the point of care, we deliver: Medication History: SureScripts Rx History service provides the most detailed information available regarding a patient's prescription record. Patient Eligibility: Identifies a patient's insurance coverage, which in turn drives the correct formulary. Allscripts has invested over $150M in ongoing development of TouchWorks.

Proven and accepted by the most demanding clients:

For large Enterprise-Level organizations there is no other company that can point to a referenceable install base of large multi-specialty customers that compares to ours.

Support:

Allscripts has invested more than any other company in support, which has translated into Allscripts being rated "Best in KLAS."

Implementation:

The results speak for themselves: The KLAS mid year report, the third party non-biased "Consumer Reports" of Healthcare Information Technology, ranks TouchWorks as #1 for EHRs. 100% of our clients that responded to a national survey said that they would not only recommend the Allscripts EHR to a friend, but would buy it again!

Integration and Interoperability:

Allscripts recognizes that connecting physicians with outside systems is critical to ensuring physicians have exactly what they need when providing care. We have put a lot of work into this and are considered the leader in interoperability, not just in adopting standards, but in driving and developing them on behalf of our clients.

Security:

Our focus on security is unrelenting as we know this is mission critical to clients and it simply can't be compromised. Of course, patient confidentiality and data security is vital to a successful large scale roll out in any organization. As part of our continuing focus on client security, we recently hired an industry security expert as our new Chief Security Officer.

Content:

In a partnership with Wolters Kluwer the largest health information publisher in the world (Facts and Comparisons, Clin-eguide, Ovid, Medi-Span, SKOLAR, Stedman's Medical Dictionaries, 5 Minute Consult) we jointly are investing $28 million in content, which includes over 20 physicians dedicated full time to develop and deliver Evidence-Based CareGuides and Note Templates.

Robust and unique portfolio of solutions:

Allscripts offers a solution to fit every segment in the market, from free eRx, to #1 in KLAS ambulatory EHRs, to in office medication dispensing. All of our solutions are focused on physicians and making their lives easy and the work more accurate and impactful.

Investment/Research and Development:

With greater than 10% of revenues being invested in our solutions, Allscripts remains at the top of all publicly traded software companies in terms of the % of money we reinvest in our products.

Financial strength:

Allscripts is publicly traded on NASDAQ under the symbol "MDRX" and enjoys a significant market premium in comparison to its peers Ranked #23 fastest growing companies in the U.S. by Forbes Magazine

Solution Overview

Positioning: EHR

The TouchWorks EHR is a comprehensive, research driven, clinical health record. The product offers organizations the opportunity to streamline their clinical workflows to increase efficiency and maximize potential in patient care. TouchWorks EHR is an award winning solution that offers ease of use, speed, and intelligence with the ability to customize most workspaces to accommodate every individual's specific needs. Similarly, an enhanced level of connectivity and seamless support for Pay-For-Performance and quality initiatives makes the TouchWorks EHR a perfect choice for all physician practices.

Key Positioning Statements

Statement #1: EASY Detailed support #1: Customizable clinical workspaces enable users to create just the right nuances to make the system look and feel they way they want it Detailed support #2: Delivered clinical content, such as CareGuides and Note Templates, enable organizations to start utilizing the software almost immediately Detailed support #3: Superior user interface, right click functional is intuitive and easy to learn Statement #2: FAST Detailed support #1: Data is cached on the user side allowing users to access patient information instantly Detailed support #2: Searching for date to enter into the patient's chart, documenting a visit, and ordering can be done real-time Detailed support #3: .NET architecture allows for the fastest performance times Detailed support #4: Incremental filtered search allows for quick and easy locating of desired problem or med Detailed support#5: CareGuides bring together in one place several clinical pieces of information and actions to be taken such as Note documentation and orderable items. Co-locating all of this information in an easy to use, instant access format means users save time Statement #3: TouchWorks EHR is the SMARTEST solution on the market Detailed support #1: Note Input Templates build according to patient chief complaint, HPI, or assessed problems instantly allowing users the ability to document accordingly without searching for specific templates Detailed support #2: PQRI alerts can be set in order to invite providers to complete appropriate documentation to capitalize on CMS initiatives Detailed support #3: Robust security features identify which portions of the chart can be accessed by whom Detailed support #4: Group tasking features knows when one task group member has completed an action and removes it from everyone's task list Detailed support #5: The system knows when certain regularly ordered items or already ordered items are about to be overdue or are overdue Statement #4: TouchWorks EHR #1 in KLAS Detailed support #1: Our implementations and interfaces are head and shoulders above the competition Detailed support #2: Clients consistently recommends the TouchWorks solution

Key Clients/Case Studies

GWMFA New Mexico Heart NEED MORE V11 SITES

Pricing Overview

$12,950 per provider for TouchWorks core suite

For more information

For additional information and program details please contact your Steve Tolle and Kevin Weinstein.

Positioning: Practice Management

Combining advanced technology with extensible design, TouchWorks Practice Management represents the most operationally superior system ever developed for medical practice management. TouchWorks PM provides advanced physician practice management functionality and complete control over the entire revenue cycle for sophisticated medical practices, multi-specialty clinics, MSOs, IDNs, and Service Bureau organizations. Designed to streamline operations, optimize efficiencies, maximize receipts, enhance revenues, and provide instant access to both system data and world-wide information resources, TouchWorks PM represents an exceptional value and provides Return On Investment opportunities unparalleled in the field of Practice Management Systems including: Lower cost of system deployment and ownership; Reduced FTE staff requirements; Increased receipts as a percentage of billing; Enhanced revenues; Improved patient-to-healthcare organization communications and relations; Improved overall healthcare delivery and patient care.

TouchWorks PM is comprehensive and encompasses all aspects medical practice and revenue cycle management including: Eligibility Checking Patient Scheduling including multi-resource and recurring appointments, Recall Monitoring and Referral Tracking, Patient Registration, Patient Account and Co-pay Management, Transactional Edits and Clean Claims Processing (including CCI, payer and customized edits) Insurance Profiling, Billing and Reimbursement Tracking, Accounts Receivable Management including a state-of-the-art rules based Collections System, Advanced Rules Based Workflow Manager for Appointments Pre-Edits and AR Management, The industry's most comprehensive and conclusive Practice Management Reporting System, Patient Notes and Document Management Systems. TouchWorks PM's core functionality is extended through the integration of powerful complimentary technologies that provide pervasive access to information and office productivity tools from within the PMS suite, such as: Seamless integrated Electronic Health Records, Seamless integration with Allscripts own back-office/EOB scanning solution, Seamless integration of Microsoft WordTM for automated document production, Seamless integration with iClaim powered by Navicure for claims processing, An embedded browser for unlimited access to Internet resources directly within PM; The Digital Dashboard enabling healthcare organizations to proactively track key indicators of practice health and The Information Broker which enables "real-time" interfaces with complimentary applications/devices including MPIs, PDAs, Lab Systems, and payer portals.

Statement #1: A sophisticated solution that is easy to adopt Detailed support #1: The user interface is the key to unlocking the features of TouchWorks PM. Modeled after the most widely used applications in the world, including Microsoft Outlook, our interface was painstakingly derived from the best that Microsoft had to offer. Since most have experience with Microsoft Office, operators intuitively know how to navigate through PM and a traditional hurdle for new system adoption is eliminated. Detailed support #2: The Multiple Document Interface (MDI) suits the multi-tasking nature of a busy front office. Operators may open multiple functional "workspaces" to manage their work, patients, multiple patients or tasks. Statement #2: High performance electronic workspaces designed for role based experts. Detailed support #1: Appointment Management ­ one place to manage eligibility, referrals, patient scheduling, capacity, patient flow, physician schedules and pre-visit workflow. Detailed support #2: Pending Claims Management ­ a high performance workspace designed to increase "first pass yield" through the application of pre-edits and advanced claim scrubbers. Management tools allow claims to be routed to experts for correction prior to AR and prior to transmission to the payer. Statement #3: Performance Management and Performance Monitoring Detailed support #1: Flexible, Advanced Reporting ­ second to none. Far beyond listings, our "standard" reports concisely show meaningful information, trends and key indicators of practice health and can be drilled down for further analysis. Key report sets can be stored for re-use and run quickly without impact to system performance. Detailed support #2: Digital Dashboard Web Parts are automatically filled with key indicators of practice health and are available on every desktop.

Key Positioning Statements

Key Clients/Case Studies

ATD Resources MediSync CHMB Marin Medical Southcoast Medical Group Frederick Primary Care NEED MORE V11 SITES

Pricing Overview

$7.000 per provider for TouchWorks PM core application

For more information

For additional information and program details please contact your John Beck and Sandi Soucy.

Positioning: Analytics

Healthcare organizations are looking for strategies to leverage existing information within electronic health records to control costs, generate income and improve practice efficiency. With the proper analytical tools, organizations can drive clinical excellence by managing pay-for-performance initiatives, measuring key performance indicators, supporting clinical trials, and providing patient population management. Accessing clinical data in a format designed for real-time decision making can transform the art and science of delivering healthcare. TouchWorks Analytics enables instant access to clinical information across the physician network with an alert subsystem to indicate when key indicators fall out of range. Through Analytics, users can review key performance indicators through the Analytics Performance Dashboard and drill down to review the details of clinical measures such as care planning statistics, health maintenance and provider productivity. Analytics enables healthcare organizations to access large datasets from multiple applications throughout the enterprise. This powerful software can connect databases across their 'dimensions', centralizing and standardizing data analysis and reporting methodologies. Analytics can be used to create and automate a variety of business functions including pay-for-performance measures, clinical findings, and disease management.

Key Positioning Statements

Statement #1: Universal, Immediate Access to Current and Historical Information to improve care Detailed support #1: Drill down into patient data to develop population reports, which can then be used for health management plans or orderable items Detailed support #2: Near real-time decision support Detailed Support #3: Can establish set reports that run automatically Example: PQRI and P4P initiatives Statement #2: Enterprise Functionality with Easy ­to- Use Tools Detailed support #1: Access large datasets from multiple applications throughout the enterprise Detailed support #2: Combine databases across their dimensions Example: MaineGeneral

Key Clients/Case Studies

MaineGeneral, Dr. Dan Mingle. Happy to take calls. GWU-MFA, Praveen Toteja. Reference site. Happy to take calls.

Pricing Overview

License fees: Analytics Tier 1 ­ $1,450 per licensed user; Analytics Tier II ­ $1,392 per licensed user; Analytics Tier III ­ $1,336 per licensed user; Analytics ETL Tier I ­ $900 per licensed user; Analytics ETL Tier II ­ $894 per licensed user; Analytics ETL Tier III ­ $829 per licensed user Implementation: ~112 hours @$195 SMA: 18% of list

For more information

For additional information and program details contact John Altermatt at [email protected]

Positioning: Clinical Trials

Solution Overview

Two Types: Allscripts Clinical Trial Network (ACTioN) and StudyManager Allscripts Clinical Trial Network (ACTioN) enables organizations to match patients for clinical trials together with other EHR-enabled practices from across the country. Being part of a larger network is important for attracting the most financially-rewarding studies because data from individual groups does not provide enough geographic diversity necessary to be significant for a national or global clinical research study. The network enables aggregated de-identified patient profiles derived from electronic health records. This data, in turn, is used for population health studies and clinical trials enabling practices to be awarded a greater share of the most important clinical research. StudyManager is the industry-leading clinical trial management system in use by more than 1,800 research organizations and over 10,000 research professionals. StudyManager is designed to make the process of conducting clinical trials more efficient, more organized, more accurate, and more profitable. By simply logging in to Study Manager, researchers and management can closely track clinical trial progress and financials, with access to real- time project information such as patient tracking, enrollment statistics, and financial data.

Key Positioning Statements

Statement #1: ACTioN, a FREE, service that can generate revenue improves quality and patient satisfaction Detailed support #1: No cost to join Detailed support #2: Practices can receive payments directly from clinical trial sponsors for participation, with little to no cost to research clinical trials individually Detailed support #3: 8 organizations received checks for~$20,000 for participating in a study sponsored by Astra Zeneca Example: Jackson Purchase Medical Associates Statement #2: StudyManger is a "practice management" like software, just for clinical trials. Detailed support #1: Track studies in real time Detailed support #2: Automates tasks associated with managing clinical trials Statement #3: Basic use of the TouchWorks applications allows for groups to track information and participate in clinical trials more easily Detailed support #1: Holston $3million+ per year Example: Jackson purchase

Key Clients/Case Studies

Holston Medical Group ­ generates $3 million per year from Clinical Trials

Pricing Overview

ACTioN = Free $900 per StudyManager licensed user For additional information and please contact Maryse Laforce([email protected])

Positioning: Universal Application Integrator (UAI)

Overview

By bringing together disparate information spread across different locations, organizations, applications, and devices through the revolutionary UAI connectivity technology, TouchWorks ensures that physicians have just right, just-in-time information at the point of care. UAI is a unique software technology, that acts as a "switch" allowing various software and hardware devices to interface with the TouchWorks product. TouchWorks makes available to developers of 3rd party products a software developer kit from which they can "connect" to the TouchWorks application. These developers write to the technology of the UAI as opposed to working directly with the application. This means faster development times to create connections, enable faster installation at the client site, and easier maintenance in the long run. This is the only such product on the ambulatory EHR market, and is 100% consistent and supportive of our vision of an interconnected healthcare system.

Key Positioning Statements

Statement #1: Unique functionality Detailed support #1: This is the only such product that is on the ambulatory EHR market Detailed support #2: It puts the burden of integration on the device maker or 3rd party software vendor as opposed to the user, simplifying the user experience Example: WelchAllyn, Cardio Perfect Statement #2: Rapid Connection, and easier maintenance Detailed support #1: Because the interface is standard between a 3rd party product and the UAI, the time to "hook-up" a device or "integrate" a 3rd-party application is reduced by as much as 90%. Detailed support #2: No custom interfaces required, and no specific interface to maintain Detailed support #3: Easy way to incorporate specialty content rapidly and easily (ie Medflow, SmartID) Example: Welch Allyn says that they can integrate 12-18 months faster with TouchWorks than any other EHR

Key Clients/Case Studies

Welch Allyn is happy to take calls relative to what this means from their perspective George Washington University Medical Faculty Associates for Welch Allyn devices

Client pays base fee of $5000 plus $150 per doctor for every doctor above 10 up to 150 doctors. Client also pays a onetime "integration validation" fee of $1000 per device type Partner pays either $100,000 integration fee or splits revenue 50/50 For additional information please contact Ron Keen at or via email at [email protected]

Pricing Overview

Positioning Overview: FirstFill

Allscripts recognizes the disparity between the number of written prescriptions and those actually filled, and has created FirstFill ­ an innovative pre-packaged medication fulfillment solution complete with both medications and software for dispensing and inventory control. As retail health clinics propagate, with more than 2,000 clinics expected by 2010, physicians (particularly primary care) are at a risk of losing patients to competitors. Offering in-office medication is a patientcentric action designed to improve healthcare, retain patients and generate new revenue.

Solution Overview

Statement #1: FirstFIll can help improve clinical outcomes through increased compliance Detailed support #1: 30% of prescriptions are never picked up or filled, but with FirstFIll, patients immediately receive prescriptions inside the physician's office. Detailed support #2: Consultations and prescription questions are answered in the privacy of the physician's office Example: Compliance study done with Astra Zeneca showed huge improvements of compliance through on site medication dispensing Statement #2: FirstFill creates an opportunity for physician practices to generate additional revenue and patient retention Detailed support #1: For an average physician, FirstFill can generate $10,000 per year of additional revenue Detailed support #2: On average, offices can earn $4 per prescription. 84% of prescriptions are now locally dispensed. Example: Revenue generation study showed at one practice more than 50% of patients surveyed would be willing to pay a $3 - $10 surcharge for convenience above co-pay

Key Positioning Statements

Key Clients/Case Studies

Stern Cardiovascular Center ­ created testimonial video, willing to take calls Atlantic Orthopedics ­ early stage of deployment Murfreesboro--early stage of deployment

Pricing Overview

$2400 per licensed user for software

For more information

For additional information please contact Tom Kons at or via email at [email protected]

Positioning: Dragon NaturallySpeaking, Medical 9.5

Topic Overview

Dragon NaturallySpeaking Medical, from Nuance, the leading voice recognition software used by medical professionals, is directly integrated with TouchWorks. Dragon NaturallySpeaking Medical is up to 99% accurate ­ comparable to the effectiveness of manual transcription. Dragon NaturallySpeaking Medical for TouchWorks comes with 14 pre-configured medical specialty vocabularies covering over 60 subspecialties. This packaged content, along with the ability to create personal custom vocabularies, ensures unparalleled voice recognition accuracy and clinical note data entry productivity. Allscripts has a deep direct partnership with Nuance, and is one of the largest resellers of Dragon in the world. More than 5,000 Allscripts physicians have purchased Dragon.

Statement #1: Using Dragon can dramatically reduce or eliminate transcription costs. Detailed support #1: Approximate transcription savings of $16,800 per physician, per year Detailed support #2: Navigation by voice commands reduces time documenting each encounter so the physicians can spend more time with their patients Statement #2: Direct voice recognition provides yet another way for physicians to interact with TouchWorks, in addition to tablet based handwriting recognition, typed keyboard commands and text, and menu driven templates. Detailed support #1: More Complete Medical Record: physicians can express HPI and their medical decision making in their own words, improving downstream care Detailed support #2: The speech mics provided by Allscripts are certified to work with TouchWorks

and produce outstandingly accurate results when combined with Dragon

Key Positioning Statements

Statement #3: Nuance and Allscripts have a direct and deep relationship, giving clients peace of mind that they are buying certified software backed by the combined support and expertise of both companies. Detailed support #1: Allscripts offers Dragon inclusive of complete support and upgrade assurance, ensuring that the application will work with TouchWorks, and that clients will always have the latest version of the software Detailed support #2: Allscripts offers Dragon at steep discount to suggested "street" price

User license ­ intended for use by physicians, sold per physician, inclusive of support. Ranges by volume $870 - $1240 Site license available to use by anyone at the site, but volume should include all eventual physicians at site $780-$1245 SMA includes support and upgrade assurance = 18% of software list price.

Price

Key Clients/Case Studies

Jackson Purchase Medical Associates ­ Case study University of Rochester Medical Center ­ Case Study

For additional information please contact Harwant Sethi ([email protected]) or Kevin Weinstein ([email protected]). Our direct Nuance contact is Steve Hapenewski

Positioning Overview: EHR Consulting Services

Overview

Physician Adoption and Utilization Optimizing Assessment ROI Analysis Program

Allscripts is proud to extend its EHR expertise beyond basic implementation and support to help our clients maximize their investment in clinical automation solutions. Our most senior implementation and field personnel have developed a set of Service packages designed to accelerate and deepen the results our clients typically realize, financially, operationally and clinically. The Physician Adoption and Utilization program from Allscripts helps practices maximize their investment in TouchWorks NoteTM. Note is the core component to any health record. The program includes implementation strategies and assists organizations that need additional guidance, direction and education on the Note product. Also included within the program are strategies for practices to accelerate Note adoption and utilization. The Allscripts Optimization Assessment program provides specific recommendations that will empower physician practices to refocus resources where improvement is needed to begin workflow refinements and streamline processes across the organization. The Optimization Assessment is conducted onsite by an experienced clinical consultant or implementation and is typically four to six weeks in duration. Establishing a return on investment (ROI) is often critical to the long-term success and acceptance of a new technology solution, which is why Allscripts offers a Return on Investment (ROI) Analysis program. This program helps healthcare organizations better understand what to expect following the implementation of TouchWorks and how to maximize its use.

Statement #1: Allscripts has developed these packages after working with hundreds of clients, and infused the essence of those engagements into these standardized packages. Detailed support #1: A standardized fixed methodology with clear deliverables lets clients know exactly what the process is, and what the payoffs will be. Detailed support #2: project plans are drawn up in conjunction with clients. Example: St. Vincent's in Indianapolis

Key Positioning Statements

Key Clients/Case Studies

UMASS DHA Iowa Health System

Pricing Overview

Packages are custom quoted but typically have a minimum price of $30k.

For More Information

For more information contact Eileen Waters 802.264.6223 at or via email at [email protected]

Positioning Overview: Hardware Services

Overview

Allscripts Hardware Services should be one of the first things you think about when you reach VOC status with a prospective client. Will they have the server power they need? Do they want all their docs to be mobile? These are important questions to consider BEFORE the sale is finalized. Working with Allscripts Hardware Services, you can ensure your clients will be equipped with the right hardware, in the right configurations, and for the right price! Allscripts Hardware Services seeks to provide clients with end-to-end industry leading solutions through a series of industry partnerships and deep individual expertise. All they need to do is contact the team via e-mail at [email protected] for all their hardware needs.

Statement #1: The overall deployment and project has a higher chance of success when you use Allscripts own hardware services. Detailed support #1: Hardware delivery and configuration is 100% coordinated with other elements of the project plan Detailed support #2: Hardware is 100% certified to work with Allscripts software, eliminating any compatibility or performance issues. Statement #2: We're easy to do business with Detailed support #1: Available approved hardware includes servers, scanners, desktop PCs, PDAs, tablets, speech mics, foot pedals, headsets, and from a variety of vendors Detailed support #2: NEW!!! Convenience of online quotes and ordering at the new hardware e-store: https://usm.channelonline.com/hardware/storesite Statement #3: After installation, support and performance optimization is easier because we know exactly what a client's configuration is and how to work with it, and the individual equipment components. Statement #4: We're often cheaper than going direct to manufacturers or to "superstores" like CDW

Key Positioning Statements

Key Clients/Case Studies Pricing

Custom quoted or available online at https://usm.channelonline.com/hardware/storesite

For more information

For additional information please contact Harwant Sethi at 802.227.9002 or via e-mail at [email protected]

Positioning: Industry leadership

Allscripts s not only involved in the healthcare technology industry, we are in fact leading change at every level, at every significant organization, at every standards body.

Overview

Organization

Electronic Health Record Vendors Association (www.EHRVA.com)

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Allscripts

Dan Michelson, Chief Marketing Officer serves on the Executive Committee for the EHR Vendor Trade Association Kevin Weinstein, Vice President of Marketing, chairs the Ambulatory Special Interest Group of EHRVA Allscripts was a founding member Glen Tullman, CEO, Serves on the Board of trustees, and is the only HIT vendor to do so Stanley Crane, CTO,. Process and interoperability workgroups Dan Michelson, Chief Marketing Officer for Allscripts, serves on the CCHIT work group that is responsible for developing the certification process for electronic health records Dan Michelson, CMO, serves on the HIMSS Ambulatory EHR Committee Glen Tullman, Chief Executive Officer for Allscripts, previously named to the Leadership Council for the e-Healthcare Initiative (eHi) Jill Helm, Vice President of Pharmacy Services for Allscripts, has provided expert testimony before NCVHS on eRx standards, esignatures, patient identifiers, and security standards. NCVHS is the federal private sector advisory committee for the Department of Health and Human Services (HHS) David Pearah, vice president of operations for Allscripts eRx division, is one of just 10 nationwide executives to serve SureScripts Advisory Council George Cole member George Cole testifying expert Allscripts was the driving force behind NEPSI State level initiatives are being influenced by NEPSI o Bevey Minor, NEPSI Director, presented New Hampshire Gov. John Lynch the first "NEPSI Leadership Award"driving legislation to mandate that all prescriptions are electronic by 2010 o Bevey was on hand to help Governor Arnold Schwarzenegger, of California, hold a press conference to applaud passage of landmark health care reform, which requires all prescriptions in the state be written electronically by 2011

Certification Commission for Healthcare Information Technology (CCHIT) (www.cchit.org)

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HIMSS Ambulatory EHR Committee (www.himss.org/asp/topic_ambulatorycare.asp) E-Health Initiative (eHi) (www.ehealthinitiative.org) National Committee on Vital Health Statistics (NCVHS) (www.ncvhs.hhs.gov/index.htm)

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SureScripts (www.surescripts.com) AHIC, HL7, EHR-Lab Interoperability and Connectivity Standards (ELINCS) Health Level Seven, Inc. (HL7) (www.HL7.org) National Electronic Prescribing Patient Safety Initiative (NEPSI) - www.nationalerx.com

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Positioning Overview: CCHIT

Overview

CCHIT (Certification Commission for Healthcare IT) Certification is a private sector iniative that seeks to certify healthcare IT solutions against a set of common industry defined criteria. The first such certifications were awarded in 2006. Certifications last for three years, but new criteria are offered annually. Market pressures are evolving to demand that vendors recertify every year, and Allscripts intends to do so.

Statement #1: Allscripts is a leader on CCHIT Detailed support #1: CEO Glen Tullman is the only EHR vendor on the board Detailed support #2: Stanley Crane sits on the technology committee Detailed support #3: Several Allscripts clients serve on the certification committee including Dr. Jim Morrow (HealthMatics user), Susan Miller (ImpactMD user) Detailed support #4: Allscripts products were in the very first group of products to be certified in 2006, and the initial CCHIT certification announcement took place at Allscripts client GWU MFA Statement #2: TouchWorks v10 is CCHIT Certified, and v11 is CCHIT compliant Detailed support #1: The 2007 CCHIT certification criteria were not fully established and ratified during the time period when we were finishing v11 code Detailed support #2: V11 went GA in June 2007 and is 100% compliant with all 2006 certification criteria under which TouchWorks was originally certified. We are submitting v11 code to be certified against the 2007 criteria in early 2008 Detailed Support #3: In most instances we will happily include within the legal agreement with a client development obligations to be compliant with CCHIT standards.

Key Positioning Statements

For More Information

For additional information please contact Steve Marth at 847.680.3515 or via email at [email protected], or Steve Tolle at [email protected] For more information about CCHIT visit www.cchit.org.

Positioning Overview: Pay for Performance

Overview

Pay-for-performance/pay-for-quality is gaining momentum and is here to stay. These programs are NOT uniform and come in many different flavors, as incentives are offered by many different groups -- from private insurers, to CMS, to state governments, to not-for profit grants. Because of the varying nature of these programs, the best way to plan to take advantage of P4Q is to ensure a practice has the reporting and business intelligence tools to meet the requirements of the various programs today, as well as the flexibility and robustness to meet the needs of future programs. Analytics is just such a solution. With the proper analytical tool, organizations can drive clinical excellence by managing clinical data to support pay for performance initiatives. Pay for performance (P4P) clinical measures are easily reportable using the powerful reporting of TouchWorks Analytics. In fact, standard reports have already been constructed for about 30% of the reporting measures for P4P allowing organizations to see ROI right out of the box! Through TouchWorks Analytics, physicians and administrators can produce daily clinical summaries that include careplanning statistics and most commercial P4P program measures. TouchWorks clients from Brown and Toland, to HealthCare Partners, to Facey have all realized multimillion dollar payouts in P4Q programs. TouchWorks analytics provides a great platform from which to report on PQRI metrics, the new CMS voluntary reporting program

Key Positioning Statements

Statement #1: TouchWorks supports most commercial P4P programs via Analytics Detailed support #1: Pre-constructed reports enable out-of-the-box realized ROI Detailed support #2: Product do you mean produce? daily reports Example: Easily adopt workflow incentives based on P4P measures Statement #2: These programs are NOT uniform and come in many different flavors, as incentives are offered by many different groups Detailed support #1: Key is to have quality documentation Detailed support #2: Need tools to access data quickly and consistently Example: private insurers, CMS, state governments, not-for profit grants

Key Clients/Case Studies

Brown and Toland HealthCare Partners Facey

License fees: Analytics Tier 1 ­ $1,450 per licensed user; Analytics Tier II ­ $1,392 per licensed user; Analytics Tier III ­ $1,336 per licensed user; Analytics ETL Tier I ­ $900 per licensed user; Analytics ETL Tier II ­ $894 per licensed user; Analytics ETL Tier III ­ $829 per licensed user Implementation: ~112 hours @$195 SMA: 18% of list For additional information and program details please contact John Blaise and John Altermatt.

Pricing Overview

Positioning Overview: Electronic Prescribing

Thousands of patients die each year due to medication errors, an issue that electronic prescribing can virtually eliminate. Allscripts is the undisputed leader relative to electric prescribing.

Segment Overview

Statement #1: Allscripts is the undisputed leader relative to electric prescribing. Detailed support #1: Allscripts is the single largest shareholder among SureScript vendors, and at one point accounted for 50% of SureScripts electronic prescriptions Detailed support #2: Allscripts personnel re helping to shape eRx policy and standards o Dave Pearah sits on SureScripts advisory council o Jill Helm was a charter member of the eHi Design and Implementation Working Group Statement #2: Allscripts is the pioneer and driving force behind electronic prescribing Detailed support #1: Led the industry since the mid 1990s Detailed support #2: Created NEPSI, which now has over 6,000 physicians enrolled in its free eRx solution Detailed support #3: Awarded the governor of NH NEPSI leadership award for mandating that all prescriptions must be electronic by 2011. Detailed support #4: Worked with Governor Schwarzenegger of CA on legislation to mandate that all prescriptions must be electronic by 2010. Statement #3: There is a substantive difference between the free eRxNow product and the fully integrated Rx+ functionality provided by TouchWorks.

Key Positioning Statements

Key Clients/Case Studies

Sierra medical ­ major e-prescribing white paper and case study. Happy to take calls or visits. Dr. Azar Korby ­ individual user of eRx Now product. Happy to take calls.

Pricing Overview

eRxNow is a free product for the software, while integration with PM systems is available at an additional cost Rx+ functionality from TouchWorks is only available as part of the TouchWorks full application

For more information

For additional information please contact David Pareah ([email protected])

Positioning Overview: Interoperability

Allscripts is a leader in interoperability and data exchange today and our strategy to dominate in this area will have us interoperable with every major competitor, device manufacturer, and other healthcare stakeholder in early 08. We are committed to an open standards approach to an interoperable health system and have worked with several agencies, including the Secretary of Health and Human Services to develop our strategy. As patient care takes on a whole community of care approach, Allscripts is leading the way in making sure important information is always available when key decisions are made. Through the Clinical Exchange Document (CED), patient information can be transferred from one system and populate another, regardless of the solution the information came from. Patients benefit from knowing they will not receive harmful prescriptions or inappropriate orders. Providers benefit by having all the information about the patient they need.

Overview

Key Positioning Statements

Statement #1: Allscripts truly supports interoperability and leads the industry with standards development Detailed support #1: TouchWorks is CCHIT certified in interoperability Detailed support #2: Involvement in all major industry initiatives focused on interoperability Detailed support #3: Nationwide Health Information Network (NHIN) Pilot ­ January 2007 Detailed support #4: Over 1,000 live interfaces in the field Example: EHR Vendors Association (EHRVA) Board of Directors, EHRVA Standards & Interoperability Workgroup, EHR-Lab Interoperability and Connectivity Standards Workgroup, IHE IT Infrastructure (ITI) Technical Committee, IHE Patient Care Coordination (PCC) Technical Committee, and ASTM E31 Membership CCR Acceleration Task Force, Certification Commission for Health Information Technology (CCHIT) Interoperability Workgroup Statement #2: Allscripts is developing the infrastructure for products to work together transparently Detailed support #1: ED systems gaining access to patient medications, allergies, and problems for safer care Detailed support #2: Ambulatory systems receiving discharge summaries and medications Example: Northeast medical (June 2008 live of TW and ED), Iowa health TW and ED Q3 2008

Key Clients/Case Studies

Planned ­ Northeast Medical, Iowa Health, Butler

For more information

For additional information and program details please contact Jim Breese, VP of Connectivity Initiatives ([email protected])

Positioning Overview: Cardiology

Cardiology practices of 10 or more physicians continue to be a key strategic focus for TouchWorks. With the release of TouchWorks v11, we have expanded our commitment to this space with UAI, Note templates, and state of the art clinical content. In this segment, our primary competitors are NextGen, GE and GEMMs.

Overview

Statement #1: Allscripts continues to invest development resources and capital into our TouchWorks product through UAI, device integration, and software enhancements Detailed support #1: Fully customizable Clinical Desktop to support cardiology-specific views and workflows Detailed support #2: Customizable referral letter templates increasing productivity Detailed support #3: Dedicated Cardiology User group Example: More than 200 Care Guides and 100 Note and Form templates Statement #2: TouchWorks is the EHR of choice for industry leading cardiology practices Detailed support #1: Corporate partner of MedAxiom Detailed support #2: Proven results with 600 cardiologists in more than 65 cardiology and multi-specialty practices using TouchWorks EHR Examples: o New Mexico Heart, a 50+ physician group reduced transcription costs by 80% in just three months o Stern Cardiovascular, a 16-provider group saves over $200,000 per year from EHR related efficiencies o North Ohio Heart, a 51-physician group, eliminated 26,000 charts, reclaiming 2,000 sq ft. of space. Dr. Ted Pacheco led efforts as one of the six practices in the country working on the AMA's Cardio HIT project

Key Positioning Statements

Key Clients/Case Studies

New Mexico Heart Institute. Case Study. Willing to take visits and calls. North Ohio Heart. Case Study. Willing to take calls. Stern Cardiovascular Center: FirstFill client. Willing to take calls. Tyler Cardiovascular: Mike Strout heads the Cardiology User Group. Happy to take calls.

Pricing Overview

MedAxiom members receive 20% discount on TouchWorks licenses (not to be combined with other discounts) and we will subsidize their MedAxiom membership for $1000 if they are not already members.

For more information

For additional information please contact Barb Gonzales at 720-381-0858 or via email at [email protected] For clinical questions, contact Dr. Eric Quinones at 310.844.0905 or via email at [email protected]

Positioning Overview: Orthopedics

Orthopedic physicians have a unique challenge in the sheer volume of patients that they see on a daily basis. TouchWorks helps streamline workflows, making orthopedic professionals more efficient. This is done through the use of customized templates, adoption of existing templates, capturing clinical images in note during the visit, quickly generating professional consult letters, access to the complete patient chart with the ability to display multiple items simultaneously, and electronic ordering workflows. In this segment, our primary competition is NextGen.

Overview

Statement #1: TouchWorks streamlines daily workflows and enables complete and fast documentation. Detailed support #1: TouchWorks for Orthopedics includes extensive customized clinical content, including CareGuides, Note templates, and body images and diagrams Detailed support #2: Generate consult letter from single input Detailed support #3: Ability to important and store digital photos directly in a Note Detailed support#4: Seamless PACS integration Detailed support #5: TouchWorks Universal Application Integrator (UAI) connects clients to lab results quicker and easier Example: Customized orthopedic templates ability to adapt existing documentation templates for common problems and injury; physical therapy templates based on McKenzie standards Statement #2: TouchWorks is proven in some of the most demanding Orthopedic sites in the country Detailed support #1: Resurgens 80+ physicians Detailed support #2: Oak Orthopedics, official clinic of Chicago Bears Detailed support #3: New Mexico Orthopedics, largest orthopedic Group in New Mexico Example: New Mexico Orthopedics; UAI; Interface with PACS

Key Positioning Statements

Key Clients/Case Studies

Atlantic Orthopedics Practice Profile. Reference site. Happy to take calls or visits. Resurgens Orthopedics Case Study. Did a very successful v11 self-directed upgrade New Mexico Orthopaedics Kansas Orthopaedic Center ­ testimonial video

Pricing Overview

SW pricing = list $12,950 Implementation ranges from 500 to 800 hours @ $195 SMA = 18% Interfaces = $2,500 to $25,000 For additional information contact Barb Gonzales at 720-371-0858 or via email at [email protected] For clinical information, contact Dr. Jim Bergmann at 802-264-6255 or via email at [email protected]

Eye care professionals have unique needs in healthcare IT systems to support their workflows, including quickly capturing large amounts of data, support for glasses and contact lens prescriptions, integration with Ophthalmology and Optometry devices, and sophisticated drawing tools. To support these unique needs Allscripts has partnered with Medflow, the leading provider of Eye Care software for Ophthalmologists, Optometrists, and Opticians, to introduce the TouchWorks for Eye Care solution.

Note that we will employ two different go to market strategies. For single specialty Eye-Care clinics and practices with more than 10 physicians, we will employ a reseller model wherein we will partner Medflow's EHR standalone, or with TouchWorks PM. We will not sell TouchWorks EHR into these groups. For multi-specialty groups in the TouchWorks size range, we will first sell and install TouchWorks EHR, and then install portions of the Medflow product as an add-on Module. We will be partially integrated at end of Q2 via UAI, and likely more fully in 11.2 at the end of the year (though 11.2 scope is not finalized at this point).

Overview

Positioning Overview: Eye Care

Statement #1: TouchWorks has partnered with the leading Eye Care software. Detailed support #1: Medflow has over 150 ophthalmology customers and processes more than 20,000 patient visits a day Detailed support #2: Some of the largest Eye Care clinics in the country use Medflow Detailed support #3: We are their "preferred" PM partner Example: Houston Eye Associates Statement #2: Medlow offers specific functionality designed for Eye Care professionals Detailed support #1: Optimized eye exam screen provide fastest and efficient access to clinical results Detailed support #2: Visual Field Viewing Tool allows users to view and magnify areas of up to 4 visual fields at the same time, allowing for easy comparison Detailed support #3: Color pallet and objects enable users to create a detailed picture of what was observed through a dilation exam Detailed support #4: Images are stored as part of the patient's electronic medical record and are able to be viewed over a period of time to see progression or improvement.

Key Positioning Statements

Key Clients/Case Studies Pricing Overview

Not yet installed. University of Florida Jacksonville and Cornerstone have purchased but not yet installed the standalone Medflow solution.

$6000 for software license Implementation for add-on module ranges from $60-$80k Device integration ranges from $500-1500 SMA = 18% For additional information contact Kate Skrocki at 312.447.2426 or via email at [email protected]

Positioning Overview: Oncology

With cancer rates on the rise, the ability to handle higher patient volumes with even greater speed and efficiency is crucial. TouchWorks Oncology takes the award winning TouchWorks EHR and adds in significant Oncology specific features, workflows, and content. Currently, TouchWorks Oncology is powered by SmartID. Additional partners and content are likely to be reviewed to further strengthen the TouchWorks oncology solution. The solution is offered as an add-on module to the TouchWorks EHR.

Segment Overview

Statement #1: For the Oncology practice, TouchWorks supports and augments the unique workflow of medical oncologists. Detailed support #1: Manages chemotherapy treatment plans and automatically calculates dosage. Detailed support #2: Supports staging for various malignancies Statement #2: The interoperability of TouchWorks allows for easy integration with third party applications. Detailed support #1: Connects with other providers, labs, pharmacies, imaging centers, and hospitals. Detailed support #2: Seamlessly communications with Practice Management systems and ensures accuracy of billing and insurance information with the ability to review and send billing data.

Key Positioning Statements

Key Clients/Case Studies

Cancer and Hematology of Western Michigan

Pricing Overview

Contact Kate Skrocki

For more information

For additional information please contact Kate Skrocki at [email protected]

Positioning Overview: IDX/GE Users

Allscripts, both separately and together with IDX (now part of GE), has met the needs of leading physician groups for more than twenty years and has a long and successful history of integration, shared customers and integrated technology. Today, Allscripts and IDX/GE share nearly 200 customers, who use our TouchWorks EHR in combination with IDX/GE practice management (PM) solutions. In fact, our TouchWorks EHR is used in combination with IDX/GE practice management solutions at more organizations than any other EHR. We're proud to offer the industry at large a safe, proven choice in technology solutions. In today's market, companies can both co-operate and compete. Under our Strategic Alliance Agreement we co-operate on the product and delivery and support aspects, even as we compete on the sales front.

Overview

Statement #1: The combination of TouchWorks EHR and IDX/GE PM results in a more seamless, less demanding, and more rewarding way for physicians to practice medicine. Detailed support #1: Leverage Web Framework to create a common environment for both applications providing single sign-on capabilities, centralized security management, and coordinated software distribution across the joint solutions Detailed support #2: Using XML, Healthcare Objects transports information directly between Flowcast and TouchWorks, eliminating the need for interfaces Example: 2 Flowcast users (GWUMFA and URMC) and 2 Groupcast Users (Stern Cardiovascular Center and Central Utah Clinic) Statement #2: We have a unique strategic alliance to which we are committed to maintaining deeply Detailed support #1: Compete in sales, but also signing new joint deals Detailed support #2: Nearly 200 joint customers, regular dedicated senior executive meetings, clients guaranteed interoperability for another five years and in some cases longer Example: UANT ­ newly signed joint deal

integrated, interoperable systems, and related support services, until at least 2012, for a minimum of another 5 years, and generally thereafter for so long as we have shared customers

Key Positioning Statements

Key Clients/Case Studies

URMC ­ Strong Health ­ Flowcast/ Centricity® Business Central Utah Clinic - Groupcast/ Centricity® Group Management Stern Cardiovascular Center- Groupcast/ Centricity Group Management MIT Medical - Flowcast/ Centricity Business

IDX may charge for interfaces, but we do not charge between EHR and PM. In all cases we should offer two TouchWorks PM with no integration charges, For additional information please contact Barb Gonzales at 720-381-0858 or via email at [email protected]

Pricing Overview

Positioning Overview: Corrections

With approximately 2.2 million offenders in correctional institutions throughout the US, addressing inmates' medical, dental, and mental health needs has become a complicated and costly task for physicians in these settings. TouchWorks is currently deployed in over a dozen correctional facilities, most under the auspices of CCA. The benefit of TouchWorks in Correctional Facilities has multiple levels; however the ease of use, speed with which providers can perform standard and non-standardized workflows, and intelligence of the system to provide physicians with important data instantly are keys to this segment.

Overview

Statement #1: TouchWorks can reduce the cost and potential legal liabilities of delivering healthcare to inmates Detailed support #1: CareGuides offer a way to standardize care protocols of certain diagnosis to ensure consistency across providers and locations. Detailed support #2: MAR directly integrates into the EHR and facilities efficient processing of medication dispensing and reduces mediation errors. Statement #2: TouchWorks enables correctional facilities to meet their reporting requirements efficiently and easily Detailed support #1: Population management reports can be run through panel query or through Analytics Detailed support #2: Robust audit and security features allow for reporting in who took which actions and when they did so

Key Positioning Statements

Key Clients/Case Studies

CCA

For More Information

For additional information please contact Tom Donahue at 509.591.2202 or via email at [email protected] .

Information

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