CERNER SYSTEM SCHEDULE NO. 20 - epchd.org · CERNER SYSTEM SCHEDULE NO. 20 This Cerner System...

University Medical Center of El Paso

1-49J0SK1 February 12, 2016

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CERNER SYSTEM SCHEDULE NO. 20

This Cerner System Schedule is made effective as of March 08, 2016 (“Effective Date”), between

University Medical Center of El Paso (“Client”) and Cerner Corporation (“Cerner”) a component of El Paso County with its principal place of business at:

a Delaware corporation with its principal place of business at:

4815 Alameda Ave PO Box 20009 El Paso, TX 79905-2705, USA

2800 Rockcreek Parkway Kansas City, MO 64117, U.S.A.

Telephone: (915) 544-1200 Telephone: (816) 221-1024

This Cerner System Schedule includes the sections noted below. Client agrees to purchase the products and services set forth herein, and Cerner agrees to furnish such products and services, upon the terms and conditions of this Cerner System Schedule and the Cerner Business Agreement for Remote Hosting Option Service, dated March 25, 2008, between Client and Cerner (the “Agreement”).

Facilities

Scope of Use

Payment Terms

Term and Termination

Solution Descriptions

Pass-Through Provisions

Financial Overview

Solutions and Services

Additional Terms and Provisions

Scope of Services

Equipment Delivery

Event Activity Report

Execution Invoice

UNIVERSITY MEDICAL CENTER OF EL PASO CERNER CORPORATION

By: By:

(signature)

Marc G. Naughton

Title:

(type or print)

Title: Executive Vice President

and Chief Financial Officer

Purchase Order #: (if applicable)

Project Kick-off requested the week of:

Client will complete the following upon execution of this Cerner System Schedule:

Client Invoice Contact:

Contact Phone #:

Contact E-mail Address: Client’s account can be managed online at cerner.com by registering for Cerner eBill. To gain access to eBill, contact the Cerner Client Care Contact Center at 866-221-8877 or e-mail [email protected].




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FACILITIES

Designated Facility. Facility where the solutions will reside:

Name Address City State/ Province

Zip/Postal Code Country

Cerner data center

Permitted Facilities. For use and access by these facilities:

Name Address City State/ Province

Zip/Postal Code Country

University Medical Center of El Paso 4815 Alameda Ave PO Box 20009

El Paso TX 79905-2705 USA

Community Voices, Inc. 1100 N Stanton Ste 701 El Paso TX 79902-4156 USA

County Employee Clinic 500 East San Antonio Avenue El Paso TX 79901-2419 USA

Department of Nursing Education 415 East Yandell El Paso TX 79905-2705 USA

El Paso Children's Hospital 4825 Alameda Avenue El Paso TX 79905 USA

Texas Tech Family Practice Center 9849 Kenworthy El Paso TX 79924-4402 USA

Texas Tech School of Medicine 4800 Alberta Avenue El Paso TX 79905-2709 USA

UMC El Paso - Employee Health Clinic 4824 Alberta Ave Suite 403


UMC El Paso - Neighborhood Health Centers Fabens Clinic

101 Potasio Fabens TX 79838-3940 USA

UMC El Paso - Neighborhood Health Centers Montwood Clinic

12135 Montwood, Ste 115 EL Paso TX 79936-0963 USA

UMC El Paso - Neighborhood Health Centers Ysleta Clinic

300 South Zaragosa Bldg. B El Paso TX 79907-6635 USA

UMC El Paso Main Outpatient Rehabilitation Services & Wound Care

5340 El Paso Drive Suite E El Paso TX 79905-2838 USA

UMC El Paso Outpatient Laboratory & Mammography Services

4801 Alberta Avenue El Paso TX 79905-2707 USA

UMC El Paso Outpatient Rehabilitation Services 8360 Burnham El Paso TX 79907-1526 USA

UMC El Paso Outpatient Rehabilitation Services, Imaging, Laboratory, & Pharmacy

9839 Kenworthy El Paso TX 79924-4402 USA

UMC El Paso Women's Health Center- Crossroads 5021 Crossroads El Paso TX 79932-1635 USA

UMC El Paso Women's Health Center- Kenworthy 9839 Kenworthy El Paso TX 79924-4402 USA

UMC El Paso Women's Health Center- Murchison 2022 Murchison Suite 108 El Paso TX 79902-3058 USA

UMC El Paso Women's Health Centers & Employee Health Clinic

4824 Alberta Ave,2nd floor ThomasonAnnex Suite 403

El Paso TX 79905 USA

University Medical Center East Pharmacy 1485 George Dieter Dr Ste 107 El Paso TX 79936-7650 USA

University Medical Center of El Paso 4815 Alameda Ave PO Box 20009


University Medical Center of El Paso Dental Clinic 4824 Alberta Ave,2nd floor ThomasonAnnex

El Paso TX 79905 USA

The parties may add or substitute Permitted Facilities by amending this section, provided Client pays any relevant scope of use expansion fees in the section below.

SCOPE OF USE

Scope of Use Limits. Client will use the following solutions in accordance with the Solution Descriptions and subject to the

scope of use limits set forth below.

Solution Description Scope of Use

Metric Scope of Use Limit Scope of Use Metric Description

CareAware iBus, Cerner Device Manager Driver Library

Beds 33 The maximum number of beds for which a hospital holds a license to operate.

CareAware MultiMedia Gigabyte 1,073 A multiple of the unit byte for digital information storage.

Work Queue Manager Providers 70 A health professional legally able to write prescriptions –




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physicians (M.D., D.O.), physicians assistants, or other advanced practitioners.

iAccess Production Environments

1 Total number of domains across all sites, onto which Cerner licensed software is loaded.

SurgiNet, AORN Syntegrity Content, AORN Syntegrity Content Subscription

Surgical Operations 7,600 Total annual surgical operations. Each patient (inpatient or outpatient) undergoing surgery is counted as having one surgical operation, regardless of the number of surgical procedures performed while the patient is in the operating or procedure room.

DM360 | Direct, Authorized User, Hosted Service (1,001

Each 400 Every one considered separately.

Scope of Use Expansion. If a scope of use limit is exceeded, Client agrees to pay the additional fees below, which are valid

for two (2) years after the Effective Date, and thereafter increase at a rate of five percent (5%) per year.

Solution Description Scope of Use

Metric Extending Scope of Use Limit by

Additional Licensing Fees

Additional Monthly Support

Fees Additional

Monthly Fees

CareAware iBus Beds 4 17,040 227 -

CareAware MultiMedia Gigabyte 108 20,382 273 -

Content360 Document Imaging Each 7 21,000 280 -

iAccess Production Environments

1 187,500 3,125 -

SurgiNet Each 1 Cerner’s then-current fees

SurgiNet Surgical Operations 1 - - -

SurgiNet Surgical Operations 760 44,152 592 -

AORN Syntegrity Content Subscription Surgical Operations 760 - - 83

Cerner Device Manager Driver Library Beds 4 - - 250

DM360 | Direct, Authorized User, Hosted Service (1,001

Each 40 - - 3,560

Scope of use will be measured periodically by Cerner's system tools, or, for metrics that cannot be measured by system tools or obtained through the American Hospital Association (e.g. FTEs or locations), Client will provide the relevant information (including records to verify the information) to Cerner at least one (1) time(s) per year. Client agrees that if an event occurs that will affect Client’s scope of use (such as acquisition of a new hospital or other new facility), Client will promptly notify Cerner in writing of such event no later than thirty (30) days following the effective date of such event so that Client’s scope of use can be reviewed. Any additional fees due under this Section will be payable within forty-five (45) days following Client’s receipt of an invoice for such fees. Any additional monthly fees will begin on the date the limit was exceeded, and paid (pro-rated for any partial month).

PAYMENT TERMS

LICENSED SOFTWARE

One-Time Fees. The total one-time Licensed Software fees will be paid as follows:

A. First Payment. Twenty-five percent (25%) of the total one-time Licensed Software fees will be paid on the Effective Date.

B. Second Payment. Twenty-five percent (25%) of the total one-time Licensed Software fees will be paid on August 01, 2016.

C. Third Payment. Twenty-five percent (25%) of the total one-time Licensed Software fees will be paid on January 01, 2017.

D. Final Payment. Twenty-five percent (25%) of the total one-time Licensed Software fees will be paid on May 31, 2017.

SOFTWARE SUPPORT

Monthly Fees. The monthly Support fees are payable annually beginning 90 days following the Effective Date.




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SUBSCRIPTIONS

One-Time Fees. The one-time subscription fees will be paid on the Effective Date.

Monthly Fees for Cerner Device Manager Driver Library. The monthly subscription fees are payable annually beginning on October 01, 2017.

Monthly Fees for AORN Syntegrity Content Subscription. The monthly subscription fees are payable annually beginning on April 01, 2017.

Monthly Fees for DM360 | Direct, Authorized User, Hosted Service (1,000). The monthly subscription fees are payable annually beginning on May 01, 2016.

MANAGED SERVICES

One-Time Fees. The one-time managed services fees will be paid on the Effective Date.

Monthly Fees. The monthly managed services fees are payable monthly beginning on the date set forth in the below table and shall continue for the term set forth in the Solutions and Services section of this Cerner System Schedule.

RHO Description Monthly Fee Payment Date

Dragon Direct and CPDI Scope Expansion $2,695 June 01, 2016

SurgiNet $800 January 01, 2017

Additional Concurrent Users $22,500 August 01, 2016

PROFESSIONAL SERVICES

Fixed Fee. The total professional services fees will be paid as follows:

A. First Payment. Twenty-five percent (25%) of the total professional services fees will be paid on April 01, 2016.

B. Second Payment. Twenty-five percent (25%) of the total professional services fees will be paid on October 01, 2016.

C. Third Payment. Twenty-five percent (25%) of the total professional services fees will be paid on July 15, 2017.

D. Final Payment. Twenty-five percent (25%) of the total professional services fees will be paid on December 31, 2017.

Fee for Service. Professional services provided on a “time and materials” basis will be billed monthly at the rates set forth in the "Solutions and Services" section.

EQUIPMENT AND SUBLICENSED SOFTWARE

One-Time Fees. The one-time Equipment/Sublicensed Software fees are payable upon shipment of the Equipment/Sublicensed Software.

Shipping. Client will pay standard shipping and handling fees, not to exceed $794 USD. Additional fees may apply if Client requests expedited shipping. Notwithstanding any other agreement between the parties regarding shipping terms, the items set forth in this Cerner System Schedule shall be shipped FOB the manufacturer's plant.

EQUIPMENT AND SUBLICENSED SOFTWARE MAINTENANCE

Initial Fees. The total amount of the extended initial Maintenance fees will be paid upon shipment of the applicable Equipment/Sublicensed Software.

Ongoing Fees. The total amount of the extended ongoing Maintenance fees are payable annually, beginning upon shipment of the applicable Equipment/Sublicensed Software, or directly following the completion of the initial term.




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FEE INCREASES

Cerner may increase the monthly fee for Support services and each recurring service (such as managed services, application services, subscription services, application management services, employer services, transaction services, and Shared Computing Services) any time following the initial twelve (12) month period after such recurring service fees begin (but not more frequently than once in any twelve (12) month period) by giving Client sixty (60) days prior written notice of the price increase. The amount of such annual increase will equal the lesser of CPI or 3% per annum. Cerner may also increase the fees at any time during the term if a Cerner third party supplier increases the fees to be paid by Cerner, with such increase being limited to the amount of increase in Cerner’s fee to the third party supplier.

TERM AND TERMINATION

Software Support. Support services begin 90 days following the Effective Date, and continue until terminated pursuant to the

Agreement.

Subscription Services for Cerner Device Manager Driver Library. Recurring subscription services begin on October 01,

2017 and continue for the term set forth in the "Solutions and Services" section. At the end of the applicable term, each service will automatically renew for additional 12 month periods at the rate charged in the final period of the then-current term, unless either party provides the other party with written notification of its intent to terminate the relevant service no less than 60 days prior to the expiration of the applicable then-current term.

Subscription Services for AORN Syntegrity Content Subscription. Recurring subscription services begin on April 01, 2017,

and continue for the term set forth in the "Solutions and Services" section. At the end of the applicable term, each service will automatically renew for additional 12 month periods at the rate charged in the final period of the then-current term, unless either party provides the other party with written notification of its intent to terminate the relevant service no less than 60 days prior to the expiration of the applicable then-current term.

Managed Services. All recurring managed services begin as set forth in the table below, and continue for the term set forth in

the "Solutions and Services" section. At the end of the applicable term, each service will automatically renew for additional three (3) year periods at the rate charged in the final period of the then-current term, unless either party provides the other party with written notification of its intent to terminate the relevant service no less than 60 days prior to the expiration of the applicable then-current term.

RHO Description Term Start Date

Dragon Direct and CPDI Scope Expansion June 01, 2016

SurgiNet January 01, 2017

Additional Concurrent Users August 01, 2016

Equipment and Sublicensed Software Maintenance. Maintenance warranties, if any, begin on the earlier of installation, or 30

days after shipment of the equipment and/or sublicensed software. Maintenance services will continue for an initial term of twelve (12) months, or such longer period as set forth in the "Solutions and Services" section of this Cerner System Schedule. Maintenance will automatically renew for additional periods of the same duration, unless Client provides Cerner with written notification of its intent to terminate Maintenance no less than sixty (60) days prior to the expiration of the then-current period. Cerner may terminate Maintenance services if Client fails to pay invoices for Maintenance. All unpaid charges for Maintenance will be immediately due and payable upon such termination. Client will pay all applicable penalties or fees if Maintenance services are terminated, then later reinstated.

SOLUTION DESCRIPTIONS

Each solution with a Solution Description has a code noted in the "Solutions and Services" section of this Cerner System Schedule, and that code can be entered at https://solutiondescriptions.cerner.com to view the Solution Description. These Solution Descriptions are incorporated into this Cerner System Schedule by reference. In the event a Solution Description is not published on Cerner’s website, it may be attached to this Cerner System Schedule.




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PASS-THROUGH PROVISIONS

Where pass-through provisions are applicable to third party products and services, these provisions are referenced by a pass-through code in the "Solutions and Services" section of this Cerner System Schedule, and that code can be entered at https://passthroughprovisions.cerner.com/ to view the pass-through provisions. These pass-through provisions are incorporated into this Cerner System Schedule by reference.

FINANCIAL OVERVIEW

Description One-Time Fees Monthly Fees Annual Fees

Licensed Software 410,817.00 - -

Software Support - 5,709.00 -

Subscriptions 10,200.00 27,433.00 -

Managed Services 29,390.00 25,995.00 -

Professional Services

Fixed Fee 1,270,525.00 - -

Fee For Service 37,605.00 - -

Equipment 130,281.88 - -

Sublicensed Software 222,105.00 - -

Equipment and Sublicensed Software Maintenance

Year 1 - - 48,142.25

TOTALS: 2,110,923.88 59,137.00 48,142.25

All prices in this Cerner System Schedule are shown in US Dollar (USD).

SOLUTIONS AND SERVICES

LICENSED SOFTWARE

Solution Code Description Qty Scope One-Time

Fees

Monthly Support

Fees Solution

Description Code Pass-Through

Code

Quote: CareAware iBus for BMDI -Anesthesia (1-9288263429-R-5)

CI-200800 CareAware iBus for Bedside Medical Devices 33 Beds 42,174 562 CI-200800_05


Fees

Monthly Support

Fees Solution


Code

Quote: Cerner Solutions (1-9287178611-R-5)

IF-29095 Item Master Synchronization Incoming 2,422 Full Time Equivalents

(FTEs)

2,988 73 IF-29095_03

SU-20320A Anesthesia Management 7,600 Surgical Operations

39,129 515 SU-20320_11

SU-20500A Surgical Management Suite 7,600 Surgical Operations

115,402 1,519 SU-20500_02


Fees

Monthly Support

Fees Solution


Code

Quote: Cerner Solutions- Optional CAMM (1-9404862724-R-1)

MM-22260 CareAware MultiMedia - Digital Objects 1,073 Gigabyte 70,875 936 MM-22260_05




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Fees

Monthly Support

Fees Solution


Code

Quote: EPCS (1-10465051371-R-2)

CTP-IATK-WKAUTH-MED

Instant Access Workflow Authentication (250-499 beds)

1 Production Environments

56,250 844 CTP-IATK-WKAUTH_02


Fees

Monthly Support

Fees Solution


Code

Quote: Technology-Content360 Batch Scanning (1-9287399262-R-11)

CTP-CTRQ-PRV Work Queue manager provider license 70 Providers 84,000 1,260

SUBSCRIPTIONS

Solution Code Description Qty Scope Term (Mo)

One-Time Fees

Monthly Fees

Solution Description Code

Pass-Through Code


CI-200999 Cerner Device Manager Driver Library 33 Beds 60 2,062 CI-200999_03


One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Cerner Solutions (1-9287178611-R-5)

SU-22015 AORN Syntegrity Content 7,600 Surgical Operations

10,200 SU-22015_03 12300_CSC

SU-22020 AORN Syntegrity Content Subscription 7,600 Surgical Operations

60 170 SU-22015_03 12300_CSC


One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Technology - Dragon Direct (1-10404760761-R-6)

DMDRT-SVC-1001 DM360 | Direct, Authorized User, Hosted Service (1,001

400 Each 36 25,200 58560_NUA

MANAGED SERVICES

Solution Code Description Qty Scope Monthly Range

Term (Mo)

One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Technology - RHO (Add Users) (1-10430746679-R-3)

CFG_CMS CernerWorks 1 Each

CTS-RHO1TIME

Remote Hosting (One-time Setup Fees)

1 Each 22,500 10400_MSR

CTS-RHORECUR

Remote Hosting (Recurring Fees) 1 Each 1 to 44 44 22,500 10400_MSR


Term (Mo)

One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Technology - RHO (Batch Scanning at 3 Facilities) (1-9410244802-R-3)


CTS-RHO1TIME


1 Each 3,600 10400_MSR

CTS-RHORECUR

Remote Hosting (Recurring Fees) 1 Each 1 to 46 46 1,800 10400_MSR


Term (Mo)

One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Technology - RHO (Dragon Direct) (1-10469249029-R-1)


CTS-RHO1TIME


1 Each 1,690 10400_MSR

CTS-RHORECUR

Remote Hosting (Recurring Fees) 1 Each 1 to 46 46 895 10400_MSR




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Term (Mo)

One-Time Fees

Monthly Fees


Pass-Through Code

Quote: Technology - RHO (SurgiNet Add-on) (1-9288463761-R-2)


CTS-RHO1TIME


1 Each 1,600 10400_MSR

CTS-RHORECUR

Remote Hosting (Recurring Fees) 1 Each 1 to 39 39 800 10400_MSR


Phase Project **Bill Type Solution Rate Metric Qty Fees

Pass-Through Code


1 DvcWrks BMDI FF FF CareAware iBus BMDI Implementation Services 28,800


Pass-Through Code

Quote: EPCS (1-10465051371-R-2)

1 ATG iAccessFF FF Cerner Instant Access Workflow Authentication 12,000

1 ATG SSOFF FF Imprivata Implementation 24,000


Pass-Through Code

Quote: Professional Services (1-9287576507-R-15)

1 Clinical Adoption FF Clinical Adoption 62,438

1 Consulting Content FF Consulting Content 66,756

1 Conversion Support FF End-User Conversion Support

Conversion Support 850 Shifts 7 5,950

1 Learning FF Learning Services

Training (EUT, TTT, Learning Lab) Each 1

Learning Consultant - PS 98 Hour 102 9,945

Adoption Coaching Each 1

Learning Specialist - Physician Adoption Acute 90 Hour 222 19,980

1 CCL FF Implementation Services 27,000

1 Consulting FF Emerging Services 51,624

1 Consulting FF Engagement Management 243,412

1 Consulting FF Foundations 31,718

1 Consulting FF FSI - Incoming Servers 15,538

1 Consulting FF Implementation Services 28,029

1 Consulting FF SurgiNet Tier 1 232,251

1 Conversion Supt FF Implementation Services 90,720

1 Lighthouse FF Lighthouse Update Services 29,700

1 Optimization FF Implementation Services 33,750

1 Physician Doc Opt FF Implementation Services 33,750

1 Provation Interface FF FSI - Support 29,379

1 Registration OPT FF Implementation Services 33,750


Pass-Through Code

Quote: Professional Services - Dragon learning (1-10695901345-R-1)

1 Adoption Coaching FFS Adoption Coaching

Learning Specialist - Physician Adoption Dragon 120 Hour 64 7,680




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Pass-Through Code


1 VR Services FF FF Nuance Dragon Direct Installation Services 8,250


Pass-Through Code


1 ATG DOC IMAGING FF FF Content360 - Document Imaging Custom Services 10,125

1 ATG DOC IMAGING FF FF Content360 - Batch - Clinical Records 118,800

1 ATG DOC IMAGING FF FF Content360 - Batch - Clinical Records Extension 25,785

1 ATG DOC IMAGING FF FF Content360 - Work Queue Management Extension 27,000

**FF = Fixed Fee / FFS = Fee For Service

Professional services pricing is valid until May 10, 2016. If a Cerner System Schedule is not executed on or before such date, this pricing is considered null and void and will be subject to revision. Cerner will not schedule resources for implementation services until this Cerner System Schedule has been executed by both parties and processed by Cerner.

EQUIPMENT

Line # Solution Code Description Qty Scope

Unit One-Time

Fees

Extended One-Time

Fees Install Fees


Pass-Through Code


1 CFG_BMDI CareAware BMDI 1 Each

6 CCE-N270/1G-R20IEI

IEI 8.4in Fanless Panel PC SVGA High Brightness Touch

33 Each 1,176.00 38,808.00

7 A3L791-10 Belkin - Patch cable - RJ-45 (M) - RJ-45 (M) - 10 ft -

33 Each 3.15 103.86

8 2011-0503-00 IEI 6-Port CE power brick mounting bracket

33 Each 25.00 825.00

9 CW-DEVICEID Device Adapter 33 Each 250.00 8,250.00

10 13400 Cables to Go - USB cable - Type

A (M) - Type B (M)

33 Each 3.20 105.60

11 MBST 272006MOD-F Adapter, DE9 Male to DE9 Female, Datex-Ohmeda

16 Each 9.84 157.44

12 UC232A USB-to-Serial Converter 16 Each 20.87 333.98


Unit One-Time

Fees

Extended One-Time

Fees Install Fees


Pass-Through Code

Quote: EPCS (1-10465051371-R-2)

4 CFG_IMPRIVATA Imprivata Solutions 1 Each

8 HDW-VDIGI-GO3-SOFT-100

Digipass Go Series Soft Token (Qty 100-499)

100 Each 20.00 2,000.00 4400_IMP

11 HDW-IMP-1C Imprivata Fingerprint Reader -FIPS/EPCS (Qty 25-999)

50 Each 149.00 7,450.00 4400_IMP


Unit One-Time

Fees

Extended One-Time

Fees Install Fees


Pass-Through Code


2 0POWM2N-D04 PowerMic II Non-Scanner Microphone: Level D (50+)

150 Each 275.00 41,250.00 58620_NUA


Unit One-Time

Fees

Extended One-Time

Fees Install Fees


Pass-Through Code


15 PA03575-B065 fi-6800 scanner, 130ppm/260ipm, PSIP

1 Each 15,998.00 15,998.00

17 PA03576-B605 Fujitsu 6670 3 Each 5,000.00 15,000.00

At the time of the actual order, Cerner may substitute individual equipment items listed above based on availability and technological advancements. Cerner and Client may also agree to replace certain equipment items with other Cerner offerings. If the substitution items result in an increase in fees, Cerner and Client will discuss the fee increase prior to ordering such items.




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SUBLICENSED SOFTWARE


Unit One-Time

Fees

Extended One-Time

Fees Install Fees

Monthly Support

Fees Solution


Code

Quote: EPCS (1-10465051371-R-2)

6

6 VIR-APP OneSign New Virtual Appliance

3 Each 1,895.00 5,685.00 4400_IMP

7 VASCO License: OneSign VASCO License 50-20,000 Users

100 Each 10.00 1,000.00 4400_IMP

9 SSO/AM-50 License: OneSign SSO/AM 50-499 Users

100 Each 75.00 7,500.00 4400_IMP

10 FBID-50 License: OneSign FBID License 50-1,499 Users

100 Each 10.00 1,000.00 4400_IMP


Unit One-Time

Fees

Extended One-Time

Fees Install Fees

Monthly Support

Fees Solution


Code


1 CFG_CPDI_SW CPDI - Imaging Software 1 Each

4 EE#T024-001U-CER

1 concurrent station(enterprise)

2 Each 2,880.00 5,760.00

5 EE#T024-010U-CER

10 concurrent stations(enterprise)

1 Each 27,900.00 27,900.00

6 EE#T024-020U-CER


1 Each 54,900.00 54,900.00

7 EE#Y024-002M-CER

Image vol 2M/yr-Ent 2 Each 10,800.00 21,600.00

8 EE#Y024-010M-CER

Image vol 10M/yr-Ent 1 Each 48,100.00 48,100.00

9 AE#VY10-002M-CER

PDF I+T 2M/Yr 2 Each 5,200.00 10,400.00

10 AE#VY10-010M-CER

PDF I+T 10M/Yr 1 Each 18,000.00 18,000.00

11 CFG_CPDI_SW_TEST CPDI Test Software 1 Each

12 EE#T024-005U-CER


1 Each 14,000.00 14,000.00

13 EE#Y024-600K-CER

Image vol 600K/yr-Ent 1 Each 3,830.00 3,830.00

14 AE#VY10-600K-CER

PDF I+T 600K/Yr 1 Each 2,430.00 2,430.00

19 CFG_CPDI_SW CPDI - Imaging Software 1 Each

EQUIPMENT AND SUBLICENSED SOFTWARE MAINTENANCE

Line # Manufacturer Part # Description Level of Service Qty

Initial Maint Term (Mo)

Extended Initial

Maintenance Fees

On-going Maint Term (Mo)

Extended Ongoing

Maintenance Fees


6 CCE-N270/1G-R20IEI IEI 8.4in Fanless Panel PC SVGA High Brightness Touch

9x5 M-F Advanced Exchange

33 0 0.00 12 1,857.24

9 CW-DEVICEID Device Adapter 9x5 M-F Advanced Exchange

33 0 0.00 12 605.01



Extended Initial

Maintenance Fees


Extended Ongoing

Maintenance Fees

Quote: EPCS (1-10465051371-R-2)

7 VASCO License: OneSign VASCO License 50-20,000 Users 24x7 M-Su Phone Support 100 0 0.00 12 300.00

9 SSO/AM-50 License: OneSign SSO/AM 50-499 Users IMP Premium 24x7 M-Su Phone Support

100 0 0.00 12 2,430.00




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Extended Initial

Maintenance Fees


Extended Ongoing

Maintenance Fees


10 FBID-50 License: OneSign FBID License 50-1,499 Users IMP Premium 24x7 M-Su Phone Support

100 0 0.00 12 357.00



Extended Initial

Maintenance Fees


Extended Ongoing

Maintenance Fees


12 EE#T024-005U-CER 5 concurrent stations(enterprise) 24x7 M-Su Phone Support 1 0 0.00 12 2,244.00

13 EE#Y024-600K-CER Image vol 600K/yr-Ent 24x7 M-Su Phone Support 1 0 0.00 12 624.00

14 AE#VY10-600K-CER PDF I+T 600K/Yr 24x7 M-Su Phone Support 1 0 0.00 12 396.00

4 EE#T024-001U-CER 1 concurrent station(enterprise) 24x7 M-Su Phone Support 2 0 0.00 12 936.00



7 EE#Y024-002M-CER Image vol 2M/yr-Ent 24x7 M-Su Phone Support 2 0 0.00 12 3,456.00

8 EE#Y024-010M-CER Image vol 10M/yr-Ent 24x7 M-Su Phone Support 1 0 0.00 12 7,704.00

9 AE#VY10-002M-CER PDF I+T 2M/Yr 24x7 M-Su Phone Support 2 0 0.00 12 1,680.00

10 AE#VY10-010M-CER PDF I+T 10M/Yr 24x7 M-Su Phone Support 1 0 0.00 12 2,880.00

16 S6800-BAIW247-1 fi-6800 First Year Basic 24/7 24x7 M-Su Phone Support 1 12 3,200.00 0 0.00

18 S6670-BAIW247-1 fi-6670 1st Yr Basic 24/7 24x7 M-Su 4 HR 3 12 6,225.00 0 0.00

At the time of the actual order, Cerner may substitute individual technology solutions based on availability and/or technological advancements. In the event of a substitution, the corresponding Maintenance services and fees are subject to change for the substituted items. If the substitution Maintenance services result in an increase in fees, Cerner and Client will discuss the fee increase prior to ordering such Maintenance services.

ADDITIONAL TERMS AND PROVISIONS

EQUIPMENT AND SUBLICENSED SOFTWARE MAINTENANCE TERMS

Maintenance Services for Equipment. Maintenance services for Equipment are: (a) initial determination of the source of

the problem, problem management, critical situation escalation and recovery services; (b) dispatching and coordinating the activities of the third party Maintenance supplier; (c) communicating with the third party Maintenance supplier throughout the resolution of the issue; (d) field change orders; and (e) inclusion of Equipment issues in a tracking database. Maintenance services for Equipment do not include consumables.

Maintenance Services for Sublicensed Software. Maintenance services for Sublicensed Software are: (a) initial

determination of the source of the problem, problem management, critical situation escalation and recovery services; (b) providing all new versions, modifications, and patches of Sublicensed Software that Cerner is authorized to distribute; (c) communicating with third party Maintenance providers throughout the resolution of the issue, (d) inclusion of Sublicensed Software issues in a tracking database.

Maintenance Renewals. The initial term for Maintenance is set forth in the “Solutions and Services” section of this Cerner

System Schedule , and automatically renews for additional periods of the same duration, unless Client provides written notification of termination no less than 60 days prior to the expiration of the then-current period. Client will also notify Cerner of any Equipment items that are no longer being used by Client, and therefore no longer require Maintenance. Cerner may terminate Maintenance services if Client fails to pay invoices for Maintenance.

Equipment Coverage Levels.

24x7 M-Su 4 HR. Monday through Sunday, 24 hours per day, 365 days per year, on-site coverage. Service effort is




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EQUIPMENT AND SUBLICENSED SOFTWARE MAINTENANCE TERMS

continuous until problem is resolved. 24x7 4 HR service does not guarantee that service will be completed same day due to part availability.

9x5 M-F 4 HR. Monday through Friday, 8 AM to 5 PM CST, on-site coverage. Service effort is continuous until problem is resolved, excluding country holidays. On-site coverage does not guarantee that service will be completed same day due to part availability.

9x5 M-F Next Business Day. Monday through Friday, 8 AM to 5 PM CST with the objective of completion the next business day.

9x5 M-F Depot. Monday through Friday, 8 AM to 5 PM CST for service calls. Equipment is shipped to the manufacturer where it is repaired and returned to Client’s facility.

9x5 M-F Advanced Exchange. Monday through Friday, 8 AM to 5 PM CST for service calls. A replacement will be shipped the next business day and requires return of the replaced equipment within 15 days of receiving the replaced device. Service requests placed after 1 PM CST cannot be guaranteed next business day delivery. If more than one device is being requested for replacement, one will be Advance Exchange and the remaining will be returned on a best effort basis depending upon availability of replacements.

Sublicensed Software Coverage Levels. Service effort is continuous until the problem is resolved.

24x7 M-Su Phone Support. Monday through Sunday, 24 hours per day, 365 days per year.

Changes to Maintenance Services. Changes to Maintenance services must be requested in writing by Client, and will take

effect within 60 days after receipt of a signed change order.

Technology components can be added to Maintenance coverage if they are in good working order. If a component is not in good working order, Cerner can arrange for it to be repaired on a time and materials basis prior to being placed on Maintenance. Serial numbers must be provided.

Inventory. Client must review all Cerner Renewal Letters to ensure accuracy, and to avoid costly time and materials charges

for uncovered items. Client should provide Cerner with any missing or incorrect serial numbers as soon as possible to keep records current. Client should also notify Cerner when technology components are replaced as the result of a service call in order to avoid coverage issues.

Upgrades. Maintenance services do not include hardware/technology updates. Maintenance services include software

updates once they become available and have been certified for use by Cerner.

Pricing and Allowances. Equipment and/or Sublicensed Software Maintenance pricing and allowances granted by Cerner

are confidential and are not to be discussed outside the context of this arrangement. Allowances are available for multi-year Maintenance and prepaid terms of one year or greater. Prices do not include any applicable taxes.

Multi-Year Commitments. Fees associated with the initial term are deemed prepaid and are non-refundable.

SCOPE OF SERVICES

This section defines the service deliverables ("Scope") for the services set forth in this Cerner System Schedule.

MANAGED SERVICES

REMOTE HOSTING OPTION (RHO) SERVICES

SCOPE OF USE LIMITS

Cerner Solutions. The managed services fees set forth in the “Solutions and Services” section of this Ordering Document




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are based on the following scope of use limits, and apply only to RHO services for the Cerner solution(s) set forth below:

Scope of Use Metric Scope of Use Limit

Peak Concurrent Logons Beginning August 1, 2016 (150) Additional Peak Concurrent Logons This would make the overall Remote Hosting Concurrent Logon scope limit beginning August 1, 2016 a total of 775 (475+150+150) for the combination of Cerner System Schedule No. 1, Cerner System Schedule No. 17 and this agreement.

Cerner Solutions to be Hosted SurgiNet (Surgical Mgt., Anesthesia Mgt., Dept Supply Chain) Dragon Direct (via Nuance hosted Cloud system) Content 360 Image Retrieval Service CPDI Document Imaging Scope Expansion

OTHER SCOPE LIMITS

Dragon Direct (via Nuance hosted Cloud system)

Millennium Citrix farm capacity increased to adequately support the integration associated with up to (400) Dragon Direct users.

Client responsible for installation of client site servers and/or peripheral devices required for transcription (e.g., local workstations, microphones, etc.) and end user training

Client responsible for internet bandwidth required for application communication (refer to Nuance Dragon Direct documentation for details)

Note – the Following scope limits will replace the Document Imaging Scope limits defined in Cerner System Schedule No. 17 and Cerner System Schedule No. 19. Content 360 Document Imaging

Storage: See Image Aware Virtual Archive scope

Batch Capture and Single Document Capture (assumes all Client facilities share same set of batch services

(7) Ascent Capture Servers (6 Production and 1 Test) (Located at six Client Sites)

Ascent Capture servers owned and remotely managed by Cerner, but located at Client site

Client responsible for the creation and management of client developed reporting queries. In the event that queries result in a material impact to the telco circuits or cause a Millennium production domain Unscheduled Downtime, such Unscheduled Downtime would be excluded from Millennium RHO System Availability calculations.

RHO Services fees do not include Document Imaging Client site devices (e.g. workstations, scanners, handheld devices, etc.). Client must have Document Imaging Licensing adequate to support contracted RHO configuration. (e.g. If Client does not currently own ACIS Licenses or does not own test server Licenses, Client must purchase additional Document Imaging Licenses adequate to support scoped RHO configuration.)

Content 360 Image Retrieval Service

Web Services instances used to pass data between Client’s Millennium system and 3M or Optum Computer Assisted Coding (CAC) system.

Client will provide third party application licenses/sub-licenses, routine maintenance, and implementation services related to the CAC solution

General Assumptions

The basic roles and responsibilities of Cerner and Client for the Cerner solution hosting will be the same as set forth in the Ordering Document originally executed between the parties for RHO services.

Solutions will run in Client’s existing production domain being remote hosted by Cerner.

Managed services fees do not include Licensed Software, Sublicensed Software, Licensed Software Support, Maintenance, or professional services.

Cerner provides the Layered Software needed to deliver core RHO services (e.g., OS, middleware etc.).




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The fees set forth in the “Solutions and Services” section of this Ordering Document apply only to the addition of the solutions to the RHO scope. Fees do not include the potential impact of additional Users. If the addition of these solutions results in additional concurrent logons and the necessity to expand the Peak Concurrent Logon scope limit, this will be addressed pursuant to the scope expansion pricing for Peak Concurrent Logons set forth in the Ordering Document originally executed between the parties for the RHO services

SCOPE OF USE EXPANSION

In the event a scope of use limit set forth in the “Scope of Use Limits” section of this Scope is exceeded, Client agrees to expand the scope of use and pay the additional managed services fees set forth below for the applicable scope limit that has been exceeded.

Cerner Solutions

Scope of Use Metric Extending Scope of Use Limit By

Additional

One-Time Fees

Additional

Monthly Fees

CPDI Ascent Capture Server (1) Ascent Capture Server

$1,200 $600

Dragon Direct Users (100) Users $500 $250

All Prices are in US Dollar (USD)

Client’s scope of use will be measured periodically by Cerner's system tools. Client agrees that if an event occurs that will materially affect Client’s scope of use (such as acquisition of a new facility, change in number of Users, change in number of thick Client workstations, etc.), Client will promptly notify Cerner in writing no more than 60 days following the effective date of such event so that Client’s scope of use can be reviewed.


CAREAWARE IBUS BMDI IMPLEMENTATION SERVICES

(CTS-IBUS-BMDI)

CareAware iBus was created to facilitate communication of information between bedside medical devices (ex: physiologic monitors) and the electronic medical record (EMR). CareAware iBus has the ability to distinguish the make/model/type of a particular device, load the associated device connectivity driver, and govern communication between the device and the appropriate EMR.

Implementation Summary

Number of unique device models: 2

Number of facilities to be implemented: 1

Number of beds implemented by Cerner: 33

Installation is limited to 3 servers (2 production, 1 non-production).

Medical Devices Cerner will assist in the integration of the number of unique device models defined in the “Implementation Summary” of this Scope.

Client shall incur additional fees if services are requested beyond the scope of work herein.

Facilities To ensure the most effective rollout, devices to be implemented per facility are to be agreed upon by both Cerner and Client.

Client shall incur additional fees if services are requested beyond the scope of work herein.

Beds Implemented Cerner will assist in the implementation of medical devices for the number of beds defined in the “Implementation Summary” of this Scope.

CareAware iBus Install CareAware iBus on Linux or Windows server.




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CAREAWARE IBUS BMDI IMPLEMENTATION SERVICES (CTS-IBUS-BMDI)

Installation and Configuration

Install Cerner iCommand and iBus management applications.

Test core CareAware iBus functionality.

Provide knowledge transfer on management of the CareAware iBus.

Device Adapter Configuration (If Applicable)

Install tools necessary to configure device adapter.

Configure up to 10 device adapters

o Device adapter configuration only applies if connecting directly to the medical device through a Cerner connectivity engine (CCE).

Provide knowledge transfer on configuration of device adapters.

CCE Configuration

(If Applicable)

Connect CCE to the network.

o Client is responsible for mounting and running cable for the CCE throughout the facility (Cerner can provide how-to guidance on this).

Configure up to 10 CCE devices.

o CCE configuration only applies with the direct connect method (devices connecting through a vendor gateway or by other means do not require a CCE).

Provide knowledge transfer on the installation, configuration, and management of CCE.

Bedside Medical Device Integration

Define data elements.

Build application.

Establish connectivity to device (through Gateway if applicable).

Map parameters to event codes.

Provide knowledge transfer for process workflow and troubleshooting.

Test Device Connectivity

Cerner will test basic device connectivity and data flow.

Cerner will ensure standard communication with the device is successful, but it is Client’s responsibility to perform unit, integration, and system tests with all devices in the environment.

Cerner will assist in troubleshooting and resolving issues that arise from Client testing.

Deliverables Install and configure CareAware solution as set forth in this Scope.

Provide knowledge transfer and documentation regarding maintenance, server configuration, and operational procedures.

Estimated Work Effort and Duration

Estimated project duration is 4-6 months, depending on the number of devices and connectivity method.

o Number of beds and devices configured in each room will determine the actual project duration.

Conversion Support

Cerner will provide up to 36 hours of conversion support when applicable.

Frequency An initial bedside medical device integration discovery visit will be conducted to determine number/type of devices and application workflow.

A project kickoff will follow where the project plan, domain strategy, remaining visits, and more will be discussed.




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CERNER INSTANT ACCESS WORKFLOW AUTHENTICATION SCOPE OF WORK (CTS-IA-WFAUTH)

Service Description

Cerner Instant Access – Workflow Authentication has the capability to enable re-authentication in

the point of the workflow where authentication is needed, especially for the ePrescribing of controlled substances (EPCS) or medications process where a dual authentication or advanced authentication is required

Services Overview Cerner will provide services to implement workflow authentication for Cerner Instant Access.

During this engagement Cerner will configure functionality for advanced authentication, assist in the deployment of the advanced authentication devices, provide administrative training and provide train-the-trainer sessions for Client staff responsible for training end users of the advanced authentication and the workflow authentication capability

Discovery Process Identify Client organizational, clinical, and technical basis including:

o Current solutions in the current production domain

o Solutions and sites scheduled to go live through the documented Cerner Millennium solution roll-out schedule

o Gathering authentication requirements specific to Client’s business model

o Current computing infrastructure

o Technical initiatives

Identify advanced authentication methods to be used

Identify existing software distribution technologies

Provide a high-level analysis and recommendation regarding the integration of physical and system access (if applicable)

Produce the project plan consisting of recommended configurations, integrations, and technologies as identified

Identify Client-defined end-states as defined by Client’s requirements and produce gap-analysis and high-level recommendations

Manage the project

o Implementation kick-off and project planning

A conference call between information technology (IT) staff, the project manager, and Cerner to ensure project readiness, define project roles, set expectations, and articulate project definition. Once on-site the project team will review the project plan that incorporates major deliverables and milestones

o Project status updates weekly for the first month, bi-weekly there-after. Status meetings to be scheduled by Cerner and Client project manager

Knowledge Transfer

Administrator training:

o Conduct a one day on-site session that focuses on training Client-assigned single sign on (SSO) administrator on the architecture overview, SSO policies, software deployment options, and reporting

Help desk training:

o Conduct training sessions on resolving common technical problems and identifying advanced authentication resources for technical assistance.

End user training:

o Coordinate with Client in setting up and scheduling end user education sessions that cover the following:

End user enrollment for advanced authentication management Changes to expect in current workflows Support path during and after deployment

Deliverables Install and configure advanced authentication devices and workflow authentication policies

Validate and test the advanced authentication solution with production pilot group

Train end users, help desk, and administrators




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CERNER INSTANT ACCESS WORKFLOW AUTHENTICATION SCOPE OF WORK (CTS-IA-WFAUTH)

Assumptions Client will provide a minimum of 1 workstation per operating system configured with all identified applications and accounts for workflow authentication

Client is familiar with the core technologies used in this solution

All work will be performed at Client’s location unless otherwise noted or agreed upon

IMPRIVATA IMPLEMENTATION (CTS-IMPRVT-IMP)

Overview Cerner will provide technical consultation services to review the configuration and integrity of the Single Sign-On (SSO) environment. Cerner will review the SSO appliance configuration, configure review SSO computer and user policies, review administrative management, and review deployed application profiles.

Certain tasks are dependent on the availability of Client technical personnel for verification, testing, and knowledge transfer. Cerner will identify those Client tasks at the beginning of the project to facilitate scheduling and coordination.

Discovery Identify any known changes in Client’s technical infrastructure including:

o Current solutions in the production domain

o Current technical infrastructure

o SSO-enabled application upgrades

o Review enabled users, groups, or any planned rollouts

Assessment Review appliance configuration, review backup and recovery process.

Review security policies: user and computer.

Document environment configuration.

Review reporting and event notifications. Provide guidance on how to enable or review existing reports/events.

Discuss Client technical roadmap and how SSO might be impacted. Ensure awareness to technical configuration considerations of any significant environment change (e.g. upgrades: application, SSO appliance/agent, Citrix). It is Client’s responsibility to review these technical topics and determine how they might impact the existing Client environment.

End user training:

o Cerner will provide knowledge transfer to identified Client trainer. Client is responsible for scheduling and performing end user education sessions that cover the following:

End user enrollment for SSO and self-service password management (if in use by Client)

Changes to expect in current workflows Support path during and after deployment

Deliverables Document appliance configuration

Document default policy – user and computer

Document deployed applications

Assumptions For proper knowledge transfer Cerner strongly recommends Client be familiar with the core technologies used in this solution.

All work will be performed at Client’s location unless otherwise noted or agreed upon.




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IMPRIVATA IMPLEMENTATION (CTS-IMPRVT-IMP)

Cerner may recommend environment changes. If so, Client is responsible for testing and implementing. Implementation is not included in this Scope.

Client will provide access to SSO environment (e.g. appliances, Citrix servers, desktops, etc.).

IMPLEMENTATION SERVICES

Project Duration The following project start date is an estimate and subject to adjustment based upon the Effective Date of this Ordering Document. Cerner requires a minimum of 90 days following the Effective Date to accommodate pre-project activities such as planning, staffing, and technology activities. The overall duration of this project (from the “project kick-off” event to the “go-live” event), based on the scope of services detailed in this Ordering Document, is expected to be 10 month(s).

Estimated project start date: 04/27/16

Application Modules for Project Scope

Revision: Cerner Millennium® 2015 Cumulative Production Packages plus Cumulative Service Packages

Solutions Duration (weeks)

Foundations: Core, Charge Services Lighthouse Hospital Quality Reporting Updates: 3 Core Measures Shared Computing Services (Cerner Network): ePrescribe of

Controlled Substances SurgiNet: Surgical Management, AORN Syntegrity Content,

Departmental Scheduling Management, Anesthesia Management, Perioperative Nursing Care Management, Perioperative Communication Handoff, Perioperative Tracking Interfaces: Item Master Synchronization Incoming, Provation Interface

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Facility Implementation Strategy

This Scope assumes the design, build, and conversion of 1 facility utilizing a centralized database environment and a single go-live event per phase, converting all solutions in that phase concurrently.

Go-live will occur at the following facility:


Consulting Framework

Consulting Framework is Cerner's standard methodology and related documentation for the efficient implementation of Cerner's Millennium suite of solutions. The Consulting Framework description provides a detailed overview of the documentation and content of this approach as it relates to the phase of work and services defined in this Scope. The Consulting Framework description can be viewed at http://www.cerner.com/clientresources/solutiondescriptionlookup, click on Core Services, then select Consulting Framework.

Delivery to Client will occur upon execution of this Ordering Document if initial payment of professional services fees has occurred as set forth in the “Payment Terms” section of this Ordering Document.

Go Live Support Command Center Support for go-live event. Cerner will provide application/technical support and troubleshooting for issues logged to the help desk or command center during the go-live event. Cerner’s standard coverage provides 3 days of 24 hour support, and 2 days of 12 hour support. The Cerner team will support the command center along with Client’s application team and help troubleshoot issues as they are reported. Client’s super user team will support end users along with




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Cerner’s Advancing Conversion Excellence (ACE) End User conversion Support team. After go-live, Cerner will provide remote application support until turnover to Cerner’s SolutionWorks division, which occurs 30 days after go-live. After turnover, all issues will be reported to SolutionWorks.

Advancing Conversion Excellence (ACE) End User conversion Support Program

Cerner learning services will provide 7 12-hour shifts, who are trained on the appropriate Cerner applications and change management to complement Client’s conversion support teams. At go-live and for the critical days following, end-user conversion support specialists are placed in strategic locations within Client’s facilities to provide around-the-clock just-in-time training, answer questions, and help resolve other issues related to Cerner solutions. This service drastically reduces the volume of basic help calls from end users into the command center during go-live.

Cerner Delivery Project Team Work Space Assumptions

As needed and at Client’s expense, Client will provide to the Cerner project team: a secure Cerner-assigned office (with door locks); work areas with network connectivity to Client network; and access to a network laser printer via a desktop computer with fat client (configured to Cerner’s minimum recommended configuration) access to appropriate Client domains and Clients using Citrix access. Client agrees to provide this access to each Cerner project team member while on Client site. Further, Client will provide a high-speed DSL line or network port through Client firewall for each Cerner associate on site to access the Internet/Cerner network using Aventail software, and a phone line for each Cerner project team member that is assigned to be on site for more than 16 hours per week for at least 10 consecutive weeks.

Client Project Team

Client will identify and make available its project team members within 90 days following the Effective Date of this Ordering Document, if not identified and available within that timeframe, such delay will be considered a change in scope, and will require the execution of a Cerner Sales Order setting forth the additional work effort and additional professional services fees.

Special Project Assumptions

Modifications to the design and build of the proposed solutions to meet specifications for individual facilities will result in additional professional services fees.

This project assumes any upgrade requirements will be performed prior to the estimated project start date set forth in this Scope. Current revision levels in production should be assessed by the Cerner’s upgrade center.

This project includes the work effort required for adding newly built reference data into the production domain

This project assumes the ADTs/Demographics Outgoing interface is already live at the client site.

The pricing for update services was removed due to the client agreeing to Quality Alignment Services instead. If the Quality Alignment Services are not purchased, standard Lighthouse Update Services will be required.

This project does not contain the work effort for required interface Requisition Bidirectional.

This PSE includes work effort for Cerner Command Language (CCL) customization. Scope will be determined during the implementation by Cerner and Client.

If possible, and if sufficient time to implement, all efforts will be made to bring EPCS, Batch Scanning and Dragon Voice Recognition live as part of the ongoing project in August 2016. The plan is for the SurgiNet and Anesthesia projects to begin by December 2016/January 2017 and go live approximately September/October 2017.

This project includes professional services for command center conversion support.

Scope of Services The solution implementation scope of services documents the services provided by Cerner during the project. This Scope is based on the latest generally available Cerner Millennium software release,

project timeline, and use of Consulting Framework, Bedrock, STANDARD content and recommendations. It is also assumed that Client will provide data required to configure the system in a Cerner defined format.

STANDARD Content

STANDARD is Cerner’s best practices content and contains items such as orders, forms, rules, reports, labels and recommended workflows across several roles and venues. STANDARD was developed by Cerner clinicians and experts and is continually updated based on implementation experience, Client input, and industry regulations. This Scope assumes STANDARD content will be utilized without modification unless noted in a particular solution. STANDARD is available for all new




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and existing Cerner Millennium engagements. Existing Cerner Millennium clients who are adding new solutions will be able to import or build the content into their existing database.

Scope Control There are controls on scope for the total number of a particular item within certain solution sections. Controls are present for the following reasons:

o In order to achieve the project timeline with estimated Client project resources

o Recommended use of the system and ease of maintenance long term

o Maintain standard consulting fees

Please note that controls on items are not functional limits of the Cerner Millennium System

FOUNDATIONS

Core Services

Foundations refer to Cerner’s definition of those common processes or tasks that are shared across clinical and administrative domains and applications, technical areas, and project or production tasks.

Core Services Core services are an integrated component to Cerner Millennium that has to be in place so other

solutions can use it. Key items include physical location layout, security, results viewing, and interface translations

Security Role Profiles

Security role profiles from within STANDARD will be utilized as a starting point. These profiles are built with pre-defined workflows and security access. Examples include Physician and RN

All personnel will be added as users for the areas being automated

Interface Translations/ Aliasing

Includes inbound and outbound alias translations per data element (HL7 segment) per interface

Results Storing and Viewing

All results storing and viewing solutions including results from a contracted Cerner Millennium solution or via an interface

Basic Registration If Cerner Registration Management is not in scope, assumption is Client registration system will handle all registrations. However, Cerner can provide registration for a downtime or a departmental need such as lab. If needed Cerner will set up a standard downtime registration screen to capture basic information. Registration rules and custom fields are not included. Cerner will integrate with the existing Registration system (includes building needed new conversations for the new solutions)

Charge Services

Charge Capture Cerner’s goal is to provide a clinically driven revenue cycle where the charge capture process is a result of clinical or operational activity. Specific workflow processes would include charging on documentation, orders, room and bed, results, etc... depending on solutions in scope

Billing File If Cerner Patient Accounting is not being implemented, Cerner will generate charging file(s) for Client to send to billing system

Professional charging can be accommodated in Cerner for anatomic pathology, radiology, and/or emergency department if required. A consideration for doing this within Cerner is delivery method of charges to foreign system

CERNER NETWORK

Cerner ePrescribe – Controlled Substances (EPCS)

Prerequisites Required Base Code Level: 2012.01 plus necessary .19 or higher packages

ePrescribe version 10.6

ePrescribe Bedrock Registration Wizard

o Providers must have an established relationship via this tool for any location(s) from which they wish to electronically prescribe controlled substances

ePrescribe Bedrock Logical Access Control Wizard




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P2 Sentinel version 4.5 or higher

CareAware Multimedia Archive (CAMM)

Imprivata Secondary Factor Authentication

One DEA approved device. These devices include, but are not limited to:

o One-time-password tokens

o Vasco tokens managed by OneSign

o External (non Vasco) OTP tokens that support RADIUS authentication

o Any PKCS11 smart card using Active Directory as the Certificate Authority

o Authentec EikonTouch 700

EPCS Implementation Considerations

Build and FSI changes may be required to maintain and enhance ePrescribe functionality for EPCS

Optimization of the discharge order action of up to 10 Order Entry Formats (OEFs) may be required

Providers who will be utilizing the EPCS functionality must be registered with the Cerner Hub and SureScripts via the Bedrock Wizard to obtain a unique SPI for each facility from which they will be electronically prescribing

DEA regulation requires that providers wishing to ePrescribe controlled substance prescriptions be both nominated and approved for this service level. This will occur via the Bedrock Wizard and will require Client input and interaction

A digital certificate generated from a Certificate Authority (or Client representative) will be required for 1 non-production domain and for 1 production domain

Cerner’s standard print requisitions have been updated to include the necessary DEA components in relation to EPCS. If Client has custom requisitions, Client is required to make the necessary modifications or utilize the services of a specialized team at Cerner

Meetings with the regulatory team may be required to consult around state and federal guidelines as they related to the electronic prescribing of controlled substances

Regulatory Consultant will perform the following:

o Provide guidance and best practices for identify proofing/credentialing

o Provide expertise and research around state-based pharmacy laws, boards and rules

o Provide guidance around nomination and approval of access controls (dual factor authentication)

o Provide guidance regarding requirement for ongoing security analysis

Build and testing of the EPCS functionality will occur in 1 non-production domain and 1 production domain

Cerner will provide 1 Trainer Conversion Preparation event

Cerner will provide 1 Maintenance Training event

Cerner will implement up to 100 providers as a pilot. Client will implement remaining provider population (this relates to ePrescribe relationship creation and service level assignment)

o Client will need to establish remaining ePrescribing relationships in Bedrock, as well as assigning the EPCS service level to those SPI relationships

All activities to occur remotely

Go-live support to occur during normal business hours (8 AM CST – 5 PM CST)

LIGHTHOUSE

Hospital Quality Reporting

Clinical Quality Measure content is supportive of the CMS version of Clinical Quality Measures. The package information




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below is reflective of the requirements for Meaningful Use for the following conditions:

o Hospital Quality Reporting Updates - 3 Core Measures

This Scope assumes utilization of Cerner’s standard content.

Cerner has designed both Clinical Quality Measure Clinical Workflow and eMeasure reporting to align with the CMS Meaningful Use value sets and algorithms, so that data is collected in a structured manner and evaluated according to the published specifications.

Implementation Standards

Standard Scope includes workflow assessment to document current state process and prepare future state recommendations

Assessment of standardization opportunities and gap analysis as related to Core Measure specific documentation

Cerner will provide templates, to be used with Client localization for testing and training

Implementation includes both clinical and abstractor build into 1 production and 1 non-production domain and assumes go-live on most current version only

Quality Measures Population View

Includes the implementation of the following:

o MPage Views to manage and monitor compliance of selected populations and identify potential additions to the population

o Includes the ability to link directly to actionable components at the patient level

o Identification of time sensitive interventions and communications

Clinical Workflow Components

Quality Measure components to support the clinical data capture of the Meaningful Use requirements

eQualityCheck Bedrock utilization for concept mapping of code sets, orders and DTA’s to support leveraging the current automation

Discharge reports for review

SurgiNet Surgery Information System

Surgical Management

Item Master Cerner will work with Client to create an Item Master consisting of supplies and equipment used within the surgical process

Preference Cards Cerner will work with Client to create preference cards for each surgical area

Nursing documentation defaults – Cerner will train Client to create personalized nursing defaults

Discharge Process Cerner will work with Client to automate discharge process

Access to discharge instructions when ExitCare/Krames is licensed and Patient Education is implemented

Reporting Personalized Reports (Discern Analytics, SNReportMgr, SNReportBuilder) - Cerner will educate Client on the use of tools to create appropriate reports

Personalized report categories included:

o Case/Procedure Volumes

o Case/Procedure Costing

o Cancelled Cases

o Case Attendee/Role Reports

o Case Delays/Reasons

o Case Finalization

o Implant Reporting




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o Scheduled Case/Procedure Reports

o Procedure Coding

o Block Utilization

o Surgical Schedules

o Preference Card/Pick Lists

Charging Surgical charges based on operating room time, anesthesia time, supply item usage and/or procedures performed

Perioperative Nursing Care Management

Perioperative Nursing Documentation

Cerner will assist Client to automate the following processes for perioperative nursing documentation using STANDARD content which includes forms and interactive views:

o Pre-Admission Testing (PAT) – forms based

o Preoperative Nursing Documentation – forms based

o Intraoperative Nursing Documentation - forms based

o Postoperative Nursing Documentation – interactive view/forms based

Cerner will provide applicable/existing standard IPOC content, or will modify client’s existing IPOCs if at an equal and reasonable level of effort. Cerner surgery team won’t be compelled to modify existing IPOCs that extend beyond the surgical venue (for more general existing IPOCs that are in use).

Perioperative Communication Handoff

MPages Perioperative Communication Handoff MPages assist in the handoff between Preop, Intraop, and Postoperative Stages. MPage functionality is designed to assist in summarizing information relevant to patient workflow as well as lead the provider to areas of the chart where information can be updated

Cerner will coordinate with Client on how to utilize the MPage Bedrock Wizard to build requires elements for the MPage

Cerner will assist in initial build of components and layout to be used in each MPage through a design activity

Cerner will build sample data through a design activity to illustrate functionality of the MPage

Mapping all required components will be completed by Client once knowledge transfer of bedrock wizard has been complete

Client is responsible for validation testing and providing evidence of successful localization

Standard scope does not include the creation of custom scripting

AORN Syntegrity Content

Integration The content included is defined by the subscriptions that have been purchased and when included in Client’s contract

Cerner will assist Client to incorporate Syntegrity content into the following processes for Perioperative nursing documentation:

o Pre-Admission Testing (PAT)

o Preoperative Nursing Documentation

o Intraoperative Nursing Documentation

o Postoperative Nursing Documentation

Perioperative Tracking

Perioperative Tracking

List View - Tabular view of case status for tracking throughout the surgical department

Dynamic View - Graphical timeline view of case status for Intraoperative tracking and day of surgery schedule management




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Departmental Scheduling Management

Surgical Scheduling

Cerner will work with Client to automate the surgical scheduling process

Personnel conflict checking equipment / instrumentation conflict checking across multiple surgical areas (from preference card pick list)

Scheduling Guidelines (pop-up dialog windows)

Block scheduling by Specialty, Surgeon, and/or Surgeon Group blocks

Expanded scheduling security (multi-facility implementations only)

Cerner will provide services to integrate with the live Millennium enterprise scheduling system.

Anesthesia Management

Intraoperative Anesthesia Documentation

Cerner will assist Client to automate the anesthesia documentation process based on STANDARD content

Pre-completed macros for simplified documentation

Macros may be personalized to user or institution and may be defined by induction procedure, specialty, etc...

Actions may be defined to indicate specific tasks or events that must be documented by the anesthesia provider. Actions might include: positioning, times, procedures, notes, etc…

Provider or institutional view settings

Integration with SurgiNet nursing documentation pulls in case times, procedures, and other general case data into anesthesia record

Pharmacy formulary for medications and fluids

Inventory items pulled from the Cerner Item Master

Facility Charging Anesthesia charges based on anesthesia time and supply item usage

Record Viewer/ Reporting

Concurrency Management

System Reports

Discrepancy Management

CLINICAL ADOPTION SERVICES

Clinical Adoption and Optimization Services

Cerner’s Clinical Adoption Consultants will work with Client inter-disciplinary team to provide knowledge, content and methodologies to ensure a successful adoption of Cerner solutions across Client’s communities.

Strategic Planning, Alignment and Assessment

Areas for organizational improvement will be identified and documented, examples include:

o Vision

o Leadership

o Organizational Culture

o Communication

o Resources

o Training and Education

o Technology Infrastructure

o Benefits and Outcome Plan

o Governance Structure

o Risk Areas and Mitigation Plan

o Value Assessment

Risk Analysis – identification of project risks, owners and potential mitigation strategies to be refined during the facilitated meeting with Client executives

Assess and consult on how to drive optimal outcomes from a clinical, cultural, and leadership




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perspective

Benefits Plan Assist Client to identify specific measurements based on key organizational performance indicators and or Strategic Imperatives (strategic goals, quality management indicator’s)

Ensure system design supports benefit plan

Coach Client in developing plan for capturing baselines and targets

Clinical Governance Strategy and Structure

Outline a recommended clinical governance structure with roles and responsibilities defined for the project

Provide recommendations on clinical committee structure required for project success

Communication Plan

Coach Client on process to create an organizational and project focused communication plan and delivery methods

On-Site Workflow Assessment

Coordinate with solution teams to identify opportunities for future state workflow optimization

Clinical Design Consulting

Leads clinical discussions and design concepts

Identify areas within the organization for workflow and recommended practice standardization

Recommendations will be based on the optimization of workflow for quality, safety, and operational efficiency

Identify capabilities within the system that can facilitate the implementation of recommended practices

Workflow Localization – Coaching Model

Coach Client on effective methods to facilitate workflow localization sessions intended to define the new processes that will support the future core clinical processes being impacted by the new technology

Adoption Sustainment

Outline strategies to operationalize the on-going process of adopting technology into clinical workflow

Identify risks to sustaining adoption of new practices

Outline an adoption sustainment governance structure

Provide management level training for tools necessary to monitor process improvement and adoption sustainment

Clinical Conversion Readiness Assessment

Assess the readiness of clinicians to convert the solutions and workflow changes being implemented

Assist Client in creating risk mitigation plan based on readiness findings

Post Conversion Assessment

Review adoption of system and future state workflows

Identify any optimization opportunities

Review benefits attainment to date

OPEN PORT FOREIGN SYSTEMS INTERFACES

All Clinical interfaces meet Universal Interface (UI) specifications using HL-7 and TCP/IP Protocol or FTP Protocol.

Foreign systems must be able to trigger and accept interface messages. Client is responsible for engaging the foreign system supplier.

All Financial interfaces meet Universal Interface (UI) specifications using X.12 or HL-7 and FTP or TCP/IP Protocol.

Foreign systems must be able to trigger and accept interface messages. Client is responsible for engaging the foreign system supplier.

Client is responsible for inbound/outbound design/coding/testing of non-Cerner systems.

Interfaces not conforming to the Cerner Millennium UI Specifications will be considered custom. Custom interfaces not included in standard Scope.

Each interface transaction type will be in a single and consistent format sent or received to/from an interface engine or




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router e.g. all orders will be consistently formatted and contain the same common content, regardless of the ultimate destination of the transaction.

Inbound Interfaces

Solution / Process Area Scope of Services Protocol Type

Item Master Synchronization IF-29095 HL7 using UI Specification TCP/IP Real Time

Provation Interface

Overview Cerner will provide professional service resources to assist Client with the implementation of an inbound results interface from Provation system that will allow encapsulated base64 encoded pdf in HL7 message to post in Millennium. Encapsulated pdf will have to be in base64 encoded format and will post as an attachment using CAMM functionality.

These reports will be viewable from within PowerChart.

The interface will also conform to the Cerner universal interface (UI) specifications requirements, which are based upon the Health Level Seven International (HL7) standards as they relate to the Cerner Millennium architecture.

Work Effort Cerner work effort includes, but is not limited to,

o Interface design with the creation of site specific interface specification document(s).

o The building, coding and configuring of the interface to the processing requirements.

o Functional testing of the interface.

o Support of Client validation testing of the interface.

o Regular attendance of project status meetings.

o Migration of interface to production domain and support of interface activation.

Client

Responsibilities

Client responsibilities include, but are not limited to,

o Engaging the foreign supplier resource(s).

o Synchronizing data values between Cerner and the foreign supplier. This may include building of code value aliasing within Cerner that will be required for interface processing.

o Modifying Cerner Millennium application (if required).

o Creating and executing interface test plans.

o Validating interface testing.

Assumptions The interface will utilize Transmission Control Protocol/Internet Protocol (TCP/IP) for data transfer and will be Cerner Millennium HL7 UI compliant.

Any custom scripting required outside of the standard Cerner UI is expected to be performed within Client’s interface engine. If this is not possible or desirable, custom scripting can be performed within the Cerner Millennium interface but may require additional hours at Cerner’s then current fees for a Cerner resource to complete the work.

This Scope covers the initial configuration and testing of the interface in a designated build environment and 1 copy to the production environment. Any additional domain support, including copies to additional domains and rebuild due to domain refreshes or updates may require additional hours.

Client and Cerner will work on this project concurrently on an agreed upon project timeline.

Client shall incur additional fees if services are requested beyond this Scope.

LEARNING SERVICES

Training End User Training / Train the Trainer / Learning Lab

Cerner will deliver training for up to 102 hours. Training is intended to be in the relevant environment for the appropriate roles




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and solutions. Any additional hours for training needed will be considered out of scope and will require additional professional services and fees.

Adoption Coaching

Cerner will provide a total of 222 hours for adoption coaching.

Pre-Conversion Adoption Coaches

Deliver adoption services 2 weeks prior to conversion/event including:

o Answering questions

o Walking physicians through specific workflows

o Conducting one-on-one meetings with key physicians as available

o Reinforcing training and conducting remedial training

o Educating and training on any upgrades, key innovations, playbooks, etc.

Assist physicians in setting up favorite folders, pre-completed notes, and macros if production domain is available

Total hours for pre-conversion are calculated at an average of 36 hours per week

Pre-Conversion Client Responsibilities

Provide orientation for adoption coaching covering layout of hospital, preferred workflows, and solution customization

Provide access to Client training domain and training materials (e.g. jobs aids, cheat sheets, etc.)

Allow adoption coaches to attend a physician end-user training session

Provide access to all units via badge

Provide a list of practicing physicians, separated by specialty, with contact information

Provide a list of physicians who have been trained or are enrolled in training

Provide a contact from training team to answer specific workflow and design questions

Conversion Support

Conversion support service begins at go-live and runs 14 days post conversion

Command center go live support will be 7 days; first 4 days will be days and nights coverage, days 5 -7 will be days only. One Command Center supports both hospitals.

Adoption and conversion coaches are stationed directly in support of physician’s initial use of the system to include, but not limited to:

o Coaching physicians on performing high-level Cerner solution tasks

o Providing tips, tricks, and shortcuts to physicians on best practice policies

o Communicating technical issues to the command center

o Serving as a liaison between the physicians, Cerner, and Client technical resources

o Working with physicians to set up favorite folders and their pre-completed notes and macros

o Directing physicians to LearningLIVE performance support tools to provide ongoing support within their workflow

Total hours for physician conversion support are calculated at an average of 48 hours per week for a maximum of 12 hours per day for 4 consecutive days

Post-Conversion Adoption Coaches

Post-conversion support service begins 2 weeks post conversion

Specific adoption coach responsibilities include:

o Providing guidance and one-on-one coaching to physicians to optimize the use of Cerner solutions

o Leveraging data from Cerner’s Lights On Network to provide targeted coaching to specified physicians

o Working with physicians to address process and workflow issues and questions

o Directing physicians to LearningLIVE performance support tools to provide ongoing support within their workflow




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o Providing feedback to Cerner and Client project team on the level of physician adoption in each unit

o Providing weekly productivity progress reporting for Client sponsors

Total post conversion hours are calculated at an average of 36 hours per week including an additional 4 project management hours a week

Post Conversion Client Responsibilities

Ensure adoption coach roles and responsibilities are clear to physicians and nurses before arrival of adoption coach

Coordinate regular meetings with Client sponsor to validate and prioritize list of physicians needing assistance

Provide an on-site contact for workflow clarification and issue resolution

Provide a list of active issues and estimated time of resolution

Provide additional training if necessary to all staff, excluding physicians

Advancing Conversion Excellence (ACE) End User conversion Support Program

Cerner learning services will provide 7 12-hour shifts, who are trained on the appropriate Cerner solutions and change management to complement Client’s conversion support teams. At go-live and for the critical days following, end-user conversion support specialists are placed in strategic locations within Client’s facilities to provide around-the-clock just-in-time training, answer questions, and help resolve other issues related to Cerner solutions. This service drastically reduces the volume of basic help calls from end users into the command center during go-live.

LEARNING SERVICES SCOPE

DRAGON MEDICAL TRAINING SERVICES

Cerner Responsibilities

Create and deliver Dragon Medical and PowerChart specific user training curriculum that addresses application, workflow, and process changes

Deliver quick reference card and job aids

Facilitate changes that are a result of the Dragon Medical solution implementation

Track and report issues for appropriate action

Test workflows and functionality to identify any technical or domain performance issues prior to scheduled training

Client Responsibilities

Provide roster of users by role and facility

Enforce end-user training compliance

Provide Cerner access, familiarity to both TRAIN and production domains

Provide sign on information for Cerner and each trainee with appropriate role privileges

Joint Responsibilities

Coordinate training schedule, registration, and logistics

Identify training related risk areas

Determine custom command and word management strategy

Create and test custom commands and words

Define training metrics

Assumptions Client has a basic understanding of PowerChart

Users will have basic computer skills

Facilitated group laboratory training includes PowerPoint instruction, guided exercises, checklists, preferences-setting, homework, and an assessment

Cerner is not responsible for communicating functionality updates to users




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Training Plan Kickoff


Provide learning consultant to help facilitate, define, and execute the Dragon Medical software training engagement to:

o Review Client’s current dictation workflow

o Tailor training needs to match future state workflow

o Recommend deployment, configuration and training strategies

Assumptions Total hours in this Scope are calculated at 16 hours

Cerner will work with Client to provide the training service on an agreed upon schedule

Standard Training Materials


Complete learning materials for Dragon Medical

o All materials developed for physicians will focus on learning gaps and standard workflows

o Learning materials will include instructor and participant guide as necessary, job aids, practice scenarios and competency assessments

Assumptions Workflow has been determined and provided as the baseline for these materials

Materials will be developed for physicians

Cerner will work with the Client to provide the materials on an agreed upon schedule

Physician Dragon Training Services

Objectives Develop full understanding of Dragon Medical functionality, solidify dictation style, and gain confidence while dictating sample progress notes

Optimize application settings and preferences

Develop and test custom words/commands to improve accuracy and optimize workflow prior to go-live

Introduce advanced Dragon Medical software functionality

Define PowerChart workflow with the inclusion of Dragon Medical

Perform provider specific mock visits

Address questions regarding core concepts and functionality prior to go-live


Staff computer lab setting (Learning LAB) and provide training services

Provide one train-the-trainer class for up to 10 client trainers. Each class is 32 hours.

Additional Notes

Completion Criteria

All fee(s) for service(s) provided in this Scope will be considered complete when the respective hours are worked. Cerner will provide an option, no later than 2 weeks before hours are worked, to extend the current resources under a new arrangement for additional hours. All fixed fee services provided in this Scope will be considered complete when the deliverables have been provided to Client.

Modifications This engagement includes only the items set forth in this Scope. A new Cerner Sales Order must be executed by the parties if Client requests additional tasks beyond those set forth herein. In the event Client requests additional work effort or otherwise modifies the scope set forth herein, Client and Cerner will assess the financial and delivery timeline implications of such changes and will work together to reach a mutually agreeable solution. Jointly, Client and Cerner will discuss, document, and request approval regarding fees and delivery implications of additional work effort(s) prior to any scope expansion.

Suspension or Rescheduling

In the event Client requests that this project be rescheduled or suspended, Client will pay costs for hours worked and travel expenses incurred, up to and including the date of shut down. Additional fees may be incurred when the project resumes, including, but not limited to, increased professional service rates, planning, defining scope, reviewing and documenting completed work,




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and educating new project team members (Client will not incur additional fees if the delay is mutually acceptable between Client and Cerner).

Client acknowledges that Cerner is not obligated to provide the same project team members that were assigned to the project prior to the suspension.

Travel Resource assignments and travel arrangements including but not limited to, Client site visits, require a minimum of 10 calendar days of preparation time from the date this Scope is executed.

It is anticipated coaches will work a maximum of 4 consecutive days at Client facility with 2 consecutive days off free of travel. It is anticipated that coaching will be no more than 9 hours per day

The professional services fees do not include travel, lodging, per diem, or other out-of-pocket expenses incurred by Cerner personnel. Such expenses will be billed to Client based upon actual expenses incurred.

Assumptions All deliverables remain the sole and exclusive property of Cerner, and may only be used as detailed and agreed upon by this Scope.

CPDI – BATCH – CLINICAL RECORDS (CTS-CPDI-HIM)

High-volume Batch Capture provides many methods to scan and extract index values from images, automating the process of posting documents to the patient’s chart within the electronic medical record (EMR).

Bar codes drive a quick indexing process for large amounts of data. Integrated functionality performs validation between the patient index values in the Batch Capture solution and the patient data in Cerner Millennium so that images are indexed to the correct patient or encounter in PowerChart.

Design Includes consulting services to enable scanned documents for availability in Cerner Millennium (PowerChart, Clinical Notes, Flow Sheet, Cerner Health Information Management , Clinical Reporting) as Clinical Notes or in the Document Library

o The Clinical Notes tab contains scanned paper documents from current and previous admissions. It provides the ability to enter textual information that is stored in a patient’s chart.

o Flowsheet offers a convenient means for the health care providers to view results from procedures and tests, including numeric results and documents, as soon as they are recorded.

o Cerner Health Information Management is an online health information management offering that is focused on the attainment of productivity gains and management control over all operations performed by medical records personnel. This solution provides an integrated set of functionality committed to the elimination of redundant data entry and the minimization of manual activities.

o The Document Image Library allows you to manage images you scan or import into Cerner Millennium

Design topics include:

o Project planning

o Forms design

o Event hierarchy/document types

o Document aliasing

o Batch class design




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o Imaging process/workflow

o Clinical Notes tab and Flow Sheet view

General consulting for the following integration points:

o Cerner Health Information Management

o Clinical Reporting

Clinical Reporting is Cerner's solution for initiating and processing clinical reports. A clinical report (chart) is a document containing patient demographic and clinical result information.

o Message Center

Message Center is a Cerner Millennium component that supports three types of

messages: phone messaging, reminders, and consult requests.

Build Cerner will assist in building up to 25 document types/aliases and subjects (long form name) and will educate Client resource on the process

Client is responsible for build/testing beyond 25 document/alias types

Includes services for setting up 1 non-production and 1 production domain

Does not include build for Cerner Health Information Management, Clinical Reporting, or Message Center with the exception of the block signature integration

o Block signature text is added to documents when you add a deficiency using Batch Indexing (cer_BatchIndex.exe) or other applications (for example, Cerner Health Information Management Patient Deficiency Analysis). Cerner Provision Document Imaging (CPDI) configuration tool supplies default text for pending sign, requested sign, and completed sign statuses, but you can modify the text if necessary.

Facilities Scope assumes 1 centralized data capture (scanning) center. We will also include centralized clinic batch scanning at 3 clinics.

Data Capture Includes Batch Capture (with up to 8 Batch Capture Class definitions)

o Include Single Document Capture setup for up to 2 workstations in the Cerner Health Information Management area

Testing Includes up to 2 rounds of integration testing

o Cerner will be lead on the first round

o Cerner will use integration testing to train Client super users for the second round

Reporting Includes the following standard Cerner ProVision Document Imaging reports:

o Batch details

o Batch list

o Document history

o Ascent module access

o Daily productivity

o Documents created and deleted by user and date

o Documents created by batch class

o Pages scanned and deleted by user

o Pages scanned and deleted for batch class

o Productivity

o Productivity by user

o Quality control productivity

Training Includes services for super user training

Client is responsible for end user training and documentation creation




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Includes administrative training for adding additional document types, copying batch classes between domains, log files, service overview, and as-built documentation

Deliverables Content360 Batch Capture installed and configured as outlined in this Scope

Knowledge transfer of installation, configuration, and operational procedures for maintenance purposes

Super user training for the as-built system

Assumptions Appropriate hardware and licensing is in place and Client is current on Maintenance payments

Estimated Project Duration

Application and project management duration will be the length of the project, estimated to be approximately 6 months

o Project management support will not exceed 26 weeks in total duration

CPDI – BATCH – CLINICAL RECORDS EXTENSION (CTS-CPDI-HIM-EXT)

Content 360 high-volume Batch Capture provides many methods to scan and extract index values from images, automating the process of posting documents to the patient’s chart within the electronic medical record (EMR).

Bar codes drive a quick indexing process for large amounts of data. Integrated functionality performs validation between the patient

index values in the batch capture and the patient data in Cerner Millennium so that images are indexed to the correct patient or encounter in PowerChart.

Overview This Scope includes Cerner services to expand the as-built existing batch capture system to an additional facility as part of a larger, in-flight project or add-on to an existing live environment.

Cerner will provide services to perform the tasks set forth in this Scope.

Application Consulting and Project Management Services

Review of the existing batch capture configuration options.

Configuration and implementation of the as-built system to 1 additional facility assuming common build between facilities.

o Includes troubleshooting assistance during expansion

Hardware and Application Server Verification

Verification of application server software currently in place.

Verification of end user device software installation at up to 2 capture stations.

Remote assistance with setup and configuration of end user devices at up to 2 capture stations

Knowledge transfer for application server and end user device maintenance

Testing Cerner will support no more than 1 round of integration testing.

Reporting No additional or new reports are included. Existing Cerner standard auditing and reporting reports will support additional facilities and users if previously implemented. Any custom reports may need to be modified by Client. Implementation of Cerner’s standard auditing and reporting reports is not included in this Scope.

Training Includes services for super user training

Client is responsible for end user training and documentation creation.

Deliverables Content360 Batch Capture deployment as outlined in this Scope

Knowledge transfer of installation, configuration, and operational procedures for Maintenance purposes

Assumptions Appropriate hardware and licensing is in place and Client is current on Maintenance payments.

Content360 Batch Capture is currently live and operational in the existing environment.




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CPDI – BATCH – CLINICAL RECORDS EXTENSION (CTS-CPDI-HIM-EXT)


Estimated project effort is 1 onsite trip for kickoff and design review, remote meetings for knowledge transfer, remote meetings for assistance with capture station setup, and 1 onsite trip for conversion support.

Application and project management duration will be the length of the project, estimated to be approximately 3 months.

o Project management support will not exceed 14 weeks in total duration.

CPDI – WORK QUEUE MANAGER (CTS-CPDI-WQM-EXT)

Content360 Work Queue Manager (WQM) is an integrated imaging solution that supports paperless access areas within a hospital. By leveraging existing input devices (scanners, fax machines, multi-function devices) outside the hospital, paper-based media can be digitized and electronically transmitted to the WQM solution. For in-patient access, or other locations (including remote sites), the user can then view the media and the corresponding patient’s profile simultaneously, allowing the user to verify the media’s accuracy before entering it into Cerner Millennium.

Design Design topics include:

o Review the design of the as-built Content360 WQM system

o Project planning

o Forms design for optimizing indexing

o Event hierarchy/document types

o Document aliasing

o Batch class design

o Imaging process/workflow

o Work queue processing

Build Standard scope includes build for up to:

o 10 document types

o 20 queues

Facilities and Departments

Standard scope assumes 1 department at 1 facility

Data Capture Includes Batch Capture (with up to 4 Batch Capture Class definitions).

Single Document Capture is not included in the scope of services and is not supported by WQM at this time.

Testing Includes up to 2 rounds of integration testing (1 for non-production and 1 for production)

o Cerner will lead on the first round.

o Cerner will use integration testing to train Client super users for the second round.

Reporting Not included in this Scope

Training Includes services for super user training.

Client is responsible for end user training and documentation creation.

Includes administrative training for adding document types, adding positions, and architecture.

Deliverables Content360 WQM installed and configured as outlined in this Scope

Knowledge transfer of installation, configuration, and operational procedures for maintenance purposes




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CPDI – WORK QUEUE MANAGER (CTS-CPDI-WQM-EXT)

Super user training for the as-built system

Assumptions Content360 Work Queue Management is currently installed and working in Client’s production environment.

Content360 Single Document Capture is licensed and Client is up to date on Maintenance payments.

Content360 Single Document Capture is currently installed and working in Client’s production environment


Application and project management duration will be the length of the project, estimated to be approximately 3 months.

o Project management support will not exceed 14 weeks in total duration.

NUANCE DRAGON DIRECT INSTALLATION SERVICES (CTS-DRAGON-DIRECT-INSTALL)

Nuance Dragon Medical 360 Direct is a cloud-based clinical documentation solution that allows clinicians to capture the complete patient story with their voices while allowing health care organizations to easily deploy medical speech recognition across the enterprise.

Overview Cerner will provide technical consultation and implementation services to install Nuance Dragon Medical 360 Direct.


Schedule and conduct pre-install review discussion with Client

Provide pre-install checklist document to Client

Conduct a discovery call to:

o Determine facilities, departments, or units that are included in scope

o Define roles and responsibilities

o Determine timelines for implementation and projected go-live date

o Confirm remote access requirements for the installation

o Review Client workstation hardware to meet the minimum requirements of the application

o Confirm pre-install requirements have been completed

Install Nuance Dragon Medical 360 Direct

Install and configure up to 5 Client workstations with Nuance Dragon Medical 360 Direct

Conduct post-install validation confirming:

o Sites, group structure created, and users assigned to groups

o Roles function as expected (administrator, account administrator, etc.)

o User profiles created and profile paths validated

o User licenses assigned

Conduct technical training

o Conduct Nuance Dragon Help Desk Training off or on-site for up to 6 Client attendees

o Conduct Nuance Dragon Administrator Training for up to 6 Client attendees

o Provide a technical review of the Nuance Dragon solution, troubleshooting tips and tricks, escalation paths and responsibilities, and frequently asked questions




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NUANCE DRAGON DIRECT INSTALLATION SERVICES (CTS-DRAGON-DIRECT-INSTALL)

Deliverables Nuance Dragon Medical 360 Direct installation

Nuance Dragon Medical 360 Direct technical architecture document provided

Nuance Dragon Medical 360 Direct validation performed

Administrator training

Help desk training

Assumptions Certain tasks are dependent on the availability of Client technical personnel for verification and testing. Cerner will identify those Client tasks at the beginning of the project to facilitate scheduling and coordination

Client is responsible for installing necessary software on Citrix servers unless remotely hosted

o Cerner will provide installation services for remotely hosted clients

Client workstations meet minimum requirements

This engagement includes only the items set forth in this Scope. A new Ordering Document must be executed by the parties if Client requests additional tasks beyond those set forth herein




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EQUIPMENT/SUBLICENSED SOFTWARE DELIVERY

Delivery Information. The following delivery information is required to process the equipment/sublicensed software in this

Cerner System Schedule.

Delivery Address Delivery Contact Information

(Name of Facility) (Name – Printed)

(Address Line 1) (E-mail Address)

(Address Line 2) (Phone Number)

(City, State/Province, Zip/Postal Code, Country) (Fax Number)

Delivery Requirements. Please check the applicable box for each question below to help ensure a successful delivery.

Does the facility accommodate a 48 foot trailer? Yes No

Does the facility have a loading dock? Yes No

What are the receiving days and hours of operation?

(Please enter days and times available)

Days:

_____________

Time (From):

_____________

Time (To):

_____________

Will a lift gate and/or ramp be required? No Lift Gate Ramp

To what floor will the equipment be delivered? Basement Ground Floor: ________

Does the facility have an elevator, or will a stair crawler be required? Elevator Stair Crawler N/A

Does the facility require floor covering? Yes No



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EVENT ACTIVITY REPORT

Client: University Medical Center of El Paso 4815 Alameda Ave PO Box 20009 El Paso, TX 79905-2705 USA

Subject: Software Delivery and Installation

Document ID: 1-49J0SK1

This Event Activity Report (“EAR”) serves as confirmation that delivery and/or installation (meaning the physical presence of the software on the server) have occurred for the Licensed Software (or Cerner Software) and/or Licensed Software enhancements (or upgrades) set forth below.

DELIVERY

Delivery has occurred for the content set forth below. This delivery event does not include customization or implementation of such content.

Solution Family Solution Code Solution Description

Implementation Services MT-00001-MEM Consulting Content

Delivery of the content occurred at _________________________________________________ on ___________________. (Client Site) (Date)

INSTALLATION

Installation has occurred for the software set forth below. A Cerner associate performed a demonstration of the software; however, implementation of the software has not yet occurred.

Solution Family Solution Code Solution Description

CareAware iBus CI-200800 CareAware iBus for Bedside Medical Devices

CareAware MultiMedia MM-22260 CareAware MultiMedia - Digital Objects

Content360 Document Imaging CTP-CTRQ-PRV Work Queue manager provider license

iAccess CTP-IATK-WKAUTH-MED Instant Access Workflow Authentication (250-499 beds)

Open Port Interfaces IF-29095 Item Master Synchronization Incoming

PDI Software AE#VY10-002M-CER PDF I+T 2M/Yr

PDI Software AE#VY10-010M-CER PDF I+T 10M/Yr

PDI Software AE#VY10-600K-CER PDF I+T 600K/Yr

PDI Software EE#T024-001U-CER 1 concurrent station(enterprise)

PDI Software EE#T024-005U-CER 5 concurrent stations(enterprise)



PDI Software EE#Y024-002M-CER Image vol 2M/yr-Ent

PDI Software EE#Y024-010M-CER Image vol 10M/yr-Ent

PDI Software EE#Y024-600K-CER Image vol 600K/yr-Ent

SurgiNet SU-20320A Anesthesia Management

SurgiNet SU-20500A Surgical Management Suite

Remote Hosting Remote Hosting One Time Fee 724Reorg

Remote Hosting Remote Hosting One Time Fee WTS Toolkit

Remote Hosting Remote Hosting One Time Fee Cerner KM

Remote Hosting Remote Hosting One Time Fee Failover Script

Demonstration of the installed software occurred at ______________________________________________________ on (Client Site)

___________________. The software was demonstrated to _________________________________________________. (Date) (Name)



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EVENT ACTIVITY REPORT

The following signature represents completion of the delivery and/or installation event.

ACCEPTED FOR UNIVERSITY MEDICAL CENTER OF EL PASO

By:

Title:

(type or print)



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EXECUTION INVOICE

Client: University Medical Center of El Paso Invoice No: EXEC CSS No. 20 4815 Alameda Ave

PO Box 20009 Invoice Date: Effective Date

El Paso, TX 79905-2705 Due Date: Effective Date Remit: Via FedEx: OR Via Wire Transfer: Cerner Corporation ABA Routing Number: 101000187 Attn: Accounts Receivable, 5th Floor Bank: US Bank 2800 Rockcreek Parkway For Further Deposit to Bank Account: 5290000743 Kansas City, MO 64117

TOTAL AMOUNT DUE: $142,294

DescriptionTotal Solution

Amount

Percent

Payable

Net

Amount

SUBSCRIPTION ONE-TIME FEES $10,200 100% $10,200

LICENSED SOFTWARE ONE-TIME FEES $410,817 25% $102,704

MANAGED SERVICES ONE-TIME FEES $29,390 100% $29,390

$142,294

Sales tax, if applicable, will be invoiced separately.

Grand Total:

CERNER SYSTEM SCHEDULE NO. 20 - epchd.org · CERNER SYSTEM SCHEDULE NO. 20 This Cerner System...

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