1. Key Management Group, Inc. App Name : emrAnyWhere (Mobile App for iOS Platform)Rohit Narang, PresidentCopyright 2011 Allscripts Healthcare Solutions, Inc. 1

2. Solution Overview High Level Solution Description: emrAnyWhere is an App that provides a Real-time Access to the Medical Records. It also Provides a Messaging tool & a Lab Result Alerter. The Medical Records are overlaid with the data from HIEs / other sources. The Patient is also provided with Additional Information (Say, Drug Lithographs) sourced from Public Domain The App displays the Issues in the Medical History (Abnormal Labs / Vitals, Chronic Conditions, Social History Items) on the Main Page Healthcare/Business problem addressed: Lack of Access to Medical Records Paucity of Information Relevant to the Medical History (Most Patients Resort to Google Searches for Information on Conditions / Meds) Reliance on Phone Calls from Doctors Offices for Getting Alerts No Way of Interacting with the Providers Except for Phone or In-Person Visits. Email are Not Used by Providers This App Puts the Messaging Inside the EMR. Gong Forward the App will be Enhanced by Getting the Patient to Enter Discrete Medical Data Instead of just text The application addresses the following category: Innovative approaches to addressing value-based care imperatives.A Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc.2 3. Usability and Design Patient downloads the App & Configures it by Selecting the Care Provider(s) & Entering Own Demographic Information (Used for Matching with Providers Records) App Automatically links the Patient to the State / Other HIEs (NY State Covered in Initial Launch) Patient can View Medical Records on the App. The App Automatically fetches the Data from Associated Providers & HIEs and Displays in an Easily Understandable Format Feeds from Multiple Sources used to Provide Extra Information (For Example, Data Pulled Using InfoButton Format from MediLinePlus) on the Medical History Elements Other Issues Culled from Abnormal Labs / Vitals / Social History / Chronic Conditions are Displayed on the Landing Page (For example, Smokers see a Smoker Icon and then a Slew of Smoking Cessation Links) Uses a Secure Messaging Feature / Talk to My Provider Links next to the Medical History Elements for Sending Alerts to Provider(s). Pushing Directly into the Task List Ensures a Response A Blue Button is Provided so that the Patient can Download the Medical HistoryA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc.3 4. A Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 4 5. Development Stage Please indicate the development stage as of the Phase 1 Submission Date:Idea : CompletePrototype : Under Way. Target Date : 28-Feb (Team has built Services to Consume otherThirds Party Services Required. Appropriate Licenses have been Procured)Code development : In ProgressCode complete : 30-AprCode complete, tested and approved by Allscripts. : 15-May to 30-May The App is under Development. A Prelim Provider-Side Beta Version is Available on AppStore The Patient Side App will be Derived from the Provider Version (Albeit with a lot of UI changes) and will be Linked to AllScripts & SHIN-NY. APIs from MedLinePlus, Aetna, GoodRx will be used as required App will conform to BlueButton Standards for Downloading Medical HistoryA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc.5 6. Integration Description Integration Points with Allscripts Solution(s) Identifying a Patient Correctly while Registering for the App Usage Accessing the Patients Medical Records Retrieving Latest Lab Results & Vitals Retrieving Vaccination History Retrieving Patients Upcoming Appointments Adding Tasks for the Providers Retrieving tasks for a Particular PatientA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 6 7. Integration Description API Calls Identifying a Patient Correctly while Registering for the App Usage Search the patient based upon Demographic parameters (Name, DoB). If there is a match (or multiplematches), App confirms the ID by posing challenge questions like SSN or Zip Code. Patient MRN &Practice Mapping stored on App Servers API Calls : GetPatientList for fetching the list of matching patients followed by GetPatientInfo using theMRN. Multiple calls will be sent validating for each of the patients matched Accessing the Patients Medical Records Patient MRN used to request the CCD file or the Sections API Calls : GetPatientCDA or GetPatientSections Retrieving Latest Lab Results & Vitals Patient MRN used to request the file API Calls : GetPatientSections Retrieving Vaccination History Patient MRN used to request the file API Calls : GetPatientSectionsA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 7 8. Integration Description API Calls Adding Tasks for the Providers (Messages) Tasks added for a Particular Provider and Associated with the Patient using the App. Used when thePatient clicks on the Messages or the Talk to My Provider links API Calls : GetProviders to get a List of Providers in the Practice Followed by SaveTask for the ProviderSelected by the Patient. The Patient Associated to that Task using the MRN Retrieving Tasks for a Particular Patient (Messages) Returned to the Patient along with the Name of the Provider & Task (Message) Details API Calls : GetTaskList used to get all the tasks for the emrAnyWhere user followed by GetTask tolocate tasks meant for the particular patient (Filtering by the special user created for useremrAnyWhere & the patient using the app) Retrieving Patients Upcoming Appointments All Providers in the Practice polled for Appointments Matching the Patients MRN. Returned to thePatient along with the Name of the Provider, Location, Date & Time API Calls : GetSchedule filtered by the Patient NOTE : When the App Usage is Enabled at a Practice, a New User called emrAnyWhere will be Created. The App will log on using these Credentials. The Tasks etc will be Picked up Using this UserA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc.8 9. Go to Market Plans Information on business plans, It will be launched on the AllScripts Store in addition to the iTunes AppStore. KMG would be launching a sales campaign to push this App to the Larger Practices across the country. The campaign would include Mailers sent thru Post & Email. The App would also be showcased at the various HealthIT & mHealth forums where KMG participates. KMG will attempt to convince the Doctors to advise their patients to start using the App It will Target the Patients of Large Practices. The App Provides an Alternative to the Patient Portal Free for the Patients. $25/Month for the Providers Interested in Letting their Patients have this Access. Will be Sold to the PracticesA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 9 10. Video Demonstration The video shows the overview of the concept YouTube Link : http://youtu.be/F1yMrWjfjuQ?hd=1A Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 10 11. Why this solution be selected! emrAnyWhere makes the Patient Portals truly Mobile. The Smartphone dependent consumer no longer thinks of using browsers as convenient. They need everything on their phones as Apps. This App does exactly that By overlaying external data, emrAnyWhere adds a lot of value to the Patients Medical History. The Patient is not just told he/she suffers from Diabetes; the App provides a lot additional details (Alerts, Education Material, Details from local HIEs, Ability to Interact with the Providers) Key Management Group, Inc. (www.kmgus.com ) is an established software development company based in NY and, having developed two EMRs (MedScribe & MedPrime) certified for ONC Stage 1 and a multitude of HealthIT solutions, has the technical capability, financial muscle, sales expertise & entrepreneurial skills to make this venture a huge successA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc. 11 12. About Key Management GroupFounded in 1990Head Office in New YorkDevelopment Centers in New York & India www.kmgus.comProvides Development & Support ServicesExpertise in P&C Insurance and HealthcareTechnology Agnostic team of over 300Flexible Client Engagement ModelsA Connected Community of Health | Copyright 2011 Allscripts Healthcare Solutions, Inc.12