The Honorable Board of Supervisors County of Los Angeles...

Approval of delegated authority to the Director of the Department of Health Services or the Director of the Department of Public Health, as applicable, to: (a) execute amendments to the agreements with: (i) Cerner Corporation for the expansion of the Electronic Health Record System, also known as the Online Realtime Centralized Health Information Database, to the Los Angeles County Department of Public Health, and obtain additional software and related implementation and professional services; (ii) various contractors that provide equipment maintenance and information technology systems to the Department of Public Health or the Department of Health Services, as applicable, and (iii) Gartner, Inc. for the provision of project oversight and quality assurance consulting services to support the expansion of the Electronic Health Record System and implementation of an information technology platform for Whole Person Care; and (b) approve an Appropriation Adjustment.

SUBJECT

February 21, 2017

The Honorable Board of SupervisorsCounty of Los Angeles383 Kenneth Hahn Hall of Administration500 West Temple Street Los Angeles, California 90012 Dear Supervisors:

REQUEST APPROVAL TO DELEGATE AUTHORITY TO AMEND AGREEMENT H-705407 WITH CERNER CORPORATION,

APPROVAL OF OTHER CONTRACT ACTIONS, AMEND SOLE SOURCE AGREEMENT H-705792 WITH GARTNER, INC.,

AND AN APPROPRIATION ADJUSTMENT(ALL SUPERVISORIAL DISTRICTS)

(3 VOTES)

CIO RECOMMENDATION: APPROVE (X) APPROVE WITH MODIFICATION ( )

DISAPPROVE ( )

FHernandez

AdoptLori

FHernandez

Typewritten Text

22 February 21, 2017

IT IS RECOMMENDED THAT THE BOARD:

1. Delegate authority to the Director of the Department of Health Services (DHS Director), or his designee, to execute amendments to Agreement H-705407 (Cerner Agreement) with Cerner Corporation (Cerner) to: (a) address the integration of the County's health departments into the County Health Agency (Agency) by adding the Agency as the County department with management responsibility for the Cerner Agreement and make related administrative changes to the Cerner Agreement to address the structure of the Agency, with no change to the maximum Contract Sum; and (b) expand the Department of Health Services (DHS) Electronic Health Record (EHR) system, also known as the Online Realtime Centralized Health Information Database (ORCHID), to the Department of Public Health (DPH); obtain additional software and related implementation and professional services; and (c) increase the maximum Contract Sum in an amount not to exceed $10 million for the term of the Cerner Agreement, including all extensions until December 31, 2027.

2. Delegate authority to the DHS Director, or his designee, or the Director of the Department of Public Health (DPH Director), or her designee, to amend equipment maintenance and information technology (IT) agreements to facilitate successful and timely expansion of ORCHID to DPH, including, but not limited to: (a) acquisition of interfaces and systems required to facilitate the expansion, and related services; (b) procurement of professional services; (c) migration/archival of data and related professional services; (d) extension of the term of agreements; (e) increase of maximum agreement sums to effectuate the required aforementioned changes based on industry standard rates; and (f) termination of such agreements in whole or in part in accordance with terms of each agreement; with all actions subject to review and approval of County Counsel and, if applicable, the Chief Information Office (CIO), and with notification to the Board of Supervisors (Board) and Chief Executive Office (CEO) at a total estimated cost of $200,000.

3. Delegate authority to the DHS Director, or his designee, to execute amendments to Sole Source Agreement H-705792 (Gartner Agreement) with Gartner, Inc. (Gartner) to: (a) modify the statement of work for the provision of project oversight and quality assurance consulting services to support project monitoring and tracking for the expansion of ORCHID to DPH and increase the maximum Agreement Sum by $340,000 for the additional work; and (b) add a statement of work for the provision of project oversight and quality assurance consulting services to support program management, technology roadmap development, project monitoring and tracking for the Whole Person Care (WPC) IT platform implementation and increase the maximum Agreement Sum by $1,189,190 for the additional work; for a total increase in the Agreement Sum of $1,529,190 from $7,499,291 to $9,028,481 and with all amendments subject to prior review and approval by County Counsel and CIO.

4. Delegate authority to the DHS Director, or his designee, to further amend the Gartner Agreement to change the statements of work for additional consulting services and increase the maximum Agreement Sum by no more than ten percent (10%) of the amended Maximum Agreement Sum of

The Honorable Board of Supervisors2/21/2017Page 2

$9,028,481 which, if exercised, would not exceed $902,848 subject to prior review and approval by County Counsel and CIO, and with notification to the Board and CEO.

5. Approve an Appropriation Adjustment transferring $800,000 from the CEO’s Legacy Systems funding in the Provisional Financing Uses (PFU) budget unit to DPH’s operating budget to fund the Cerner implementation costs of the ORCHID expansion projected to incur in Fiscal Year (FY) 2016-2017.

PURPOSE/JUSTIFICATION OF RECOMMENDED ACTION

ORCHID Background

In November 2012, after an extensive solicitation process, the Board approved an agreement with Cerner for the provision of an EHR system. Commonly known as ORCHID, the final DHS "go-live" of ORCHID occurred at Rancho Los Amigos National Rehabilitation Center in March 2016. The Cerner Agreement was the culmination of five years of planning by the County to acquire and deploy an EHR system that would utilize cutting edge technology to improve patient health outcomes. ORCHID achieved "final acceptance" by DHS in December 2016, and moved from the implementation phase to its support and maintenance phase at DHS. In November 2016, an average ORCHID day included: 11,932 unique users; 82,919 patient orders; 37,261 emergency department and urgent care visits; and an average daily inpatient census of 1,164 across all of DHS.

Recommendation #1: Health Agency and DPH

Approval of the first recommendation will delegate authority to amend the Cerner Agreement to address the creation of the Agency, with no change to the maximum Contract Sum. While the Cerner Agreement was initially conceived and drafted to allow for its expansion to other County departments with Board approval, the primary department delegated with authority to manage it is DHS. With the creation of the Agency and the expansion of ORCHID to DPH, it is advisable to amend the Cerner Agreement to enable the Director of the Agency (Agency Director), or designee, to exercise all rights and responsibilities previously designated to the DHS Director with respect to both DHS and DPH. Similar changes will be made to other roles within the Cerner Agreement (e.g., DHS CIO to Agency CIO). This administrative change will not grant the Agency Director any additional authority with respect to the Cerner Agreement, other than those previously granted and those granted herein. However, this change is an important marker of the Agency's role with respect to the provision of patient care in the County and acknowledges the expansion of the Cerner Agreement to other County departments.

Approval of the first recommendation will also allow the execution of an amendment to the Cerner Agreement, substantially similar to Exhibit I, to expand ORCHID to DPH and increase the maximum Contract Sum accordingly. ORCHID has transformed patient information management, giving providers access to seamless and real-time unified patient health records, promoting efficient and integrated health care delivery. With the completion of deployment activities at DHS, and in alignment with the Board's goal to create an integrated County EHR system, DPH has decided to extend ORCHID to all suitable DPH sites that deliver health care services. After extensive review of the suitability of ORCHID for DPH and working with subject matter experts, DPH determined that it was in the best interest of the County to extend ORCHID to its Community Health Services (CHS) program.

CHS provides clinical and field surveillance services through its fourteen (14) public health centers


plus a satellite site on Skid Row. Clinic staff provide screening for and treatment of tuberculosis (TB) and sexually transmitted diseases (STDs), as well as immunization and triage services that can result in referrals to inpatient and specialty services in DHS. DPH currently relies on paper records, as well as a number of specialized systems for specific DPH programs to manage patient care. DPH currently utilizes a legacy information system that is more than twenty (20) years old to register patients at each of its public health centers. The system has virtually none of the capabilities of a modern EHR, with little to no capacity to capture encounter data or clinical notes and has poor reporting capabilities. Clinic staff utilize paper charts to track patient data and manually compile various reports. Interfaces to modern systems and medical devices are also difficult to establish and maintain and the system does not support billing and claiming workflows necessary for revenue generation activities.

In the CHS clinical setting, ready access to inpatient records supports the continuity of treatment once patients are discharged and assures public health nurses can effectively case manage the patient during the remainder of their care. For example, DHS and DPH collaborate very closely in the management of TB cases and the continuity of records for this care is a critical need. Drug resistant TB patients sometimes need to be admitted to inpatient care during their treatment in CHS clinics. Use of ORCHID will create one County record for these patients and assure continuity of care. As another example, the current paper-based system of records in DPH's STD clinics does not allow for reviewing entire patient histories when patients present at different sites. ORCHID will make all STD exams available for the clinician to review.

The provision of ORCHID to DPH will be in accordance with the same terms that applied to DHS, and ORCHID at DPH will include the same features and functions as the deployment at DHS, with certain changes made to account for differences in the DPH model of care. DPH will deploy the DHS "build" of ORCHID which will allow a more efficient deployment, with an anticipated twelve (12) month full implementation timeline. The timeline allows customization of specific features to address DPH's use cases. For example, while DHS pharmacies "fill prescriptions," DPH pharmacies "dispense medications," which is a different business process. As a result, ORCHID must be customized to meet DPH's pharmacy needs. The approach of using the existing ORCHID build, while engaging in a limited customization, will allow DPH to deploy ORCHID more quickly while being cost-effective. DPH intends to deploy ORCHID at all CHS clinics at the same time, with "go-live" expected to occur in January 2018.

The cost of the expansion of the Cerner Agreement to include DPH shall not exceed $10 million, including approximately $3.6 million in implementation fees, with the remainder designated as Pool Dollars to be used for licensing and support costs, as well as to purchase optional work, with the Agency Director, or designee, continuing to have the right to exercise all rights granted with respect to DHS for DPH. The cost also includes the limited cost-of-living adjustment which is included in the Cerner Agreement. The larger than typical Pool Dollar amount results from the fact that Cerner licensing fees will be finally determined as part of the use reconciliation process that occurs in the first quarter of 2018 (this process determines the actual number of users for which the County is charged – as a result, the Pool Dollars requested here, as with DHS’ request, include an amount reserved to pay for license fees based on an estimate of DPH’s expected use). License fees will be payable as of January 1, 2018 and will be paid from Pool Dollars after the use reconciliation is completed in 2018.

Recommendation #2: Impact on Other Agreements

Approval of the second recommendation will delegate authority to the DHS Director, or designee, and the DPH Director, or designee, as applicable, to amend or terminate equipment and IT


agreements impacted by the expansion of ORCHID to DPH. There are a number of existing DPH and DHS agreements for systems and services that may be impacted by ORCHID. Some systems may be discontinued and others may be retained and expanded or interfaced with ORCHID. For example, DPH maintains a separate medical imaging and information system from Fujifilm (PACS). DHS has a similar system maintained pursuant to a Board agreement with Fujifilm. As part of the deployment of ORCHID, DPH intends to use DHS' imaging system which will result in a single imaging system to support all patients. This may require termination of DPH's agreement with Fujifilm and likely amendment of the DHS agreement to add DPH.

In addition to consolidating IT systems, the use of a single imaging system, coupled with deployment of ORCHID, will enhance the ability of clinicians to provide patient care. For example, an admitting physician at Olive View-UCLA Medical Center TB inpatient unit will have access to all radiology images for the patient in the unified imaging system. Having the ability to compare radiology studies for TB patients over the entire course of their treatment—from the inpatient (DHS) to the outpatient setting (DHS and DPH)—is critical in assuring the effectiveness of TB disease treatment. These changes to the Fujifilm agreements are one instance of the changes to other agreements that may be required as a result of DPH's use of ORCHID.

The maximum agreement sums for certain agreements may need to be increased to effectuate these changes. DPH and DHS have calculated the total estimated cost not to exceed $200,000. DPH and DHS are identifying the agreements that may require modification and rather than file an individual Board letter for each impacted agreement, the delegation will allow the applicable department to amend or terminate agreements as needed over the course of its ORCHID implementation. The team will keep the Board informed of actions taken pursuant to this delegation, and each department will work closely with County Counsel, and the CIO if appropriate, to effectuate the necessary amendments or actions, with notice to the Board and CEO. The foregoing delegation was also provided by the Board to DHS during the DHS ORCHID implementation.

Recommendations #3 and #4: Gartner Agreement Amendments

Approval of the third recommendation will enable DHS to amend the current sole source Gartner Agreement to make changes to the statement of work and increase the maximum Agreement Sum for additional specialized consulting services. Pursuant to the Gartner Agreement, Gartner provides baseline and ongoing project risk assessment and reporting; ongoing quality control and quality assurance services to monitor compliance with the ORCHID project and Cerner Agreement requirements; and periodic quality assurance reviews of project status, key deliverables, and outcomes.

Gartner is also providing consulting services to support DPH’s planning activities for expansion of ORCHID to DPH. Pursuant to the recommended amendment, Gartner will monitor the overall project, assess project risks, provide support with project document preparation and review, and mentor DPH project staff to develop knowledge and process improvements related to operations, project planning, and execution. Gartner was an important factor in the success of the ORCHID deployment at DHS and its services are needed to support the expansion activities at DPH.

On November 1, 2016, the Board approved acceptance of an award of federal funds for WPC and delegated authority to DHS to procure a care management IT platform for WPC. Under the proposed Gartner amendment, a new statement of work will be added for the provision of project oversight and quality assurance consulting services to support project monitoring and tracking for the WPC IT platform implementation. Gartner will provide project management services for the approximate eight to twelve-month implementation. Considering the importance of timely delivery of the WPC IT


platform, Gartner will serve a crucial oversight function.

Finally, Gartner’s third-party oversight, quality assurance, and capacity building services in the ORCHID program have been a key element in the project’s early and ongoing accomplishments. While it was initially understood that there would be a need for some capacity building services, the actual need identified has been greater than anticipated. Gartner’s services are necessary to provide support as ORCHID matures into a stable maintenance and operations environment. Under the Gartner Agreement, there has been consistency of key Gartner personnel with unique skill sets which ensured continuity, and added to the success of ORCHID.

Approval of recommendations three and four will allow DHS to amend the Gartner Agreement to purchase additional consulting services by no more than ten percent (10%) of the $9,028,481 amended maximum Agreement Sum, which, if exercised, would not exceed $902,848. Any such amendments would be reviewed and approved by County Counsel and CIO with notice to the Board and CEO.

Recommendation #5: Appropriation Adjustment

Approval of the fifth recommendation is necessary to fund $800,000 of the Cerner implementation costs during FY 2016-17 by transferring that amount from the CEO’s Legacy Systems funding in the PFU budget unit to DPH.

Implementation of Strategic Plan Goals

The recommended actions support strategies II.2, “Supporting the wellness of our communities” and III.3 “Striving for operational effectiveness, fiscal responsibility and accountability” of the County’s revised Strategic Plan.

FISCAL IMPACT/FINANCING

Cerner Agreement

The current Contract Sum for the Cerner Agreement is $403,550,594. If approved, the actions herein will increase the Contract Sum to $413,550,594. The Contract Sum, as approved by the Board in November 2012, was $366,990,594. The Contract Sum was increased to $403,550,594 upon Board approval in June 2016, to address DHS' expansion of its use of "Healthe Intent," a population health platform, and the first phase of DHS' billing transformation project.

The increase of $10 million for the Cerner Agreement, is comprised of implementation fees, license fees, support fees and pool dollars for the ORCHID expansion to DPH. The implementation costs of approximately $3.6 million, which will be incurred over two fiscal years, will be funded in part by CEO's Legacy Systems funding. An appropriation adjustment is required to transfer $800,000 from the CEO’s Legacy Systems funding in the PFU budget unit to DPH for FY 2016-2017. The remaining funds will be requested during the budget process in future fiscal years, as needed.

Other Agreements

The estimated cost of amending the equipment maintenance and IT agreements is estimated to be $200,000. Funding is currently available in DPH’s current budget and will be requested in future


fiscal years as needed.

Gartner Agreement

The increase in the maximum Agreement Sum for the Gartner Agreement is $1,529,190 and the new maximum Agreement Sum is $9,028,481 for the full five-year contract term of May 14, 2013 through May 31, 2018.

Of this increase, $340,000 is associated with DPH's expansion activities and is currently in the FY 2016-2017 Adopted Budget for DPH and will be requested in future fiscal years as needed.

The remaining $1,189,190 is related to Gartner’s project oversight and quality assurance services for DHS’ WPC care management IT platform. The funding is included in DHS’ FY 2016-17 Mid-Year Budget Adjustment for Board approval on February 21, 2017.

FACTS AND PROVISIONS/LEGAL REQUIREMENTS

Cerner Agreement

The Cerner Agreement was awarded as a result of a competitive solicitation. It was initially approved by the Board on November 27, 2012 and has been amended eight (8) times. Amendment Number 1, approved by the Board on December 13, 2013, allowed the DHS Director to adjust “Go-Live” dates for up to 120 days across all clusters, with no change to the maximum contract sum. Amendment Number 2, approved by the Board on September 16, 2014, allowed DHS to expend Pool Dollars for the acquisition of Cerner's address verification and validation software and to permit DHS to access Pool Dollars prior to “Go-Live” for additional professional services and the purchase of new software licenses. Amendment Number 3, approved by the Board on May 19, 2015, allowed the DHS Director to adjust "Go-Live" dates and addressed certain terms in subcontracts and license agreements related to ORCHID. Amendment Numbers 4 to 7, approved by the Board on June 14, 2016, granted the DHS Director additional rights in the day-to-day management of the Agreement, such as in managing the "final acceptance" process, allowed DHS to expand its purchase of "Healthe Intent", a population health platform, and began the first phase of the County's billing transformation project, which will transform DHS' charging, billing, and date capture practices from an all-inclusive system to an itemized billing system. Amendment Number 8 effectuated the purchase of remote hosting services for DHS' pharmacy system. County Counsel has approved Exhibit I as to form.

Gartner Agreement

The Board approved a Sole Source Agreement with Gartner for the period of May 14, 2013 through May 31, 2016 with two one-year options to extend the Gartner Agreement through May 31, 2018. Subsequent amendments to the Gartner Agreement and increases to the maximum Agreement Sum were approved by the Board for additional consulting services related to the ORCHID implementation, Housing for Health case management system acquisition, and the DPH ORCHID expansion planning process, as well as delegating authority to increase the maximum Agreement Sum by $197,810. Pursuant to this delegated authority, DHS amended the Gartner Agreement in January 2017 in order for the firm to assist DHS in preparing the statement of work for the WPC IT Platform.

Use of Outside Counsel

Because of the importance of this project, County Counsel continues to retain Foley & Lardner, LLP,


to work in conjunction with County Counsel to advise on implementation and contract issues. The CIO has reviewed and approves of this request, and has determined that, at this time, it does not introduce any new technology-related issues that would necessitate the preparation of a formal CIO Analysis. As approval of this request will result in authority being delegated to the DHS Director and the DPH Director to amend existing agreements with Cerner and Gartner to expand ORCHID to DPH where applicable, and are subject to review and approval by the CIO and notification to the Board and CEO, an in-depth analysis of the IT-related actions contemplated in those Amendments, when proposed, will be conducted by the CIO and recommendations, as necessary and appropriate, will be made at that time.

CONTRACTING PROCESS

The requested actions include amending the Cerner Agreement, which was originally awarded as a result of an extensive and unprotested competitive solicitation.

The Sole Source Gartner Agreement was awarded based on several factors, including the depth and breadth of the firm’s experience on the ORCHID project's procurement and contracting process. Initially working under a competitively bid Information Technology Support Services Master Agreement (ITSSMA) Work Order, Gartner worked closely with DHS, County Counsel, and outside counsel, Foley and Lardner, LLP, to help lead the development of DHS' ORCHID strategy, structure of the project’s governance process and the rigorous and highly structured procurement process. Gartner continued to partner with the County project team during the Cerner Agreement negotiations and, during that time, Gartner worked extensively with DHS staff in the development and oversight of the Cerner Agreement’s Statements of Work, the completion of which is integral to ORCHID’s success. Gartner has continued to serve this function at DPH.

All of these factors uniquely situate the firm to support DPH during the design, build and implementation of the new system. DHS determined that it is not feasible to conduct a Request for Proposals (RFP) process to obtain additional consulting services as: (i) another firm would not bring the same scope and depth of experience to the project; (ii) the timeframe for ORCHID expansion to DPH necessitates service continuity; and (iii) amendment of the existing Gartner Agreement will result in economic benefit to the County as Gartner resources are already trained on ORCHID and County processes. With regards to the WPC project, Gartner’s depth of knowledge of County IT systems, and workflow processes associated with WPC, will assist DHS in meeting the critical deadlines associated with WPC. It is not feasible to competitively solicit for these consulting services for the WPC project and still meet the WPC implementation timeline. The recommended amendment will increase services under the current Agreement.

IMPACT ON CURRENT SERVICES (OR PROJECTS)

Approval of these recommendations will enable DPH to deploy a centralized, standardized EHR system which will ensure that patients who seek services at DPH clinics will receive consistent care, supported by ORCHID across the entire care continuum.


Respectfully submitted,

Mitchell H. Katz, M.D.

Director

Barbara Ferrer, PhD, MPH, MEd

Director

PETER LOO

Acting Chief Information Officer

Enclosures

Chief Executive OfficeExecutive Office, Board of SupervisorsCounty Counsel

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COUNTY OF LOS ANGELES CERNER CORPORATION

AMENDMENT NO. 9 TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT

AGREEMENT NO. H‐705407

AMENDMENT NUMBER 9

TO THE

ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT

BY AND BETWEEN

THE COUNTY OF LOS ANGELES

AND

CERNER CORPORATION

FEBRUARY **, 2017

EXHIBIT I


AMENDMENT NO. 9‐1 AMENDMENT NO. 9 TO THE ELECTRONIC HEALTHRECORDS SYSTEM AND SERVICES AGREEMENT


TABLE OF CONTENTS

Page

1. AMENDMENT TRACKING................................................................................................................... 32. PURPOSE OF AMENDMENT NUMBER 9 ............................................................................................ 33. MODIFICATIONS TO THE AGREEMENT ............................................................................................. 44. EXHIBIT A.25.19 (DPH EXTENSION PROJECT WORK PLAN) .............................................................. 55. EXHIBIT A.26.4 (DPH LICENSED SOFTWARE FUNCTIONAL REQUIREMENTS) .................................. 56. EXHIBIT A.38 (DPH EXTENSION STATEMENT OF WORK) .................................................................. 57. EXHIBIT C.9.9 (AMENDMENT NO. 9 TO EXHIBIT C.9 (DETAILED PRICING SUMMARY)) .................. 58. EXHIBIT C.39 (DPH EXTENSION KEY MILESTONES AND KEY DELIVERABLES TABLE) ....................... 59. EXHIBIT C.40 (DPH EXTENSION MILESTONE PAYMENTS TABLE) ..................................................... 510. EXHIBIT C.41 (DPH EXTENSION PRICING SPREADSHEET) ................................................................. 511. EXHIBIT M.9 (DPH INTERFACE LIST) .................................................................................................. 612. EXHIBIT GG.9 (DPH REPORTS LIST) ....................................................................................................7


AMENDMENT NO. 9‐2 AMENDMENT NO. 9 TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT

The Electronic Health Records System and Services Agreement, Agreement No. H‐705407, by and between the County of Los Angeles, a political subdivision of the State of California (“County”) and Cerner Corporation, with its principal place of business at 2800 Rockcreek Parkway, North Kansas City, MO 64117 (“Contractor”), with an Effective Date of December 21, 2012 (the “Agreement”), as amended by the Parties pursuant to: Amendment Number 1, dated June 20, 2014, Amendment Number 2, dated October 8, 2014, Amendment Number 3, dated October 31, 2015, Amendment Number 4, dated June 30, 2016, Amendment Number 5, dated June 30, 2016, Amendment Number 6, dated June 30, 2016, Amendment Number 7, dated December 1, 2016, Amendment Number 8, dated December 31, 2016, Change Notice Number 1, dated January 29, 2015, Change Notice Number 2, dated February 9, 2015, Change Notice Number 3, dated March 27, 2015, Change Notice Number 4, dated March 30, 2015, Change Notice Number 5, dated May 28, 2015, Change Notice Number 6, dated August 1, 2016, Change Notice Number 7, dated December 1, 2016, Change Order A, dated October 1, 2015, Change Order B, dated October 15, 2015, Change Order C, dated November 4, 2015, Change Order D, dated May 27, 2016, Change Order E, dated September 30, 2016, Change Order F, dated December 15, 2016, and Change Order G, dated January 26, 2017.

is hereby changed by the Parties pursuant to Section 13 (Changes to Agreement) of the Agreement by this Amendment Number 9 to the Electronic Health Records System and Services Agreement (“Amendment Number 9”), effective as of February **, 2017 (“Ninth Amendment Effective Date”). The capitalized terms in this Amendment Number 9 shall have the meaning ascribed in the Agreement unless expressly otherwise defined herein. In the event of a conflict between the body of this Amendment Number 9 and the Agreement any Statement of Work, Exhibit, Attachment, Schedule, or incorporated material, the Agreement shall govern. Contractor and County may be referred to in this Amendment Number 9 individually as a “Party” and together as the “Parties.”

AMENDMENTS In consideration of the mutual covenants and agreements contained herein, the Parties agree as follows:




1. AMENDMENT TRACKING

The Parties agree that each amendment to the Agreement shall be sequentially numbered, beginning with this Amendment Number 1 and including this Amendment Number 9. Amendments to Exhibits shall be referred to in the body of the Amendment and implemented through the deletion of the prior Exhibit (or lowest affected numbered subpart thereof) in its entirety and replacing it with the amended Exhibit. All changes to the amended Exhibit must be highlighted or other means shall be used to clearly identify the changes made to the prior Exhibit. Changes that are not highlighted or otherwise clearly identified shall not be effective as it is the intention of the Parties that unaffected parts of amended Exhibits need not be reexamined in connection with the amendment process. The amended Exhibit is to also have its title modified to correspond to the amendment number under which the change was made. For example, the amendment to Exhibit A would include on the title of the Exhibit the following “Amendment Number 9 to Exhibit A.”

2. PURPOSE OF AMENDMENT NUMBER 9

County is extending the EHR System for additional use by the County’s Department of Health Services (“DHS”) and its Department of Public Health (“DPH”) and their clinics, as provided in this Amendment Number 9. DHS and DPH are both part of the Los Angeles County Health Agency (Agency) as further addressed in Section 3.1 of this Amendment.

As of the Ninth Amendment Effective Date, County has identified five (5) Co‐Located Sites (DPH sites at which services provided are primarily DHS primary care services) and ten (10) DPH Sites, as set forth below:

The five (5) Co‐Located Sites are:

1. Antelope Valley – 335‐B East Avenue K6, Lancaster, CA 93535

2. Curtis Tucker – 123 West Manchester Blvd., Inglewood, CA 90301

3. Glendale – 501 North Glendale Avenue, Glendale, CA 91206

4. MLK Jr. – 11833 South Wilmington Avenue, Los Angeles, CA 90059

5. Torrance – 711 Del Amo Blvd., Torrance, CA 90502

The ten (10) DPH Sites are:

1. Central – 241 N. Figueroa Street, Los Angeles, CA 90012

2. Hollywood Wilshire – 5206 Melrose Avenue, Los Angeles, CA 90038

3. Monrovia – 330 West Maple Avenue, Monrovia, CA 91016

4. North Hollywood – 5300 Tujunga Avenue, North Hollywood, CA 91601

5. Pacoima – 13300 Van Nuys Blvd., Pacoima, CA 91331

6. Pomona – 750 South Park Avenue, Pomona, CA 91766

7. Ruth Temple – 3834 South Western Avenue, Los Angeles, CA 90062

8. Simms Mann – 2509 Pico Blvd, Santa Monica, CA 90405

9. Whittier – 7643 South Painter Avenue, Los Angeles, CA 90602




10. Satellite Tuberculosis Clinic at the JWCH Center for Community Health (Leavey Center) – 522 San Pedro Street, 1st floor, Los Angeles, CA 90013

Contractor and County agree that (a) the extension of the EHR System to the DPH Sites shall be considered an Approved Physical Growth Event and related one‐time and recurring fees will be in accordance with the pricing set forth in Exhibit C.4 (Approved Physical Growth Event Pricing); and (b) the extension of the EHR System to the Co‐Located Sites will be treated as an extension of the EHR System by DHS and not treated as an Approved Physical Growth Event.

As to the all one time and recurring fees under this Amendment (including the Use Reconciliation that occurs subsequent to the Approved Physical Growth Event for the extension of the EHR System to the DPH Sites, as further described in Section 2.2.1 (Use Reconciliation) of Exhibit C (Fees; Contractor Professional Service Rates), but excluding the implementation fees), such fees will be payable as of January 1, 2018, subject to use calculations based on the Use Reconciliation to be conducted during the first quarter of 2018, in accordance with Section 2.2.1 (Use Reconciliation) of Exhibit C (Fees; Contractor Professional Service Rates).

3. MODIFICATIONS TO THE AGREEMENT

The following subsections in this Section 3 (Modifications to the Agreement) modify the Agreement, in accordance with Section 13.4 (Amendments) of the Agreement, only to the extent explicitly set forth below.

3.1 RECITAL B

Recital B of the Agreement is amended by adding the following sentences to the end of the paragraph:

“Upon the Ninth Amendment Effective Date, references to County in this Agreement shall include the County's Department of Public Health (DPH). DHS and DPH are part of the Los Angeles County Health Agency (Agency), which is governed by the Board through its appointed Director. After the Ninth Amendment Effective Date, references to the Director shall mean the Director of the Agency, or designee.”

3.2 HEALTH AGENCY CIO

After the Ninth Amendment Effective Date, references to the “DHS CIO” in the Agreement shall mean the “Chief Information Officer of the Agency.”

3.3 SYSTEM CONFIGURATION WARRANTY EXTENSION

The representation and warranty provided in Section 17.1.9 (System Configuration Warranty) shall apply as to the Services being provided under Amendment Number 9 through one (1) year after Productive Use of the Licensed Software at DPH.

3.4 MAXIMUM CONTRACT SUM

Section 14.1 (Maximum Contract Sum) of the Agreement is amended by the deletion of the amount “Four Hundred Three Million, Five Hundred Fifty Thousand, Five Hundred Ninety‐Four Dollars ($403,550,594)” and replacing it with the number “Four Hundred Thirteen Million, Five Hundred Fifty Thousand, Five Hundred Ninety‐Four ($413,550,594)”, as restated in whole below:

14.1 MAXIMUM CONTRACT SUM

The Contract Sum under this Agreement shall be the total monetary amount payable by County to Contractor for supplying all the tasks, subtasks, Deliverables, goods, and




Services required or requested by County under and during the Term of this Agreement. If County does not Approve work in writing, no payment shall be due Contractor for those Services. The Contract Sum, including all applicable taxes, authorized by County hereunder shall not exceed Four Hundred Thirteen Million, Five Hundred Fifty Thousand, Five Hundred Ninety‐Four ($413,550,594)” as further detailed in Exhibit C (Fees; Contractor Professional Services Rates), unless the Contract Sum is modified pursuant to a duly Approved Amendment to this Agreement by the Board and Contractor’s authorized representative(s) pursuant to Section 13 (Changes to Agreement). The Contract Sum under this Agreement shall cover the authorized payments for all elements of the EHR System, including the Licensed Software, Third‐Party Products, Hosting Software, Hardware, and Services including, Implementation Services, Hosting Services, Support Services, and any Optional Work. The Contract Sum shall not be adjusted for any costs or expenses whatsoever of Contractor.

4. EXHIBIT A.25.19 (DPH EXTENSION PROJECT WORK PLAN)

Exhibit A.25.1 (Project Work Plan) is amended by the inclusion of “A.25.19 (DPH Extension Project Work Plan)” which shall be included in all references to “A.25.1 (Project Work Plan)”.

5. EXHIBIT A.26.4 (DPH LICENSED SOFTWARE FUNCTIONAL REQUIREMENTS)

Exhibit A.26 (Licensed Software Requirements) is amended by the inclusion of “A.26.4 (DPH Licensed Software Functional Requirements)” which shall be included in all references to “A.26 (Licensed Software Requirements)”.

6. EXHIBIT A.38 (DPH EXTENSION STATEMENT OF WORK)

Exhibit A (Statements of Work) is amended by the inclusion of “Exhibit A.38 (DPH Extension Statement of Work)” which shall be included in all references to “Exhibit A (Statements of Work)”.

7. EXHIBIT C.9.9 (AMENDMENT NO. 9 TO EXHIBIT C.9 (DETAILED PRICING SUMMARY))

Exhibit C.9 (Detailed Pricing Summary) is amended by the inclusion of “Exhibit C.9.9 (Amendment No. 9 to Exhibit C.9 (Detailed Pricing Summary))” which shall be included in all references to “Exhibit C.9 (Detailed Pricing Summary)”.

8. EXHIBIT C.39 (DPH EXTENSION KEY MILESTONES AND KEY DELIVERABLES TABLE)

Exhibit C (Fees; Contractor Professional Services Rates) is amended by the inclusion of “Exhibit C.39 (DPH Extension Key Milestones and Key Deliverables Table)” which shall be included in all references to “Exhibit C (Fees; Contractor Professional Services Rates)”.

9. EXHIBIT C.40 (DPH EXTENSION MILESTONE PAYMENTS TABLE)

Exhibit C (Fees; Contractor Professional Services Rates) is amended by the inclusion of “Exhibit C.40 (DPH Extension Milestone Payments Table)” which shall be included in all references to “Exhibit C (Fees; Contractor Professional Services Rates)”.

10. EXHIBIT C.41 (DPH EXTENSION PRICING SPREADSHEET)

Exhibit C (Fees; Contractor Professional Services Rates) is amended by the inclusion of “Exhibit C.41 (DPH Extension Pricing Spreadsheet)” which shall be included in all references to “Exhibit C (Fees; Contractor Professional Services Rates)”.




11. EXHIBIT M.9 (DPH INTERFACE LIST)

Exhibit M (Interfaces) is amended by the inclusion of “Exhibit M.9 (DPH Interface List)” which shall be included in all references to “Exhibit M (Interfaces)”.

12. EXHIBIT GG.9 (DPH‐SPECIFIC REPORTING REQUIREMENTS)

Exhibit GG (Required Reports) is amended by the inclusion of “Exhibit GG.9 (DPH‐Specific reporting Requirements)” which shall be included in all references to “Exhibit GG (Required Reports)”.

[Signature Page Follows]




IN WITNESS WHEREOF, the Board of Supervisors of the County of Los Angeles has caused this Amendment Number 9 to be executed by its Director of Health Services, and Contractor has caused this Amendment Number 9 to be executed in its behalf by its duly authorized officer, as of the Ninth Amendment Effective Date.

COUNTY OF LOS ANGELES (“County”)

By: MITCHELL H. KATZ, M.D., DIRECTOR OF HEALTH SERVICES

CERNER CORPORATION (“Contractor”)

By:

APPROVED AS TO FORM:

MARY C. WICKHAM COUNTY COUNSEL

By: ___________________________

DEPUTY


EXHIBIT A.25.19 (DPH EXTENSION PROJECT WORK PLAN) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit A.25.19 (DPH Extension Project Work Plan)

to the

Electronic Health Records System and Services Agreement

ID Task Name Start Finish 1 Key Dates Wed 2/1/17 Mon 4/23/182 Executive Alignment Wed 2/1/17 Tue 2/7/173 INTERNAL: Internal Project Kick‐Off Fri 2/17/17 Fri 2/17/174 MS: Domain Ready Tue 2/14/17 Tue 2/14/175 Project Team Readiness Mon 3/13/17 Tue 3/14/176 Current State Review ‐ Week 1 Tue 3/14/17 Fri 3/17/177 INTERNAL: Current State Review Debrief Mon 3/27/17 Fri 3/31/178 Current State Leadership Debrief Mon 4/10/17 Mon 4/10/179 INTERNAL: Future State Review Strategy Mon 4/24/17 Fri 4/28/1710 Measurement Workshop Mon 5/8/17 Tue 5/9/1711 MS: Gateway 1 ‐ ALIGN Mon 5/8/17 Mon 5/8/1712 MS: Order Catalog Complete Fri 5/12/17 Fri 5/12/1713 INTERNAL: Future State Review Dry‐Run Mon 5/8/17 Fri 5/12/1714 Future State Review ‐ Week 1 Mon 5/22/17 Fri 5/26/1715 Testing Preparation Session Mon 6/5/17 Mon 6/5/1716 Future State Validation Mon 6/12/17 Fri 6/16/1717 MS: Gateway 2 ‐ VALIDATE Fri 6/30/17 Fri 6/30/1718 Test Script Development Mon 6/19/17 Fri 6/30/1719 System Testing Mon 7/3/17 Fri 7/28/1720 MS: Integration Test Scripts Complete Mon 7/31/17 Mon 7/31/1721 Integration Testing 1 ‐ Clinical ‐ Week 1 Mon 8/7/17 Fri 8/11/1722 Go Live Planning Mon 8/14/17 Fri 8/25/1723 MS: Gateway 3 ‐ TRAIN Mon 9/18/17 Mon 9/18/1724 Clinical Cutover Strategy Workshop Mon 9/18/17 Tue 9/19/1725 Integration Testing 2 ‐ Clinical ‐ Week 1 Mon 9/11/17 Fri 9/15/1726 End User Training Mon 10/9/17 Fri 11/10/1727 MS: Gateway 4 ‐ ACTIVATE Mon 11/6/17 Mon 11/6/1728 Favorites Fair Mon 10/30/17 Fri 11/3/1729 Go Live Mon 11/13/17 Fri 11/17/1730 INTERNAL: Health Check Diagnostic Mon 12/11/17 Fri 12/15/1731 Health Check Mon 1/8/18 Fri 1/12/1832 INTERNAL: Health Check Debrief Mon 1/15/18 Fri 1/19/1833 Health Check Executive Summary Mon 1/22/18 Mon 1/22/1834 MS: Gateway 5 ‐ MEASURE Fri 2/9/18 Fri 2/9/1835 Value Achievement Review Mon 4/23/18 Mon 4/23/1836 DPH Rollout Mon 8/28/17 Thu 1/11/1837 Analytics Mon 8/28/17 Thu 1/11/1858 CCL Reproting Tue 1/24/17 Fri 6/8/1859 Report Specifications Reviewed Mon 3/20/17 Fri 5/12/1760 Build/Code Reports Mon 5/15/17 Fri 8/11/17

LA County DPH Project Work Plan

Page 1

ID Task Name Start Finish 61 Test Reports Mon 7/3/17 Fri 11/3/1762 Promote Reports to PROD Mon 11/13/17 Mon 11/13/1763 Foundations Fri 2/17/17 Fri 6/8/1864 Foundations (Core) Tue 2/28/17 Mon 11/27/1765 Future State Review Strategy Mon 4/24/17 Fri 4/28/1766 Future State Review Mon 5/22/17 Fri 5/26/1767 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/1768 Future State Validation Mon 6/12/17 Fri 6/16/1769 Integration Testing 1 Mon 8/7/17 Fri 8/11/1770 Integration Testing 2 Mon 9/11/17 Fri 9/15/1771 Go Live Mon 11/13/17 Fri 11/17/1772 Data Collection Workbooks Mon 3/20/17 Fri 8/25/1773 DCW ‐ Core Systems Phase X Personnel Collection Mon 3/20/17 Fri 8/25/1774 DCW ‐ Core Systems Phase X Personnel Collection> Production Audit Mon 8/14/17 Fri 8/18/1775 DCW ‐ Core Systems Phase X Personnel Collection> Production Audit Mon 8/21/17 Fri 8/25/1776 DCW ‐ Core Systems Phase X Personnel Collection> PX Positions Mon 8/14/17 Fri 8/18/1777 DCW ‐ Core Systems Phase X Personnel Collection> PX Positions Mon 8/21/17 Fri 8/25/1778 DCW ‐ Locations Mon 8/14/17 Mon 8/14/1779 DCW ‐ Facility Organizations Mon 3/20/17 Wed 4/12/1780 Configure Thu 4/13/17 Fri 10/6/1781 Foundations ‐ Add Org and Org Groups to Prsnl Mon 8/14/17 Fri 8/25/1782 Foundations ‐ Personnel ‐ Physicians Mon 8/28/17 Fri 10/6/1783 Foundations ‐ Personnel Mon 8/28/17 Fri 10/6/1784 Foundations ‐ Organization Aliases Thu 4/13/17 Wed 4/19/1785 Foundations ‐ Locations Thu 4/13/17 Wed 4/19/1786 DQA ‐ Core Systems ‐ Current State Review (if Phase X) Tue 2/28/17 Tue 2/28/1787 DQA ‐ Core Systems ‐ Go Live Mon 10/30/17 Mon 10/30/1788 DQA ‐ Core Systems ‐ Health Check Diagnostic Week Mon 11/27/17 Mon 11/27/1789 EMPI Mon 4/24/17 Fri 11/17/1790 Future State Review Strategy Mon 4/24/17 Fri 4/28/1791 Future State Review Mon 5/22/17 Fri 5/26/1792 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/1793 Future State Validation Mon 6/12/17 Fri 6/16/1794 Integration Testing 1 Mon 8/7/17 Fri 8/11/1795 Integration Testing 2 Mon 9/11/17 Fri 9/15/1796 Go Live Mon 11/13/17 Fri 11/17/1797 Work Package: EMPI ‐ Netrics Servers Mon 5/29/17 Tue 5/30/1798 Work Package: EMPI ‐ Settings Mon 5/29/17 Tue 5/30/1799 Work Package: EMPI ‐ Reports Mon 5/29/17 Tue 5/30/17100 Work Package: EMPI ‐ Batch match Mon 5/29/17 Tue 5/30/17


Page 2

ID Task Name Start Finish 101 Work Package: EMPI ‐ Post Reg Reconciliation Mon 5/29/17 Tue 5/30/17102 Localize System Test Tracking and Scripts ‐ EMPI Mon 6/19/17 Mon 6/19/17103 First Draft System Test Scripts ‐ EMPI Tue 6/20/17 Mon 6/26/17104 Final System Test Scripts ‐ EMPI Tue 6/20/17 Mon 6/26/17105 Complete System Testing ‐ EMPI Tue 6/27/17 Mon 7/10/17106 CCD/CDG/Summary of Care Fri 2/17/17 Fri 9/15/17107 Step 1 Tue 3/14/17 Mon 3/20/17108 Pools DCW and assignment Tue 3/14/17 Mon 3/20/17109 Ops Job DCW and assignment Tue 3/14/17 Mon 3/20/17110 Step 2 Tue 3/21/17 Mon 3/27/17111 External referral order format due Tue 3/21/17 Tue 3/21/17112 CCD review Tue 3/21/17 Tue 3/21/17113 CCD Formatting DCW and assignment Wed 3/22/17 Mon 3/27/17114 Step 3 Tue 3/28/17 Mon 4/3/17115 Pools, ops job DCWs due Tue 3/28/17 Tue 3/28/17116 Implementation Review: Pools and Rules Tue 3/28/17 Mon 4/3/17117 Implementation Review: Internal Provisioning Tue 3/28/17 Mon 4/3/17118 Step 4 Tue 4/4/17 Mon 4/10/17119 CCD changes due Tue 4/4/17 Tue 4/4/17120 Implementation Review: CCDs Wed 4/5/17 Thu 4/6/17121 Implementation Review: External Address Book Fri 4/7/17 Mon 4/10/17122 Step 5 Mon 9/11/17 Fri 9/15/17123 Outbound Testing (ops job, EAB, CCD, pools/rules) Mon 9/11/17 Fri 9/15/17124 Step 6 Mon 9/11/17 Fri 9/15/17125 Inbound Testing (data rec, pools/rules) Mon 9/11/17 Fri 9/15/17126 Step 8 Fri 2/17/17 Thu 2/23/17127 Finalize processes Fri 2/17/17 Thu 2/23/17128 Cerner Direct Mon 10/2/17 Fri 11/17/17129 Millenium Direct Messaging Service Mon 10/2/17 Wed 10/4/17130 BUILD Mon 10/2/17 Wed 10/4/17131 Run Bedrock Wizard to provision internal accounts Mon 10/2/17 Wed 10/4/17132 Testing/Go‐Live Mon 10/2/17 Wed 10/4/17133 Testing Mon 10/2/17 Wed 10/4/17134 Client Provision internal email in HNAUser.exe Mon 10/2/17 Wed 10/4/17135 Run External Address Book Functionality (optional) (.28 code level or higher) Mon 10/2/17 Tue 10/3/17136 Milestone: PROD/Go Live SIGN OFF Mon 11/13/17 Mon 11/13/17137 Start sending Direct messages Mon 11/13/17 Fri 11/17/17138 Clinical FSI Mon 3/20/17 Mon 2/12/18139 Complete Scope Review document Mon 3/20/17 Mon 3/20/17140 Design ‐ SDO Mon 5/29/17 Fri 6/30/17


Page 3

ID Task Name Start Finish 141 Design ‐ FSI ‐ Interface Build (Interface 1) ‐ Clinical Mon 5/29/17 Fri 6/30/17142 Unit 2 Specs ‐ Clinical Interfaces Mon 5/29/17 Fri 6/9/17143 Sign Off on Unit 2 Specs ‐ Clinical Interfaces Fri 6/30/17 Fri 6/30/17144 FSI Connectivity Spreadsheet Mon 7/3/17 Mon 7/3/17145 Configure Mon 7/3/17 Fri 8/25/17146 Build ‐ FSI ‐ Interface Build (Interface 1) ‐ Clinical Mon 7/3/17 Fri 8/25/17147 Complete System Testing ‐ Clinical Interface Mon 8/28/17 Fri 9/8/17148 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17149 Go Live Readiness Assessment ‐ Clinical Interface Mon 8/14/17 Mon 8/14/17150 Review & Update Go Live Cutover Plan (sent by IA) ‐ Clinical Interface Wed 9/20/17 Thu 9/21/17151 Complete the Turnover Process documentation‐ Clinical Interface Mon 2/12/18 Mon 2/12/18152 Complete Post Go Live Assessment Workbook for Clinical Interface Mon 1/1/18 Tue 1/2/18153 Print Services Mon 5/22/17 Fri 9/8/17154 Data Collection Workbooks Mon 5/22/17 Fri 9/8/17155 DCW ‐ Print Services Mon 5/22/17 Fri 9/8/17156 DCW ‐ Print Services> TEST Printers Mon 5/22/17 Wed 5/31/17157 DCW ‐ Print Services> PROD Printers Mon 7/24/17 Wed 8/2/17158 DCW ‐ Print Services> WTS Locations Mon 5/29/17 Fri 9/8/17159 Test Printer data submitted to Cerner Mon 6/12/17 Mon 6/12/17160 PROD Printer data submitted to Cerner Mon 7/3/17 Mon 7/3/17161 Configure Tue 6/13/17 Tue 6/13/17162 Printers ‐ Macro Tue 6/13/17 Tue 6/13/17163 Complete System Testing ‐ Printers Wed 6/14/17 Tue 6/20/17164 Complete PROD Printer Testing Wed 6/21/17 Tue 7/4/17165 Remote Report Distribution Mon 5/22/17 Fri 2/16/18166 Data Collection Workbooks Mon 5/22/17 Fri 6/16/17167 DCW ‐ Remote Report Distribution Data Collection Document Mon 5/22/17 Fri 6/16/17168 DCW ‐ Remote Report Distribution Device Spreadsheet Mon 5/22/17 Fri 6/16/17169 Configure Mon 6/19/17 Fri 8/25/17170 RRD ‐ Fax Stations & Time Schemes Mon 6/19/17 Fri 7/21/17171 RRD ‐ Cross Referencing of Fax Stations Mon 6/19/17 Fri 8/25/17172 RRD Proposed RRD Test Plan Mon 9/11/17 Fri 9/15/17173 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17174 Go Live Readiness Assessment ‐ RRD Mon 8/14/17 Fri 8/18/17175 Review & Update Go Live Cutover Plan (sent by IA) ‐ RRD Wed 9/20/17 Tue 10/10/17176 Complete the Turnover Process documentation‐ RRD Mon 1/15/18 Fri 2/16/18177 Powerinsight Mon 6/19/17 Fri 6/8/18178 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17179 Localize System Test Tracking and Scripts ‐ PowerInsight Explorer Mon 6/19/17 Fri 6/23/17180 First Draft System Test Scripts ‐ PowerInsight Explorer Mon 6/26/17 Fri 7/7/17


Page 4

ID Task Name Start Finish 181 Final System Test Scripts ‐ PowerInsight Explorer Mon 7/10/17 Fri 7/21/17182 Complete System Testing ‐ PowerInsight Explorer Mon 7/24/17 Fri 8/11/17183 Go Live Readiness Assessment ‐ PowerInsight Explorer Mon 8/14/17 Fri 9/22/17184 Review & Update Go Live Cutover Plan (sent by IA) ‐ PowerInsight Explorer Wed 9/20/17 Fri 6/8/18185 Complete the Turnover Process documentation‐ PowerInsight Explorer Mon 2/12/18 Fri 3/16/18186 Complete Post Go Live Assessment Workbook for PowerInsight Explorer Mon 1/1/18 Tue 4/17/18187 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17188 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesMon 7/3/17 Wed 7/5/17

189 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17190 Revenue Cycle Wed 2/1/17 Fri 3/16/18191 Charge Services Fri 2/17/17 Fri 3/16/18192 Future State Review Strategy Mon 4/24/17 Fri 4/28/17193 Future State Review Mon 5/22/17 Fri 5/26/17194 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17195 Future State Validation Mon 6/12/17 Fri 6/16/17196 Integration Testing 1 Mon 8/7/17 Fri 8/11/17197 Integration Testing 2 Mon 9/11/17 Fri 9/15/17198 Go Live Mon 11/13/17 Fri 11/17/17199 Data Collection Workbooks Tue 3/14/17 Mon 7/10/17200 DCW ‐ Revenue Cycle Reporting Tue 3/14/17 Mon 7/10/17201 DCW ‐ Revenue Cycle Reporting> Charges Tue 3/14/17 Mon 7/10/17202 DCW ‐ Charge Services Batch Charge Entry Options Tue 3/14/17 Mon 6/12/17203 DCW ‐ Charge Services Batch Charge Entry Options> BCE Options ‐ Default View Tue 3/14/17 Mon 6/12/17204 DCW ‐ Charge Services Batch Charge Entry Options> Charge Viewer Tue 3/14/17 Mon 6/12/17205 DCW ‐ Charge Services Tiering Logic Mon 4/24/17 Fri 6/16/17206 DCW ‐ Charge Services Tiering Logic> Technical Tier Mon 4/24/17 Fri 6/16/17207 DCW ‐ Charge Services Miscellaneous Setup Tue 3/14/17 Mon 6/12/17208 DCW ‐ Charge Services Miscellaneous Setup > Price Schedules Tue 3/14/17 Mon 6/12/17209 DCW ‐ Charge Services Miscellaneous Setup > Client Setup Tue 3/14/17 Mon 6/12/17210 DCW ‐ Charge Services Miscellaneous Setup > Misc Schedules Tue 3/14/17 Mon 6/12/17211 DCW ‐ Charge Services Miscellaneous Setup > Bill Items Tue 3/14/17 Mon 6/12/17212 DCW ‐ Charge Services Miscellaneous Setup > Intervals Tue 3/14/17 Mon 6/12/17213 DCW ‐ Charge Services Miscellaneous Setup > Interface Files Tue 3/14/17 Mon 6/12/17214 DCW ‐ Charge Services Miscellaneous Setup > Price Schedule Security Tue 3/14/17 Mon 6/12/17215 DCW ‐ Charge Services Miscellaneous Setup > Bill Code Schedule Security Tue 3/14/17 Mon 6/12/17216 DCW ‐ Charge Services Miscellaneous Setup > Bill Item Security Tue 3/14/17 Mon 6/12/17217 DCW ‐ Charge Services Miscellaneous Setup > Virtual View Tue 3/14/17 Mon 6/12/17218 DCW ‐ Charge Services Miscellaneous Setup > Charge Processing Security Tue 3/14/17 Mon 6/12/17219 DCW ‐ Charge Services Miscellaneous Setup > Non‐Covered Security Tue 3/14/17 Mon 6/12/17


Page 5

ID Task Name Start Finish 220 Review DCW ‐ Ancillaries Charge Services Tue 5/16/17 Mon 6/5/17221 Review DCW ‐ Supplies Charge Services Tue 5/16/17 Mon 6/5/17222 Review DCW ‐ PharmNet Charge Services Tue 5/16/17 Mon 6/5/17223 Review DCW ‐ Laboratory Charge Services > Gen Lab Send Outs Tue 5/16/17 Mon 6/5/17224 Review DCW ‐ Radiology Charge Services Tue 5/16/17 Mon 6/5/17225 Review DCW ‐ Documentation Charge Services Tue 5/16/17 Mon 6/5/17226 Review DCW ‐ Ambulatory Charge Services Tue 5/16/17 Mon 6/5/17227 Configure Fri 2/17/17 Mon 1/22/18228 Charge Services ‐ Ambulatory Tue 9/5/17 Mon 1/22/18229 Charge Services ‐ Batch Charge Entry and Charge Viewer Tue 6/13/17 Mon 6/19/17230 Charge Services ‐ General Laboratory Send Outs Tue 9/5/17 Mon 1/22/18231 Charge Services ‐ PharmNet Tue 6/6/17 Tue 10/24/17232 Charge Services ‐ Radiology Tue 9/5/17 Mon 1/22/18233 Charge Services ‐ Supply Chain Fri 2/17/17 Thu 7/6/17234 Charge Services ‐ Base Build Mon 2/20/17 Fri 2/24/17235 Review Workflow‐Driven Charging Plan with Cerner Clinical Consultant prior to CSR Fri 2/17/17 Tue 3/7/17236 DQA ‐ Charge Services ‐ IT1 Mon 7/24/17 Fri 7/28/17237 DQA ‐ Charge Services ‐ Go Live Mon 10/30/17 Fri 11/3/17238 DQA ‐ Charge Services ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/17239 Known Issues Review Mon 6/12/17 Fri 6/23/17240 Known Issues Review Mon 8/14/17 Fri 9/15/17241 Review & Update Go Live Cutover Plan (sent by IA) ‐ Charge Services Wed 9/20/17 Tue 10/24/17242 Complete the Turnover Process documentation‐ Charge Services Mon 2/12/18 Fri 3/16/18243 Complete Post Go Live Assessment Workbook for Charge Services Mon 1/1/18 Fri 1/12/18244 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17245 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17246 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesFri 6/30/17 Mon 7/3/17

247 Clinical Reporting XR Fri 2/17/17 Mon 2/12/18248 Future State Review Strategy Mon 4/24/17 Fri 4/28/17249 Future State Review Mon 5/22/17 Fri 5/26/17250 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17251 Future State Validation Mon 6/12/17 Fri 6/16/17252 Integration Testing 1 Mon 8/7/17 Fri 8/11/17253 Integration Testing 2 Mon 9/11/17 Fri 9/15/17254 Go Live Mon 11/13/17 Fri 11/17/17255 Data Collection Workbooks Tue 2/21/17 Fri 7/7/17256 DCW ‐ Clinical Reporting XR Report Template Layout Mon 4/24/17 Fri 6/16/17257 DCW ‐ Clinical Reporting XR Report Template Layout > Report Template Security Mon 4/24/17 Fri 6/16/17258 DCW ‐ Clinical Reporting XR Report Template Layout >Section Legends Mon 4/24/17 Fri 6/16/17


Page 6

ID Task Name Start Finish 259 DCW ‐ Clinical Reporting XR Report Template Layout >Manual Expedite Mon 4/24/17 Fri 6/16/17260 DCW ‐ Clinical Reporting XR Report Template Layout >Style Profile Mon 4/24/17 Fri 6/16/17261 DCW ‐ Clinical Reporting XR Report Template Layout >Sections to Include Mon 4/24/17 Fri 6/16/17262 DCW ‐ Clinical Reporting XR Report Template Layout >Administrative Template (Internal) Mon 4/24/17 Fri 6/16/17

263 DCW ‐ Clinical Reporting XR Report Template Layout >Anatomic Pathology Report Mon 4/24/17 Fri 6/16/17

264 DCW ‐ Clinical Reporting XR Report Template Layout >Document Report Mon 4/24/17 Fri 6/16/17265 DCW ‐ Clinical Reporting XR Report Template Layout > HIM ROI Abstract Report Mon 4/24/17 Fri 6/16/17266 DCW ‐ Clinical Reporting XR Report Template Layout >Laboratory Report Mon 4/24/17 Fri 6/16/17267 DCW ‐ Clinical Reporting XR Report Template Layout >Laboratory Outpatient Report Mon 4/24/17 Fri 6/16/17

268 DCW ‐ Clinical Reporting XR Report Template Layout >HIM Transcription Report Mon 4/24/17 Fri 6/16/17269 DCW ‐ Clinical Reporting XR Report Template Layout >Master Report with Confidential Mon 4/24/17 Fri 6/16/17

270 DCW ‐ Clinical Reporting XR Report Template Layout >Master ROI Template Mon 4/24/17 Fri 6/16/17271 DCW ‐ Clinical Reporting XR Report Template Layout >Radiology Report Mon 4/24/17 Fri 6/16/17272 DCW ‐ Clinical Reporting XR Report Template Design Mon 4/24/17 Fri 6/16/17273 DCW ‐ Clinical Reporting XR Report Template Design> AP Report Mon 4/24/17 Fri 6/16/17274 DCW ‐ Clinical Reporting XR Report Template Design> Document, HIM Mon 4/24/17 Fri 6/16/17275 DCW ‐ Clinical Reporting XR Report Template Design> Lab Outpatient, Lab Report Mon 4/24/17 Fri 6/16/17

276 DCW ‐ Clinical Reporting XR Report Template Design> Master Mon 4/24/17 Fri 6/16/17277 DCW ‐ Clinical Reporting XR Report Template Design> Rad Report Mon 4/24/17 Fri 6/16/17278 DCW ‐ Clinical Reporting XR Page Master Design Mon 4/24/17 Fri 6/16/17279 DCW ‐ Clinical Reporting XR Page Master Design> Standard with Legend Mon 4/24/17 Fri 6/16/17280 DCW ‐ Clinical Reporting XR Page Master Design> Standard without Legend Mon 4/24/17 Fri 6/16/17281 DCW ‐ Clinical Reporting XR Page Master Design> Facilities Mon 4/24/17 Fri 6/16/17282 DCW ‐ Clinical Reporting XR Page Master Design> Medical Group Mon 4/24/17 Fri 6/16/17283 DCW ‐ Clinical Reporting XR Report Section Design Mon 4/24/17 Fri 6/16/17284 DCW ‐ Clinical Reporting XR ‐ Installation Configuration Mon 5/8/17 Fri 6/16/17285 DCW ‐ Clinical Reporting XR ‐ Installation Configuration>File Storage Mon 5/8/17 Fri 6/16/17286 DCW ‐ Clinical Reporting XR ‐ Installation Configuration>CD‐DVD Encryption Mon 5/8/17 Fri 6/16/17287 DCW ‐ Clinical Reporting XR ‐ Installation Configuration>Secure Email Mon 5/8/17 Fri 6/16/17288 DCW ‐ Clinical Reporting Distribution and Expedite Mon 5/8/17 Fri 6/16/17289 DCW ‐ Clinical Reporting Distribution and Expedite> Distributions Mon 5/8/17 Fri 6/16/17290 DCW ‐ Clinical Reporting Distribution and Expedite> Expedites Mon 5/8/17 Fri 6/16/17291 DCW ‐ Clinical Reporting Distribution and Expedite> ARB ‐ Expedites Mon 5/8/17 Fri 6/16/17292 DCW – Position Security Tue 2/21/17 Mon 3/20/17293 DCW – Position Security> PowerChart Security ‐ Action Toolbar (LAUNCHMRR) Tue 2/21/17 Mon 3/20/17


Page 7

ID Task Name Start Finish 294 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17295 DCW ‐ Rimage CD Label Mon 5/8/17 Fri 7/7/17296 Configure Fri 2/17/17 Fri 9/1/17297 Clinical Reporting XR ‐ Application Groups Fri 2/17/17 Thu 3/30/17298 Clinical Reporting XR ‐ Associate Application Groups to Positions Fri 2/17/17 Thu 3/30/17299 Clinical Reporting XR ‐ Distributions and Ops Jobs Mon 6/19/17 Fri 8/11/17300 Clinical Reporting XR ‐ Expedites Mon 6/19/17 Fri 8/4/17301 Clinical Reporting Distribution and Expedite >ARB ‐ Expedites Mon 6/19/17 Fri 8/4/17302 Clinical Reporting XR Page Master Design> Standard with Legend Mon 6/19/17 Fri 8/4/17303 Clinical Reporting XR Page Master Design> Standard without Legend Mon 6/19/17 Fri 8/4/17304 Clinical Reporting XR Page Master Design> Facilities Mon 6/19/17 Fri 8/4/17305 Clinical Reporting XR Page Master Design> Medical Group Mon 6/19/17 Fri 8/4/17306 Clinical Reporting XR ‐ Report Template Layout >Manual Expedite Mon 6/19/17 Fri 8/4/17307 Clinical Reporting XR ‐ PowerChart Security (Preferences) Tue 3/21/17 Mon 5/1/17308 Clinical Reporting XR ‐ Privileges Tue 3/21/17 Mon 5/1/17309 Clinical Reporting XR ‐ Report Section Design Mon 6/19/17 Fri 8/11/17310 Clinical Reporting XR Report Template Layout > Report Template Security Mon 6/19/17 Fri 8/11/17311 Clinical Reporting XR Report Template Layout >Section Legends Mon 6/19/17 Fri 8/11/17312 Clinical Reporting XR Report Template Layout >Style Profile Mon 6/19/17 Fri 8/11/17313 Clinical Reporting XR Report Template Layout >Sections to Include Mon 6/19/17 Fri 8/11/17314 Clinical Reporting XR Report Template Layout >Administrative Template (Internal) Mon 6/19/17 Fri 8/11/17315 Clinical Reporting XR Report Template Layout >Anatomic Pathology Report Mon 6/19/17 Fri 8/11/17316 Clinical Reporting XR Report Template Layout >Document Report Mon 6/19/17 Fri 8/11/17317 Clinical Reporting XR Report Template Layout > HIM ROI Abstract Report Mon 6/19/17 Fri 8/11/17318 Clinical Reporting XR Report Template Layout >Laboratory Report Mon 6/19/17 Fri 8/11/17319 Clinical Reporting XR Report Template Layout >Laboratory Outpatient Report Mon 6/19/17 Fri 8/11/17320 Clinical Reporting XR Report Template Layout >HIM Transcription Report Mon 6/19/17 Fri 8/11/17321 Clinical Reporting XR Report Template Layout >Master Report with Confidential Mon 6/19/17 Fri 8/11/17322 Clinical Reporting XR Report Template Layout >Master ROI Template Mon 6/19/17 Fri 8/11/17323 Clinical Reporting XR Report Template Layout >Master Template w/o Nursing Notes Mon 6/19/17 Fri 8/11/17

324 Clinical Reporting XR Report Template Layout >Radiology Report Mon 6/19/17 Fri 8/11/17325 Clinical Reporting XR Report Template Design> AP Report Mon 6/19/17 Fri 8/11/17326 Clinical Reporting XR Report Template Design> Document, HIM Mon 6/19/17 Fri 8/11/17327 Clinical Reporting XR Report Template Design> Lab Outpatient, Lab Report Mon 6/19/17 Fri 8/11/17328 Clinical Reporting XR Report Template Design> Master Mon 6/19/17 Fri 8/11/17329 Clinical Reporting XR Report Template Design> Rad Report Mon 6/19/17 Fri 8/11/17330 Rimage CD Label Mon 7/10/17 Fri 9/1/17331 Clinical Reporting XR ‐ Installation Configuration>File Storage Mon 6/19/17 Fri 8/11/17332 Clinical Reporting XR ‐ Installation Configuration>CD‐DVD Encryption Mon 6/19/17 Fri 8/11/17


Page 8

ID Task Name Start Finish 333 Clinical Reporting XR ‐ Installation Configuration>Secure Email Mon 6/19/17 Fri 8/11/17334 DQA ‐ Clinical Reporting XR ‐ IT1 Mon 7/24/17 Fri 7/28/17335 DQA ‐ Clinical Reporting XR ‐ Go Live Mon 10/30/17 Fri 11/3/17336 DQA ‐ Clinical Reporting XR ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/17337 Known Issues Review Mon 6/12/17 Mon 6/12/17338 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Mon 7/3/17339 Complete System Testing ‐ Clinical Reporting XR Mon 7/24/17 Fri 7/28/17340 Known Issues Review Mon 8/14/17 Mon 8/14/17341 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17342 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesFri 6/30/17 Mon 7/3/17

343 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17344 Integration Test Scripts ‐ Clinical Reporting XR Mon 6/19/17 Fri 6/23/17345 Go Live Readiness Assessment ‐ Clinical Reporting XR Mon 8/14/17 Mon 8/14/17346 Review & Update Go Live Cutover Plan (sent by IA) ‐ Clinical Reporting XR Wed 9/20/17 Wed 9/20/17347 Complete the Turnover Process documentation‐ Clinical Reporting XR Mon 2/12/18 Mon 2/12/18348 Complete Post Go Live Assessment Workbook for Clinical Reporting XR Mon 1/1/18 Tue 1/2/18349 Health Information Management (HIM) Wed 2/8/17 Fri 3/16/18350 Future State Review Strategy Mon 4/24/17 Fri 4/28/17351 Future State Review Mon 5/22/17 Fri 5/26/17352 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17353 Future State Validation Mon 6/12/17 Fri 6/16/17354 Integration Testing 1 Mon 8/7/17 Fri 8/11/17355 Integration Testing 2 Mon 9/11/17 Fri 9/15/17356 Go Live Mon 11/13/17 Fri 11/17/17357 Complete HIM WBT Wed 2/8/17 Wed 2/8/17358 AccessHIM Technical Requirements Review Wed 2/8/17 Wed 2/8/17359 Data Collection Workbooks Tue 2/21/17 Fri 10/20/17360 DCW ‐ Revenue Cycle Reporting Mon 3/20/17 Fri 8/4/17361 DCW ‐ Revenue Cycle Reporting (Future State and Custom Report sections) Mon 3/20/17 Fri 8/4/17362 DCW ‐ Revenue Cycle Reporting> HIM Mon 3/20/17 Fri 8/4/17363 DCW ‐ Revenue Cycle Reporting> Custom CCL Tracking Mon 3/20/17 Fri 6/23/17364 DCW ‐ Cerner HIM Chart Completion and Deficiency Management Letters Preferences Mon 3/20/17 Fri 3/31/17

365 DCW ‐ Cerner HIM Chart Completion and Deficiency Management Letters Preferences> Deficiency Letters Preferences

Mon 3/20/17 Fri 3/31/17

366 DCW ‐ Core Clinical Documents Mon 3/20/17 Fri 7/14/17367 DCW ‐ Core Clinical Documents> Clinical Documents Mon 3/20/17 Fri 7/14/17368 DCW ‐ Cerner HIM Release of Information Mon 3/20/17 Fri 7/14/17369 DCW ‐ Cerner HIM Release of Information> System Parameters Mon 3/20/17 Fri 3/31/17


Page 9

ID Task Name Start Finish 370 DCW ‐ Cerner HIM Release of Information> Code Sets Mon 3/20/17 Fri 3/31/17371 DCW ‐ Cerner HIM Release of Information> Requester Source Default Mon 3/20/17 Fri 3/31/17372 DCW ‐ Cerner HIM Release of Information> ROI Requesters Mon 3/20/17 Fri 4/14/17373 DCW ‐ Cerner HIM Release of Information> ROI Letters Mon 3/20/17 Fri 3/31/17374 DCW ‐ Cerner HIM Release of Information> Reports Mon 3/20/17 Fri 3/31/17375 DCW ‐ Cerner HIM Release of Information> HIM Purge Job Templates Mon 7/3/17 Fri 7/14/17376 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting Mon 3/20/17 Fri 7/28/17377 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> System Parameters Mon 3/20/17 Fri 4/14/17378 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Coding Params ‐ HIM Chart Coding Mon 3/20/17 Fri 4/14/17

379 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Code Sets Mon 3/20/17 Fri 4/14/17380 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Task Queue Rules Mon 3/20/17 Fri 7/21/17381 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Documents‐Task on Hold Rules Mon 3/20/17 Fri 7/21/17

382 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Coding w Cerner Encdr_Grouper Mon 3/20/17 Fri 4/14/17

383 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Cerner Encoder_Grouper RevCodes Mon 3/20/17 Fri 4/14/17

384 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Coding Merge‐Task On Hold Rule Mon 3/20/17 Fri 4/14/17

385 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Coding w Interfaced Encoder Mon 3/20/17 Fri 6/9/17

386 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> 3M Encoder Rules Mon 3/20/17 Fri 4/14/17387 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Rule‐Based Coding Mon 3/20/17 Fri 7/28/17388 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> ICD Type by Payer Mon 3/20/17 Fri 4/14/17389 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Coding Query Form Mon 3/20/17 Fri 4/14/17390 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Abstract Form Mon 3/20/17 Fri 4/14/17391 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Operations Jobs Mon 3/20/17 Fri 4/14/17392 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> Reports Mon 3/20/17 Fri 3/31/17393 DCW ‐ Cerner HIM Chart Coding and Chart Abstracting> HIM Purge Job Templates Mon 7/10/17 Fri 7/21/17

394 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request Mon 3/20/17 Fri 10/20/17395 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> System Parameters Mon 3/20/17 Fri 4/14/17

396 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Code Sets Mon 3/20/17 Fri 4/14/17397 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Media Type‐Org Relationships Mon 3/20/17 Fri 7/28/17

398 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Chart Tracking Locations Mon 3/20/17 Fri 7/28/17


Page 10

ID Task Name Start Finish 399 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Tracking Labels Mon 3/20/17 Fri 10/20/17

400 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Media Type Rules Mon 3/20/17 Fri 7/28/17

401 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> PIR Rules Mon 3/20/17 Fri 10/20/17402 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Operations Jobs Mon 3/20/17 Fri 4/14/17

403 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> Reports Mon 3/20/17 Fri 4/7/17404 DCW ‐ Cerner HIM Chart Tracking and Patient Information Request> HIM Purge Job Templates Mon 3/20/17 Fri 10/20/17

405 DCW ‐ Cerner HIM Chart Completion and Deficiency Management Mon 3/20/17 Fri 7/28/17406 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> System Parameters Mon 3/20/17 Fri 7/21/17

407 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Code Sets Mon 3/20/17 Fri 7/21/17408 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Deficiency Letters Mon 3/20/17 Fri 7/21/17

409 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Deficiency Document Types Mon 3/20/17 Fri 7/21/17

410 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Signature Lines Mon 3/20/17 Fri 7/21/17

411 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Third Party Transcription Mon 3/20/17 Fri 7/21/17

412 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Allocation Date Rules Mon 3/20/17 Fri 7/21/17

413 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Anticipated Document Rules Mon 3/20/17 Fri 7/21/17

414 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Task Queue Rules Mon 3/20/17 Fri 7/28/17

415 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Operations Jobs Mon 3/20/17 Fri 4/14/17

416 DCW ‐ Cerner HIM Chart Completion and Deficiency Management> Reports Mon 3/20/17 Fri 3/31/17417 DCW ‐ Cerner HIM Chart Completion and Deficiency Management Letters Preferences> HIM Purge Job Templates Mon 3/20/17 Fri 6/9/17

418 DCW – Position Security Tue 2/21/17 Fri 6/16/17419 DCW – Position Security> Clinical Documents Tue 2/21/17 Mon 3/20/17420 DCW – Position Security> PowerChart Security Mon 5/22/17 Fri 6/16/17421 DCW – Position Security> FirstNet Security Mon 5/22/17 Fri 6/16/17422 DCW – Position Security> Privileges Mon 5/22/17 Fri 6/16/17423 DCW ‐ Core Systems Non‐Facility Organization Mon 5/29/17 Mon 5/29/17424 Configure Mon 2/20/17 Fri 8/11/17


Page 11

ID Task Name Start Finish 425 HIM ‐ Clinical Documents Section of Event Set Hierarchy Tue 3/21/17 Mon 5/29/17426 HIM ‐ Abstract Fields Mon 7/31/17 Fri 8/11/17427 HIM ‐ Abstract Forms Mon 4/17/17 Fri 4/28/17428 HIM ‐ Allocation Date Rules Mon 7/24/17 Fri 8/4/17429 HIM ‐ Anticipated Document Rules Mon 7/24/17 Fri 8/4/17430 HIM ‐ Application Groups Mon 2/20/17 Fri 3/3/17431 HIM ‐ Associate Application Groups to Positions Mon 3/6/17 Fri 3/17/17432 HIM ‐ Code Sets Mon 7/24/17 Fri 8/4/17433 HIM ‐ Code Value Aliases Mon 5/8/17 Fri 5/19/17434 HIM ‐ Coding Parameters Mon 6/12/17 Fri 6/23/17435 HIM ‐ Coding w Cerner Encdr_Grouper Mon 4/17/17 Fri 4/28/17436 HIM ‐ Cerner Encoder_Grouper RevCodes Mon 4/17/17 Fri 4/28/17437 HIM ‐ Grouper Rules Mon 4/17/17 Fri 4/28/17438 HIM ‐ Deficiency Document Types Mon 7/24/17 Fri 8/4/17439 HIM ‐ DTAs Mon 7/24/17 Fri 8/4/17440 HIM ‐ Event Extensions Mon 7/24/17 Fri 8/4/17441 HIM ‐ Letters Mon 4/3/17 Fri 4/14/17442 HIM ‐ Locations and Location Extensions Mon 7/31/17 Fri 8/11/17443 HIM ‐ Media Alias Pool Mon 7/31/17 Fri 8/11/17444 HIM ‐ Ops Jobs Mon 4/17/17 Fri 4/28/17445 HIM ‐ Org Media type and relationship Mon 7/31/17 Fri 8/11/17446 HIM ‐ Create Positions Mon 6/19/17 Mon 6/19/17447 HIM ‐ Position Relationships Tue 6/20/17 Mon 7/31/17448 HIM ‐ PowerChart Security (Preferences) Tue 6/20/17 Mon 7/31/17449 HIM ‐ Privileges Tue 6/20/17 Mon 7/31/17450 HIM ‐ Purge Criteria Mon 7/31/17 Fri 8/11/17451 HIM ‐ Reports Mon 4/3/17 Fri 4/14/17452 HIM ‐ Requester Defaults Mon 4/17/17 Fri 4/28/17453 HIM ‐ Requesters Mon 4/17/17 Fri 4/28/17454 HIM ‐ Signature Lines Mon 7/24/17 Fri 8/4/17455 HIM ‐ System Parameters Mon 7/24/17 Fri 8/4/17456 HIM ‐ Task Queue Rules Mon 7/24/17 Fri 8/4/17457 HIM ‐ Task On Hold Rules Mon 7/24/17 Fri 8/4/17458 HIM ‐ Task Queues Mon 7/31/17 Fri 8/11/17459 HIM ‐ Task Revoker Mon 2/20/17 Fri 3/3/17460 HIM ‐ HIM ‐ Non Facility Organizations Tue 5/30/17 Mon 6/5/17461 DQA ‐ HIM ‐ IT1 Mon 7/24/17 Fri 7/28/17462 DQA ‐ HIM ‐ Go Live Mon 10/30/17 Fri 11/3/17463 DQA ‐ HIM ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/17464 Known Issues Review Mon 6/12/17 Mon 6/12/17


Page 12

ID Task Name Start Finish 465 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17466 Known Issues Review Mon 8/14/17 Mon 8/14/17467 Localize System Test Tracking and Scripts ‐ HIM Mon 6/19/17 Fri 6/23/17468 First Draft System Test Scripts ‐ HIM Mon 6/26/17 Fri 7/7/17469 Final System Test Scripts ‐ HIM Mon 7/10/17 Fri 7/21/17470 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17471 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesMon 7/3/17 Fri 7/14/17

472 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17473 Complete System Testing ‐ HIM Mon 7/24/17 Fri 8/11/17474 Go Live Readiness Assessment ‐ HIM Mon 8/14/17 Fri 8/18/17475 Review & Update Go Live Cutover Plan (sent by IA) ‐ HIM Wed 9/20/17 Tue 10/10/17476 Complete the Turnover Process documentation‐ HIM Mon 2/12/18 Fri 3/16/18477 Complete Post Go Live Assessment Workbook for HIM Mon 1/1/18 Fri 1/12/18478 Materials Management (Supply Chain) Wed 2/1/17 Fri 3/16/18479 Future State Review Strategy Mon 4/24/17 Fri 4/28/17480 Future State Review Mon 5/22/17 Fri 5/26/17481 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17482 Future State Validation Mon 6/12/17 Fri 6/16/17483 Integration Testing 1 Mon 8/7/17 Fri 8/11/17484 Integration Testing 2 Mon 9/11/17 Fri 9/15/17485 Go Live Mon 11/13/17 Fri 11/17/17486 Current State Assessment ‐ Supply Chain Mon 2/20/17 Fri 2/24/17487 Clean Item Master Mon 2/20/17 Wed 3/8/17488 Data Collection Workbooks Tue 2/21/17 Mon 5/29/17489 DCW ‐ Supply Chain Vendor Mon 3/13/17 Fri 3/17/17490 DCW ‐ Supply Chain Vendor> Build Vendor Mon 3/13/17 Fri 3/17/17491 DCW ‐ Supply Chain Vendor> Build Vendor Sites Mon 3/13/17 Fri 3/17/17492 DCW ‐ Supply Chain Vendor> Address Mon 3/13/17 Fri 3/17/17493 DCW ‐ Supply Chain Vendor> Phone Mon 3/13/17 Fri 3/17/17494 DCW ‐ Supply Chain Profile Mon 4/24/17 Fri 4/28/17495 DCW ‐ Supply Chain Profile> Purchasing Mon 4/24/17 Fri 4/28/17496 DCW ‐ Supply Chain Profile> Receiving Mon 4/24/17 Fri 4/28/17497 DCW ‐ Supply Chain Profile> Invoicing Mon 4/24/17 Fri 4/28/17498 DCW ‐ Supply Chain Location Mon 3/20/17 Tue 4/18/17499 DCW ‐ Supply Chain Location> Locations Locators Mon 3/20/17 Fri 3/31/17500 DCW ‐ Supply Chain Location> Transactions Mon 4/3/17 Fri 4/14/17501 DCW ‐ Supply Chain Location> Adjustment Reasons Mon 4/3/17 Mon 4/3/17502 DCW ‐ Supply Chain Location> Cost Centers Mon 4/3/17 Fri 4/7/17503 DCW ‐ Supply Chain Location> Sub Accounts Mon 4/3/17 Fri 4/7/17


Page 13

ID Task Name Start Finish 504 DCW ‐ Supply Chain Location> Requisition Routing Mon 4/17/17 Mon 4/17/17505 DCW ‐ Supply Chain Location> Fill Return Mon 4/17/17 Tue 4/18/17506 DCW ‐ Pharmacy Supply Chain Mon 3/13/17 Fri 5/26/17507 DCW ‐ Pharmacy Supply Chain> MedMaster Mon 3/20/17 Fri 3/24/17508 DCW ‐ Pharmacy Supply Chain> Item Location Mon 4/3/17 Fri 4/7/17509 DCW ‐ Pharmacy Supply Chain> Class Mon 4/10/17 Wed 4/12/17510 DCW ‐ Pharmacy Supply Chain> Vendor Extract Mon 3/13/17 Fri 3/17/17511 DCW ‐ Pharmacy Supply Chain> Formulary Mon 5/15/17 Fri 5/26/17512 DCW – Position Security Tue 2/21/17 Mon 3/20/17513 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/17514 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17515 DCW ‐ Core Systems Non‐Facility Organization Mon 5/29/17 Mon 5/29/17516 Configure Wed 2/1/17 Fri 12/15/17517 Supply Chain Vendor Mon 3/20/17 Fri 3/24/17518 Supply Chain Profile Mon 5/1/17 Mon 5/1/17519 Supply Chain ‐ Locations and Locators Tue 5/2/17 Mon 5/15/17520 Supply Chain ‐ Transactions & Adjustment Reasons Tue 5/16/17 Wed 5/17/17521 Supply Chain ‐ Cost Centers/Sub Accts Thu 5/18/17 Thu 5/18/17522 Supply Chain ‐ Requisition Routing Fri 5/19/17 Fri 5/19/17523 Supply Chain ‐ Fill Return Mon 5/22/17 Mon 5/22/17524 Pharmacy Supply Chain ‐ Med Master Tue 5/23/17 Mon 5/29/17525 Pharmacy Supply Chain ‐ Item Location Tue 5/30/17 Thu 6/1/17526 Pharmacy Supply Chain ‐ Class Fri 6/2/17 Mon 6/5/17527 Pharmacy Supply Chain ‐ Req Template Tue 6/6/17 Mon 6/12/17528 Supply Chain ‐ Application Groups Mon 2/20/17 Fri 4/28/17529 Supply Chain ‐ Associate Application Groups to Positions Mon 5/1/17 Fri 5/5/17530 Supply Chain ‐ Code Value Aliases Mon 5/8/17 Wed 5/10/17531 Supply Chain ‐ Components ‐ Add Components Fri 2/17/17 Tue 2/21/17532 Supply Chain ‐ Components ‐ Set Components Preferences on Parent Item Wed 2/22/17 Wed 2/22/17533 Supply Chain ‐ Cost Centers Mon 4/10/17 Fri 7/21/17534 Supply Chain ‐ Item Classes Fri 2/17/17 Thu 6/1/17535 Supply Chain ‐ Item Location Data Fri 5/26/17 Thu 6/1/17536 Supply Chain ‐ Item Master Fri 2/17/17 Thu 5/25/17537 Supply Chain ‐ Locations and Locators Build Mon 4/3/17 Fri 7/14/17538 Supply Chain ‐ Manufacturers Fri 2/17/17 Thu 5/25/17539 Supply Chain ‐ Req Templates Fri 2/17/17 Thu 9/28/17540 Supply Chain ‐ Sub Accounts Mon 4/10/17 Fri 7/21/17541 Supply Chain ‐ Task Revoker Mon 2/20/17 Fri 3/3/17542 Supply Chain ‐ Transaction Types Fri 2/17/17 Thu 8/10/17543 Supply Chain ‐ Req Routing Tue 4/18/17 Mon 12/4/17


Page 14

ID Task Name Start Finish 544 Supply Chain ‐ Vendors Mon 3/20/17 Fri 8/25/17545 Supply Chain ‐ Price Schedule Wed 2/1/17 Tue 9/19/17546 Supply Chain ‐ Item Cost Data Wed 2/1/17 Tue 7/11/17547 Supply Chain ‐ Quantity on Hand Data Wed 2/1/17 Tue 7/11/17548 Supply Chain ‐ PO/Rec/Inv Profiles Mon 5/1/17 Fri 12/15/17549 Supply Chain ‐ ROL Templates Fri 2/17/17 Thu 10/5/17550 Supply Chain ‐ Ops Job Tue 2/14/17 Mon 5/29/17551 Supply Chain ‐ Supply Chain ‐ Non Facility Organizations Tue 5/30/17 Mon 6/5/17552 Supply Chain ‐ Create Positions Tue 3/21/17 Tue 3/21/17553 Supply Chain ‐ Position Relationships Wed 3/22/17 Tue 5/2/17554 Supply Chain ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/17555 Supply Chain ‐ Privileges Wed 3/22/17 Tue 5/2/17556 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17557 Localize System Test Tracking and Scripts ‐ Supply Chain Mon 6/19/17 Fri 6/23/17558 First Draft System Test Scripts ‐ Supply Chain Mon 6/26/17 Fri 7/7/17559 Final System Test Scripts ‐ Supply Chain Mon 7/10/17 Fri 7/21/17560 Complete System Testing ‐ Supply Chain Mon 7/24/17 Fri 8/11/17561 Go Live Readiness Assessment ‐ Supply Chain Mon 8/14/17 Fri 8/18/17562 Review & Update Go Live Cutover Plan (sent by IA) ‐ Supply Chain Wed 9/20/17 Tue 10/10/17563 Complete the Turnover Process documentation‐ Supply Chain Mon 2/12/18 Fri 3/16/18564 Complete Post Go Live Assessment Workbook for Supply Chain Mon 1/1/18 Fri 1/5/18565 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17566 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesFri 6/30/17 Wed 7/5/17

567 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17568 Registration Management (ERM) / Eligibility Management & Benefit Services Wed 2/1/17 Fri 3/16/18569 Future State Review Strategy Mon 4/24/17 Fri 4/28/17570 Future State Review Mon 5/22/17 Fri 5/26/17571 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17572 Future State Validation Mon 6/12/17 Fri 6/16/17573 Integration Testing 1 Mon 8/7/17 Fri 8/11/17574 Integration Testing 2 Mon 9/11/17 Fri 9/15/17575 Go Live Mon 11/13/17 Fri 11/17/17576 Complete Registration WBT Wed 2/8/17 Tue 2/21/17577 Data Collection Workbooks Tue 2/21/17 Fri 9/1/17578 DCW ‐ Registration Management Doc Routing Tue 3/14/17 Mon 7/3/17579 DCW ‐ Registration Management Doc Routing> Doc Distribution Tue 3/14/17 Mon 7/3/17580 DCW ‐ Registration Management Doc Routing> Doc Routings Tue 3/14/17 Mon 7/3/17581 DCW ‐ Registration Management Doc Routing> Doc Prgs Tue 3/14/17 Mon 7/3/17582 DCW ‐ Registration Management Codes Sets Mon 3/27/17 Fri 6/23/17


Page 15

ID Task Name Start Finish 583 DCW ‐ Registration Management Codes Sets> Standard Code Sets Mon 3/27/17 Fri 6/23/17584 DCW ‐ Registration Management Codes Sets> Code Sets 10, 34, 71 Mon 3/27/17 Fri 5/5/17585 DCW ‐ Registration Management Codes Sets> Code Value Grouping Mon 3/27/17 Fri 6/23/17586 DCW ‐ Registration Management Codes Sets> Facility Filtering Mon 3/27/17 Fri 6/23/17587 DCW ‐ Registration Management Design Workbook Mon 3/27/17 Fri 6/2/17588 DCW ‐ Registration Management Design Workbook> Auto Discharge Mon 3/27/17 Fri 6/2/17589 DCW ‐ Registration Management Design Workbook> Sensitivity Alert Statements Mon 3/27/17 Fri 6/2/17

590 DCW ‐ Registration Management Design Workbook> Worklists Mon 3/27/17 Fri 6/2/17591 DCW ‐ Registration Management Conversations Mon 3/27/17 Fri 6/30/17592 DCW ‐ Registration Management Conversations> Client Decisions Mon 3/27/17 Fri 6/30/17593 DCW ‐ Registration Management Conversations> Rules Mon 3/27/17 Fri 6/30/17594 DCW ‐ Registration Management Conversations> Ambulatory PreReg Mon 3/27/17 Fri 6/30/17595 DCW ‐ Registration Management Conversations> Ambulatory Register Patient Mon 3/27/17 Fri 6/30/17596 DCW ‐ Registration Management Conversations> Ambulatory Quick Reg Mon 3/27/17 Fri 6/30/17597 DCW ‐ Registration Management Conversations> Cancel Discharge Mon 3/27/17 Fri 6/30/17598 DCW ‐ Registration Management Conversations> Cancel Encounter Mon 3/27/17 Fri 6/30/17599 DCW ‐ Registration Management Conversations> Discharge Encounter Mon 3/27/17 Fri 6/30/17600 DCW ‐ Registration Management Conversations> HIM Mon 3/27/17 Fri 6/30/17601 DCW ‐ Registration Management Conversations> Healthe Life Registration Mon 3/27/17 Fri 6/30/17602 DCW ‐ Registration Management Conversations> Lifetime Prescription Mon 3/27/17 Fri 6/30/17603 DCW ‐ Registration Management Conversations> Phone Message Encounter Mon 3/27/17 Fri 6/30/17604 DCW ‐ Registration Management Conversations> Reactivate Cancelled Encounter Mon 3/27/17 Fri 6/30/17

605 DCW ‐ Eligibility Management wTransaction Service Mon 3/27/17 Fri 9/1/17606 DCW ‐ Eligibility Management wTransaction Service> View Encounter Mon 3/27/17 Fri 6/23/17607 DCW ‐ Eligibility Management wTransaction Service> View Person Mon 3/27/17 Fri 6/23/17608 DCW ‐ Eligibility Management wTransaction Service> Medical Svc Mapping Mon 6/5/17 Fri 9/1/17609 DCW ‐ Eligibility Management wTransaction Service> Insurance Company Matchup Mon 6/5/17 Fri 9/1/17

610 DCW ‐ Eligibility Management wTransaction Service> Facility Payer Relationship Mon 6/5/17 Fri 9/1/17611 DCW ‐ Eligibility Management wTransaction Service> Conversation Config Mon 6/5/17 Fri 9/1/17612 DCW ‐ Eligibility Management wTransaction Service> Security Mon 6/5/17 Fri 9/1/17613 DCW ‐ Core Encounter Class Type Linking and Auto Discharge Mon 6/5/17 Fri 7/7/17614 DCW ‐ Core Encounter Class Type Linking and Auto Discharge> Data Collection Mon 6/5/17 Fri 7/7/17615 DCW ‐ Core Encounter Class Type Linking and Auto Discharge> Validation List Mon 6/5/17 Fri 7/7/17616 DCW ‐ Insurance Mon 4/17/17 Fri 4/21/17617 DCW ‐ Core Systems Insurance> Employer‐Ins Collection Mon 4/17/17 Fri 4/21/17618 DCW ‐ Core Systems Insurance> HP Collection Mon 4/17/17 Fri 4/21/17619 DCW ‐ Core Systems Insurance> Validation Lists Mon 4/17/17 Fri 4/21/17


Page 16

ID Task Name Start Finish 620 DCW – Position Security Tue 2/21/17 Mon 3/20/17621 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/17622 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17623 DCW ‐ Core Systems Non‐Facility Organization Tue 5/30/17 Tue 5/30/17624 Configure Wed 2/1/17 Mon 11/6/17625 Build ‐ Registration Management Doc Routing ‐ Doc Distribution Tue 7/4/17 Mon 11/6/17626 Build ‐ Registration Management Doc Routing ‐ Doc Routings Tue 7/4/17 Mon 11/6/17627 Build ‐ Registration Management Doc Routing ‐ Doc Prgs Tue 7/4/17 Mon 11/6/17628 Build ‐ Registration ‐ Code Sets Mon 6/26/17 Fri 8/18/17629 Build ‐ Registration ‐ Code Value Grouping Mon 6/26/17 Fri 8/18/17630 Build ‐ Registration ‐ Facility Filtering Mon 6/26/17 Fri 8/18/17631 Build ‐ Registration ‐ Conversation Properties Mon 7/3/17 Fri 8/25/17632 Build ‐ Registration ‐ Conversations Wed 2/1/17 Tue 5/9/17633 Build ‐ Registration ‐ Sensitivity Alert Statements Mon 6/5/17 Fri 10/6/17634 Build ‐ Registration ‐ Worklists Mon 6/5/17 Fri 10/6/17635 Build ‐ Registration ‐ Rules Mon 7/3/17 Fri 8/25/17636 Build ‐ Registration ‐ Reports Mon 7/3/17 Fri 8/25/17637 Build ‐ Registration ‐ Initial Set Up Mon 7/3/17 Fri 8/25/17638 Build ‐ Registration ‐ Documents Mon 7/3/17 Fri 8/25/17639 Build ‐ Registration ‐ Privacy Practice Manager Mon 7/3/17 Fri 8/25/17640 Build ‐ Registration Management Conversations ‐ Ambulatory PreReg Mon 7/3/17 Fri 8/25/17641 Build ‐ Registration Management Conversations ‐ Ambulatory Register Patient Mon 7/3/17 Fri 8/25/17642 Build ‐ Registration Management Conversations ‐ Ambulatory Quick Reg Mon 7/3/17 Fri 8/25/17643 Build ‐ Registration Management Conversations ‐ Cancel Discharge Mon 7/3/17 Fri 8/25/17644 Build ‐ Registration Management Conversations ‐ Cancel Encounter Mon 7/3/17 Fri 8/25/17645 Build ‐ Registration Management Conversations ‐ Discharge Encounter Mon 7/3/17 Fri 8/25/17646 Build ‐ Registration Management Conversations ‐ HIM Mon 7/3/17 Fri 8/25/17647 Build ‐ Registration Management Conversations ‐ Healthe Life Registration Mon 7/3/17 Fri 8/25/17648 Build ‐ Registration Management Conversations ‐ Lifetime Prescription Mon 7/3/17 Fri 8/25/17649 Build ‐ Registration Management Conversations ‐ Phone Message Encounter Mon 7/3/17 Fri 8/25/17650 Build ‐ Registration Management Conversations ‐ Reactivate Cancelled Encounter Mon 7/3/17 Fri 8/25/17651 Build ‐ Eligibility Management wTransaction Service ‐ View Encounter Mon 6/26/17 Fri 7/7/17652 Build ‐ Eligibility Management wTransaction Service ‐ View Person Mon 6/26/17 Fri 7/7/17653 Build ‐ Eligibility Management wTransaction Service ‐ Medical Svc Mapping Mon 9/4/17 Fri 9/15/17654 Build ‐ Eligibility Management wTransaction Service ‐ Insurance Company Matchup Mon 9/4/17 Fri 9/15/17655 Build ‐ Eligibility Management wTransaction Service ‐ Facility Payer Relationship Mon 9/4/17 Fri 9/15/17656 Build ‐ Eligibility Management wTransaction Service ‐ Conversation Config Mon 9/4/17 Fri 9/15/17657 Build ‐ Eligibility Management wTransaction Service ‐ Security Mon 9/4/17 Fri 9/15/17658 Build ‐ Registration Management ‐ Health Plans Wed 2/1/17 Tue 6/6/17659 Build ‐ Registration Management ‐ Insurance and Employers Wed 2/1/17 Tue 6/6/17


Page 17

ID Task Name Start Finish 660 Core Systems Insurance> Employer‐Ins Collection Mon 4/24/17 Fri 4/28/17661 Build ‐ Registration Management Insurance> HP Collection Mon 4/24/17 Fri 4/28/17662 Build ‐ Registration Management Insurance> Validation Lists Mon 4/24/17 Fri 4/28/17663 Build ‐ Registration Management ‐ Registration Management ‐ Non Facility Organizations Wed 5/31/17 Tue 7/11/17

664 Build ‐ Registration Management ‐ Organization Aliases Wed 5/31/17 Tue 7/11/17665 Build ‐ Registration Management ‐ Organization Type Wed 7/12/17 Tue 8/22/17666 Build ‐ Registration Management ‐ Create Positions Tue 3/21/17 Tue 3/21/17667 Build ‐ Registration Management ‐ Position Relationships Wed 3/22/17 Tue 5/2/17668 Build ‐ Registration Management ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/17669 Build ‐ Registration Management ‐ Privileges Wed 3/22/17 Tue 5/2/17670 Build ‐ Registration Management ‐ Auto Discharge Mon 7/10/17 Fri 8/18/17671 Build ‐ Registration Management ‐ Encounter Type Linking Mon 7/10/17 Fri 8/18/17672 Build ‐ Registration Management ‐ MRN/FIN Alias Pools Mon 2/20/17 Fri 3/31/17673 DQA ‐ Registration ‐ IT1 Mon 7/24/17 Fri 7/28/17674 DQA ‐ Registration ‐ Go Live Mon 10/30/17 Fri 11/3/17675 DQA ‐ Registration ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/17676 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17677 Known Issues Review Mon 6/12/17 Fri 6/16/17678 Localize System Test Tracking and Scripts ‐ Registration Mon 6/19/17 Fri 6/23/17679 First Draft System Test Scripts ‐ Registration Mon 6/26/17 Fri 7/7/17680 Final System Test Scripts ‐ Registration Mon 7/10/17 Fri 7/21/17681 Complete System Testing ‐ Registration Mon 7/24/17 Fri 8/11/17682 Known Issues Review Mon 8/14/17 Fri 9/15/17683 Integration Test Scripts ‐ Registration Mon 6/26/17 Fri 7/28/17684 Complete Integration Testing ‐ Registration Mon 7/31/17 Fri 9/1/17685 Go Live Readiness Assessment ‐ Registration Mon 8/14/17 Fri 8/18/17686 Review & Update Go Live Cutover Plan (sent by IA) ‐ Registration Wed 9/20/17 Tue 10/10/17687 Complete the Turnover Process documentation‐ Registration Mon 2/12/18 Fri 3/16/18688 Complete Post Go Live Assessment Workbook for Registration Mon 1/1/18 Fri 1/12/18689 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17690 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


691 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17692 Scheduling Management (ESM) / Medical Necessity / Auto Messaging Service Wed 2/8/17 Fri 3/16/18693 Future State Review Strategy Mon 4/24/17 Fri 4/28/17694 Future State Review Mon 5/22/17 Fri 5/26/17695 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17696 Future State Validation Mon 6/12/17 Fri 6/16/17697 Integration Testing 1 Mon 8/7/17 Fri 8/11/17


Page 18

ID Task Name Start Finish 698 Integration Testing 2 Mon 9/11/17 Fri 9/15/17699 Go Live Mon 11/13/17 Fri 11/17/17700 Conduct internal Transaction Services Knowledge Transfer Wed 2/8/17 Tue 2/14/17701 Complete Scheduling WBT Wed 2/8/17 Tue 3/7/17702 Data Collection Workbooks Tue 2/21/17 Fri 7/28/17703 DCW ‐ Revenue Cycle Reporting Tue 3/14/17 Mon 6/26/17704 DCW ‐ Revenue Cycle Reporting> Scheduling & Medical Necessity Tue 3/14/17 Mon 6/26/17705 DCW ‐ Scheduling Management Security Mon 6/5/17 Fri 7/28/17706 DCW ‐ Scheduling Management Security> Security Key Chain Mon 6/5/17 Fri 7/28/17707 DCW ‐ Scheduling Management Security> Security ‐ Appointment Books Mon 6/5/17 Fri 7/28/17708 DCW ‐ Scheduling Management Security> Security ‐ Location Mon 6/5/17 Fri 7/28/17709 DCW ‐ Scheduling Management Security> Security ‐ Resource Mon 6/5/17 Fri 7/28/17710 DCW ‐ Scheduling Management Security> Security ‐ Appointment Type Mon 6/5/17 Fri 7/28/17711 DCW ‐ Scheduling Management Security> Security ‐ Appointment Type ‐ Location Mon 6/5/17 Fri 7/28/17

712 DCW ‐Scheduling Management Ops Jobs Mon 6/5/17 Fri 7/28/17713 DCW ‐ Scheduling Management Ops Jobs> Resource Reports Mon 6/5/17 Fri 7/28/17714 DCW ‐ Scheduling Management Ops Jobs> Location Reports Mon 6/5/17 Fri 7/28/17715 DCW ‐ Scheduling Management Ops Jobs> Notifications Mon 6/5/17 Fri 7/28/17716 DCW ‐ Scheduling Management Mon 3/27/17 Fri 6/23/17717 DCW ‐ Scheduling Management> Resources Mon 3/27/17 Fri 6/23/17718 DCW ‐ Scheduling Management> Resource Roles Mon 3/27/17 Fri 6/23/17719 DCW ‐ Scheduling Management> Bookshelf Mon 3/27/17 Fri 6/23/17720 DCW ‐ Scheduling Management> Appointment Slots Mon 3/27/17 Fri 6/23/17721 DCW ‐ Scheduling Management> Default Schedules Mon 3/27/17 Fri 6/23/17722 DCW ‐ Scheduling Management> Accept Formats Mon 3/27/17 Fri 6/23/17723 DCW ‐ Scheduling Management> Scheduling Guidelines Mon 3/27/17 Fri 6/23/17724 DCW ‐ Scheduling Management> Person Preparations Mon 3/27/17 Fri 6/23/17725 DCW ‐ Scheduling Management> Appointment Types (Non‐Orders) Mon 3/27/17 Fri 6/23/17726 DCW ‐ Scheduling Management> Appointment Type (Orders) Mon 3/27/17 Fri 6/23/17727 DCW ‐ Scheduling Management> Request Lists Mon 3/27/17 Fri 6/23/17728 DCW ‐ Scheduling Management> Processing Options Mon 3/27/17 Fri 6/23/17729 DCW ‐ Scheduling Management> Maintenance Reasons Mon 3/27/17 Fri 6/23/17730 DCW ‐ Scheduling Management> Resource & Location Groups Mon 3/27/17 Fri 6/23/17731 DCW ‐ Scheduling Management> Protocols Mon 3/27/17 Fri 6/23/17732 DCW ‐ Scheduling Management> Interactions Mon 3/27/17 Fri 6/23/17733 DCW ‐ Scheduling Management> Groups for Interactions Mon 3/27/17 Fri 6/23/17734 DCW ‐ Scheduling Management> Automated Messaging Mon 3/27/17 Fri 6/23/17735 DCW ‐ Scheduling Management> Holiday Sets Mon 3/27/17 Fri 6/23/17736 DCW – Position Security Tue 2/21/17 Mon 3/20/17


Page 19

ID Task Name Start Finish 737 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/17738 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17739 DCW ‐ Core Systems Non‐Facility Organization Mon 5/29/17 Mon 5/29/17740 Configure Mon 2/20/17 Fri 9/29/17741 Scheduling ‐ Accept Formats Mon 6/26/17 Fri 8/4/17742 Scheduling ‐ Appointment Type Settings ‐ Build Appt Types Mon 6/26/17 Fri 8/4/17743 Scheduling ‐ Appointment Type Settings ‐ Attach Guidelines Mon 6/26/17 Fri 8/4/17744 Scheduling ‐ Appointment Type Settings ‐ Attach Guideline Flexing Mon 6/26/17 Fri 8/4/17745 Scheduling ‐ Appointment Type Settings ‐ Attach Request Lists Mon 6/26/17 Fri 8/4/17746 Scheduling ‐ Appointment Types & Resources ‐ Build Resource Roles Mon 6/26/17 Fri 8/4/17747 Scheduling ‐ Appointment Types & Resources ‐ Order Roles Mon 6/26/17 Fri 8/4/17748 Scheduling ‐ Appointment Types & Resources ‐ Build Orders Mon 6/26/17 Fri 8/4/17749 Scheduling ‐ Appointment Types & Resources ‐ Resource Lists Mon 6/26/17 Fri 8/4/17750 Scheduling ‐ Appointment Types & Resources ‐ Attaching Resource Lists Mon 6/26/17 Fri 8/4/17751 Scheduling ‐ Appointment Types & Resources ‐ Attach Preps Mon 6/26/17 Fri 8/11/17752 Scheduling ‐ Appointment Types & Resources ‐ Attach Prep Flexings Mon 6/26/17 Fri 8/11/17753 Scheduling ‐ Appointment Types Resources and Settings Unit Test Script Mon 6/26/17 Fri 8/4/17754 Scheduling ‐ Associate Application Groups to Positions Mon 5/29/17 Fri 7/7/17755 Scheduling ‐ Bookshelf Mon 6/26/17 Fri 8/25/17756 Scheduling ‐ Code Value Aliases Mon 5/8/17 Fri 6/16/17757 Scheduling ‐ Concurrent Groups Wed 7/5/17 Tue 8/15/17758 Scheduling ‐ Default Schedule ‐ Templates ‐ Create templates Mon 6/26/17 Fri 8/25/17759 Scheduling ‐ Default Schedule ‐ Templates ‐ Apply Templates Mon 6/26/17 Fri 8/25/17760 Scheduling ‐ Groups for Interactions Mon 6/26/17 Fri 8/25/17761 Scheduling ‐ Interactions Mon 6/26/17 Fri 8/25/17762 Scheduling ‐ Location Groups Mon 6/26/17 Fri 8/4/17763 Scheduling ‐ Maintenance Reasons ‐ Code Set 14229 Mon 6/26/17 Fri 8/25/17764 Scheduling ‐ Maintenance Reasons ‐ Code Groups Mon 6/26/17 Fri 8/25/17765 Scheduling ‐ Person Preparations or Posts Mon 6/26/17 Fri 8/25/17766 Scheduling ‐ Protocols ‐ Build the components Mon 6/26/17 Fri 8/25/17767 Scheduling ‐ Protocols ‐ Tie all components together in the Appointment Protocol tool Mon 6/26/17 Fri 8/25/17

768 Scheduling ‐ Protocols ‐ Build Protocol Orders Mon 6/26/17 Fri 8/25/17769 Scheduling ‐ Request Lists Mon 6/26/17 Fri 8/25/17770 Scheduling ‐ Resource Group Mon 6/26/17 Fri 8/25/17771 Scheduling ‐ Resources Mon 6/26/17 Fri 8/25/17772 Scheduling ‐ Scheduling Guidelines Mon 6/26/17 Fri 8/25/17773 Scheduling ‐ Security Mon 7/31/17 Fri 9/29/17774 Scheduling ‐ Slot Types Mon 6/26/17 Fri 8/25/17775 Scheduling ‐ Task Revoker Mon 2/20/17 Fri 3/3/17


Page 20

ID Task Name Start Finish 776 Scheduling ‐ Scheduling ‐ Non Facility Organizations Tue 5/30/17 Mon 6/5/17777 Scheduling ‐ Create Positions Tue 3/21/17 Tue 3/21/17778 Scheduling ‐ Position Relationships Wed 3/22/17 Tue 5/2/17779 Scheduling ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/17780 Scheduling ‐ Privileges Wed 3/22/17 Tue 5/2/17781 DQA ‐ Scheduling ‐ IT1 Mon 7/24/17 Fri 7/28/17782 DQA ‐ Scheduling ‐ Go Live Mon 10/30/17 Fri 11/3/17783 DQA ‐ Scheduling ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/17784 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17785 Known Issues Review Mon 6/12/17 Mon 6/12/17786 Localize System Test Tracking and Scripts ‐ Scheduling Mon 6/19/17 Fri 6/23/17787 First Draft System Test Scripts ‐ Scheduling Mon 6/26/17 Fri 7/7/17788 Final System Test Scripts ‐ Scheduling Mon 7/10/17 Fri 7/21/17789 Complete System Testing ‐ Scheduling Mon 7/24/17 Fri 8/11/17790 Known Issues Review Mon 8/14/17 Fri 9/15/17791 Go Live Readiness Assessment ‐ Scheduling Mon 8/14/17 Fri 8/18/17792 Review & Update Go Live Cutover Plan (sent by IA) ‐ Scheduling Wed 9/20/17 Tue 10/10/17793 Complete the Turnover Process documentation‐ Scheduling Mon 2/12/18 Fri 3/16/18794 Complete Post Go Live Assessment Workbook for Scheduling Mon 1/1/18 Fri 1/12/18795 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17796 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


797 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17798 Patient Care Wed 2/8/17 Mon 2/12/18799 California Immunization Registry Mon 6/19/17 Thu 6/22/17800 Design Mon 6/19/17 Wed 6/21/17801 Client to identify clinics to send to CAIR Mon 6/19/17 Mon 6/19/17802 Client to register with CAIR and request CAIR IDs for each clinic identified Tue 6/20/17 Tue 6/20/17803 Review vaccines administered Mon 6/19/17 Mon 6/19/17804 Review manufactures of vaccines Tue 6/20/17 Tue 6/20/17805 Review administration sites Wed 6/21/17 Wed 6/21/17806 Review routes of administration Wed 6/21/17 Wed 6/21/17807 BUILD Tue 6/20/17 Thu 6/22/17808 Build aliases for vaccines administered Tue 6/20/17 Tue 6/20/17809 Build aliases for manufactures of vaccines Wed 6/21/17 Wed 6/21/17810 Build aliases for administration sites Thu 6/22/17 Thu 6/22/17811 Build aliases for routes of administration Thu 6/22/17 Thu 6/22/17812 Build location aliases using the CAIR ID for contributor system HUB_IMMUN_251 Wed 6/21/17 Wed 6/21/17813 eMar Wed 2/8/17 Mon 2/12/18814 Complete eMAR WBT Wed 2/8/17 Wed 2/8/17


Page 21

ID Task Name Start Finish 815 Data Collection Workbooks Wed 2/8/17 Mon 5/29/17816 DCW ‐ Activity View Mon 3/20/17 Fri 5/19/17817 DCW ‐ Activity View> Capillary Blood Glucose Point of Care Mon 3/20/17 Fri 5/19/17818 DCW ‐ Activity View> Education Pneumonia Mon 3/20/17 Fri 5/19/17819 DCW ‐ Activity View> Education Wound Management Mon 3/20/17 Fri 5/19/17820 DCW ‐ Activity View> Measurements Mon 3/20/17 Fri 5/19/17821 DCW ‐ Activity View> Pain Intereventions Mon 3/20/17 Fri 5/19/17822 DCW ‐ Activity View> Provider Notification Mon 3/20/17 Fri 5/19/17823 DCW ‐ Activity View> RT Aerosol Therapy Mon 3/20/17 Fri 5/19/17824 DCW ‐ Activity View> RT Chest Physiotherapy Mon 3/20/17 Fri 5/19/17825 DCW ‐ Activity View> RT O2 Therapy/Titration Mon 3/20/17 Fri 5/19/17826 DCW ‐ Activity View> RT Respiratory/Weaning Parameters Mon 3/20/17 Fri 5/19/17827 DCW ‐ Activity View> Skin Integrity Discharge Assessment Mon 3/20/17 Fri 5/19/17828 DCW ‐ Activity View> Systems Assessment Adult Mon 3/20/17 Fri 5/19/17829 DCW ‐ Activity View> Wound Care Mon 3/20/17 Fri 5/19/17830 DCW ‐ eMAR Code Sets Wed 2/8/17 Thu 2/9/17831 DCW ‐ eMAR Code Sets> Route‐Site Report Read‐Only Wed 2/8/17 Thu 2/9/17832 DCW ‐ eMAR Code Sets> Early Late Reasons Wed 2/8/17 Thu 2/9/17833 DCW ‐ eMAR Code Sets> Not Given Reasons Wed 2/8/17 Thu 2/9/17834 DCW ‐ eMAR Code Sets> Med Request Reasons Wed 2/8/17 Thu 2/9/17835 DCW – Position Security Tue 2/21/17 Mon 3/20/17836 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/17837 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17838 DCW ‐ eMar Additional Doc Elements Mon 2/20/17 Fri 2/24/17839 DCW ‐ eMar Nurse Witness Wed 2/8/17 Tue 2/14/17840 DCW ‐ Core Systems Non‐Facility Organization Mon 5/29/17 Mon 5/29/17841 Configure Fri 2/10/17 Mon 6/5/17842 eMar ‐ Non Facility Organizations Tue 5/30/17 Mon 6/5/17843 eMar ‐ Create Positions Tue 3/21/17 Tue 3/21/17844 eMar ‐ Position Relationships Wed 3/22/17 Tue 5/2/17845 eMar ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/17846 eMar ‐ Privileges Wed 3/22/17 Tue 5/2/17847 Build ‐ eMAR Code Sets> Route‐Site Report Read‐Only Fri 2/10/17 Mon 2/13/17848 Build ‐ eMAR Code Sets> Early Late Reasons Fri 2/10/17 Mon 2/13/17849 Build ‐ eMAR Code Sets> Not Given Reasons Fri 2/10/17 Mon 2/13/17850 Build ‐ eMAR Code Sets> Med Request Reasons Fri 2/10/17 Mon 2/13/17851 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17852 Localize System Test Tracking and Scripts ‐ eMAR Mon 6/19/17 Mon 6/19/17853 First Draft System Test Scripts ‐ eMAR Tue 6/20/17 Mon 6/26/17854 Final System Test Scripts ‐ eMAR Tue 6/27/17 Mon 7/3/17


Page 22

ID Task Name Start Finish 855 Complete System Testing ‐ eMAR Tue 7/4/17 Mon 7/10/17856 Go Live Readiness Assessment ‐ eMAR Mon 8/14/17 Mon 8/14/17857 Review & Update Go Live Cutover Plan (sent by IA) ‐ eMAR Wed 9/20/17 Thu 9/21/17858 Complete the Turnover Process documentation‐ eMAR Mon 2/12/18 Mon 2/12/18859 Complete Post Go Live Assessment Workbook for eMAR Mon 1/1/18 Tue 1/2/18860 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/17861 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


862 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17863 HealtheLife (Patient Portal) Wed 2/8/17 Fri 11/17/17864 Key DATES Wed 2/8/17 Fri 11/17/17865 Project Preparation Wed 2/8/17 Tue 2/14/17866 Project Kickoff Mon 3/20/17 Mon 3/20/17867 Design Review Mon 5/15/17 Fri 6/23/17868 Configure Mon 6/26/17 Mon 8/21/17869 Testing Mon 9/11/17 Tue 10/10/17870 Support and Turnover Mon 11/13/17 Fri 11/17/17871 Project Management Wed 2/8/17 Mon 11/13/17872 Opportunity Management Wed 2/8/17 Tue 2/14/17873 DELIVERABLE: Provide project team contract Wed 2/8/17 Tue 2/14/17874 DELIVERABLE: Transition document completed Wed 2/8/17 Tue 2/14/17875 Testing Mon 9/11/17 Tue 10/3/17876 Testing (PROD) Mon 9/11/17 Tue 10/3/17877 Test Networking Mon 9/11/17 Fri 9/15/17878 Health Profile Mon 9/11/17 Mon 10/2/17879 Messaging Mon 9/11/17 Mon 10/2/17880 Message Notifications Mon 9/11/17 Mon 10/2/17881 Scheduling Mon 9/11/17 Mon 10/2/17882 Clinical Results Mon 9/11/17 Mon 10/2/17883 Documents Mon 9/11/17 Mon 10/2/17884 CCD ‐ View, Download and Transmit Mon 9/11/17 Mon 10/2/17885 HealtheLife Engagement ‐ Assessment, Trackers, Workshops Mon 9/11/17 Fri 9/29/17886 Quick Pay: Submitting a Payment Mon 9/11/17 Fri 9/29/17887 Quick Pay: Applying the Refund Mon 9/11/17 Fri 9/29/17888 PROD Environment Signoff Tue 10/3/17 Tue 10/3/17889 Support and Turnover Mon 11/13/17 Mon 11/13/17890 Go Live Mon 11/13/17 Mon 11/13/17891 Point of Care Wed 2/8/17 Mon 2/12/18892 Future State Review Strategy Mon 4/24/17 Fri 4/28/17893 Future State Review Mon 5/22/17 Fri 5/26/17


Page 23

ID Task Name Start Finish 894 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17895 Future State Validation Mon 6/12/17 Fri 6/16/17896 Integration Testing 1 Mon 8/7/17 Fri 8/11/17897 Integration Testing 2 Mon 9/11/17 Fri 9/15/17898 Go Live Mon 11/13/17 Fri 11/17/17899 Complete Point of Care WBT Wed 2/8/17 Wed 2/8/17900 Data Collection Workbooks Tue 2/21/17 Mon 3/20/17901 DCW – Position Security Tue 2/21/17 Mon 3/20/17902 DCW ‐ Millennium POC Rules Mon 3/20/17 Mon 3/20/17903 DCW ‐ Patient Care Areas Using Millennium POC Mon 3/20/17 Mon 3/20/17904 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/17905 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/17906 DDM : CareAdmin Mon 3/20/17 Mon 3/20/17907 DDM : CareAdmin> Workflow Tools Mon 3/20/17 Mon 3/20/17908 DDM : CareAdmin> Positions Mon 3/20/17 Mon 3/20/17909 Select & Order 10 Point of Care Devices Mon 5/29/17 Tue 5/30/17910 Select & Order Final Point of Care Devices Mon 7/10/17 Mon 7/10/17911 Configure Mon 2/20/17 Fri 7/7/17912 Point of Care ‐ Application Groups Mon 2/20/17 Fri 4/28/17913 Point of Care ‐ Associate Application Groups to Positions Mon 5/1/17 Fri 7/7/17914 Point of Care ‐ PowerChart Security (Preferences) Tue 3/21/17 Mon 5/1/17915 Point of Care ‐ Privileges Tue 3/21/17 Mon 5/1/17916 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/17917 Localize System Test Tracking and Scripts ‐ Point of Care Mon 6/19/17 Mon 6/19/17918 First Draft System Test Scripts ‐ Point of Care Tue 6/20/17 Wed 6/21/17919 Final System Test Scripts ‐ Point of Care Wed 6/21/17 Thu 6/22/17920 Complete System Testing ‐ Point of Care Thu 6/22/17 Mon 6/26/17921 Go Live Readiness Assessment ‐ Point of Care Mon 8/14/17 Tue 8/15/17922 Review & Update Go Live Cutover Plan (sent by IA) ‐ Point of Care Wed 9/20/17 Wed 9/20/17923 Complete the Turnover Process documentation‐ Point of Care Mon 2/12/18 Mon 2/12/18924 Creation of Integration Test Scripts Mon 6/19/17 Tue 6/20/17925 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process

changesTue 6/20/17 Fri 6/23/17

926 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/17927 PowerChart Ambulatory Wed 2/8/17 Mon 2/12/18928 Future State Review Strategy Mon 4/24/17 Fri 4/28/17929 Future State Review Mon 5/22/17 Fri 5/26/17930 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/17931 Future State Validation Mon 6/12/17 Fri 6/16/17932 Integration Testing 1 Mon 8/7/17 Fri 8/11/17


Page 24

ID Task Name Start Finish 933 Integration Testing 2 Mon 9/11/17 Fri 9/15/17934 Go Live Mon 11/13/17 Fri 11/17/17935 Complete PowerChart Ambulatory WBT Wed 2/8/17 Wed 2/8/17936 Data Collection Workbooks Tue 2/14/17 Fri 10/20/17937 DCW ‐ Family and Social History Mon 4/3/17 Fri 6/23/17938 DCW ‐ All DTAs Mon 4/17/17 Fri 4/28/17939 DCW ‐ Adhoc Folders Mon 5/1/17 Fri 10/20/17940 DCW ‐ Position Security Tue 2/21/17 Mon 3/20/17941 DCW ‐ Bedrock Core Systems Organization Tue 2/21/17 Mon 3/20/17942 DCW ‐ Ambulatory Charge Services Tue 6/6/17 Mon 9/4/17943 DCW ‐ Ambulatory Charge Services> Ambulatory Tue 6/6/17 Mon 9/4/17944 DCW ‐ Ambulatory Charge Services> In Office Medications Tue 6/6/17 Mon 9/4/17945 DCW ‐ Ambulatory Charge Services> Supplies Tue 6/6/17 Mon 9/4/17946 DCW ‐ Ambulatory Organizer Mon 5/22/17 Mon 5/22/17947 DCW ‐ Ambulatory Organizer> Patient Tracking Mon 5/22/17 Mon 5/22/17948 DCW ‐ Ambulatory Specialties Client Localized Specialty Mon 3/20/17 Tue 3/21/17949 DCW ‐ Ambulatory Specialties> Infectious Disease Client Localized Specialty Mon 3/20/17 Tue 3/21/17950 DCW ‐ Ambulatory Specialties> Pulmonology Client Localized Specialty Mon 3/20/17 Tue 3/21/17951 DCW ‐ Ambulatory Specialties> Amb Nurse Manager Client Localized Specialty Mon 3/20/17 Tue 3/21/17952 DCW ‐ Ambulatory Specialties> Amb Registered Nurse Client Localized Specialty Mon 3/20/17 Tue 3/21/17953 DCW ‐ Ambulatory Specialties> Amb Medical Assistant Client Localized Specialty Mon 3/20/17 Tue 3/21/17

954 DCW ‐ Ambulatory Specialties> Amb Licensed Practical Nurse Client Localized Specialty Mon 3/20/17 Tue 3/21/17

955 DCW ‐ Health Maintenance Mon 5/8/17 Fri 5/26/17956 DCW ‐ Message Center Mon 5/29/17 Fri 6/9/17957 DCW ‐ Message Center > Pools Mon 5/29/17 Fri 6/9/17958 DCW ‐ Dynamic Worklist/Provider Groups Mon 7/3/17 Tue 7/4/17959 DCW ‐ Invitations Reminders Mon 7/3/17 Fri 7/21/17960 DCW ‐ Order Management Workbook Mon 7/3/17 Fri 7/21/17961 DCW ‐ Order Management Workbook> Ambulatory In Office Medication Mon 7/3/17 Fri 7/21/17962 DCW ‐ Order Management Workbook> Ambulatory POC Mon 7/3/17 Fri 7/21/17963 DCW ‐ Order Management Workbook> Procedures Mon 7/3/17 Fri 7/21/17964 DCW ‐ Order Management Workbook> Ambulatory Supplies Mon 7/3/17 Fri 7/21/17965 DCW ‐ Order Management Workbook> Evaluation and Management Mon 7/3/17 Fri 7/21/17966 DCW ‐ Order Management Workbook> Referrals Mon 7/3/17 Fri 7/21/17967 DCW ‐ Quick Orders and Charges Mon 3/20/17 Fri 4/14/17968 DCW ‐ Quick Orders and Charges Mon 3/20/17 Fri 4/14/17969 DCW ‐ Localizing Provider Documentation Mon 3/20/17 Fri 6/30/17970 DCW ‐ Localizing Provider and Dynamic Doc> Smart Template Wizard Mon 3/20/17 Fri 6/30/17


Page 25

ID Task Name Start Finish 971 DCW ‐ Import Standard Provider Documentation (PowerNote/Dynamic Doc) Mon 3/20/17 Fri 3/24/17972 Standard ‐ Order Management Workbook Tue 2/14/17 Mon 2/20/17973 Standard ‐ Growth Chart Tue 2/14/17 Mon 2/20/17974 DCW ‐ Ambulatory Specialties Standard Tue 2/14/17 Mon 2/20/17975 DCW ‐ Ambulatory Specialties> Infectious Disease Standard Tue 2/14/17 Mon 2/20/17976 DCW ‐ Ambulatory Specialties> Pulmonology Standard Tue 2/14/17 Mon 2/20/17977 DCW ‐ Ambulatory Specialties> Amb Nurse Manager Standard Tue 2/14/17 Mon 2/20/17978 DCW ‐ Ambulatory Specialties> Amb Registered Nurse Standard Tue 2/14/17 Mon 2/20/17979 DCW ‐ Ambulatory Specialties> Amb Medical Assistant Standard Tue 2/14/17 Mon 2/20/17980 DCW ‐ Ambulatory Specialties> Amb Licensed Practical Nurse Standard Tue 2/14/17 Mon 2/20/17981 Baseline ‐ Core Systems Security Tue 2/14/17 Mon 2/20/17982 DCW ‐ PowerForm Modifications Mon 7/3/17 Fri 7/14/17983 DCW ‐ PowerForm Modifications Mon 7/3/17 Fri 7/14/17984 Configure Tue 2/14/17 Fri 10/27/17985 Build ‐ Ambulatory ‐ Family and Social History Mon 6/26/17 Fri 7/21/17986 Build ‐ Ambulatory ‐ Ad Hoc Charting Folders Mon 10/23/17 Fri 10/27/17987 Build ‐ Ambulatory ‐ Alias Pool Configuration ‐ Associate alias pools to organizations/locations Tue 8/1/17 Mon 10/16/17

988 Build ‐ Ambulatory ‐ All DTAs Mon 5/1/17 Fri 8/4/17989 Build ‐ Ambulatory ‐ Ambulatory Organizer Tue 5/23/17 Mon 6/5/17990 Build ‐ Ambulatory ‐ Ambulatory Organizer ‐ Patient Tracking Mon 5/22/17 Mon 6/5/17991 Build ‐ Ambulatory ‐ Bedrock Core Systems Organization Tue 3/21/17 Mon 8/7/17992 Build ‐ Ambulatory ‐ Application Groups ‐ Ambulatory ‐ Configure Application Groups Mon 2/20/17 Fri 7/7/17

993 Build ‐ Ambulatory ‐ Application Groups ‐ Ambulatory ‐ Associate Application Groups to Positions Mon 2/20/17 Fri 7/7/17

994 Build ‐ Ambulatory ‐ Standard ‐ Health Maintenance Fri 2/17/17 Thu 3/16/17995 Ambulatory Specialties Standard Tue 2/21/17 Thu 2/23/17996 Build ‐ Ambulatory Specialties> Infectious Disease Standard Tue 2/21/17 Thu 2/23/17997 Build ‐ Ambulatory Specialties> Pulmonology Standard Tue 2/21/17 Thu 2/23/17998 Build ‐ Ambulatory Specialties> Amb Nurse Manager Standard Tue 2/21/17 Thu 2/23/17999 Build ‐ Ambulatory Specialties> Amb Registered Nurse Standard Tue 2/21/17 Thu 2/23/17

1000 Build ‐ Ambulatory Specialties> Amb Medical Assistant Standard Tue 2/21/17 Thu 2/23/171001 Build ‐ Ambulatory Specialties> Amb Licensed Practical Nurse Standard Tue 2/21/17 Thu 2/23/171002 Build ‐ Ambulatory ‐ Standard ‐ Order Catalog Tue 2/21/17 Mon 3/6/171003 Ambulatory ‐ Standard ‐ Positions Tue 2/21/17 Mon 2/27/171004 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Infectious Disease Tue 2/21/17 Mon 2/27/171005 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Pulmonology Tue 2/21/17 Mon 2/27/171006 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Amb Nurse Manager Tue 2/21/17 Mon 2/27/171007 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Amb Registered Nurse Tue 2/21/17 Mon 2/27/17


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ID Task Name Start Finish 1008 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Amb Medical Assistant Tue 2/21/17 Mon 2/27/171009 Build ‐ Ambulatory ‐ Standard ‐ Positions ‐ Amb Licensed Practical Nurse Tue 2/21/17 Mon 2/27/171010 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ Event Codes & Event Sets Tue 2/14/17 Mon 2/27/171011 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ Load Forms into Content Library Tue 2/14/17 Mon 2/27/171012 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ Reconcile DTAs and PowerForms Tue 2/14/17 Mon 2/27/171013 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ Tasks Tue 2/14/17 Mon 2/27/171014 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ Textual Renditions Tue 2/14/17 Mon 2/27/171015 Build ‐ Ambulatory ‐ Standard ‐ Powerforms ‐ AdHoc Folders Tue 2/14/17 Mon 2/27/171016 Build ‐ Ambulatory ‐ Standard ‐ Ad Hoc Root Folder Preference Tue 2/28/17 Mon 3/6/171017 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Family History Condition Groups Tue 2/14/17 Mon 2/27/171018 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Configure Family History Relationships Tue 2/14/17 Tue 2/14/17

1019 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Family Member View Tue 2/14/17 Mon 2/27/171020 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Define Family History Privileges Tue 2/14/17 Tue 2/14/171021 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Define Family History Preferences in Pref Manager Tue 2/14/17 Tue 2/14/17

1022 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Define Family History Preferences in CPW Tue 2/14/17 Tue 2/14/17

1023 Build ‐ Ambulatory ‐ Standard ‐ Family History ‐ Add Family History to TOC Tue 2/14/17 Tue 2/14/171024 Build ‐ Ambulatory ‐ Standard ‐ PowerNote Tue 2/14/17 Mon 5/8/171025 Build ‐ Ambulatory ‐ Standard ‐ Immunization Schedule Tue 2/14/17 Mon 3/27/171026 Build ‐ Ambulatory ‐ Custom Health Maintenance Mon 5/29/17 Fri 6/9/171027 Ambulatory ‐ PowerForm Modifications Mon 7/17/17 Fri 7/28/171028 Build ‐ Ambulatory ‐ PowerForm Modifications Mon 7/17/17 Fri 7/28/171029 Build ‐ Ambulatory ‐ Custom Smart Templates Mon 7/3/17 Fri 7/14/171030 Build ‐ Ambulatory ‐ Import Standard Provider Documentation (PowerNote/Dynamic Doc) Mon 3/27/17 Fri 4/7/17

1031 Build ‐ Ambulatory ‐ Diagnosis Folders Mon 4/17/17 Fri 5/12/171032 Ambulatory ‐ Quick Orders and Charges Mon 4/17/17 Fri 4/28/171033 Build ‐ Ambulatory ‐ Quick Orders and Charges Mon 4/17/17 Fri 4/28/171034 Build ‐ Ambulatory ‐ Quick Orders ‐ Order Folders Mon 4/17/17 Mon 4/17/171035 Build ‐ Ambulatory ‐ Dynamic Documentation ‐ Load Templates Tue 2/14/17 Mon 6/5/171036 Build ‐ Ambulatory ‐ Dynamic Documentation ‐ Complete CKI mapping Tue 2/14/17 Mon 6/5/171037 Build ‐ Ambulatory ‐ Dynamic Documentation ‐ Configure HPI, ROS, and PE Event Codes Tue 2/14/17 Mon 6/5/17

1038 Build ‐ Ambulatory ‐ Dynamic Documentation ‐ Configure PFMT_DOC_CLOSE_WORKFLOW Tue 2/14/17 Mon 6/5/17

1039 Build ‐ Ambulatory ‐ Dynamic Documentation ‐ Playbook Smart Templates Tue 2/14/17 Mon 6/5/171040 Build ‐ Ambulatory ‐ Dynamic Worklist Tue 2/14/17 Mon 6/5/171041 Build ‐ Ambulatory ‐ Encounter Types Tue 2/14/17 Mon 4/24/17


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ID Task Name Start Finish 1042 Build ‐ Ambulatory ‐ ePrescribe Mon 5/29/17 Fri 7/14/171043 Build ‐ Ambulatory ‐ Invitations Reminders Mon 7/24/17 Fri 9/29/171044 Build ‐ Ambulatory ‐ Custom Message Center Mon 6/12/17 Fri 7/14/171045 Build ‐ Ambulatory ‐ Custom Message Center ‐ Pools Mon 6/12/17 Fri 7/14/171046 Ambulatory Specialties Client Localized Specialty Fri 2/17/17 Tue 4/25/171047 Build ‐ Ambulatory Specialties ‐ Infectious Disease Client Localized Specialty Wed 3/22/17 Tue 4/25/171048 Build ‐ Ambulatory Specialties ‐ Pulmonology Client Localized Specialty Wed 3/22/17 Tue 4/25/171049 Build ‐ Ambulatory Specialties ‐ Medical Student Client Localized Specialty Fri 2/17/17 Thu 3/23/171050 Build ‐ Ambulatory Specialties ‐ Resident Client Localized Specialty Fri 2/17/17 Thu 3/23/171051 Build ‐ Ambulatory Specialties ‐ Amb Nurse Manager Client Localized Specialty Wed 3/22/17 Tue 4/25/171052 Build ‐ Ambulatory Specialties ‐ Amb Registered Nurse Client Localized Specialty Wed 3/22/17 Tue 4/25/17

1053 Build ‐ Ambulatory Specialties ‐ Amb Medical Assistant Client Localized Specialty Wed 3/22/17 Tue 4/25/17

1054 Build ‐ Ambulatory Specialties ‐ Amb Licensed Practical Nurse Client Localized Specialty Wed 3/22/17 Tue 4/25/17

1055 Build ‐ Ambulatory ‐ Custom ‐ Order Catalog ‐ Catalog and Activity Types Mon 3/20/17 Fri 3/24/171056 Build ‐ Ambulatory ‐ Custom ‐ Order Catalog ‐ OEFs Mon 3/20/17 Fri 3/24/171057 Build ‐ Ambulatory ‐ Custom ‐ Order Catalog ‐ Orders Mon 7/24/17 Fri 7/28/171058 Build ‐ Ambulatory ‐ Custom ‐ Order Catalog ‐ Tasks Mon 3/20/17 Fri 3/24/171059 Build ‐ Ambulatory ‐ Custom ‐ Order Catalog ‐ Virtual Views Mon 3/20/17 Fri 3/24/171060 Build ‐ Ambulatory ‐ Quick Orders ‐ Create Specialty Mpage views Mon 4/17/17 Mon 4/17/171061 Build ‐ Ambulatory ‐ Create Positions Tue 3/21/17 Tue 3/21/171062 Build ‐ Ambulatory ‐ Position Relationships Wed 3/22/17 Tue 5/2/171063 Build ‐ Ambulatory ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/171064 Build ‐ Ambulatory ‐ Privileges Wed 3/22/17 Tue 5/2/171065 Build ‐ Ambulatory ‐ PowerPlans Tue 9/5/17 Tue 9/5/171066 Build ‐ Ambulatory ‐ Ops Jobs ‐ Discharge Encounter Tue 2/14/17 Mon 4/17/171067 Build ‐ Ambulatory ‐ Prescription Req ‐ Load Standard Tue 2/14/17 Mon 4/17/171068 Build ‐ Ambulatory ‐ Prescription Req ‐ Order Catalog Association Tue 4/18/17 Mon 6/19/171069 Build ‐ Ambulatory ‐ Rule Re‐Instantiation Mon 7/24/17 Fri 8/4/171070 Build ‐ Ambulatory ‐ Task List Configuration Mon 5/29/17 Fri 7/14/171071 Build ‐ Ambulatory ‐ Task Revoker Mon 2/20/17 Fri 3/3/171072 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171073 ePrescribing SPI Number Set Up Mon 6/19/17 Mon 6/19/171074 Localize System Test Tracking and Scripts ‐ PowerChart Ambulatory Mon 6/19/17 Mon 6/19/171075 First Draft System Test Scripts ‐ PowerChart Ambulatory Tue 6/20/17 Mon 6/26/171076 Final System Test Scripts ‐ PowerChart Ambulatory Tue 6/27/17 Mon 7/3/171077 Complete System Testing ‐ PowerChart Ambulatory Tue 7/4/17 Mon 7/10/171078 Go Live Readiness Assessment ‐ PowerChart Ambulatory Mon 8/14/17 Mon 8/14/17


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ID Task Name Start Finish 1079 Review & Update Go Live Cutover Plan (sent by IA) ‐ PowerChart Ambulatory Wed 9/20/17 Thu 9/21/171080 Complete the Turnover Process documentation‐ PowerChart Ambulatory Mon 2/12/18 Mon 2/12/181081 Complete Post Go Live Assessment Workbook for PowerChart Ambulatory Mon 1/1/18 Tue 1/2/181082 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/171083 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


1084 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/171085 Ambulatory Regulatory Mon 5/22/17 Mon 6/12/171086 Introduce Quality Reporting Team to Project for PQRS guidance Mon 6/12/17 Mon 6/12/171087 Identify Public Health Initiatives to establish an active engagement (See MU Stage II Checklist) Mon 5/22/17 Fri 6/2/17

1088 Build ‐ Smoking status built and configured with SNOMED codes (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1089 Build ‐ Family History includes "unknown" option for adopted patients (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1090 Build ‐ Growth Charts available for patients 0‐20 years old (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1091 Build ‐ Patient Education is configured with suggested material (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1092 Build ‐ CPOE Bedrock filters configured (proper comm types, positions, protocol orders) (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1093 Build ‐ Identify and configure 5 Clinical Decision Support Rules (See MU Stage II Checklist) Mon 5/22/17 Fri 5/26/17

1094 Build ‐ ToC ‐ CCD template defined and available via Message Center/Provider Letter (See MU Stage II Checklist) Mon 5/22/17 Fri 5/26/17

1095 Build ‐ Secure Message through Patient Portal is on and active at start of GL (See MU Stage II Checklist) Mon 5/22/17 Mon 5/22/17

1096 Build ‐ P2Sentinel or other certified solution is implemented (See MU Stage II Checklist) Mon 5/22/17 Fri 5/26/17

1097 Build ‐ Immunization Registry connection is established or being established (See MU Stage II Checklist) Mon 5/22/17 Fri 5/26/17

1098 P2 Sentinel Wed 2/1/17 Mon 4/23/181099 KEY DATES Wed 2/1/17 Mon 4/23/181100 PROJECT STARTUP ‐ P2 Sentinel Event Wed 2/1/17 Wed 2/1/171101 PROJECT TEAM READINESS Mon 3/13/17 Mon 3/13/171102 CURRENT STATE REVIEW ‐ P2 Sentinel Event Tue 3/14/17 Mon 3/20/171103 CURRENT STATE LEADERSHIP DEBRIEF Mon 4/10/17 Mon 4/10/171104 MEASUREMENT WORKSHOP Mon 5/8/17 Mon 5/8/171105 GATEWAY 1 Mon 5/8/17 Mon 5/8/171106 FUTURE STATE REVIEW (~Total of 3 wk sessions) Mon 4/24/17 Fri 5/26/17


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ID Task Name Start Finish 1107 FUTURE STATE VALIDATION Mon 6/12/17 Fri 6/16/171108 GATEWAY 2 Mon 7/3/17 Mon 7/3/171109 INTEGRATION TESTING RD 1 Mon 8/7/17 Fri 8/18/171110 INSTALLATION ‐ FUTURE STATE VALIDATION ‐ P2 Sentinel Event Mon 8/14/17 Fri 8/18/171111 GATEWAY 3 Mon 9/18/17 Mon 9/18/171112 INTEGRATION TESTING RD 2 Mon 9/11/17 Fri 9/22/171113 END USER TRAINING Mon 10/9/17 Fri 11/3/171114 GATEWAY 4 Mon 11/6/17 Mon 11/6/171115 GO‐LIVE / MAINTENANCE TRAINING ‐ P2 Sentinel Event Mon 11/13/17 Fri 11/17/171116 HEALTH CHECK ‐ P2 Sentinel Event Mon 1/8/18 Fri 1/19/181117 CLIENT VALUE ASSESSMENT Mon 4/23/18 Mon 4/23/181118 GATEWAY 5 Mon 2/12/18 Mon 2/12/181119 P2 SENTINEL CONSULTING FRAMEWORK METHODOLOGY Mon 3/13/17 Mon 4/23/181120 ALIGN Mon 3/13/17 Mon 4/10/171121 Project Team Readiness Alignment Call ‐ Project Charter, Value Measures Mon 3/13/17 Tue 3/14/171122 CURRENT STATE REVIEW Tue 3/14/17 Mon 4/3/171123 Departmental Focus Sessions Tue 3/14/17 Mon 4/3/171124 P2 Sentinel ‐ Technology Focus Group Tue 3/14/17 Tue 3/14/171125 Workflow Designer‐ P2 Sentinel Work Flow Tue 3/14/17 Tue 3/14/171126 Update Current State Review Questionnaire Module Tue 3/14/17 Tue 3/14/171127 Review DCW ‐ P2Sentinel Tue 3/14/17 Mon 4/3/171128 Post Session Tue 3/21/17 Wed 3/22/171129 Data Collection and Deliverables Tue 3/21/17 Wed 3/22/171130 Current State Leadership Debrief Prep Call Mon 4/10/17 Mon 4/10/171131 ENGAGE Mon 8/7/17 Mon 8/14/171132 INSTALLATION / FUTURE STATE VALIDATION Mon 8/7/17 Mon 8/14/171133 Prepare: Mon 8/7/17 Mon 8/7/171134 FSV ‐ Installation Agenda ‐ P2 Sentinel Mon 8/7/17 Mon 8/7/171135 DCW ‐ P2Sentinel Mon 8/7/17 Mon 8/7/171136 Installation Event: Mon 8/14/17 Mon 8/14/171137 Test workflow from turning on the Millennium data feeds to P2 reporting Mon 8/14/17 Mon 8/14/171138 ACTIVATE Mon 10/30/17 Fri 2/2/181139 CONVERSION Mon 10/30/17 Fri 2/2/181140 Planning Conversion Mon 10/30/17 Tue 11/14/171141 Go Live Mon 11/13/17 Wed 11/15/171142 Validation of Production Mon 11/13/17 Mon 11/13/171143 Test Guidelines Mon 11/13/17 Mon 11/13/171144 Admin Training (CHO Clients Only) Tue 11/14/17 Tue 11/14/171145 Post Conversion Mon 1/8/18 Fri 2/2/181146 Conversion EAR / First Productive Use EAR (If applicable per the contract) Mon 1/8/18 Mon 1/8/18


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ID Task Name Start Finish 1147 Post Conversion Support Mon 1/8/18 Fri 2/2/181148 Transition to Support Meeting ‐ Client and Cerner Fri 2/2/18 Fri 2/2/181149 Project Completion / Turnover EAR Fri 2/2/18 Fri 2/2/181150 Acceptance EAR (If applicable per the contract) Fri 2/2/18 Fri 2/2/181151 MEASURE Mon 12/25/17 Mon 4/23/181152 Health Check Mon 12/25/17 Mon 1/8/181153 Prepare: Mon 12/25/17 Mon 12/25/171154 Health Check ‐ Agenda ‐ P2 Sentinel Mon 12/25/17 Mon 12/25/171155 Health Check Event Mon 1/8/18 Mon 1/8/181156 Client Value Assessment Mon 4/23/18 Mon 4/23/181157 HealthSentry Fri 2/17/17 Mon 11/13/171158 Engage Fri 2/17/17 Thu 9/7/171159 Project Planning Fri 2/17/17 Thu 9/7/171160 Scope Review and Prepare Project Plan Fri 2/17/17 Thu 9/7/171161 Ongoing Project Management Fri 2/17/17 Thu 9/7/171162 Project Meetings and Oversight Fri 2/17/17 Thu 9/7/171163 Configuration Mon 9/11/17 Mon 9/11/171164 System Setup Mon 9/11/17 Mon 9/11/171165 Institution Setup Mon 9/11/17 Mon 9/11/171166 Request to HealthSentry team to add DPH facilities to the Current Build Mon 9/11/17 Mon 9/11/171167 Execute Mon 9/25/17 Mon 11/13/171168 Confirm Requests Mon 9/25/17 Fri 9/29/171169 Confirm DPH Facilities requested are in Current Build Mon 9/25/17 Fri 9/29/171170 Project Closure Mon 11/13/17 Mon 11/13/171171 Content360 Wed 2/1/17 Mon 2/12/181172 KEY DATES Wed 2/1/17 Mon 2/12/181173 HARDWARE PROCUREMENT Wed 2/1/17 Tue 5/2/171174 PROJECT STARTUP Mon 2/20/17 Mon 2/20/171175 PROJECT TEAM READINESS Mon 3/13/17 Mon 3/13/171176 CURRENT STATE REVIEW Tue 3/14/17 Mon 3/20/171177 INTERNAL: CURRENT STATE REVIEW WFD AND DEBRIEF WEEK Mon 3/27/17 Mon 3/27/171178 Content360 INSTALLATION Tue 4/4/17 Mon 5/1/171179 CURRENT STATE LEADERSHIP DEBRIEF Mon 4/10/17 Mon 4/10/171180 INTERNAL: FUTURE STATE STRATEGY / DRY RUN Mon 3/20/17 Mon 3/20/171181 GATEWAY 1 Mon 5/8/17 Mon 5/8/171182 FUTURE STATE REVIEW Mon 4/24/17 Fri 4/28/171183 FUTURE STATE VALIDATION Mon 6/12/17 Fri 6/16/171184 GATEWAY 2 Mon 7/3/17 Mon 7/3/171185 SUPER USER TRAINING Mon 7/3/17 Thu 7/6/171186 INTEGRATION TESTING RD 1 Mon 8/7/17 Fri 8/18/17


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ID Task Name Start Finish 1187 GATEWAY 3 Mon 9/18/17 Mon 9/18/171188 INTEGRATION TESTING RD 2 Mon 9/11/17 Fri 9/22/171189 END USER TRAINING Mon 10/9/17 Fri 10/20/171190 GATEWAY 4 Mon 11/6/17 Mon 11/6/171191 GO‐LIVE Mon 11/13/17 Wed 11/15/171192 HEALTH CHECK Mon 1/8/18 Tue 1/9/181193 GATEWAY 5 Mon 2/12/18 Mon 2/12/181194 Content360 Fri 2/10/17 Mon 1/8/181195 ALIGN Fri 2/10/17 Mon 4/24/171196 PROJECT PREPARATION Mon 2/20/17 Fri 3/3/171197 Hold Sales to Consulting Hand‐off Meeting Mon 2/20/17 Mon 2/20/171198 Project Slotting Request Mon 2/20/17 Mon 2/20/171199 Coordinate Resources Mon 2/27/17 Mon 2/27/171200 Client Introductory Call Mon 2/27/17 Mon 2/27/171201 Finalize Project Plan Mon 2/27/17 Fri 3/3/171202 PROJECT STARTUP ‐ CONTENT360 Fri 2/10/17 Mon 3/13/171203 Prepare Fri 2/10/17 Mon 2/20/171204 Prepare STARTUP Materials Fri 2/10/17 Mon 2/20/171205 Project Startup ‐ Agenda ‐ Content360 Fri 2/10/17 Fri 2/10/171206 Project Startup ‐ Presentation ‐ Content360 Mon 2/20/17 Mon 2/20/171207 Client Project Startup Session ‐ Content360 Mon 3/13/17 Mon 3/13/171208 Introductions / Framework Methodology Mon 3/13/17 Mon 3/13/171209 Technical Review Mon 3/13/17 Mon 3/13/171210 Review the role and responsibilities matrix with the client Mon 3/13/17 Mon 3/13/171211 Review the domain strategy with the client project team Mon 3/13/17 Mon 3/13/171212 Verify Departments in Scope Mon 3/13/17 Mon 3/13/171213 Project Charter Review Mon 3/13/17 Mon 3/13/171214 Current State Review Preparation Mon 3/13/17 Mon 3/13/171215 Post Session Mon 3/13/17 Mon 3/13/171216 Project Startup EAR (If Applicable per contract) Mon 3/13/17 Mon 3/13/171217 Project Team Readiness Call ‐ Project Charter, Value Measures Mon 3/6/17 Mon 3/13/171218 Prepare Mon 3/6/17 Mon 3/6/171219 Project Team Readiness ‐ Agenda ‐ DWx Phase X Mon 3/6/17 Mon 3/6/171220 Project Team Readiness Event Mon 3/13/17 Mon 3/13/171221 CURRENT STATE REVIEW Tue 3/7/17 Mon 4/24/171222 Prepare: Tue 3/7/17 Tue 3/7/171223 CSR ‐ Agenda ‐ Content360 Tue 3/7/17 Tue 3/7/171224 CSR Questionnaire on Portal Site Tue 3/7/17 Tue 3/7/171225 Current State Review Event Tue 3/14/17 Wed 3/15/171226 Departmental Sessions Tue 3/14/17 Wed 3/15/17


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ID Task Name Start Finish 1227 Content360 Registration Focus Group/ Walkthrough Tue 3/14/17 Tue 3/14/171228 Content360 HIM Focus Group / Walkthrough Tue 3/14/17 Tue 3/14/171229 Content360 Patient Accounting Focus Group/Walkthrough Tue 3/14/17 Wed 3/15/171230 Post Event Mon 3/13/17 Mon 4/24/171231 Order hardware ‐ Devices Mon 3/13/17 Mon 4/24/171232 Document Server Architecture Tue 3/21/17 Tue 3/21/171233 Update Current State Questionnaire Module on Project Portal site Tue 3/21/17 Tue 3/21/171234 Licensing Tue 3/21/17 Tue 3/21/171235 Obtain Licenses Tue 3/21/17 Tue 3/21/171236 Patient eSignature Tue 3/21/17 Mon 4/3/171237 Gather Patient eSignature Forms Tue 3/21/17 Mon 4/3/171238 INTERNAL: Current State Review Debrief Mon 3/27/17 Fri 3/31/171239 INTERNAL: Current State Workflows Mon 3/27/17 Fri 3/31/171240 Data Collection and Deliverables Mon 4/3/17 Mon 4/3/171241 DCW ‐ Content360 Mon 4/3/17 Mon 4/3/171242 DCW ‐ Content360 Forms Catalog Mon 4/3/17 Mon 4/3/171243 Current State Leadership Debrief Mon 4/3/17 Mon 4/10/171244 Prepare: Mon 4/3/17 Mon 4/3/171245 Current State Leadership Debrief ‐ Presentation ‐ DWx Phase X Mon 4/3/17 Mon 4/3/171246 Current State Leadership ‐ Agenda ‐ DWx Phase X Mon 4/3/17 Mon 4/3/171247 Debrief Event Mon 4/10/17 Mon 4/10/171248 ENGAGE Mon 5/29/17 Fri 10/20/171249 FUTURE STATE REVIEW Mon 5/29/17 Tue 5/30/171250 Prepare: Mon 5/29/17 Tue 5/30/171251 Content360 Installation Mon 5/29/17 Tue 5/30/171252 Configure Mon 5/29/17 Tue 5/30/171253 CPDI Server Configuration Mon 5/29/17 Tue 5/30/171254 Patient eSignature Mon 5/29/17 Tue 5/30/171255 Gather and Submit Final Forms Mon 5/29/17 Mon 5/29/171256 CDIConfig eForms Configuration Mon 5/29/17 Tue 5/30/171257 Confirm Current and Future State Workflows Mon 5/29/17 Mon 5/29/171258 Content360 Document Library Single Document Capture Mon 5/29/17 Mon 5/29/171259 Content360 Clinical Notes Single Document Capture Mon 5/29/17 Mon 5/29/171260 Content360 eSignature Mon 5/29/17 Mon 5/29/171261 Content360 HIM Batch Capture Mon 5/29/17 Mon 5/29/171262 Content360 Manual Batch Capture Mon 5/29/17 Mon 5/29/171263 INTERNAL: Future State Strategy / Dry Run Mon 5/29/17 Mon 5/29/171264 Future State Review Event Mon 5/29/17 Mon 5/29/171265 Prepare Mon 5/29/17 Mon 5/29/171266 FSR ‐ Agenda ‐ Content360 Mon 5/29/17 Mon 5/29/17


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ID Task Name Start Finish 1267 Integrated Sessions Mon 5/29/17 Mon 5/29/171268 HIM Departmental Workflow Mon 5/29/17 Mon 5/29/171269 Admission Workflow Integration (Direct Admit) Mon 5/29/17 Mon 5/29/171270 Perioperative/Radiology/Registration/Scheduling Integration Mon 5/29/17 Mon 5/29/171271 Departmental Sessions Mon 5/29/17 Mon 5/29/171272 HIM Workflow Mon 5/29/17 Mon 5/29/171273 Post Event Mon 5/29/17 Mon 5/29/171274 Design Decision Session Mon 5/29/17 Mon 5/29/171275 DCW Finalized ‐ Content360 Mon 5/29/17 Mon 5/29/171276 FUTURE STATE VALIDATION Mon 6/12/17 Mon 6/19/171277 Future State Validation Event Mon 6/12/17 Mon 6/19/171278 Prepare: Mon 6/19/17 Mon 6/19/171279 FSV ‐ Agenda ‐ Content360 Mon 6/19/17 Mon 6/19/171280 Integrated Sessions Mon 6/12/17 Mon 6/12/171281 Registration/eSignature Integration Mon 6/12/17 Mon 6/12/171282 HIM Test Builder Mon 6/12/17 Mon 6/12/171283 HIM/CPDI Integration Mon 6/12/17 Mon 6/12/171284 Departmental Sessions Mon 6/12/17 Mon 6/12/171285 Content360 Ancillary Department Debrief Mon 6/12/17 Mon 6/12/171286 Test Script Mon 6/19/17 Wed 7/5/171287 Prepare: Mon 6/19/17 Mon 6/19/171288 Test Builder Scripts on Portal Site Mon 6/19/17 Mon 6/19/171289 Test Builder Script ‐ All Content360 Tasks Mon 6/19/17 Mon 6/19/171290 Test Builder Script ‐ Content360 HIM Batch Scanning Mon 6/19/17 Mon 6/19/171291 Test Builder Script ‐ Content360 Patient Accounting Batch Capture Mon 6/19/17 Mon 6/19/171292 Test Builder Script ‐ Content360 CDI Batch Indexing Mon 6/19/17 Mon 6/19/171293 Test Builder Script ‐ Content360 Clinical Notes Single Document Capture Mon 6/19/17 Mon 6/19/171294 Test Builder Script ‐ Content360 Clinical Document Correction Mon 6/19/17 Mon 6/19/171295 Test Builder Script‐ Radiology ‐ Scanning documents Mon 6/19/17 Mon 6/19/171296 Event: Mon 7/3/17 Wed 7/5/171297 CPDI Installation Mon 7/3/17 Wed 7/5/171298 Departmental Scanning (Single Document Capture) Mon 7/3/17 Mon 7/3/171299 Citrix Scanning Configuration (Single Test Station/Citrix) Mon 7/3/17 Mon 7/3/171300 Install Twain Drivers on Workstations Mon 7/3/17 Mon 7/3/171301 Add Workstation / Scanner to WTSLocaitons Mon 7/3/17 Mon 7/3/171302 Patient eSignature Tue 7/4/17 Tue 7/4/171303 Install Testing Workstation Tue 7/4/17 Tue 7/4/171304 Kofax Workstations LVBC Wed 7/5/17 Wed 7/5/171305 Install Kofax / VRS / Scanner Software / HNAM Wed 7/5/17 Wed 7/5/171306 Scanner Profiles Wed 7/5/17 Wed 7/5/17


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ID Task Name Start Finish 1307 Low Volume Batch ‐ Clinical Records Wed 7/5/17 Wed 7/5/171308 Content360 ‐ Super User Training Mon 7/3/17 Mon 7/3/171309 INTEGRATION TESTING Mon 8/7/17 Fri 10/13/171310 NON PROD Domain Testing Mon 8/7/17 Tue 9/26/171311 Integration Testing 1 Mon 8/7/17 Mon 8/21/171312 Testing Event Mon 8/7/17 Fri 8/18/171313 Follow‐up on IT Testing results Mon 8/21/17 Mon 8/21/171314 Update DCW and Test Script with the results Mon 8/21/17 Mon 8/21/171315 Update Integration Testing ‐ Test Builder Scripts Mon 8/21/17 Mon 8/21/171316 Integration Testing 2 Mon 9/11/17 Tue 9/26/171317 Testing Event with Failover Mon 9/11/17 Fri 9/22/171318 Follow‐up on IT Testing results Mon 9/25/17 Tue 9/26/171319 Update DCW and Testing Guide ‐ Content360 Mon 9/25/17 Mon 9/25/171320 Update Integration Testing ‐ Test Builder Scripts Mon 9/25/17 Mon 9/25/171321 Device Deployment Mon 9/25/17 Fri 10/13/171322 Production Cutover Work Plan ‐ Content360 Wed 9/27/17 Wed 9/27/171323 CLIENT END USER TRAINING Mon 10/9/17 Fri 10/20/171324 ACTIVATE Mon 9/11/17 Wed 12/13/171325 GO‐LIVE Mon 9/11/17 Wed 12/13/171326 Validation of Production Mon 9/11/17 Mon 9/11/171327 Test Guidelines Mon 9/11/17 Mon 9/11/171328 Planning Conversion Mon 9/11/17 Fri 11/3/171329 Arrange IRC support Mon 10/30/17 Fri 11/3/171330 Client Help Desk Readiness Mon 10/30/17 Fri 11/3/171331 Complete Conversion Readiness Assessment Module Mon 9/11/17 Tue 9/12/171332 Production Go‐Live Approval Form Mon 9/11/17 Tue 9/12/171333 Go Live Event ‐ End User Support Mon 11/13/17 Wed 11/15/171334 Conversion EAR / First Productive Use EAR (If applicable per the contract) Wed 11/15/17 Wed 11/15/171335 Post Conversion Thu 11/16/17 Wed 12/13/171336 Conversion Event Activity Report Thu 11/16/17 Thu 11/16/171337 Post Conversion Support Thu 11/16/17 Wed 12/13/171338 Transition to Support Meeting ‐ Client and Cerner Wed 12/13/17 Wed 12/13/171339 Project Completion / Turnover EAR Wed 12/13/17 Wed 12/13/171340 Acceptance EAR (If applicable per the contract) Wed 12/13/17 Wed 12/13/171341 MEASURE Mon 12/25/17 Mon 1/8/181342 HEALTH CHECK ‐ VALUE MEASURES Mon 12/25/17 Mon 1/8/181343 Prepare: Mon 12/25/17 Mon 12/25/171344 Health Check ‐ Agenda ‐ Content360 Mon 12/25/17 Mon 12/25/171345 Health Check ‐ Questionnaire ‐ Content360 Mon 12/25/17 Mon 12/25/171346 Health Check Event Mon 1/8/18 Mon 1/8/18


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ID Task Name Start Finish 1347 Ancillaries Tue 1/24/17 Fri 3/16/181348 PathNet AP Wed 2/8/17 Fri 3/16/181349 Future State Review Strategy Mon 4/24/17 Fri 4/28/171350 Future State Review Mon 5/22/17 Fri 5/26/171351 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/171352 Future State Validation Mon 6/12/17 Fri 6/16/171353 Integration Testing 1 Mon 8/7/17 Fri 8/11/171354 Integration Testing 2 Mon 9/11/17 Fri 9/15/171355 Go Live Mon 11/13/17 Fri 11/17/171356 Complete AP WBT Wed 2/8/17 Wed 2/8/171357 Data Collection Workbooks Mon 3/20/17 Mon 5/29/171358 DCW ‐ PathNet Anatomic Pathology Mon 3/20/17 Fri 5/12/171359 DCW ‐ PathNet Anatomic Pathology> Order Entry Formats) Mon 3/20/17 Fri 5/12/171360 DCW ‐ PathNet Anatomic Pathology> Specimen Orderables Mon 3/20/17 Fri 5/12/171361 DCW ‐ PathNet Anatomic Pathology> Specimen List Mon 3/20/17 Fri 5/12/171362 DCW ‐ Core Systems Non‐Facility Organization Mon 5/29/17 Mon 5/29/171363 Configure Mon 5/15/17 Mon 8/28/171364 PathNet AP ‐ Login Locations Mon 5/29/17 Mon 5/29/171365 PathNet AP ‐ Order Entry Formats and Fields Mon 5/15/17 Fri 8/25/171366 PathNet AP ‐ Specimen Orderables, DTA's, Work Routing Collection Requirements) Mon 5/15/17 Fri 8/25/17

1367 PathNet AP ‐ Virtual Views Mon 8/28/17 Mon 8/28/171368 PathNet AP ‐ Specimen Lists Mon 5/15/17 Fri 8/25/171369 DQA ‐ PathNet AP ‐ Current State Review (if Phase X) Tue 2/28/17 Mon 3/6/171370 DQA ‐ PathNet AP ‐ IT1 Mon 7/24/17 Fri 7/28/171371 DQA ‐ PathNet AP ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/171372 Go Live Readiness Assessment ‐ AP Mon 8/14/17 Fri 8/18/171373 Review & Update Go Live Cutover Plan (sent by IA) ‐ AP Wed 9/20/17 Tue 10/10/171374 Complete the Turnover Process documentation ‐ AP Mon 2/12/18 Fri 3/16/181375 Complete Post Go Live Assessment Workbook for AP Mon 1/1/18 Fri 1/12/181376 PathNet AP System Testing Mon 6/19/17 Fri 8/11/171377 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/171378 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


1379 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/171380 PathNet GenLab / Handheld Specimen Collection Wed 2/8/17 Mon 2/12/181381 Future State Review Strategy Mon 4/24/17 Fri 4/28/171382 Future State Review Mon 5/22/17 Fri 5/26/171383 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/171384 Future State Validation Mon 6/12/17 Fri 6/16/17


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ID Task Name Start Finish 1385 Integration Testing 1 Mon 8/7/17 Fri 8/11/171386 Integration Testing 2 Mon 9/11/17 Fri 9/15/171387 Go Live Mon 11/13/17 Fri 11/17/171388 Complete GenLab WBT Wed 2/8/17 Tue 2/21/171389 Data Collection Workbooks Mon 2/20/17 Mon 9/4/171390 DCW ‐ Project Start Up ‐ Laboratory Mon 2/20/17 Fri 2/24/171391 DCW ‐ Project Start Up ‐ Laboratory> Gen Lab Order Catalog Mon 2/20/17 Fri 2/24/171392 DCW ‐ Laboratory Charge Services Mon 6/5/17 Mon 9/4/171393 DCW ‐ Laboratory Charge Services> GenLab Send outs Mon 6/5/17 Mon 9/4/171394 DCW – Position Security Tue 2/21/17 Mon 3/20/171395 DCW – Position Security> PowerChart Security Tue 2/21/17 Mon 3/20/171396 DCW – Position Security> Privileges Tue 2/21/17 Mon 3/20/171397 DCW ‐ PowerChart Specimen Collection Mon 5/29/17 Fri 6/9/171398 Bedrock > Orders Mon 3/20/17 Fri 4/14/171399 Bedrock > Routing Mon 3/20/17 Fri 3/31/171400 Bedrock > Collection Requirements Mon 3/20/17 Fri 4/7/171401 DCW‐ PathNet General Laboratory Mon 3/20/17 Fri 6/2/171402 DCW‐ PathNet General Laboratory> Containers Mon 3/20/17 Fri 3/24/171403 DCW‐ PathNet General Laboratory> Cancel Reasons Mon 3/20/17 Fri 3/24/171404 DCW‐ PathNet General Laboratory> Service AreasLogin‐Tracking Loc Mon 3/20/17 Fri 3/24/171405 DCW‐ PathNet General Laboratory> Label Printer Defaults Mon 5/29/17 Fri 6/2/171406 DCW‐ PathNet General Laboratory> Ref Lab Order and DTA Aliasing Mon 5/29/17 Fri 6/2/171407 DCW‐ PathNet General Laboratory> Ref Lab Units of Measure Mon 5/29/17 Fri 6/2/171408 Configure Mon 2/20/17 Tue 9/19/171409 PathNet GL ‐ Order Entry Fields and Formats Mon 3/20/17 Mon 3/20/171410 PathNet GL ‐ Orders Mon 2/27/17 Fri 9/15/171411 PathNet GL ‐ Virtual Views Mon 9/18/17 Mon 9/18/171412 PathNet GL ‐ Routing Mon 9/18/17 Mon 9/18/171413 PathNet GL ‐ Containers Mon 3/27/17 Fri 8/25/171414 PathNet GL ‐ Specimen Types Mon 5/29/17 Mon 5/29/171415 PathNet GL ‐ Collection Requirements Tue 9/19/17 Tue 9/19/171416 PathNet GL ‐ Service Areas Mon 3/27/17 Fri 8/25/171417 PathNet GL ‐ Login and Tracking Locations Mon 3/27/17 Fri 8/25/171418 PathNet GL ‐ Label Printer Defaults Mon 6/5/17 Fri 7/7/171419 PathNet GL ‐ Reference Lab Order and DTA Aliasing Mon 6/5/17 Fri 7/7/171420 PathNet GL ‐ Reference Lab Units of Measure Mon 6/5/17 Fri 7/7/171421 PathNet GL ‐ Application Groups Mon 2/20/17 Mon 2/20/171422 PathNet GL ‐ Associate Application Groups to Positions Mon 2/20/17 Mon 2/20/171423 PathNet GL ‐ Create Positions Tue 3/21/17 Tue 3/21/171424 PathNet GL ‐ Position Relationships Wed 3/22/17 Tue 5/2/17


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ID Task Name Start Finish 1425 PathNet GL ‐ PowerChart Security (Preferences) Wed 3/22/17 Tue 5/2/171426 PathNet GL ‐ Privileges Wed 3/22/17 Tue 5/2/171427 DQA ‐ PathNet GL ‐ Current State Review (if Phase X) Tue 2/28/17 Mon 3/6/171428 DQA ‐ PathNet GL ‐ IT1 Mon 7/24/17 Fri 7/28/171429 DQA ‐ PathNet GL ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/171430 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171431 First Draft System Test Scripts ‐ GenLab Mon 6/19/17 Fri 6/30/171432 Final System Test Scripts ‐ GenLab Mon 7/3/17 Fri 7/14/171433 Complete System Testing ‐ GenLab Mon 7/17/17 Fri 7/28/171434 Go Live Readiness Assessment ‐ GenLab Mon 8/14/17 Mon 8/14/171435 Review & Update Go Live Cutover Plan (sent by IA) ‐ GenLab Wed 9/20/17 Wed 9/20/171436 Complete the Turnover Process documentation‐ GenLab Mon 2/12/18 Mon 2/12/181437 Complete Post Go Live Assessment Workbook for GenLab Mon 1/1/18 Fri 1/5/181438 PathNet Gen Lab System Testing Mon 6/19/17 Fri 8/11/171439 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/171440 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


1441 Configure and test Value Objective and KPI Reports Mon 8/14/17 Wed 8/16/171442 PathNet Micro Wed 2/8/17 Fri 3/16/181443 Future State Review Strategy Mon 4/24/17 Fri 4/28/171444 Future State Review Mon 5/22/17 Fri 5/26/171445 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/171446 Future State Validation Mon 6/12/17 Fri 6/16/171447 Integration Testing 1 Mon 8/7/17 Fri 8/11/171448 Integration Testing 2 Mon 9/11/17 Fri 9/15/171449 Go Live Mon 11/13/17 Fri 11/17/171450 Complete Micro WBT Wed 2/8/17 Tue 2/21/171451 Solution Design Assessment ‐ Micro Mon 2/20/17 Fri 2/24/171452 Data Collection Workbooks Wed 2/8/17 Fri 6/16/171453 DCW ‐ Laboratory Charge Services Fri 2/17/17 Thu 5/18/171454 DCW ‐ Project Start Up ‐ Laboratory Wed 2/8/17 Fri 2/10/171455 DCW ‐ Project Start Up ‐ Laboratory> Micro Order Catalog Wed 2/8/17 Fri 2/10/171456 DCW ‐ Project Start Up ‐ Laboratory> Micro Collection Req. List Wed 2/8/17 Fri 2/10/171457 DCW ‐ PathNet Microbiology Mon 3/20/17 Fri 6/16/171458 DCW ‐ PathNet Microbiology> Orders Mon 3/20/17 Fri 5/12/171459 DCW ‐ PathNet Microbiology> Work Routing Mon 3/20/17 Fri 4/7/171460 DCW ‐ PathNet Microbiology (Collection Requirement EXAMPLES) Mon 3/20/17 Fri 3/31/171461 DCW ‐ PathNet Microbiology> Source (Specimen Type) Audit Mon 3/20/17 Fri 5/12/171462 DCW ‐ PathNet Microbiology> Source Hierarchy, Body Sites Mon 3/20/17 Fri 6/16/171463 Configure Mon 4/3/17 Fri 11/3/17


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ID Task Name Start Finish 1464 PathNet Micro ‐ Order Catalog Mon 5/15/17 Fri 7/21/171465 PathNet Micro ‐ Orders Mon 5/15/17 Fri 8/25/171466 PathNet Micro ‐ Routing Mon 4/10/17 Fri 6/16/171467 PathNet Micro ‐ Virtual Order Catalog (Virtual Views) Mon 8/28/17 Fri 11/3/171468 PathNet Micro ‐ Collection Requirements Mon 4/3/17 Fri 6/9/171469 PathNet Micro ‐ Body Sites Mon 6/19/17 Fri 8/25/171470 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171471 First Draft System Test Scripts ‐ Micro Mon 6/19/17 Fri 6/30/171472 Final System Test Scripts ‐ Micro Mon 7/3/17 Fri 7/14/171473 Complete System Testing ‐ Micro Mon 7/17/17 Fri 7/28/171474 Go Live Readiness Assessment ‐ Micro Mon 8/14/17 Fri 8/18/171475 Review & Update Go Live Cutover Plan (sent by IA) ‐ Micro Wed 9/20/17 Tue 10/10/171476 Complete the Turnover Process documentation‐ Micro Mon 2/12/18 Fri 3/16/181477 Complete Post Go Live Assessment Workbook for Micro Mon 1/1/18 Fri 1/12/181478 PathNet Micro System Testing Mon 6/19/17 Fri 8/11/171479 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/171480 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


1481 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/171482 PharmNet Inpatient Tue 1/24/17 Fri 3/16/181483 Future State Review Strategy Mon 4/24/17 Fri 4/28/171484 Future State Review Mon 5/22/17 Fri 5/26/171485 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/171486 Future State Validation Mon 6/12/17 Fri 6/16/171487 Integration Testing 1 Mon 8/7/17 Fri 8/11/171488 Integration Testing 2 Mon 9/11/17 Fri 9/15/171489 Go Live Mon 11/13/17 Fri 11/17/171490 Complete PharmNet Inpatient WBT Mon 2/20/17 Fri 3/3/171491 Data Collection Workbooks Tue 1/24/17 Fri 9/1/171492 DCW ‐ PharmNet Inpatient ‐ Formulary: NDC and Descriptions for Matching Mon 2/20/17 Fri 3/3/171493 DCW ‐ PharmNet Inpatient ‐ Formulary: Review "Evaluate" NDC's from Formulary Match with Client Mon 3/13/17 Fri 3/24/17

1494 DCW ‐ PharmNet Inpatient ‐ Formulary Manual Build Mon 5/1/17 Fri 5/19/171495 DCW ‐ PharmNet Inpatient ‐ Formulary Dispense and Identifiers Review Mon 4/17/17 Fri 4/28/171496 DCW ‐ PharmNet Inpatient ‐ Common Data Collection Tue 1/24/17 Mon 2/20/171497 DCW ‐ PharmNet Inpatient ‐ Common Data Collection> Units of Measure Tue 1/24/17 Mon 2/20/171498 DCW ‐ PharmNet Inpatient ‐ Common Data Collection> Dosage Forms Tue 1/24/17 Mon 2/20/171499 DCW ‐ PharmNet Inpatient ‐ Common Data Collection> Routes of Administration Tue 1/24/17 Mon 2/20/17

1500 DCW ‐ PharmNet Inpatient ‐ Common Data Collection> PRN Reasons Tue 1/24/17 Mon 2/20/17


Page 39

ID Task Name Start Finish 1501 DCW ‐ PharmNet Inpatient ‐ Inpatient Data Collection Tue 2/14/17 Fri 4/21/171502 DCW ‐ PharmNet Inpatient ‐ Inpatient Data Collection> Dispense Categories Tue 3/14/17 Mon 3/27/171503 DCW ‐ PharmNet Inpatient ‐ Inpatient Data Collection> Price Schedules Mon 4/3/17 Fri 4/21/171504 DCW ‐ PharmNet Inpatient ‐ Inpatient Data Collection> Order Alerts Tue 2/14/17 Mon 2/27/171505 DCW ‐ PharmNet Inpatient ‐ Inpatient Data Collection> Label Comments Tue 2/14/17 Mon 2/20/171506 DCW ‐ PharmNet Inpatient ‐ Frequency Data Collection Tue 2/14/17 Mon 2/27/171507 DCW ‐ PharmNet Inpatient ‐ Frequency Data Collection> Frequencies‐Time of Day Tue 2/14/17 Mon 2/27/17

1508 DCW ‐ PharmNet Inpatient ‐ Frequency Data Collection> Frequencies‐Interval Tue 2/14/17 Mon 2/27/171509 DCW ‐ PharmNet Inpatient ‐ Frequency Data Collection> Frequencies‐One Time Tue 2/14/17 Mon 2/27/171510 DCW ‐ PharmNet Inpatient ‐ Frequency Data Collection> Frequencies‐Unscheduled Tue 2/14/17 Mon 2/27/17

1511 DCW ‐ PharmNet Inpatient ‐ Order Catalog Synonym Customization Tue 3/14/17 Mon 4/3/171512 DCW ‐ PharmNet Inpatient ‐ Order Catalog Synonym Virtual Views and Product Linking Tue 5/16/17 Mon 5/29/17

1513 DCW ‐ PharmNet Charge Services Tue 6/6/17 Tue 6/6/171514 DCW ‐ PharmNet Inpatient ‐ Database Flexing Tue 3/14/17 Mon 3/20/171515 DCW ‐ PharmNet Inpatient ‐ STANDARD Frequencies (scope and flex) Mon 3/20/17 Fri 5/26/171516 DCW ‐ PharmNet Inpatient ‐ Auto‐Verify Settings Tue 3/14/17 Mon 3/20/171517 DCW ‐ PharmNet Inpatient ‐ Clinical Documentation Tue 3/14/17 Mon 3/27/171518 DCW ‐ PharmNet Inpatient ‐ Batch Dispense and Reports Mon 5/29/17 Fri 6/30/171519 DCW ‐ PharmNet Inpatient ‐ Batch Dispense and Reports> Batch Dispense Mon 5/29/17 Fri 6/23/171520 DCW ‐ PharmNet Inpatient ‐ Batch Dispense and Reports> Reports_MAR Mon 5/29/17 Fri 6/30/171521 DCW ‐ PharmNet Inpatient ‐ Batch Dispense and Reports> Reports_SOR Mon 5/29/17 Fri 6/30/171522 DCW ‐ PharmNet Inpatient ‐ Fill Batches Mon 5/29/17 Fri 6/9/171523 DCW ‐ PharmNet Inpatient and CPOE IV Sets Tue 5/23/17 Mon 6/12/171524 DCW ‐ PharmNet Inpatient and CPOE IV Sets> IV Sets Tue 5/23/17 Mon 6/12/171525 DCW ‐ PharmNet Inpatient and CPOE IV Sets> Compounds Tue 5/23/17 Mon 5/29/171526 DCW ‐ PharmNet Inpatient ‐ Locations Tue 3/14/17 Mon 3/20/171527 DCW ‐ PharmNet ‐ Med Stations and ADR Mon 3/20/17 Fri 4/14/171528 DCW ‐ PharmNet ‐ Med Stations and ADR> Facility 1 Mon 3/20/17 Fri 4/14/171529 DCW ‐ Therapeutic Subs Mon 5/29/17 Fri 6/16/171530 DCW ‐ PharmNet Inpatient ‐ CPOE Order Sentences Tue 3/14/17 Mon 4/10/171531 DCW ‐ PharmNet Inpatient ‐ Dose Range Checking Mon 5/29/17 Fri 9/1/171532 DCW ‐ PharmNet Inpatient ‐ Standard Rules Mon 7/3/17 Fri 7/14/171533 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_HTWTALLERGY Mon 7/3/17 Fri 7/14/171534 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_FREETEXTALLERGY Mon 7/3/17 Fri 7/14/171535 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_EXCIPIENTALLERGY Mon 7/3/17 Fri 7/14/171536 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_CREATRENALDRUG Mon 7/3/17 Fri 7/14/171537 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_RENALDRUGCREAT Mon 7/3/17 Fri 7/14/17


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ID Task Name Start Finish 1538 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_IVPOSWITCH Mon 7/3/17 Fri 7/14/171539 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_WBCIVPOSWITCH Mon 7/3/17 Fri 7/14/171540 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_LATEXALLERGY Mon 7/3/17 Fri 7/14/171541 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_PREGLACTATION Mon 7/3/17 Fri 7/14/171542 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_VITAMINK Mon 7/3/17 Fri 7/14/171543 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_MEDGUIDE Mon 7/3/17 Fri 7/14/171544 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STD_ACET_MAXDOSE Mon 7/3/17 Fri 7/14/171545 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STP_ADE_WEIGHTCHANGE Mon 7/3/17 Fri 7/14/171546 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STP_DRC_W_HISTORY_EX Mon 7/3/17 Fri 7/14/171547 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STP_RESTRICTEDMED Mon 7/3/17 Fri 7/14/171548 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_STP_ROUTEFORM Mon 7/3/17 Fri 7/14/171549 DCW ‐ PharmNet Inpatient ‐ Standard Rules> PHA_ONC_VINCRISTINE Mon 7/3/17 Fri 7/14/171550 DCW ‐ PharmNet Inpatient ‐ Order Entry Formats Mon 4/17/17 Fri 4/28/171551 DCW ‐ PharmNet Inpatient ‐ Complex Meds: TPN Tue 3/14/17 Mon 3/27/171552 DCW ‐ PharmNet Inpatient ‐ Floorstock Tue 3/14/17 Mon 3/20/171553 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Immunization Tue 3/14/17 Mon 3/20/171554 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Radiology Tue 3/14/17 Mon 3/20/171555 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Peak/Trough Labs with Medication Orders Tue 3/14/17 Mon 3/20/17

1556 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Irrigations Tue 3/14/17 Mon 3/20/171557 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Tapers Tue 3/14/17 Mon 3/20/171558 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Insulin Sliding Scale Tue 3/14/17 Mon 3/20/171559 DCW ‐ PharmNet Inpatient ‐ Complex Meds: Patches & Patch Removal Tue 3/14/17 Mon 3/20/171560 DCW ‐ PharmNet Inpatient ‐ PowerPlan Medication Review Bundle 1 Mon 6/12/17 Tue 6/13/171561 DCW ‐ PharmNet Inpatient ‐ Top 200 Home Med Folders Tue 3/14/17 Mon 3/27/171562 Configure Tue 2/14/17 Fri 12/15/171563 Build ‐ PharmNet Inpatient ‐ NDC Formulary Match Mon 3/6/17 Fri 3/10/171564 Build ‐ PharmNet Inpatient ‐ Non‐Inner NDC Stacking Mon 3/6/17 Fri 3/10/171565 Build ‐ PharmNet Inpatient ‐ Inner NDC Stacking (Phase X only) Mon 3/27/17 Fri 3/31/171566 Build ‐ PharmNet Inpatient ‐ Outer and Inner NDC Stacks (Phase X only) Mon 4/3/17 Fri 4/7/171567 Build ‐ PharmNet Inpatient ‐ Outer NDC (Phase X only) Mon 4/10/17 Fri 4/14/171568 Build ‐ Formulary Identifiers Build Mon 3/20/17 Fri 3/24/171569 Build ‐ PharmNet Inpatient ‐ Formulary: Manual Build (CREATEs) Mon 5/22/17 Fri 5/26/171570 Build ‐ PharmNet Inpatient ‐ Formulary: Non‐Reference Product Build (UNKNOWNs) Mon 5/22/17 Fri 6/2/17

1571 Build ‐ Formulary: Inactivate non‐local NDC's Mon 4/3/17 Fri 4/7/171572 Build ‐ PharmNet Inpatient ‐ Formulary: Localize Primary NDC's Mon 3/20/17 Fri 3/24/171573 Build ‐ PharmNet Inpatient ‐ UOM Tue 2/21/17 Mon 8/7/171574 Build ‐ PharmNet Inpatient ‐ Dosage Forms Tue 2/21/17 Mon 3/6/171575 Build ‐ PharmNet Inpatient ‐ Routes Tue 2/21/17 Mon 2/27/17


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ID Task Name Start Finish 1576 Build ‐ PharmNet Inpatient ‐ Route and Form Compatibility Tue 2/21/17 Mon 2/27/171577 Build ‐ PharmNet Inpatient ‐ Label Comments Tue 2/21/17 Mon 8/28/171578 Build ‐ PharmNet Inpatient ‐ PRN Reasons Tue 2/21/17 Mon 8/28/171579 Build ‐ PharmNet Inpatient ‐ Dispense Categories Tue 3/28/17 Mon 4/24/171580 Build ‐ PharmNet Inpatient ‐ Price Schedules Mon 4/24/17 Fri 8/25/171581 Build ‐ PharmNet Inpatient ‐ Order Alerts Tue 2/28/17 Mon 8/28/171582 Build ‐ PharmNet Inpatient ‐ Frequencies Tue 2/28/17 Mon 7/31/171583 Build ‐ PharmNet Inpatient ‐ VV and Linking Tue 5/30/17 Mon 6/5/171584 Build ‐ PharmNet Inpatient ‐ Pharmacy Charges Tue 6/6/17 Tue 6/13/171585 Build ‐ PharmNet Inpatient ‐ Database Flexing Tue 3/21/17 Mon 7/24/171586 Build ‐ PharmNet Inpatient ‐ Frequency Flexing & Scoping Mon 5/29/17 Fri 12/15/171587 Build ‐ PharmNet Inpatient ‐ Auto‐Verify Preference Build Tue 3/21/17 Mon 3/27/171588 Build ‐ PharmNet Inpatient ‐ Clinical Documentation Tue 3/28/17 Mon 4/3/171589 Build ‐ PharmNet Inpatient ‐ Location Build Tue 3/21/17 Mon 4/17/171590 Build ‐ PharmNet Inpatient ‐ Formulary ‐ Floorstock Build Tue 3/21/17 Mon 4/24/171591 Build ‐ PharmNet Inpatient ‐ Order Catalog Synonym Customization Mon 4/10/17 Fri 4/14/171592 Build ‐ PharmNet Inpatient ‐ PharmNet CPOE & IV Sets Tue 6/13/17 Mon 9/25/171593 Build ‐ PharmNet Inpatient ‐ Advanced Dispense Routing Mon 4/17/17 Fri 8/25/171594 Build ‐ PharmNet Inpatient ‐ OEFs Mon 5/1/17 Fri 5/5/171595 Build ‐ PharmNet Inpatient ‐ Formulary Facility Flexing Mon 3/13/17 Fri 3/17/171596 Build ‐ PharmNet Inpatient ‐ DCW ‐ Formulary Dispense & OE Defaults Build Mon 3/27/17 Fri 3/31/171597 Build ‐ PharmNet Inpatient ‐ Compounds Tue 5/30/17 Mon 6/5/171598 Build ‐ PharmNet Inpatient ‐ Batch Dispense with Ops Jobs Mon 6/26/17 Fri 9/8/171599 Build ‐ PharmNet Inpatient ‐ Batch Reports (MAR, SOR, PMP) ‐ JIRA's for customization Mon 7/3/17 Fri 9/8/17

1600 Build ‐ PharmNet Inpatient ‐ CPOE Order Sentences Tue 4/11/17 Mon 4/17/171601 Build ‐ PharmNet Inpatient ‐ PowerPlans ‐ Medication Synonym Build Bundle 1 Wed 6/14/17 Tue 6/20/171602 Build ‐ PharmNet Inpatient ‐ Medication Reconciliation ‐ Treat as Pill ‐ Divisibility Tue 2/14/17 Mon 2/20/171603 Build ‐ PharmNet Inpatient ‐ Medication Reconciliation ‐ Form‐Form Compatibility Tue 2/14/17 Mon 2/20/171604 Build ‐ PharmNet Inpatient ‐ Medication Reconciliation ‐ PRN Instruction Alias Tue 8/29/17 Mon 9/4/171605 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ TPN Mon 4/10/17 Fri 4/14/171606 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Immunizations Mon 4/10/17 Fri 4/14/171607 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐Radiology Mon 4/10/17 Fri 4/14/171608 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Peak/Trough Labs with Medication Orders Mon 4/10/17 Fri 4/14/17

1609 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Irrigations Mon 4/10/17 Fri 4/14/171610 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Tapers Mon 4/10/17 Fri 4/14/171611 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Insulin Sliding Scale Mon 4/10/17 Fri 4/14/171612 Build ‐ PharmNet Inpatient ‐ Complex Meds ‐ Patches & Patch Removal Mon 4/10/17 Fri 4/14/171613 Build ‐ PharmNet Inpatient ‐ Enhanced Medication Request Mon 3/20/17 Fri 3/24/17


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ID Task Name Start Finish 1614 Build ‐ PharmNet Inpatient ‐ Build ‐ PharmNet Reports: Discern Analytics (migrating to Discern Reporting) Mon 3/20/17 Fri 3/24/17

1615 Build ‐ PharmNet Inpatient ‐ Build ‐ PharmNet Reports: Explorer Menu Mon 3/20/17 Fri 3/24/171616 Build ‐ PharmNet Inpatient ‐ Top 200 Home Meds Tue 4/18/17 Mon 4/24/171617 Build ‐ PharmNet Inpatient ‐ APA Testing Tue 4/18/17 Mon 5/1/171618 Build ‐ PharmNet Inpatient ‐ Code Value Aliases Mon 5/8/17 Fri 7/14/171619 Build ‐ PharmNet Inpatient ‐ Therapeutic Subs Mon 6/19/17 Fri 7/14/171620 Build ‐ PharmNet Inpatient ‐ Rule Build Mon 7/24/17 Fri 8/4/171621 Build ‐ PharmNet Inpatient ‐ Dose Range Checking Mon 9/4/17 Fri 9/15/171622 DQA ‐ PharmNet Inpatient ‐ Rx QA ‐ Current State Review (if Phase X) Tue 2/28/17 Mon 3/6/171623 DQA ‐ PharmNet Inpatient ‐ Rx QA ‐ IT1 Mon 7/24/17 Fri 7/28/171624 DQA ‐ PharmNet Inpatient ‐ Rx QA ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/171625 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171626 Localize System Test Tracking and Scripts ‐ PharmNet Inpatient Mon 6/19/17 Fri 6/23/171627 First Draft System Test Scripts ‐ PharmNet Inpatient Mon 6/26/17 Fri 7/7/171628 Final System Test Scripts ‐ PharmNet Inpatient Mon 7/10/17 Fri 7/21/171629 Complete System Testing ‐ PharmNet Inpatient Mon 7/24/17 Wed 8/2/171630 Integration Test Scripts ‐ PharmNet Inpatient Mon 6/19/17 Wed 7/5/171631 Complete Integration Testing ‐ PharmNet Inpatient Wed 7/5/17 Fri 7/21/171632 Go Live Readiness Assessment ‐ PharmNet Inpatient Mon 8/14/17 Fri 8/18/171633 Review & Update Go Live Cutover Plan (sent by IA) ‐ PharmNet Inpatient Wed 9/20/17 Tue 10/10/171634 Complete the Turnover Process documentation‐ PharmNet Inpatient Mon 2/12/18 Fri 3/16/181635 Complete Post Go Live Assessment Workbook for PharmNet Inpatient Mon 1/1/18 Fri 1/12/181636 Creation of Integration Test Scripts Mon 6/19/17 Fri 6/30/171637 Validate Integration Test Scripts; ensure the workflows support value objectives, KPI, system workflow and process


1638 Configure and test Value Objective and KPI Reports Mon 8/14/17 Mon 8/14/171639 RadNet Wed 2/8/17 Fri 3/16/181640 Future State Review Strategy Mon 4/24/17 Fri 4/28/171641 Future State Review Mon 5/22/17 Fri 5/26/171642 Future State Validation Dry‐Run Mon 5/29/17 Fri 6/2/171643 Future State Validation Mon 6/12/17 Fri 6/16/171644 Integration Testing 1 Mon 8/7/17 Fri 8/11/171645 Integration Testing 2 Mon 9/11/17 Fri 9/15/171646 Go Live Mon 11/13/17 Fri 11/17/171647 Complete RadNet WBT Wed 2/8/17 Tue 2/21/171648 Audit Client Domain Wed 2/8/17 Tue 2/21/171649 Project Startup Call Mon 3/6/17 Mon 3/6/171650 Complete RadNet Clerical WBT Wed 2/8/17 Tue 2/21/171651 Complete RadNet Film Librarian WBT Wed 2/8/17 Tue 2/21/17


Page 43

ID Task Name Start Finish 1652 Complete RadNet Physician WBT Wed 2/8/17 Tue 2/21/171653 Complete RadNet Technologist WBT Wed 2/8/17 Tue 2/21/171654 Current State Assessment Mon 2/20/17 Fri 2/24/171655 Data Collection Workbooks Fri 2/17/17 Fri 11/24/171656 DCW ‐ RadNet® Orderables for Bedrock Mon 3/13/17 Fri 3/24/171657 DCW ‐ RadNet® Orderables for Bedrock> Radiology Orderables Mon 3/13/17 Fri 3/24/171658 DCW ‐ Radiology Charge Services Tue 6/6/17 Mon 9/4/171659 DCW ‐ Project Start Up ‐ Radiology Mon 2/20/17 Fri 3/24/171660 DCW ‐ Project Start Up ‐ Radiology> Order Catalog List Mon 2/20/17 Fri 3/10/171661 DCW ‐ Project Start Up ‐ Radiology> Medications Mon 2/20/17 Fri 3/24/171662 DCW ‐ Project Start Up ‐ Radiology> Supply Items Mon 2/20/17 Fri 3/17/171663 DCW ‐ Project Start Up ‐ Radiology> Departmental Structures Mon 2/20/17 Fri 2/24/171664 DCW ‐ Project Start Up ‐ Radiology> Templates_Speed phrases Mon 2/20/17 Fri 3/24/171665 DCW ‐ Project Start Up ‐ Radiology> Imaging Reports Mon 2/20/17 Fri 3/3/171666 DCW ‐ Project Start Up ‐ Radiology> Tracking Mon 2/20/17 Fri 3/10/171667 DCW ‐ Project Start Up ‐ Radiology> Form Collection Mon 2/20/17 Fri 3/10/171668 DCW ‐ RadNet® Mon 3/20/17 Fri 7/14/171669 DCW ‐ RadNet> Service Areas Mon 3/20/17 Fri 3/24/171670 DCW ‐ RadNet> Exam Rooms Mon 3/20/17 Fri 3/24/171671 DCW ‐ RadNet> Department Layout Mon 3/20/17 Fri 3/24/171672 DCW ‐ RadNet> Order Catalog Mon 3/20/17 Fri 5/19/171673 DCW ‐ RadNet> Libraries and Tracking Points Mon 4/3/17 Fri 4/7/171674 DCW ‐ RadNet> Folder Types Mon 4/3/17 Fri 4/7/171675 DCW ‐ RadNet> Borrowers and Lenders Mon 4/3/17 Fri 4/7/171676 DCW ‐ RadNet> Exam Room by Procedure ‐ XR Mon 4/3/17 Fri 5/5/171677 DCW ‐ RadNet> Film Usage by Procedure Mon 4/3/17 Fri 4/7/171678 DCW ‐ RadNet> Bill Only Items Mon 4/10/17 Fri 4/14/171679 DCW ‐ RadNet> Bill Only Association Mon 4/10/17 Fri 4/14/171680 DCW ‐ RadNet> Technical Comment Association Tue 4/11/17 Mon 5/8/171681 DCW ‐ RadNet> Reason for Exam Association Tue 5/2/17 Mon 5/22/171682 DCW ‐ RadNet> Relevant Prior Reports Tue 5/2/17 Mon 5/15/171683 DCW ‐ RadNet> Radiology Resident Signout Mon 5/1/17 Fri 5/12/171684 DCW ‐ RadNet> Radiologist Proxy Mon 5/1/17 Fri 5/12/171685 DCW ‐ RadNet> Procedure Group Mon 5/1/17 Fri 5/12/171686 DCW ‐ RadNet> Protocol Name Association Mon 5/1/17 Fri 5/12/171687 DCW ‐ RadNet> Subspecialty Mon 5/1/17 Fri 5/5/171688 DCW ‐ RadNet> Order Formats Mon 4/24/17 Fri 5/5/171689 DCW ‐ RadNet> Replace Group Mon 5/22/17 Fri 6/23/171690 DCW ‐ RadNet> Word Processing Templates Mon 5/22/17 Fri 6/2/171691 DCW ‐ RadNet> Interesting Case Subclass Mon 5/22/17 Fri 6/2/17


Page 44

ID Task Name Start Finish 1692 DCW ‐ RadNet> Personnel Security Mon 6/19/17 Fri 7/14/171693 DCW ‐ RadNet> Peer Review Classifications Mon 5/22/17 Fri 6/2/171694 DCW ‐ RadNet> Mpages Mon 5/29/17 Fri 6/23/171695 DCW ‐ RadNet> Worklist Maintenance Mon 6/5/17 Fri 6/23/171696 DCW ‐ RadNet> Discern Reports Mon 6/12/17 Fri 6/30/171697 DCW ‐ RadNet> Printing Mon 5/1/17 Fri 6/23/171698 DCW ‐ RadNet> VDI Mon 6/12/17 Fri 7/7/171699 Bedrock ‐‐>RadNet‐‐> Clinical Event Creation Mon 4/24/17 Fri 11/24/171700 DCW – Position Security Tue 4/11/17 Mon 5/8/171701 DCW – Position Security> PowerChart Security Tue 4/11/17 Mon 5/8/171702 DCW – Position Security> Privileges Tue 4/11/17 Mon 5/8/171703 DCW ‐ Core Systems Non‐Facility Organization Mon 3/20/17 Fri 3/31/171704 DCW ‐ Core Foreign Laboratory and Radiology Fri 2/17/17 Thu 2/23/171705 Configure Tue 2/14/17 Fri 3/2/181706 RadNet ‐ Rules and Alerts Localization Mon 6/26/17 Fri 7/28/171707 RadNet ‐ Rules and Alerts Templates Mon 6/26/17 Fri 7/28/171708 RadNet ‐ Rule Re‐Instantiation Mon 7/24/17 Fri 8/4/171709 RadNet ‐ Application Groups Mon 2/20/17 Fri 3/24/171710 RadNet ‐ Associate Application Groups to Positions Mon 3/27/17 Fri 4/28/171711 RadNet ‐ Create Positions Tue 5/9/17 Tue 5/9/171712 RadNet ‐ Position Relationships Wed 5/10/17 Tue 6/20/171713 RadNet ‐ PowerChart Security (Preferences) Wed 5/10/17 Tue 6/20/171714 RadNet ‐ Privileges Wed 5/10/17 Tue 6/20/171715 RadNet ‐ Service Resource Security Mon 7/17/17 Fri 7/28/171716 RadNet ‐ User Groups Mon 7/17/17 Fri 7/21/171717 RadNet ‐ Task Revoker Mon 2/20/17 Fri 3/3/171718 RadNet ‐ Bill‐Only Procedure Relation Mon 4/17/17 Fri 4/28/171719 RadNet ‐ Bill‐Only Categories Mon 4/17/17 Fri 4/28/171720 RadNet ‐ Bill‐Only Items Mon 4/17/17 Fri 4/28/171721 RadNet ‐ Borrowers and Lenders Mon 4/10/17 Fri 4/14/171722 RadNet ‐ Code Set Verification Mon 2/20/17 Tue 2/21/171723 RadNet ‐ XR Exam‐Work Routing Mon 5/8/17 Fri 5/12/171724 RadNet ‐ Doc Meds Procedure Group Fri 2/17/17 Thu 2/23/171725 RadNet ‐ Doc Meds Fields Fri 2/17/17 Thu 2/23/171726 RadNet ‐ Doc Meds Procedure Association Fri 2/17/17 Thu 2/23/171727 RadNet ‐ Doc Meds Lists and Categories Fri 2/17/17 Thu 2/23/171728 RadNet ‐ Film Usage by Procedure Mon 4/10/17 Fri 4/14/171729 RadNet ‐ Folder Types Mon 4/10/17 Wed 4/12/171730 RadNet ‐ Institutions Mon 3/27/17 Fri 3/31/171731 RadNet ‐ Sections Mon 3/27/17 Fri 3/31/17


Page 45

ID Task Name Start Finish 1732 RadNet ‐ Subsections Mon 3/27/17 Fri 3/31/171733 RadNet ‐ Exam Rooms Mon 3/27/17 Fri 3/31/171734 RadNet ‐ Departments Mon 3/27/17 Fri 3/31/171735 RadNet ‐ Libraries and Tracking Points Mon 4/10/17 Fri 4/14/171736 RadNet ‐ Library Group Mon 3/27/17 Fri 3/31/171737 RadNet ‐ Interesting Cases Mon 6/5/17 Fri 6/9/171738 RadNet ‐ Mpages Mon 6/26/17 Fri 7/21/171739 RadNet ‐ Operations Reports Localization Mon 6/26/17 Fri 6/30/171740 RadNet ‐ Operations Report Templates Mon 6/26/17 Fri 6/30/171741 RadNet ‐ Patient Packet Layout Mon 6/26/17 Fri 7/21/171742 RadNet ‐ Patient Packet Printing Mon 6/26/17 Fri 7/7/171743 RadNet ‐ Overall System Controls Tue 2/14/17 Mon 2/20/171744 RadNet Wet Read DTA Mon 5/8/17 Wed 5/17/171745 RadNet Wet Read Predefined Text Mon 5/8/17 Wed 5/17/171746 RadNet Exam Only Mon 5/22/17 Tue 5/23/171747 RadNet VDI Configure Registry Mon 7/10/17 Fri 7/21/171748 RadNet Activating Code Share Tue 2/14/17 Thu 2/23/171749 RadNet Exam Coding Mon 4/3/17 Fri 6/16/171750 RadNet Pull List Thu 4/13/17 Wed 4/19/171751 RadNet Discern Analytics Reports Mon 7/3/17 Fri 10/6/171752 RadNet ‐ Peer Review Classification Mon 6/5/17 Mon 6/5/171753 RadNet ‐ Peer Review Tracking Mon 6/5/17 Mon 6/5/171754 RadNet ‐ Peer Review Security Mon 6/5/17 Fri 6/9/171755 RadNet ‐ Peer Review System Controls Mon 6/5/17 Mon 6/5/171756 RadNet ‐ RDT Procedure Groups Mon 5/15/17 Fri 5/19/171757 RadNet ‐ Protocol Name Mon 5/15/17 Fri 6/2/171758 RadNet ‐ Protocol Association Mon 6/5/17 Fri 6/23/171759 RadNet ‐ Radiologist Proxy Mon 5/15/17 Fri 5/19/171760 RadNet ‐ Subspecialties Mon 5/8/17 Fri 5/19/171761 RadNet ‐ Radiologist Worklist Maintenance Mon 6/26/17 Fri 6/30/171762 RadNet ‐ Reason for Exam Tue 5/23/17 Mon 6/5/171763 RadNet ‐ Reason for Exam and Order Item Association Mon 5/22/17 Fri 6/2/171764 RadNet ‐ Relevant Priors Tue 5/16/17 Mon 5/29/171765 RadNet ‐ Replace Groupings Mon 6/26/17 Fri 6/30/171766 RadNet ‐ Resident Setup Mon 5/15/17 Fri 5/19/171767 RadNet ‐ Service Areas Mon 3/27/17 Fri 4/7/171768 RadNet ‐ Signature Lines Fri 2/17/17 Fri 2/17/171769 RadNet ‐ Accession Site Codes Fri 5/19/17 Thu 5/25/171770 RadNet ‐ Accession Formats Tue 2/14/17 Mon 2/20/171771 RadNet ‐ Accession Classes Tue 2/14/17 Mon 2/20/17


Page 46

ID Task Name Start Finish 1772 RadNet ‐ Activity Subtype Tue 2/14/17 Mon 2/20/171773 RadNet ‐ Technical Comments Fields Tue 5/9/17 Mon 5/22/171774 RadNet ‐ Technical Comments DA Fields Tue 5/9/17 Mon 5/22/171775 RadNet ‐ Technical Comment Format Relation Tue 5/9/17 Mon 5/22/171776 RadNet ‐ Technical Comments Formats Tue 5/9/17 Mon 5/22/171777 RadNet ‐ Event Sets and Codes Mon 11/27/17 Fri 3/2/181778 RadNet ‐ Order Alias Upload Mon 5/22/17 Fri 9/29/171779 RadNet ‐ Order Management ‐ Order Association to Folders Mon 5/22/17 Fri 6/2/171780 RadNet ‐ Order Management ‐ Virtual Views Mon 5/22/17 Fri 6/2/171781 RadNet ‐ Order Management ‐ Primary Synonym Mon 5/22/17 Fri 6/2/171782 RadNet ‐ Order Management ‐ Hide From PowerChart Mon 5/22/17 Fri 6/2/171783 RadNet ‐ Order Management ‐ Duplicate Checking Mon 5/22/17 Fri 6/2/171784 RadNet ‐ Order Management ‐ Activity Sub Type Association Mon 5/22/17 Fri 6/2/171785 RadNet ‐ Order Management ‐ Order Exam DTA Mon 5/22/17 Fri 6/2/171786 RadNet ‐ Order Management ‐ DCP Synonyms Mon 5/22/17 Fri 6/2/171787 RadNet ‐ Order Management ‐ Ancillary Synonyms Mon 5/22/17 Fri 6/2/171788 RadNet ‐ Orderables for Bedrock Matching Mon 3/27/17 Fri 4/7/171789 RadNet ‐ Orderable Vetting Mon 5/22/17 Fri 6/2/171790 RadNet ‐ OEFs Formats Mon 5/8/17 Fri 5/12/171791 RadNet ‐ OEFs Flexing Mon 5/8/17 Fri 5/12/171792 RadNet ‐ Word Processing Template Association Mon 6/5/17 Fri 6/16/171793 RadNet ‐ Word Processing Templates Mon 6/5/17 Fri 6/16/171794 RadNet ‐ RadNet ‐ Non Facility Organizations Mon 4/3/17 Fri 4/7/171795 DQA ‐ RadNet ‐ Current State Review (if Phase X) Tue 2/28/17 Mon 3/6/171796 DQA ‐ RadNet ‐ IT1 Mon 7/24/17 Fri 7/28/171797 DQA ‐ RadNet ‐ HealthCheck Diagnostic Week Mon 12/25/17 Fri 12/29/171798 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171799 Localize System Test Tracking and Scripts ‐ RadNet Mon 6/19/17 Fri 6/30/171800 First Draft System Test Scripts ‐ RadNet Mon 7/3/17 Fri 7/14/171801 Final System Test Scripts ‐ RadNet Mon 7/17/17 Fri 7/28/171802 Complete System Testing ‐ RadNet Mon 7/31/17 Wed 8/9/171803 Go Live Readiness Assessment ‐ RadNet Mon 8/14/17 Mon 8/14/171804 Review & Update Go Live Cutover Plan (sent by IA) ‐ RadNet Wed 9/20/17 Tue 10/10/171805 Complete the Turnover Process documentation‐ RadNet Mon 2/12/18 Fri 3/16/181806 Complete Post Go Live Assessment Workbook for RadNet Mon 1/1/18 Fri 1/12/181807 Complete Post Go Live Assessment Workbook for Mammography Mon 1/1/18 Fri 1/12/181808 Project Management Wed 2/8/17 Tue 4/24/181809 Synchronize with Cerner Physician resources for project sessions and onsite visits. Wed 2/8/17 Wed 2/8/171810 Perform Project Set‐up Tasks Wed 2/8/17 Thu 2/9/171811 Validate resource assignments on track for Current State Review Wed 2/8/17 Wed 2/8/17


Page 47

ID Task Name Start Finish 1812 Sales Turnover Call completed, Sales Turnover is uploaded to associate only folder on Project Portal Wed 2/8/17 Fri 2/10/17

1813 Establish Meaningful Use Governance for Meaningful Use Objectives Wed 2/8/17 Tue 2/21/171814 Review of objectives related to each solution area Wed 2/8/17 Tue 2/21/171815 Develop Eligible Provider Tracking Workbook Wed 2/8/17 Tue 3/7/171816 Complete Hardware Review Mon 2/20/17 Fri 3/3/171817 Establish Base Meaningful Use Governance Mon 2/20/17 Fri 3/3/171818 List Meaningful Use Milestones for Project Mon 2/20/17 Fri 2/24/171819 Form clinical oversight group Mon 2/20/17 Mon 2/20/171820 Create Meaningful Use Program/Audit Workbook Fri 2/17/17 Thu 5/11/171821 Current State Review Session Evaluation Results Follow‐up Fri 2/17/17 Fri 2/17/171822 Include HIMSS assessment findings and HIMSS stage goal setting in client value discussion Fri 2/17/17 Thu 2/23/17

1823 Update Project Plan to include when Value Objective and KPI Measurements will be taken as indicated within the Measurement Plan

Wed 5/10/17 Tue 5/16/17

1824 Update Project Plan to include when Value Objective and KPI Measurements will be reviewed and validated by the client Wed 5/10/17 Tue 5/16/17

1825 Meaningful Use Education Workshop Tue 4/11/17 Mon 4/17/171826 Meaningful Use Registration Tue 4/11/17 Mon 6/19/171827 Verify final list of KPIs for each solution has been identified and is reportable. Mon 5/29/17 Mon 5/29/171828 Generate Tasks by Event Report and Review with Client Mon 5/29/17 Mon 5/29/171829 Review Live Production Sign Off form process Mon 5/29/17 Mon 5/29/171830 Validate design decisions alignment with Meaningful Use requirements and objectives Mon 5/29/17 Fri 6/2/171831 Test each objective workflow Mon 5/29/17 Fri 6/30/171832 Update policy and procedures related to Meaningful Use Mon 5/29/17 Thu 12/28/171833 Generate (and load on Project Portal site) Event Summary Report and review it and the objectives from the event agenda

with the clientMon 5/29/17 Mon 5/29/17

1834 Register client for ATIM Course (if purchased) Mon 5/29/17 Mon 5/29/171835 Assist client in defining access policies and procedures Mon 5/29/17 Mon 5/29/171836 Schedule Project Plan Review with each solution to validate tasks Mon 6/12/17 Fri 6/16/171837 MU Reporting Tool Knowledge Transfer Session (onsite, 1‐2 days) Mon 6/19/17 Fri 6/23/171838 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171839 Test Reporting Configurations Mon 8/14/17 Fri 8/18/171840 Generate IT1 Tasks by Event Report and Review with Client Mon 8/14/17 Mon 8/14/171841 Go Live Readiness Assessment ‐ Project Management Mon 8/14/17 Mon 8/14/171842 Request client log on to HIMSS Analytics portal Mon 8/14/17 Fri 8/25/171843 Pre‐populate HIMSS annual survey with client solution capabilities data Mon 8/28/17 Fri 9/8/171844 Facilitate client review and approval of HIMSS survey data Mon 9/11/17 Fri 9/15/171845 Review Go Live Cutover Plan and Update As Needed Wed 9/20/17 Wed 9/20/171846 Review & Update Go Live Readiness Assessment ‐ PrjMgmt Mon 9/18/17 Mon 9/18/17


Page 48

ID Task Name Start Finish 1847 Track reports daily for adoption Mon 9/18/17 Fri 9/22/171848 DELIVERABLE: Obtain client sign‐off of Live Production Form Mon 10/30/17 Mon 10/30/171849 Facilitate client final approval and submission of HIMSS survey to HIMSS Analytics Mon 11/6/17 Fri 11/17/171850 Provide client with materials to prepare for HIMSS Stage 6 validation call Mon 11/6/17 Fri 11/17/171851 Run reports and prepare submission Mon 11/20/17 Fri 11/24/171852 Ensure any Entitlements are added to client information. Mon 11/20/17 Mon 11/20/171853 Validate that client's service and maintenance contracts are complete. Mon 11/20/17 Mon 11/20/171854 Validate that Cerner application license fees for all solutions have been activated Mon 11/20/17 Mon 11/20/171855 Ensure that all backup procedures are defined, documented, and tested. Mon 11/20/17 Mon 11/20/171856 Document any custom code in the client's environment, and set expectations regarding Cerner support. Mon 11/20/17 Mon 11/20/17

1857 Communicate approved value objectives and value measurements to Cerner and Client project team Wed 5/10/17 Tue 5/16/17

1858 DELIVERABLE: Post Go Live Assessment Survey Mon 1/15/18 Mon 1/15/181859 Coordinate Post Go Live Assessment Results Review Calls Mon 1/15/18 Mon 1/15/181860 Communicate results of Value Achievement Review to project team Tue 4/24/18 Tue 4/24/181861 DQA Reminder ‐ Current State Review (if Phase X) ‐ Check Results Tue 2/28/17 Mon 3/6/171862 DQA Reminder ‐ IT1 ‐ Check Results Mon 7/24/17 Fri 7/28/171863 DQA Reminder ‐ HealthCheck Diagnostic Week ‐ Check Results Mon 12/25/17 Fri 12/29/171864 Turnover Process to AMS/SWx (see NOTES section) Mon 6/19/17 Mon 12/18/171865 Initiate the Turnover Process (AMS/SWx) Mon 6/19/17 Mon 6/19/171866 Create a Turnover Activity Plan in Navigator Mon 8/14/17 Mon 8/14/171867 Schedule an Internal Turnover to Support Planning Call Mon 10/23/17 Mon 10/23/171868 Customize Turnover Presentation & Agenda to be presented on the Turnover call Mon 10/23/17 Mon 10/23/171869 Schedule Turnover to Support call after Conversion Mon 10/30/17 Mon 10/30/171870 Attach project plan to Turnover Activity Plan in Navigator (SWx) Mon 12/18/17 Mon 12/18/171871 Complete Turnover activity in Navigator on completion on Consulting Framework activities (SWx) Mon 12/18/17 Mon 12/18/17

1872 Value Management Wed 2/8/17 Tue 4/24/181873 Introduce value measurement process and KPIs to key client stakeholders Wed 2/8/17 Wed 2/8/171874 Communicate initial value objectives in preparation for Current State Review Mon 2/20/17 Mon 2/20/171875 Introduce value planning and KPIs to client and project team Tue 3/14/17 Tue 3/14/171876 Capture current organizational KPIs if not complete during start up Mon 3/20/17 Fri 3/24/171877 Compile KPIs identified during observation and focus group discussions Mon 3/20/17 Fri 3/24/171878 Document value objectives and observations from CSR including additional benefits anticipated in Value Tracking tool Mon 3/20/17 Fri 3/24/17

1879 Value objective details continue to be documented (inclusions/exclusions, metrics, supporting processes, etc.) Mon 5/29/17 Fri 6/2/17

1880 Begin collecting baselines for value objectives and KPIs if not done already Mon 6/19/17 Fri 6/23/171881 All KPI and value objective pre‐conversion/baseline data is documented Mon 11/6/17 Mon 11/6/17


Page 49

ID Task Name Start Finish 1882 Define action plan for support structure for sustainment of performance for KPIs and value objectives Mon 11/20/17 Fri 11/24/17

1883 Review results for value objectives and discuss with project team opportunities for improvement or risk mitigation Mon 12/18/17 Fri 12/22/17

1884 Validate Health Check schedule includes observations/interviews specific to value objectives and/or departments impacting value objectives

Mon 12/18/17 Fri 12/22/17

1885 Communicate results of Value Achievement Review to project team Tue 4/24/18 Tue 4/24/181886 Learning Mon 3/13/17 Fri 4/13/181887 Select Physician Champion(s) Tue 4/11/17 Mon 4/17/171888 Select Nursing Champion(s) Tue 4/11/17 Mon 4/17/171889 Select Ancillary Champion(s) Tue 4/11/17 Mon 4/17/171890 Select Learning Manager Tue 5/2/17 Mon 5/8/171891 Select Super Users Mon 7/10/17 Fri 7/14/171892 Select Trainers Mon 7/10/17 Fri 7/14/171893 Develop Transition Change Plan Mon 4/24/17 Fri 6/2/171894 Windows Skills Assessment and Training Tue 4/11/17 Mon 7/31/171895 Detailed Learning Plan Published Mon 3/13/17 Tue 3/14/171896 TRAIN Domain and Materials Development Workshop Delivered Mon 3/13/17 Tue 3/14/171897 Learning Task Analysis Delivered ‐ Learning Lab Materials Mon 6/12/17 Fri 6/16/171898 Learning Task Analysis Delivered ‐ eLearning Mon 6/12/17 Fri 6/16/171899 Learning Task Analysis Delivered ‐ Performance Support Mon 6/12/17 Fri 6/16/171900 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171901 Learning Lab Materials Development Completed Mon 9/18/17 Fri 10/13/171902 TRAIN Domain Development Completed Mon 9/18/17 Fri 10/20/171903 eLearning Development Completed Mon 9/18/17 Fri 10/13/171904 Performance Support Development Completed Mon 9/18/17 Fri 9/22/171905 LearningLIVE Delivered in TRAIN Domain Mon 9/18/17 Fri 9/22/171906 TRAIN Domain Copied from Source Domain (Assigned to SE) Fri 10/13/17 Fri 10/13/171907 TRAIN Domain Gold Copy Created (Assigned to SE) Mon 9/18/17 Mon 9/18/171908 Super User Learning Workshops Delivered Mon 9/18/17 Fri 9/22/171909 End User Learning Labs Delivered Mon 10/16/17 Wed 1/10/181910 Pre ‐ Go Live Support Preparation Mon 10/30/17 Fri 11/3/171911 Super User Deployment Plan Executed Mon 3/19/18 Fri 3/30/181912 Pre‐Go Live Physician Adoption Services Delivered Mon 10/30/17 Fri 11/10/171913 Onsite Go Live Support Preparation Conducted Mon 11/6/17 Thu 11/9/171914 Go‐Live Physician Adoption Services Delivered Mon 1/22/18 Thu 2/8/181915 Go Live Support Delivered Mon 12/11/17 Thu 12/28/171916 LearningLIVE Delivered in PROD domain Mon 11/6/17 Fri 11/10/171917 Post Go‐Live Physician Adoption Services Delivered Mon 1/22/18 Fri 3/30/181918 System Adoption Reporting Monitored Mon 1/22/18 Fri 4/13/18


Page 50

ID Task Name Start Finish 1919 LearningLIVE Reporting Monitored Mon 12/11/17 Fri 3/2/181920 Learning Assets Revised Mon 12/18/17 Fri 1/26/181921 Adoption Tue 2/14/17 Fri 1/19/181922 Assess current HIMSS stage Mon 2/20/17 Fri 2/24/171923 Identify initial set of value objectives Tue 2/14/17 Mon 2/20/171924 Document Current State Workflow findings Mon 3/20/17 Fri 3/24/171925 Compile KPIs identified by Consultants during observation and focus group discussions Mon 3/20/17 Fri 3/24/171926 Document value objectives and observations from CSR including additional benefits anticipated in Value Tracking tool Mon 3/20/17 Fri 3/31/17

1927 Complete Current State Review Recommendations and Findings section of the report Mon 3/20/17 Fri 3/31/171928 Confirm Executive Sponsor and Operational owner for each value objective Tue 4/11/17 Mon 4/17/171929 Validate that process and solution designs support meeting Value Objectives, KPIs and Process Change plans. Mon 5/29/17 Fri 9/1/17

1930 Coordinate scheduling of physician roadshows and process localization sessions Mon 3/27/17 Fri 3/31/171931 Localize Future State operational and process changes workflow diagrams with client SME Mon 5/29/17 Fri 9/15/17

1932 Document Future State process improvement change plans (Review Future State Workflows) Mon 5/29/17 Fri 6/23/17

1933 Provide Clinical review of Client training strategy Mon 5/29/17 Fri 6/9/171934 Finalize Process Change design/plans with client and solution teams Tue 4/11/17 Tue 4/11/171935 Review and provide clinically validation of client Integration test scripts. Confirm scripts reflect Value Objective, KPI,

system workflow & process changesMon 6/19/17 Fri 7/28/17

1936 Confirm Process, Solution Workflow changes and Value Objectives/KPIs are reflected in Training content. Mon 6/12/17 Fri 6/23/17

1937 Finalize Post Go Live Sustainment Governance planning Mon 10/30/17 Fri 11/17/171938 Finalize Non‐Provider Post‐Implementation Sustainment planning Mon 10/16/17 Fri 10/27/171939 Finalize Provider Post‐Implementation Sustainment planning Mon 10/16/17 Fri 10/27/171940 Finalize Activation Support planning Mon 10/16/17 Fri 10/20/171941 Finalize Post Implementation Order Set Governance planning Mon 10/16/17 Mon 10/16/171942 Finalize Ongoing Learning and Training Strategy Mon 10/30/17 Fri 11/3/171943 Facilitate Acute Process Localization Session ‐ Pre FSV Mon 6/5/17 Fri 6/9/171944 Facilitate Acute Process Localization Session ‐ Post FSV Mon 7/3/17 Fri 7/14/171945 Facilitate Nursing Roadshows ‐ Post FSV Mon 7/3/17 Fri 11/10/171946 Facilitate Acute Process Localization ‐ Phase X (see notes) Mon 5/29/17 Fri 6/2/171947 Facilitate Ambulatory Process Localization Mon 5/29/17 Fri 6/2/171948 Support Ambulatory Process Localization Mon 5/29/17 Fri 6/2/171949 Finalize Health Check Executive Summary Presentation Mon 1/15/18 Fri 1/19/181950 Technical Wed 2/8/17 Fri 2/2/181951 Discuss Database Transfer Process to Client Hardware w/ CWx PM & TEL Wed 2/8/17 Tue 2/14/171952 Request the load of applicable content packages Mon 3/13/17 Tue 3/28/17


Page 51

ID Task Name Start Finish 1953 Establish timing of Train Domain Replication. Decision makers to include in discussion: Client Project Managers, IA, EL,

DWx TEL, CWx TELTue 6/6/17 Mon 6/12/17

1954 Prepare to Lead the Technical Planning Session Tue 6/6/17 Mon 6/12/171955 Introduce Go Live Readiness Assessment to Client Mon 7/3/17 Fri 7/7/171956 Schedule Volume Test, High Availability Test with Client Mon 8/14/17 Fri 8/18/171957 Test Technology Mon 8/14/17 Fri 8/18/171958 CERT Domain Replication Mon 8/28/17 Fri 9/1/171959 Confirm facilities, PCs, network access, and sign‐ons for Go Live staff. Mon 9/18/17 Fri 9/29/171960 Schedule Architecture, Troubleshooting and Issue Management course Mon 10/2/17 Fri 10/6/171961 Finalize Go Live staffing needs and cutover plan. Mon 10/2/17 Fri 10/6/171962 Finalize Go Live issues triage and tracking process. Verify client help desk coverage. Mon 10/2/17 Fri 10/6/171963 Finalize Go Live change control/PECA process. Mon 10/2/17 Fri 10/13/171964 Track show‐stopper issues via Go/No Go status report Mon 10/2/17 Fri 10/13/171965 Customize the Solution Turnover documentation and distribute to project team. Mon 10/2/17 Fri 10/13/171966 Coordinate Diagnostic Center Reviews Across the Teams Mon 10/2/17 Fri 10/6/171967 Client training on logging and tracking service records has been completed and communicated Mon 10/2/17 Fri 10/13/17

1968 Client has a defined and documented change management strategy and process in place Mon 10/2/17 Fri 10/13/17

1969 Access HIM Technical Requirements Review Wed 2/8/17 Tue 2/14/171970 Ensure project domain has latest service packages, admin, and content packages Wed 2/8/17 Tue 3/21/171971 Ensure team's access to project domain and communicate access or process for access requests Wed 2/8/17 Tue 5/23/17

1972 If temp RHO or using hotel domain hardware, coordinate with TEL to schedule downtime for moving database to permanent hardware

Wed 2/8/17 Tue 2/14/17

1973 Assess & schedule IA Knowledge Transfer sessions with client counterpart(s). Fri 2/17/17 Thu 2/23/171974 Grant access to Bedrock wizards per scope of the project Mon 2/20/17 Fri 3/3/171975 Establish/Review Change Control Process w/ Cerner and Client Team Mon 3/20/17 Fri 3/24/171976 Ensure that Multum is being updated on a monthly basis (server content and order catalog) Mon 3/20/17 Fri 3/24/17

1977 Install CBO Updates in BUILD Domain Mon 3/20/17 Fri 3/24/171978 Install/Configure CAMM Server SW Mon 3/20/17 Fri 3/24/171979 Schedule CernerWorks/Client iAware WebSphere installation Mon 3/20/17 Fri 3/31/171980 Project plan tasks review w/ client team leads ‐ Ensure understanding of deliverable dates/expectations Mon 3/20/17 Fri 3/24/17

1981 Ensure Cerner/Client teams are following the defined change control policy Mon 5/29/17 Fri 6/23/171982 Confirm TRAIN domain copy has been scheduled Mon 6/19/17 Fri 6/30/171983 Send TRAIN domain regression testing Invite to project team Mon 6/19/17 Fri 6/23/171984 Meet with CWx Project Mgr or Client Domain Mgr to discuss domain mgmt strategy and readiness for the event. Mon 6/19/17 Fri 7/7/17


Page 52

ID Task Name Start Finish 1985 Work with client testing coordinator to complete Test Plan for each testing phase Mon 6/19/17 Fri 6/23/171986 Review issues tracking process with the client Mon 6/19/17 Fri 6/30/171987 Rebaseline the code to current monthly release Mon 6/19/17 Fri 6/23/171988 Downtime Strategy Planning Mon 6/19/17 Fri 6/30/171989 Begin Go Live Cutover Planning ‐ Customize Cutover Plan & Send to Cerner Team for Review Mon 8/7/17 Fri 8/25/17

1990 Finalize issue tracking and test script tracking process for IT1 Mon 8/14/17 Fri 8/25/171991 MOCK Domain Replication Mon 8/14/17 Fri 8/18/171992 Work with project team to clean up remaining / existing issues Mon 9/18/17 Fri 9/22/171993 Ensure the client has installed MSA/MTA and it is set up correctly Mon 9/18/17 Fri 9/29/171994 Finalize issue tracking and test script tracking process for IT2 Mon 9/18/17 Fri 9/22/171995 Review Activity Delete Guide on Cerner.com Mon 9/18/17 Fri 9/29/171996 Review Issues List and identify any Go Live show stopper issues Mon 9/18/17 Fri 10/6/171997 Review client's Internal Services Strategy and set support expectations Mon 9/18/17 Fri 10/6/171998 Add client contact for remote connectivity questions and support to Navigator as an Intellinet Alert Mon 9/18/17 Fri 10/6/17

1999 Review client information in Intellinet database Mon 9/18/17 Fri 10/6/172000 Ensure that the Client Help Desk/Technical team roles are identified & have completed all required training Mon 9/18/17 Fri 10/6/17

2001 System Adoption Mon 1/15/18 Fri 1/19/182002 System Health Check Mon 1/15/18 Fri 2/2/182003 Infrastructure Mon 1/15/18 Fri 2/2/182004 Regulatory Compliance Fri 2/10/17 Mon 10/30/172005 Meaningful Use Fri 2/10/17 Mon 10/30/172006 Data Collection Workbooks Mon 3/20/17 Fri 3/24/172007 Meaningful Use Data Collection Workbook Mon 3/20/17 Fri 3/24/172008 Configure Mon 3/27/17 Fri 7/7/172009 Build ‐ Meaningful Use ‐ CCN Setup Mon 3/27/17 Fri 7/7/172010 Build ‐ Meaningful Use ‐ Eligible Provider Build Mon 3/27/17 Fri 7/7/172011 Meaningful Use Stage 2 QA ‐ Internal Project Kickoff Fri 2/10/17 Fri 2/10/172012 Meaningful Use Stage 2 QA ‐ Future State Validation Mon 5/8/17 Mon 5/8/172013 Meaningful Use Stage 2 QA ‐ IT1 Mon 7/24/17 Mon 7/24/172014 Meaningful Use Stage 2 QA ‐ Go Live Mon 10/30/17 Mon 10/30/172015 Full MU Workshop/Initial Assessment onsite ‐‐ including review of the initial MU filter setup Mon 6/12/17 Fri 6/16/17

2016 Meaningful Use functional report training with test patients in non‐PROD Mon 7/10/17 Fri 7/21/172017 Meaningful Use functional report validation ‐ if there are test patient (outline scenario) Mon 7/10/17 Fri 7/21/17

2018 Complete Test Scripts for reports with Prod data Mon 8/14/17 Fri 8/25/17


Page 53


EXHIBIT A.26.4 (DPH LICENSED SOFTWARE FUNCTIONAL REQUIREMENTS) AGREEMENT NO. H‐705407

Exhibit A.26.4 (DPH Licensed Software Functional

Requirements)

to the



A.26.4‐1 EXHIBIT A.26.4 (DPH LICENSED SOFTWARE FUNCTIONAL REQUIREMENTS) AGREEMENT NO. H‐705407

Exhibit A.26.4

DPH LICENSED SOFTWARE FUNCTIONAL REQUIREMENTS

This Exhibit A.26.4 (DPH Licensed Software Functional Requirements) describes the gaps in functionality between the EHR System as it is currently Implemented and DPH operational and service needs that were identified by County and Contractor at the time the DPH Amendment (Amendment No. 9) was Approved; but is intended to be amended to reflect the work of Contractor and County under Exhibit A.38 (DPH Extension Statement of Work) subtasks 2.1 (Conduct Gap Analysis for DPH Localization); 2.2 (Perform Data Collection for DPH Localization); and 2.3 (Conduct Future State Workflow Localization for DPH). It is the intent of the parties that changes to this Exhibit A.26.4 (DPH Licensed Software Functional Requirements) will utilize a Change Notice as that term is defined in the Agreement. For purposes of this Amendment 9, the phrase “Unique DPH Functional Service Requirements” refers to those requirements identified in this Exhibit A.26.4 (DPH Licensed Software Functional Requirements) as it is modified by the Parties as a result of the Services under Exhibit A.38 (DPH Extension Statement of Work) subtasks 2.1 (Conduct Gap Analysis for DPH Localization); 2.2 (Perform Data Collection for DPH Localization); and 2.3 (Conduct Future State Workflow Localization for DPH). Modification of this Exhibit A.26.4 (DPH Licensed Software Functional Requirements) by Change Notice by the parties as a result of the Services under Exhibit A.38 (DPH Extension Statement of Work) subtasks 2.1 (Conduct Gap Analysis for DPH Localization); 2.2 (Perform Data Collection for DPH Localization); and 2.3 (Conduct Future State Workflow Localization for DPH), or as otherwise mutually agreed to by the Parties in a Change Notice shall not change the Contract Sum as provided in this Amendment No. 9.

ITEM# REQUIREMENTS COMMENTS PROPOSED SOLUTIONS

1. Registration and Scheduling

FR1.4 The system shall provide the ability to capture

Census Tract information to support, for example

Public Health Nurse (PHN) assignment or GEO

mapping.

Functional Gap Registration Management

FR1.5 The system shall support Homeless outreach services

(offsite care) enabling functionality to by‐pass

financial clearance.

Functional Gap Scheduling

Management/Registration

Management

FR1.9 The system shall support medical/clinic services specific to Sexually Transmitted Disease (STD), Tuberculosis (TB), Immunization/Triage, Refugee Health Assessment Program (RHAP), and Field Clinical Care. Field Clinical Care will be handled through the “virtual clinic concept”.

Functional Gap

Registration Management

2. Alert

FR2.1 The system shall support alerts for notification of

legal orders which shall enable an alert to clinicians

upon review of chart.

Functional Gap Powerchart

3. Clinic Care Documentation and Order Management

FR3.1 The system shall support behavioral risk factors and history elements, as required, including without limitation:

Sexually Transmitted Disease (STD) Morbidity





Report

Refugee Health Assessment Program (RHAP) “Primary Care” exam

Radiology (X‐ray) and Tuberculosis Assessment for John Wesley Community Health Institute

Tuberculosis (TB), Sexually Transmitted Disease (STD), Acute Communicable Disease (ACD), and Immunization screening elements for Centers for Disease Control and Prevention (CDC) and State/Federal reporting

Walk‐ins

HIV Pre‐Exposure Prophylaxis (PrEP)

Emerging Diseases

Sexual Relationship (Partner)

Sexual Activities/Practices

Family planning

Birth Control

Family at Risks Behaviors

Alcohol or Drug Use

Smoking

Exposure to Violence or Abuse

FR3.12 The system shall provide the ability to capture and maintain discrete data elements associated with TB category/classification (e.g. TB1, TB2, TB3, TB4, TB5, and TB5 Alien Registration).


FR3.14 The system shall capture and maintain Tuberculosis (TB) Screening History information specific to H2288.

Functional Gap Powerchart/Powerform

4. Nurse Walk‐In

FR.4.7 The system shall provide the ability to monitor and

control inventory of immunization and capture

historical immunization transmitted through the

California Immunization Registry (CAIR2).

Functional Gap Powerchart (Bi‐directional Interface

CAIR 2)

8. Pharmacy/Medication Administration

FR8.3 The system shall have a role to enable licensed and

unlicensed staff to document that they witnessed the

patient take field delivered medication on a daily

basis (e.g. prophylaxis treatment, Directly Observed

Therapy/DOT).


FR8.13 The system shall be capable of producing patient

partner medication labels for Sexually Transmitted

Disease (STD) patients.

Functional Gap PharmNet

FR8.15 The system shall support the printing of California Board of Pharmacy’s requirement of patient‐centered labels for medication drug containers,

Functional Gap PharmNet




including without limitation: • Single dose compliant outpatient label • Multi‐dose compliant outpatient label

FR8.16 The system shall be capable of interfacing with The

Chudy Group Prescription (TCGrx) Automated Tablet

Packaging (ATP) Machine or similar repackaging

machines.

Functional Gap TBD

9. Reporting

FR9.1 The system shall provide authorized user to select and manipulate clinical data to produce standard periodic or on‐demand reports or displays, including without limitation:

Sexually Transmitted Disease (STD) Morbidity Report

Refugee Health Assessment Program (RHAP) “Primary Care” exam and assessment for John Wesley Community Health Institute (JWCH).

Tuberculosis (TB), Sexually Transmitted Disease (STD), Acute Communicable Disease (ACD), and Immunization screening elements for Centers for Disease Control and Prevention (CDC) and State/Federal reporting.

Walk‐ins

HIV Pre‐Exposure Prophylaxis (PrEP)

Functional Gap


EXHIBIT A.38 (DPH EXTENSION STATEMENT OF WORK) AGREEMENT NO. H‐705407

Exhibit A.38 (DPH Extension Statement of Work)

to the



A.38‐(i) EXHIBIT A.38 (DPH EXTENSION STATEMENT OF WORK) AGREEMENT NO. H‐705407

Table of Contents

1. Introduction ................................................................................................................. 1

2. Business Objectives Supported .................................................................................... 1

3. Services and Deliverables ............................................................................................. 1

3.1 Deliverable Development and Approval Process ................................................... 3 3.2 Tasks ........................................................................................................................ 3 Project Deliverable Expectations Document (DED) Template .......................................... 27


A.38‐1 EXHIBIT A.38 (DPH EXTENSION STATEMENT OF WORK) AGREEMENT NO. H‐705407

1. Introduction

This Exhibit A.38 (DPH Extension Statement of Work) (sometimes referred to in this Exhibit as “this SOW”) is an attachment and addition to the Electronic Health Records System and Services Agreement, No. H‐705407, by and between the County of Los Angeles (“County”) and Cerner Corporation (“Contractor”), with an Effective Date of December 21, 2012 (the “Agreement”), as amended by the Parties pursuant Amendment Number 9 to the Electronic Health Records System and Services Agreement by and between County and Contractor, effective as of [** ], (“Ninth Amendment Date”) (collectively, “Amendment Number 9” or the “Amendment”) and is incorporated into the Agreement by reference hereof. Unless specifically defined in this Exhibit, capitalized terms shall have the meanings set forth in the Agreement. In the event of conflicting terms between the Agreement and this SOW, the terms of the Agreement shall prevail and nothing in this SOW shall modify or amend any provisions of the Agreement (including all components such as Statements of Work, Service Level Agreements, Exhibits, etc.) unless such modifications or amendments and the provisions of the Agreement which they modify or amend are specifically identified in this SOW and are Approved. This SOW includes any attachments hereto.

All of the tasks, subtasks, Deliverables, goods, and other services required or requested by County below are included as part of the Services. This SOW aggregates tasks and subtasks that are a subset of both the broad definition of Services set forth in Exhibit G (Glossary) of the Agreement and the specific Services associated with this SOW. Whether or not additional Services, not specifically included in any SOW, are needed to successfully deliver the EHR System as required under the Agreement, such Services are required to be delivered by Contractor and are included in the Contract Sum.

This SOW provides a description of the nature of the work required, but does not provide an exhaustive list of every task or subtask necessary for completion of this Exhibit A.38 (DPH Extension Statement of Work). The completion of any phase in a period of time shorter or longer than that specified below shall not increase the Contract Sum.

2. Business Objectives Supported

This SOW describes the necessary steps for the implementation of the extension of the Licensed Software into LA County Department of Public Health (DPH) Clinical Care. The services provided under this SOW include the build out of functionality for DPH Pharmacy, DPH Specific Documentation and configure and integrate required reference lab send out tests, specifically T‐Spot and reporting (the “DPH Localization”) as described in Task 2 (Identify Targeted Design Adjustments, Extend Build, and Test DPH Localization). The solution will provide DPH access to the EHR System and enable it to:

Be used by clinic support staff to schedule appointments and to register new and active patients

Be used by clinicians to record delivery of care and to place orders for diagnostic events and treatment activities

Collect all required data to enable itemized billing and required reporting

3. Services and Deliverables

The Services and Deliverables to be provided under this SOW include:

Tasks/Subtasks Deliverables

Task 1 ‐ SOW Kick‐Off and Ongoing Project Management

Subtask 1.1 Develop and Maintain DPH Work Plan Deliverable 1.1 DPH Work Plan




Subtask 1.2 Conduct DPH Project Kick‐off Session Deliverable 1.2 DPH Kick‐off (Key Deliverable)

Subtask 1.3 Review DPH Technical Environment Deliverable 1.3 DPH Technical Review

Subtask 1.4 Provide Ongoing Project Management Deliverable 1.4 Ongoing Project Management

Task 2 ‐ Identify Targeted Design Adjustments, Extend Build, and Test DPH Localization

Subtask 2.1 Conduct Gap Analysis for DPH Localization

Deliverable 2.1 Gap Analysis

Subtask 2.2 Perform Data Collection for DPH Localization

Deliverable 2.2 Data Collection Documents

Subtask 2.3 Conduct Future State Workflow Localization for DPH

Subtask 2.3 Future State Workflow Localization Documents

Subtask 2.4 Adjust Build for DPH Localization Subtask 2.4 Complete for DPH Localization

Subtask 2.5 Complete Unit, System and End‐to‐End Testing

Subtask 2.5 Unit, System and End‐to‐End Testing Complete (Key Deliverable)

Task 3 ‐ Design, Build, and Test DPH Unique Interfaces

Subtask 3.1 Document Functional and Technical Specifications for Unique Interfaces at DPH

Deliverable 3.1 Functional and Technical Specifications for Interfaces at DPH (Key Deliverable)

Subtask 3.2 Build Unique DPH Interfaces Deliverable 3.2 Build Unique DPH Interfaces

Subtask 3.3 Adapt ORCHID Interfaces Deliverable 3.3 Adapt ORCHID Interfaces (Key Deliverable)

Subtask 3.4 Test all DPH Interfaces Deliverable 3.4 DPH Interface Test Plan (Key Deliverable)

Task 4 ‐ Specific Reports Requirements for DPH

Subtask 4.1 Identify and Validate List of DPH specific reports

Deliverable 4.1 DPH Reports List and Work Plan (Key Deliverable)

Subtask 4.2 Reports Creation at DPH Deliverable 4.2 Complete all Identified Reports for DPH Go‐Live

Task 5 – Conduct DPH Deployment

Subtask 5.1 Conduct Deployment Preparation and Cutover Planning

Deliverable 5.1 Deployment Preparation Materials (Key Deliverable)

Subtask 5.2 Conduct Deployment for DPH Deliverable 5.2 Successful Deployment

Subtask 5.3 Provide Post‐Deployment Support at DPH

Deliverable 5.3 Post‐Deployment Support at DPH

Subtask 5.4 Conduct DPH Post Go‐Live Assessment Deliverable 5.4 DPH Post Go‐Live Assessment




(Key Deliverable)

Task 6 Conduct Performance Verification and Provide Performance Verification Report

Subtask 6.1 Achieve DPH Final Acceptance Deliverable 6.1 DPH Final Acceptance

3.1 Deliverable Development and Approval Process

All Deliverables must be developed in the form and format agreed to by County and Contractor. Work on Key Deliverables will follow a Deliverables Expectations Document (also referred to as a “DED”) Approved by County. No work will be performed on any Key Deliverable until the DED has been Approved by County. The DEDs for Key Deliverables will require a review meeting between County and Contractor prior to Approval, and the DEDs for all other Deliverables will mirror the Deliverable descriptions and Acceptance Criteria set forth in the following SOW. As each Deliverable is submitted, the Contractor must include a copy of the Project DED as the cover sheet. A template to be used for each DED during this Project can be found in Section 3.3 (Project Deliverable Expectations Document (DED) Template) of this SOW.

3.2 Tasks

Contractor shall be responsible for performing the following tasks as part of the Services to be provided under this SOW.

Task 1 SOW Kick‐Off and Ongoing Project Management

Subtasks/Deliverables

Subtask 1.1 Develop and Maintain DPH Work Plan

Contractor will develop and maintain a DPH Work Plan. It will include a Project Schedule and will be developed in a Project Portal Online‐compatible version of Microsoft Project, which shall include:

All Deliverables, tasks, and subtasks mentioned in this SOW;

Associated dependencies among Deliverables, tasks, and subtasks;

Resources (hours and roles) required for each Deliverable, task, and subtask;

Start date and date of completion for each Deliverable, task, and subtask;

Milestones and Key Milestones.

DPH Deployment Plan to include a single Go‐Live event for deployment of the Licensed software through DPH Clinical Care

Contractor will meet with key County individuals to determine when to plan sessions requiring DPH staff

Deliverable 1.1 DPH Work Plan

DPH Work Plan meeting including all criteria described in Subtask 1.1

Acceptance Criteria:

Timelines and resources detailed in Work Plan are realistically achievable with reasonable effort as determined by County.

Elements of DPH Work Plan are consistent with tasks, subtasks, and Deliverables as outlined in this SOW, other SOWs and the overall Project Work Plan.

Confirmed availability of Contractor resources required to implement the DPH Work Plan

Contractor completes review of draft Work Plan review session with Key County Individuals as identified by the



participation. All sessions will be scheduled at least one month in advance whenever possible.

Contractor will incorporate County feedback and proposed changes into the DPH Work Plan and submit a final version to the County for Approval.

County SOW Lead

DPH Work Plan revised to address all issues identified by County

Final DPH Work Plan is Approved by County

Subtask 1.2 Conduct DPH Project Kick‐off Session

Contractor will conduct a Kick‐off session to introduce the County Workgroup to the Services covered by this SOW, including the time lines and nature of the work effort that will be required to implement this SOW.

Contractor will conduct the Kick‐off session as follows:

Deliver Kick‐off Session materials including suggested attendance list for County Review

Provide a record of County Workgroup members who attended the DPH Initiation Session

Review and document Domains, Venues, and Locations for which DPH capabilities will be triggered and utilized within County

Demonstrate Licensed Software functionality using the current DHS implementation of the Licensed Software that will be configured for use by County

Provide Kick‐off training materials and hands on training to the County Workgroup and identify learning expectations for the Licensed Software

Train the County Workgroup on the required process and tools used to support Contractor in conducting the workflow assessment, purpose and expected outcome of the workflow assessment, and related activities

Provide the County Workgroup with an overview of Project Portal, including system design review activities and data collection processes

Contractor will develop a DPH Initiation Session Event Summary Report at the conclusion of the event.

Deliverable 1.2 DPH Kick‐off (Key Deliverable)

DPH Kick‐off Session materials for County review

Final List of County Domains, Venues, and Locations for DPH implementation

Demonstration of DPH modules functionality

List of County Workgroup members who attended the DPH Kick‐off Session

Log‐in credentials to all relevant tools and sites (Open House Domain, Project Portal Online) for both participants of the DPH Kick‐off Session and other County stakeholders, as mutually agreed upon

Written instructions and documentation for County Workgroup members to familiarize themselves with materials covered in the DPH Kick‐off Session

DPH Kick‐off Session Event Summary Report


County‐Approved DPH Kick‐off Session Event Summary Report from Contractor

Summary Report documents that Kick‐off session has been completed and includes accurate documentation of the content, outcomes, and next steps agreed upon

County‐Approved List of County Domains, Venues and Locations

Subtask 1.3 Review DPH Technical Environment

Contractor will facilitate a session with County stakeholders to review the process for County to conduct review of the County technical environment and determine County’s readiness for the

Deliverable 1.3 DPH Technical Environment Review

DPH Technical Environment Review



implementation of the DPH solutions. The session will include:

High‐level overview of the Licensed Software and Third‐Party Products; and

Technical walkthrough of the Licensed Software and Third‐Party Products architecture.

Contractor will support County in conducting data gathering and developing a Technical Review including current state analysis. Contractor will review and provide input and recommendations for future state needs. The Technical Review will include:

Current state technical environment, including identification of any planned changes prior to DPH solution deployment;

Technical and infrastructure requirements at County facilities;

Gap between current and future state;

Risk analysis and mitigation; and

Technology recommendations with options for closing gaps.

Contractor Technical Engagement Leader will be available for ad hoc calls and support by email. Immediate requests for support will be routed to another Contractor designee if the Contractor Technical Engagement Leader is unavailable.

Contractor will incorporate County feedback and proposed changes into the Technical Assessment and submit a final version to County for Approval.


Final Technical Review addresses all required elements described in subtask 2.3 (Conduct Technical Assessment).

Review session of Technical Review is completed with relevant County personnel as identified by the County SOW Lead

Final Technical Review incorporates, and is consistent with, County‐provided input.

Subtask 1.4 Provide Ongoing Project Management

Contractor will manage ongoing Project activities and regularly track and report on Project status including:

Status Meetings every two weeks and develop monthly Status Reports the first status meeting of each month

Procedures for Status Meetings/Reports

Project Staffing and Resource Management Plan for DPH

Ongoing Staffing and Resources Management

Ongoing Project Work Plan Management

Error Management, Risk Management and

Deliverable 1.4 Ongoing Project Management

Status Meetings every two weeks and develop monthly Status Reports the first status meeting of each month

Project Staffing and Resource Management Plan for DPH

Ongoing Project Management as described in Subtask 1.4


Ongoing successful completion of Project Management throughout the implementation including completion of all requirements of Project



Task 2 Identify Targeted Design Adjustments, Extend Build, and Test DPH Localization

Subtask 2.1 Conduct Gap Analysis for DPH Localization

Contractor will facilitate a session with County stakeholders to review the County attendees and the proposed agenda of the Gap Analysis sessions.

Contractor to conduct Gap Analysis sessions for the Licensed Software build against the Unique DPH Functional Service Requirements (as provided in Exhibit Exhibit A.26.4 (DPH Licensed Software Functional Requirements)) to determine areas that will require DPH Localization build.

For Clinic and Pharmacy Workflows, Contractor will meet with the County Workgroup, County subject matter experts (“SMEs”), and any other County employees identified and required to walk through the full range of current workflow (i.e. from Registration to HIM) of the Licensed Software including but not limited to the following groups:

TB services

STD services

Immunization services

Specialized ancillary departments

Pharmacy

Deliverable 2.1 Gap Analysis

Documented Gap Analysis including findings for all identified and verified Domains, Venues, and Locations to the current EHR System workflows (e.g., order management, scheduling and medical records)

Gap Analysis Review Session


Reviewed and finalized Gap Analysis

Gap Analysis incorporates and are consistent with, County‐provided input from draft review

Gap Analysis addresses all required elements described in subtask 2.1

Issue Management

Configuration and Technology Change Management

Deliverables Management and Tracking

Status Meetings to include:

Summary of Project status and progress as of reporting date, including the progress towards completing Milestones, Key Milestones Deliverables, and Key Deliverables, with actual status in respect to the Project Schedule and Deliverable 1.1 DPH Schedule / Work Plan;

Project issues and risks identified through the quality assurance and risk management process and status of identified issues and risks;

During the Project, Contractor will deliver and manage each of these services for the Project in accordance with the Project Control Document.

Management as listed in Subtask 1.4

Monthly Status Reports submitted

Project Staffing and Resource Management Plan Submitted




Employee Health

County Workgroup, County subject matter experts, and other County employees will submit feedback throughout the sessions on what areas of the Licensed software will require additional or modified build.

All areas with differing workflows should be identified in this task and these gaps used for determining design, build, training, and organizational change management activities throughout the project.

Contractor will submit a draft Gap Analysis Report that compares the DPH requirements to the current EHR System workflow of the Licensed Software.

Contractor will hold a Gap Analysis Session to present findings to the County. This session will be preceded by a planning session to determine the key individuals needed at the review(s).

Contractor will incorporate requested changes and submit completed Gap Analysis to County for Approval.

Subtask 2.2 Perform Data Collection for DPH Localization

Contractor will support the County SOW Lead and County Workgroups, who will work with County SMEs to complete DCWs for DPH as to the Unique DPH Functional Service Requirements.

Contractor will support the data collection process as follows as to the Unique DPH Functional Service Requirements:

Review and discuss documented outcomes included in Gap Analysis with County personnel to optimize design decisions

Provide training on the tools, processes, and objectives for the upcoming data collection activities – the Data Collection Workbooks (also known as a “DCW”). Contractor shall provide County with DCWs that have been pre‐populated with the current configuration or design

Work with the County Workgroup to begin the population of the DCWs for all localized build data collection

Identify data, information, and reports to ensure the County can meet Meaningful Use requirements

Track progress and communicate status of DCW completion to County

Deliverable 2.2 Data Collection Documents

DCW templates

Completed training on DCW data collection tools

Facilitated weekly calls and/or meetings

Complete DCWs that have been validated by Contractor

Regular progress reports on completion of DCWs

Regular notification of issues and risks related to quality and schedule of document completion

Contractor Delivery Consultant support through ad hoc calls and e‐mails

Documented decisions made in relation to DCWs

Documentation of outstanding design issues, risks, and unresolved decisions, if any

Design Document Deliverables Including:

Final DCWs




Conduct weekly calls and/or meetings including:

o Discussing progress compared to timelines documented in the Sub‐Project Work Plan;

o Identifying issues with data collection (risks, quality, etc.) and escalate as appropriate; and

Update and maintain a Risk and Issue Matrix related to the completion of DCWs and alert County of any risks to schedule

Contractor Delivery Consultant will be available for ad hoc calls and support by e‐mail. Immediate request for support will be routed to another Contractor designee if the Delivery Consultant is unavailable.

Contractor will develop a final Detailed Design Document as to the Unique DPH Functional Service Requirements.

The DPH final Detailed Design Document as to the Unique DPH Functional Service Requirements shall include documentation on all design decisions, including:

County Approval of the data collection and decision documents;

Contractor will document and incorporate all County feedback and decisions and submit a final version of the workflow localization Deliverables to the County for Approval.


Contractor's assistance in completing DCWs is sufficient to result in on‐schedule progress to subtask 2.3 (Conduct DPH Workflow Localization), including all initially defined items as well as agreed upon necessary additions identified during the system review process.

Data Collection meets all requirements identified in subtask 2.2 (Perform Data Collection)

Identified issues are resolved and or closed

All content and functional coverage of system build is included in final Detailed Design Document.

Decisions made during subtask 2.2 (Conduct Data Collection) are incorporated in final Detailed Design Document.

Final Detailed Design Document meets all requirements identified in subtask 2.3 (Conduct Future State Workflow Localization for DPH Localization).

Subtask 2.3 Conduct Future State Workflow Localization for DPH

Workflow Localization will assist County to better understand the future state of their facilities workflow as to the Unique DPH Functional Service Requirements when EHR System is extended into DPH and current systems are replaced. County staff from different disciplines and functional units will come together with a specialized expertise that can be applied to defining future workflow as to the Unique DPH Functional Service Requirements.

As to the Unique DPH Functional Service Requirements Contractor will:

Identify all Domains and Licensed Software modules impacted by this SOW

Conduct a series of meetings across relevant County facilities and departments where the solutions will be utilized to develop any workflow localization

Deliverable 2.3 Future State Workflow Localization Documents

Workflow Localization Deliverables as to the Unique DPH Functional Service Requirements, including:

List of participants and materials for Workflow Localization Sessions (agenda, presentation, and all training materials)

Future State Workflow Diagrams covering the complete range of DPH processes impacted by the Licensed Software

A list of policies and procedures identified by DPH that will need to be created or revised

Recommendations, impact statement, and a roadmap for implementation of




documents

Develop the following Workflow and Organizational Change Deliverables:

o Future State Workflow Diagrams covering the range of DPH processes which require localization build and were highlighted in the Gap Analysis, with attention to interrelationships with other modules and other relevant systems;

o A list of policies and procedures identified by DPH that will need to be created or revised;

o Recommendations, impact statement, and a roadmap for implementation of organizational changes to achieve identified benefits and utilize Contractor Best Practices;

o Description of how County personnel’s roles will change within new workflow and document new positions and revisions to existing job descriptions, including sample job descriptions;

o Stop, Start, Continue recommendations as to what processes will stop, what processes will continue, and what new processes will be implemented.

Contractor will conduct Workflow Localization Session(s) as to the Unique DPH Functional Service Requirements with Workgroups to develop and standardize any new future state workflow diagrams and to define any new processes that will support the integrated state.

Contractor will work with County to identify the actions and types of resources required to address all of the findings and recommendations of the workflow localization analysis as to the Unique DPH Functional Service Requirements including such items as the development of policies and job descriptions.

organizational changes to achieve identified benefits and utilize Contractor Best Practices

Description of how County personnel roles will change and document new positions and revisions to existing job descriptions, including sample job descriptions for all modified or new positions identified

Stop, Start, Continue recommendations as to what processes will stop, what processes will continue, and what new processes will be implemented


Workflow Localization Documents are complete and accurately reflect County feedback and decisions made during the design review process.

Workflow Localization Deliverables address all components of Subtask 2.3 (Conduct Workflow Localization and Complete Design for DPH Pharmacy and DPH Specific Documentation Needs) in sufficient detail and completeness.

‐

Subtask 2.4 Adjust Build for DPH Localization

Contractor will iteratively build DPH solution functionality and content until the full build of DPH content and functionality is complete.

Specific Contractor activities include:

Regularly release new functionality in a structured and scheduled manner to the County Unit and System test environment

Contractor will ensure the design and build of the Licensed Software and Third Party Products delivers the necessary information to achieve Meaningful Use

Deliverable 2.4 Complete for DPH Localization

Release Schedule

Iterative releases of DPH content and functionality for Unit and System Testing

Release notes identifying the content of each new release and any issues and defects applicable to County that have been corrected by the release




including Reporting for Meaningful Use Incentive Programs, Meaningful Use for PH Measures, and Meaningful Use for PH Data Collection, in the same manner as currently provided to DHS.

On an ongoing basis, provide the County SOW Lead with an updated Release Schedule as to the new content and functionality delivered in each release

Define test scripts to validate interfaces with third‐party vendor systems, services, and devices

Provide test scripts to validate release of new functionality

Support County in developing detailed test scripts

Review County‐adapted test scripts and recommend revisions to ensure scripts are comprehensive and effective

Support County with the development of test data and specify volume of data required to perform thorough testing

Report weekly on progress toward Complete Build and alert County of any issues or risks

Notify County when the DPH solutions have been fully configured to include all DDMs and DCWs related to DPH

Complete Build of DPH solutions for final unit and system testing that includes all content and functionality as documented in the final Detailed Design Document.

Weekly updates on status of release and defect fixes as part of the Project Status Report

Test scripts validating interfaces with third‐party vendor systems, services, and devices

Complete Unit and System Test scripts

Test data loaded into test environment database

Documented risks to schedule or to quality and completeness of the scripts and data being developed

Documented test procedures Documented County readiness for

testing, including County Workgroup and County SME readiness

Acceptance Criteria

County validation that releases of DPH Localization builds meet specifications as documented in the final Detailed Design Document

Subtask 2.5 Complete Unit, System and End‐to‐End Testing

Contractor will develop a DPH Localization Test Plan document with input and participation from County that identifies all major aspects and phases of testing throughout the Project. The Test Plan will detail Contractor’s approach to performing and/or supporting Unit Testing, System Testing, End‐To‐End Testing, as to the Services provided under this SOW.

The test plan will also provide County with sample gateway criteria and assist County in adopting gateway criteria (to be defined in the Project Plan) for moving from Unit and System Testing to End‐to‐End Testing.

Contractor will provide Services with County input and participation to develop test scripts (leveraging existing

Subtask 2.5 Unit, System and End‐to‐End Testing Complete (Key Deliverable)

Draft Test Plan reviewed by County

Final Test Plan incorporating County feedback

Regular Errors, Defects and Change Request Progress Reports

Defect resolution document describing identified Errors, defects and Omissions which have been resolved

Implementation of Error and defect resolutions and County‐Approved change requests




EHR System test scripts), test scenarios, test cycles, common test data, associated test conditions, and expected results for End‐to‐End Testing.

As the Licensed Software is ready for deployment, the County Workgroup will test the system using developed test scripts. Once the DPH Localized build, as documented in the DCWs, is complete, Contractor will notify County. Contractor will jointly decide with County through the governance process when the DPH build is ready for moving to End‐to‐End Testing.

Contractor will assist County in conducting requirements of End‐to‐End Testing as identified in the Test Plan.

Throughout testing Contractor will:

Provide ad hoc telephone, e‐mail, and in‐person support to the County testing teams

Provide regular ongoing progress reports on the progress of completion of Errors, defects and status of Change Requests through the Design, Approval, Build, and Test process

Monitor progress of testing and provide County with advice to address issues arising, such as inability to meet timelines, lack of quality or attention in testing, the need for additional resources, test support, and management tools, etc.

Provide a structured tool and format in Project Portal Online for County to record and report Errors, defects and Omissions

Enter those defects and Omissions of content or functionality which are not entered directly by County personnel but which are, instead, communicated by e‐mail to the Contractor Test Lead for entering into Project Portal Online

Resolve all Errors and defects impacting Go‐Live and support County personnel in trouble shooting issues;

Assist County with re‐testing defect fixes;

Regularly communicate with County regarding status and schedule of End‐to‐End Testing; and

Document test results.

Correct defects and update the Release Schedule to notify County of the build in which defect resolutions will be released

Address identified Omissions as follows:


Contractor completes review of draft Test Plan with Key County Individuals as identified by the County SOW Lead.

Final Test Plan incorporates, and is consistent with, County feedback.

Gateway criteria have either been achieved or exceptions documented and Approved by Project governance

Proof of resolution of all outstanding Errors, defects and County Approved Change Requests as defined as required for DPH Go‐Live

Documented results of completed and tested DPH solutions

County‐Approved Completed Unit, System and End‐to‐End Testing for DPH solutions




Document and verify the requirements to address the Omission in a consistent and structured format;

Address all Omissions which will have little or no impact on the Project Schedule or risk and update the Release Schedule to notify County when the new content or functionality will be released;

Escalate all Omissions which will have impact on the Project Schedule or risk for consideration by the governance process;

Contractor and County will jointly determine whether a requested change should be pursued at this stage in the Project, pursued as a change request after Go Live, or should be rejected; and

Task 3 Design, Build, and Test DPH Unique Interfaces

Subtasks/ Deliverables

Subtask 3.1 Document Functional and Technical Specifications for Unique Interfaces at DPH

Contractor will draft functional and technical Specifications for each required Unique Interface (“Interface Specifications Document”) that, at a minimum, specifies the following (for purposes of this Task 3 (Design, Build, and Test DPH Unique Interfaces), a Unique Interface is an Interface that has not been built in the EHR System):

Name and high level description of the County device/system with which an Interface is required, and a description of the purpose and function of the Interface;

Requirements of the Licensed Software either to receive or send required elements and values;

Detailed description of what the Interface can or cannot accommodate, the impact to the License Software, and alternatives where required.

Interface engine(s) that will be used to manage the Interface transactions;

List of transactions and data content for

Deliverable 3.1 Functional and Technical Specifications for Interfaces at DPH (Key Deliverable)

Interface Specifications Document for each Interface


Contractor provides required technical resources in review session of Draft deliverable with key County personnel

The Interfaces Specifications Document for each Interface incorporates, and is consistent with, County‐provided input.

The Interfaces Specifications Document for each Interface addresses all elements described in subtask 6.2 (Document Functional and Technical Specifications for Interfaces).

The Interface Specifications Document for each Interface has been Approved by County.

The updates to the Risk Analysis Document address all elements described in subtask 6.2 (Document Functional and Technical Specifications for Interfaces) and have been Approved by County.




Interfaces required for each County system/device;

Specifications for mapping, aliasing and/or transforming the data to conform to the applicable system and to the Licensed Software, including (a) which engine will be used for the transformation of the data, and (b) which data elements County wants to retain in the Clinical Data Repository via the Interface;

Processes and requirements for Interface management, including filtering, throttling, queuing, retention period, and resending/republishing of messages;

Performance requirements for each transaction, including real time vs. periodic latency, etc.;

Established standard for the Interface transaction (e.g., HL7, ASTM, X12, DICOM, etc.) which will be used for the necessary Interface. If a standard cannot be met, Contractor will propose an alternative (including justification for using something other than an established standard);

Specifications of the data and transport mechanisms required for the Interface transaction;

Specifications for monitoring the traffic through the Interface and reporting requirements to County for unusual traffic;

Requirements for identification of exception types and exception processing of transactions;

Specifications for downtime and recovery strategy for each Interface;

Specifications for Interface connectivity;

Bandwidth requirements and transaction volumes, jointly with County and Contractor Interface architect, County and Contractor Systems Engineer; and

The role and required contributions of applicable third‐party vendors, if any, for the Interface (both to build and maintain the

The Interfaces Implementation Strategy Document is updated to incorporate any modifications made in the Functional and Technical Specs.

The Interface Specifications Document for each Interface that interacts with a third‐party system includes information from the third‐party vendor necessary for Contractor to build the Interface




Interface).

If Contractor and County cannot agree on Contractor’s proposed solution for any Interface that must be built to meet County’s requirements, Contractor will expeditiously escalate the issue to the predefined governance.

Contractor will incorporate County feedback and proposed changes into the functional and technical Interface Specifications Document and submit a final version to County for Approval.

Contractor will work with the applicable third‐party vendors as required for Contractor to create the functional and technical Specifications for each required Interface.

Subtask 3.2 Build Unique DPH Interfaces

Contractor will build Interfaces (for point‐to‐point Interfaces) or utilize the Interface engine or tool used to support the EHR System to create and manage the Interface transactions.

For each Interface, Contractor will:

Track progress on Deliverables and report progress as well as issues and risks in the weekly Project Status Reports;

Update and maintain a Risk Matrix related to the completion of Interfaces Specifications and alert County of any risks to schedule;

Provide build Documentation and descriptions for successful ongoing maintenance and support of Contractor provided.

Configure, code, and test all applications, application extensions, and data acquisition/Interfaces in accordance with the functional and technical Interface Specifications Document;

Contractor will notify County once each Interface build as documented in the Interfaces Specifications is complete.

Deliverable 3.2 Build Unique DPH Interfaces

Interface Release Schedule

Interfaces built which conform to the functional and technical Interface Specifications Document


County Approved Interface Release Schedule

Interface build completion document provided by Contractor is Approved by County

Subtask 3.3 Adapt ORCHID Interfaces

Contractor will update the functional and technical Specifications for each existing ORCHID Interface that requires adaptation for productive use of the licensed software at DPH (as Listed in

Deliverable 3.3 Adapt ORCHID Interfaces (Key Deliverable)

Updated Interface Specifications Document for each Interface that needs adaptation

Adapted Interface Release Schedule




Exhibit XX).

Contractor will provide, review and/or update the existing Interface Specifications Documents for each Interface to be adapted including but not limited to:

Requirements of the Licensed Software either to receive or send required elements and values;

Detailed description of what the Interface can or cannot accommodate, the impact to the License Software, and alternatives where required.

List of transactions and data content for Interfaces required for each County system/device;

Performance requirements for each transaction, including real time vs. periodic latency, etc.;

Bandwidth requirements and transaction volumes, jointly with County and Contractor Interface architect, County and Contractor Systems Engineer; and

The role and required contributions of applicable third‐party vendors, if any, for the Interface (both to build and maintain the Interface).

If Contractor and County cannot agree on Contractor’s proposed solution for any Interface that must be built to meet County’s requirements, the Parties will escalate the issue as provided in the Agreement.

Contractor will incorporate County feedback and proposed changes into the Updated Interface Specifications Document and submit a final version to County for Approval.

Contractor will build updates for each Interface to be adapted, and Contractor will:

Track progress on build and report progress as well as issues and risks in the weekly Project Status Reports;

Update and maintain a Risk Matrix related to the completion of Interfaces Specifications and alert County of any risks to schedule;

Provide build documentation and descriptions for successful ongoing

Interfaces build updated for productive use at DPH and includes all content and functionality as documented in the Interface Specifications Document

Interfaces are ready for testing as described in the Overall Test Plan


Contractor provides required technical resources in review session of Draft deliverable with Key County personnel

The Interfaces Specifications Document for each Interface incorporates, and is consistent with, County‐provided input.

The Interfaces Specifications Document for each Interface addresses all elements described in subtask 3.3 (Adapt ORCHID Interfaces).

The Interface Specifications Document for each Interface has been Approved by County.

County Approved Interface Release Schedule

Interface build completion document provided by Contractor is Approved by County




maintenance and support of Contractor provided.

Configure, code, and test all applications, application extensions, and data acquisition/Interfaces in accordance with the functional and technical Interface Specifications Document;

Contractor will work with the applicable third‐party vendors as required for Contractor to Updated Interface Specifications Document and to complete any new build required.

Contractor will notify County once each Interface build as documented in the Interfaces Specifications is complete.

Subtask 3.4 Test all DPH Interfaces

Contractor will develop and document an Interface Test Plan with input and participation from County that, at a minimum, includes:

County‐specific Unit and System Test scripts for each Interface;

Documentation of the appropriate tests which need to be conducted on the Interfaces;

A test plan for Unit and System Testing of each Interface;

Samples of Unit Test scripts (including test script for reviewing historical data where applicable) for Interfaces;

Identification and documentation of relevant test scenarios for each Interface;

Identification and documentation of relevant test patient data, and regression test data;

Identification of any activities required by County team and third‐party vendors for testing and validation of Interfaces and ensure that these activities have been assigned to the relevant team members/third‐party vendors;

Contractor will review the Interfaces Test Plan with County.

As each Interface is completed, the County will test the Interface and identify defects and Omissions.

Deliverable 3.4 DPH Interface Test Plan (Key Deliverable)

Interface Test Plan

Regular Updates of the Interface Strategy Document with at least each Interface Task deliverable submission

Final Interface Specifications Document

Documented results with County input and participation of each completed and tested Interface

List of resolved Defects, including date of completion, retest results, and County Approval for each Interface

County‐Approved Completed Unit Testing and System Testing for each Interface

County Approved built and tested Interfaces

Resolution of all outstanding defects defined as required for Acceptance of each Interface


The Interface Test Plan incorporates, and is consistent with, County‐provided input.

The Interface Test Plan has been Approved by County.

The Interfaces Implementation Strategy Document incorporates any modifications made through development of the Test Plan.

Gateway criteria have either been achieved or exceptions documented and Approved by




Contractor will:

Provide ad hoc telephone, email, and in person support to the County testing teams;

Monitor progress of testing and provide County with advice to address issues arising such as inability to meet timelines, lack of quality or attention in testing, the need for additional resources or test support, and management tools, etc.;

Enter those defects and Omissions which are not entered directly by County personnel but which are instead, communicated by email to Contractor Test Lead for entering into Project Portal Online;

Execute the Interface Test Plan, including Unit Testing, and Integration Testing;

Utilize test scripts to test each Interface;

Test the Interfaces;

Log issues and defects related to testing of Interfaces;

Resolve issues and defects;

Provide updates on status of defect resolution and implementation of County Approved change requests on weekly calls;

Support County in re‐testing resolved defects deployed by Contractor;

Jointly decide with County through the governance process when the Interface build is ready for moving to End‐to‐End Testing, based on:

o Completeness of functionality and content; and

o Severity of outstanding defects.

Project governance

The Interfaces Implementation Strategy Document is updated to incorporate any modifications made in Interface Testing

All defects and change requests that remain for each Interface, but are not essential to End‐to‐End Testing, but essential to system Go‐Live, are identified on the issues list by mutual agreement, and documented severity levels identified

Task 4 Specific Reports Requirements for DPH


Subtask 4.1 Identify and Validate List of DPH specific reports

Deliverable 4.1 DPH Reports List and Work Plans (Key Deliverable)




Throughout the design, build, and test processes Contractor will ensure that the Licensed Software, Third‐Party Products and other EHR System components gather the required data to provide reports as required under Exhibit A.24 (Maintenance and Operations Statement of Work) and Exhibit E (Service Levels and Performance Standards).

This Exhibit GG.9 (DPH‐Specific Reporting Requirements) describes the gaps in reporting requirements between the EHR System as it is currently implemented and DPH‐Specific Reporting Requirements that were identified by County and Contractor at the time the DPH Amendment (Amendment No. 9) was Approved; but is intended to be amended to reflect the work of Contractor and County under Exhibit A.38 (Department of Public Health Statement of Work) subtask 4.1 (Identify and Validate List of DPH Specific Reports). It is the intent of the Parties that changes to this Exhibit GG.9 (DPH‐Specific Reporting Requirements) will utilize a Change Notice as that term is defined in the Agreement.

For purposes of this Amendment No. 9, the phrase “DPH‐Specific Reporting Requirements” refers to those requirements identified in this Exhibit GG.9 (DPH‐Specific Reporting Requirements) as it is modified by the Parties as a result of the Services under Exhibit A.38 (Department of Public Health Statement of Work) subtask 4.1 (Identify and Validate List of DPH Specific Reports). While not limiting Contractor’s obligation to implement County requests for custom report creation under Subtask 3.5 of Exhibit A.24 (Maintenance and Operations Statement of Work), the Parties acknowledge that the requirements referenced above will be all of those DPH‐specific reports that County reasonably anticipates will be needed for DPH operations prior to Go‐Live as provided in the Reports Work Plan. Modification of this Exhibit GG.9 (DPH‐Specific Reporting Requirements) by Change Notice by the parties as a result of the Services under Exhibit A.38 (Department of Public

Reports Working Sessions Agendas delivered in advance of the sessions

Reports List

Reports Work Plan


Deliverable meets all requirements set forth in Subtask 4.1 (Identify and Validate List of DPH specific reports)

Contractor completes review of draft Reports Work Plan and Reports List with Key County Individuals as identified by the County SOW Lead.

Reports Work Plan written and includes County review updates.

DPH Reports List completed and includes County review updates.




Health Statement of Work) subtask 4.1 (Identify and Validate List of DPH Specific reports), or as otherwise mutually agreed to by the Parties in a Change Notice as to “Critical Go‐Live Reports” shall not change the Contract Sum as provided in this Amendment No. 9. “Critical Go‐Live Reports” shall mean reports identified under subtask 4.1 (Identify and Validate List of DPH Specific Reports) that have been determined by the County to be critical to the effective operations of or services delivered by DPH and which must be available as of the Go‐Live Date. Notwithstanding the foregoing, a report cannot be designated as a Critical Go‐Live Report if there is less than one‐hundred twenty (120) days between the designation date and the scheduled Go‐Live date. The “Critical Go‐Live Report” designation is intended as a limited exception process and in no event shall the number of Critical Go‐Live Reports” delivered under this Statement of Work A.38 (DPH Extension Statement of Work) exceed three (3) reports. Reports identified under subtask 4.1 (Identify and Validate List of DPH Specific Reports), other than those identified in Exhibit GG.9 (DPH‐Specific Reporting Requirements) as of the Ninth Amendment Effective Date or Critical Go‐Live Reports, shall be processed by County and Contractor after Go‐Live under Subtask 3.5 of Exhibit A.24 (Maintenance and Operations Statement of Work).

Contractor will hold working sessions for each area and a follow up session, as required, to determine the requirements for the DPH‐Specific Reports.

Contractor will deliver from these working sessions a final list of all Reporting Requirements as to the DPH‐Specific Reports.

After the Working Sessions are completed, Contractor will complete for County review a Reports Work Plan which aligns with Project Work Plan and Deployment Work Plan Timeframe. The Reports Work Plan will include a schedule and




proposed resources for the specification, design, build, validation and test of all reports on the DPH Reports List.

Subtask 4.2 Reports Creation at DPH Contractor will implement County requests for report creation and any required reporting interfaces to complete all reports according to the work plan defined in Subtask 4.1 Contractor will:

Providing an inventory of all reports and discern rules used in County’s production system;

Map any current inventory reports to required reports from Subtask 4.1, if applicable;

Make modifications to existing production reports or rules to address County requests;

Manage all report requests using a tracking tool and provide reports against the Reports Work Plan;

Facilitate weekly reporting meetings (with the County, the workgroups, and with Contractor Personnel) to monitor the progress of creation of all custom reports identified in the Reports Working Sessions;

Maintain the reports tracker for use on the weekly calls;

Advise and assist the County reporting team as needed;

Assist in troubleshooting issues with custom reports in production;

On an ongoing basis, Contractor will identify data, information, and reports to ensure the County can meet Meaningful Use requirements. Contractor will implement as to the existing EHR System, or, as applicable to any new Licensed Software build, optimize the design and build of the Licensed Software and Third‐Party Products to deliver the information, data, and reports necessary to report on achieving Meaningful Use.

Contractor will support County in the development of reports, including review and validation of County‐created reports.

Deliverable 4.2 Complete all Identified Reports for DPH Go‐Live

Report creation and maintenance

Management of all report requests using a tracking tool

Maintain and update the Reports Work Plan

Complete list of all reports defined in Deliverable 8.1 DPH Reports Working Sessions Documents has been built, delivered, and validated in the production system

Completed Weekly calls


Deliverable meets all requirements set forth in Subtask 4.2 (Reports Creation at DPH)

Reports Work Plan completed and includes County review updates

All reports on DPH Reports List completed and approved to County Standards



Task 5 Deployment for DPH


Subtask 5.1 Conduct Deployment Preparation and Cutover Planning

For the Go‐Live event, Contractor will develop, review, and finalize the following deployment preparation and cutover planning documents with the County:

Define Post‐Go Live Exit Criteria with the County for AMS Transition

Go‐Live Event Staffing and Support Model including:

o Roles of Contractor and County support teams;

o Staffing requirements and support staff ratios;

o An issue management process;

o Support model logistics;

o Required training and support materials;

o Infrastructure and facility requirements; and

o Transition criteria and process.

Go‐Live Help Desk Scripts with County and Contractor roles and responsibilities and issue logging and resolution procedure

Deployment Close‐out Checklist

Solution Readiness Framework that will allow Contractor and County to assess Go‐Live readiness from a functional, technical, and location specific perspective including:

o Functional readiness assessment framework including status of solution, plan for resolution of remaining issues, production support and scheduled downtime plans, and help desk status;

o Technical readiness framework including guidelines for County assessment of infrastructure, hosting infrastructure, plans and procedures for system backup/restore, security, and performance monitoring; and

Deliverable 5.1 Deployment Preparation Materials (Key Deliverable)

Go‐Live Event Staffing and Support Model

Go‐Live Help Desk Scripts

Deployment Close‐out Checklist

Solution Readiness Framework

Production Cutover Plan

Emergency Roll‐back Plan

Hosting Services for production environment initiated


County‐approved Backfill Staffing Procedures document

County‐approved Post‐Go Live Exit Criteria

County‐approved Go‐Live Event Staffing and Support Model

County‐approved Go‐Live Help Desk Scripts

County‐approved Deployment Close‐out Checklist

County‐approved Solution Readiness Framework

County‐approved Production Cutover Plan

County‐approved Emergency Roll‐back Plan

County‐approved Hosting Services

Deliverable addresses all elements described in subtask 10.2 (Conduct Deployment Preparation and Cutover Planning)




o Location readiness assessment framework for deployment to each Domain, Venue, and Location.

Production Cutover Plan including:

o Task list and timeline;

o Cutover activities order and timeline;

o Including new template, location and scheduling build to be completed by contractor

o Interdependencies and preconditions;

o County and Contractor resources required and associated roles and responsibilities;

o PECA process during Go‐Live; and

o Go‐Live checklist.

Emergency Roll‐back Plan including approach for documenting patient records during initial rollout, roll‐back procedure, criteria for invoking should they be necessary, and documented procedures for recovering from roll‐back

Contractor will initiate Hosting Services in accordance with plans and specifications.

Subtask 5.2 Conduct Deployment for DPH

For the Go‐Live, Contractor will deploy Licensed Software.

Contractor will:

Implement the Production Cutover Plans;

Track and monitor progress; and

Identify, escalate, and resolve issues.

Recommend adjustments to deployment and Production Cutover Plans, as necessary.

Deliverable 5.2 Successful Deployment

Deployments are completed as defined in the deployment and production cutover plans.


The Go‐Live has been executed as described in the Deployment Plan Accepted by County.

Completion of the Deployment Close‐out Checklist as defined in (Subtask 10.2 Conduct Deployment Preparation and Cutover Planning).

Subtask 5.3 Provide Post‐Deployment Support at DPH

Contractor will track deployment status and provide onsite support to resolve issues by:

Working with County to track deployment status, identify, and escalate issues;

Assigning appropriate resources to resolve

Deliverable 5.3 Post‐Deployment Support at DPH

Post‐Deployment Support Issues identified, escalated, and resolved by Contractor

Issue resolution communicated to County




issues;

Communicating issue resolution; and

Providing additional resources to address issues and recommendations above

Contractor will track progress on achieving Post‐Go Live Exit Criteria.

Contractor will regularly assess the status of the deployment prior to the end of the support period.

Contractor will provide Post‐Go Live support until Exit Criteria are achieved.

Contractor Project team will coordinate transition to AMS Services upon achieving Exit Criteria.

The Exit Criteria are:

System is stable and performing to

Specifications

System is performing in accordance with

Specifications.

No systems in unscheduled downtime.

All interfaces & applications running

successfully.

Critical & High Tickets

Critical – Any remaining open Critical

tickets must have a clear resolution

plan in place.

High – Review for trends or key issues.

Majority of High tickets raised during

go‐live must be resolved.

Mission Control backlog has stabilized

Total number of open tickets are minimal

and comparable to the number of tickets

open at MLK at the time of transition, as

adjusted for the relative size of the clinics

going live

Total number of new tickets has

substantially decreased from day one and

continues to decrease each day

Turnover can be made to AMS without

creating an immediate backlog requiring a

targeted (“All‐hands‐on‐deck”) effort by

Additional resources to address issues and recommendations

Post‐Go Live support until Exit Criteria are achieved

Successful transition to AMS Services


Contractor validated completion of all Issues, Errors, and defects logged in Post‐Deployment Support.

County transitioned to steady state maintenance and support (AMS Services and County help desk).

Defined Post‐Go Live Exit Criteria achieved.




AMS to manage and complete

Post Production Support team can handle

majority of issues

AMS is delivering to SLAs at the time of

transition

Enterprise Helpdesk has the bandwidth to

do a warm hand‐off to AMS as needed

High‐volume areas are identified for

potential retention by Cerner US

Consulting until resolution or substantial

reduction.

Subtask 5.4 Conduct DPH Post Go‐Live Assessment

After the Go‐Live, Contractor will conduct a post Go‐Live Assessment with County input with the following goals:

Determine if End‐users are utilizing the system as designed

Determine why End‐users are not using system as designed

Provide recommendation(s) to facilitate use of system

Identify gaps in solution and County requirements

Identify any additional solution benefits and recommendations to implement

After the deployment, Cerner will conduct a post Go‐Live Assessment incorporating County input which will include:

High‐Level Event Guide developed with County Leadership prior to the Post Go‐Live Assessment

Cerner Solution Architects or Delivery Consultants will conduct on‐site user observations and interviews (e.g., Solution Workflow Reviews, Discussions with Analysts) on a workgroup‐by‐workgroup basis by meeting individually with staff and observing local facility and staff

Review findings with the County Project Management team for review and assessment

Deliverable 5.4 DPH Post Go‐Live Assessment (Key Deliverable)

Send High‐Level Event Guide to County before the Post Go‐Live Assessment

Post Go‐Live Assessment with County Input


Conduct Post Go‐Live Assessment with County as outlined in the High‐Level Event Guide

Review of the Post Go‐Live Assessment report with County includes Contractor resources in this review knowledgeable of the report contents

Post Go‐Live Assessment Incorporate County feedback, propose changes into the Post Go‐Live Assessment reports, and submit a final version to County for approval

The Post Go‐Live Assessment report has been Approved by County




prior to the review with the Facilities Management Team

Review of the Post Go‐Live Assessment report with County includes Contractor resources who are knowledgeable of the report contents

Conduct an executive briefing with facility management to review the findings of the Assessment which will include the County management staff

Provide written report of findings with Cerner advice and recommendations to enhance the EHR System solution benefits

Incorporate County feedback and propose changes into the Post Go‐Live Assessment reports and submit a final version to County for approval



Subtask 6.1 Achieve DPH Final Acceptance

Contractor will provide an overall Project Close‐out checklist. The checklists will include but not be limited to:

All design documents updated to reflect Go‐Live build;

Transition of support activities to County where applicable;

Completion of all tasks and Deliverables in this SOW;

Closing of all deployment and Project issue logs and transition remaining issues to Contractor production support;

Completion of all remaining build of design and Interfaces under this SOW;

Completion of all Reports as Identified in Task 4 (Reports Requirements for DPH); and

Completion of performance verification report.

Contractor will review the Project Close‐out Checklist with County.

Deliverable 6.1 DPH Final Acceptance

Completed Project Close‐out Checklist

Performance Verification Report

Final Acceptance Report under this SOW


The Project Close‐out Checklists incorporates, and is consistent with, County‐provided input.

The Project Close‐out Checklists have been Approved by County.

Performance Verification Reports

Diagnosis and resolution of Errors in accordance with the Agreement

The Final Acceptance Report under this SOW has been Approved by County.

Successful completion of County Acceptance Testing.

Final Acceptance under this SOW by County.




After the Go‐Live Event, Contractor will diagnose, propose solutions to, and correct Errors in accordance with Section 12 (Acceptance) of the Agreement. Contractor will conduct a review session with County after Productive Use of the Go‐Live Event and will provide the Performance Verification Report described in Section 12.5.2 (Performance Verification Report) of the Agreement.

Contractor will develop a performance verification report which includes:

Summary of activities, results, and outcomes;

Summary of Errors and issues identified by Contractor or County;

Summary of lessons learned;

Confirmed compliance with Service Levels specified in Exhibit E (Services Levels) to the Agreement.

Contractor will provide a Final Acceptance Report which includes:

Certification of Performance Verification and Final Acceptance;

Confirmation that all identified Domains, Venues and Locations are in Productive Use and that critical and high issues are resolved directly or with acceptable workarounds;

List of all unresolved issues;

Plan for resolution of unresolved issues;

Confirmation of compliance with response times and other Service Levels; and

Complete Project Close‐out Check List.



Project Deliverable Expectations Document (DED) Template

Project Deliverable Expectations Document

Project Deliverable Number:

Title of Deliverable:

Deliverable Description:

Contract/SOW Reference:

Frequency:

Initial Draft Submission Due Date:

County’s Review of Draft Deliverable:

[XX] Days

Final Submission Due Date:

[XX] Days after receipt of draft comments

County Approval Required:

Yes/No

Distribution:

County Project Manager – 1 hard copy and 1 soft copy

County Project Oversight – 1 soft copy

Contractor: Complete shaded area below

Detailed Deliverable Outline:

Deliverable Acceptance Criteria (include agreed upon requirements, format and contents, related to Deliverable):

Prepared by (please print):

Date Submitted:

Date Submitted 2: Date Submitted 3:

Phone Number:

E‐mail:

Contractor Project Director or Contractor Project Manager Signoff (For Key Deliverables):

Contractor Representative Name:

Contractor Representative Position:

Contractor Representative Signature:

Date:

County Approval/Comments

Approved By: Date:

Signature:

Comments:


EXHIBIT C.9.9 (AMENDMENT NO. 9 TO EXHIBIT C.9 (DETAILED PRICING SUMMARY)) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit C.9.9 (Amendment No. 9 to Exhibit C.9 (Detailed

Pricing Summary))

to the








Exhibit C.9.9

Amendment No. 9 to Exhibit C.9 (Detailed Pricing Summary)

Model Products/Services Mfg Part # One Time

Fee Recurring/Support Fees (Monthly)

Recurring Fee Term (Months)

Recurring Fee Term Begins

Qty (Quantities stated are for calculation purposes only, licensed use is governed by the Agreement.)

Fee Metric

Professional Services & Training

DPH Extension Professional Services

Professional Services

$3,591,497 N/A N/A N/A N/A Professional Services & Training


EXHIBIT C.39 (DPH EXTENSION MILESTONES AND KEY DELIVERABLES TABLE) AGREEMENT NO. H‐705407

Exhibit C.39 (DPH Extension Milestones and

Key Deliverables Table)

to the



C.39‐1 EXHIBIT C.39 (DPH EXTENSION MILESTONES AND KEY DELIVERABLES TABLE) AGREEMENT NO. H‐705407

Exhibit C.39

DPH EXTENSION MILESTONES AND KEY DELIVERABLES TABLE

Key Milestones Key Deliverables

Milestone Name

Milestone Allocation of Fixed Fees, Including Licensed Software, Third‐Party Products, Implementation Fees

SOW Name Deliverable Name

Contract Initiation Event

14%

Exhibit A.38 (Department of Public Health Statement of Work)

Completion of Project Initiation

8%


Deliverable 1.1 DPH Work Plan Deliverable 1.2 DPH Kick‐off (Key Deliverable) Deliverable 1.3 DPH Technical Review

Complete Design 23%


Deliverable 2.1 Gap Analysis Deliverable 2.2 Data Collection Documents Subtask 2.3 Future State Workflow Localization DocumentsDeliverable 3.2 Functional and Technical Specifications for Interfaces at DPH (Key Deliverable) Deliverable 4.1 DPH Reports List and Work Plan (Key Deliverable)

Complete Build 23%


Subtask 2.4 Complete for DPH Localization Deliverable 3.3 Build Unique DPH Interfaces Deliverable 3.4 Adapt ORCHID Interfaces (Key Deliverable)

Complete Test 7%


Subtask 2.5 Unit, System and End‐to‐End Testing Complete (Key Deliverable) Deliverable 3.5 DPH Interface Test Plan (Key Deliverable)

Productive Use 14%


Deliverable 4.2 Complete all Identified Reports for DPH Go‐Live Deliverable 5.1 Deployment Preparation Materials (Key Deliverable) Deliverable 5.2 Successful Deployment Deliverable 5.3 Post‐Deployment Support at DPH Deliverable 5.4 DPH Post Go‐Live Assessment (Key Deliverable)

Final Acceptance 11%


Deliverable 1.4 Ongoing Project Management Deliverable 6.1 DPH Final Acceptance


EXHIBIT C.40 (DPH EXTENSION MILESTONE PAYMENTS TABLE) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit C.40 (DPH Extension Milestone Payments Table)

to the


Contract Initiation Complete ProjectInitiation

Complete Design Complete Build CompleteTesting

First ProductiveUse of Cluster 1

Final Acceptance

54 month total 3,591,497$

Milestone Allocation 14% 8% 23% 23% 7% 14% 11%Total Milestone Payments 3,591,497$ 502,810$ 287,320$ 826,044$ 826,044$ 251,405$ 502,810$ 395,065$Milestone Durationper Project Work Plan(Months)

1 1 2 2 2 1 1

Milestone MonthlyPayment 502,810$ 258,588$ 743,440$ 743,440$ 226,264$ 452,529$ 355,558$

Milestone HoldbackAmount -$ 28,732$ 82,604$ 82,604$ 25,140$ 50,281$ 39,506$

Key Deliverables See exhibitC.39

See exhibitC.39

See exhibitC.39

See exhibitC.39

See exhibitC.39

See exhibitC.39

See exhibitC.39

4/1/2017 Key Milestone Approval - Contract Initiation 502,810 - - - - - -5/1/2017 Month 1 258,588 -6/1/2017 Key Milestone Approval - Complete Project Initiation - 28,7326/1/2017 Month 2 - -7/1/2017 Month 3 - 743,4408/1/2017 Key Milestone Approval - Complete Design 82,6048/1/2017 Month 4 - 371,7209/1/2017 Month 5 - 371,72010/1/2017 Key Milestone Approval - Complete Build 82,60410/1/2017 Month 6 - - 113,13211/1/2017 Month 7 - 113,13212/1/2017 Key Milestone - Complete Testing 25,14012/1/2017 Month 8 - - 452,5291/1/2018 Key Milestone Approval - First Productive Use of Cluster 1 50,2811/1/2018 Month 9 - - 355,5582/1/2018 Key Milestone Approval - Project Closeout 39,5062/1/2018 Month 103/1/2018 Month 114/1/2018 Month 125/1/2018 Month 136/1/2018 Month 147/1/2018 Month 158/1/2018 Month 169/1/2018 Month 1710/1/2018 Month 1811/1/2018 Month 1912/1/2018 Month 201/1/2019 Month 212/1/2019 Month 223/1/2019 Month 234/1/2019 Month 245/1/2019 Month 256/1/2019 Month 267/1/2019 Month 278/1/2019 Month 289/1/2019 Month 29

County of Los AngelesCerner Corporation C.40-1

Exhibit C.40 (DPH Extension Milestone Payments Table)Agreement No. H-705407

10/1/2019 Month 3011/1/2019 Month 3112/1/2019 Month 321/1/2020 Month 332/1/2020 Month 343/1/2020 Month 354/1/2020 Month 365/1/2020 Month 376/1/2020 Month 387/1/2020 Month 398/1/2020 Month 409/1/2020 Month 4110/1/2020 Month 4211/1/2020 Month 4312/1/2020 Month 441/1/2021 Month 452/1/2021 Month 463/1/2021 Month 474/1/2021 Month 485/1/2021 Month 496/1/2021 Month 507/1/2021 Month 518/1/2021 Month 529/1/2021 Month 5310/1/2021 Month 54


Exhibit C.40 (DPH Extension Milestone Payments Table)Agreement No. H-705407


EXHIBIT C.41 (DPH EXTENSION PRICING SPREADSHEET) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit C.41 (DPH Extension Pricing Spreadsheet)

to the


DPH ServicesIncluded InMilestonePayments

3,591,497 3,591,497

4/1/2017 Contract Amendment Event5/1/2017 Month 16/1/2017 Month 27/1/2017 Month 38/1/2017 Month 49/1/2017 Month 510/1/2017 Month 611/1/2017 Month 712/1/2017 Month 81/1/2018 Month 92/1/2018 Month 103/1/2018 Month 114/1/2018 Month 125/1/2018 Month 136/1/2018 Month 147/1/2018 Month 158/1/2018 Month 169/1/2018 Month 1710/1/2018 Month 1811/1/2018 Month 1912/1/2018 Month 201/1/2019 Month 212/1/2019 Month 223/1/2019 Month 234/1/2019 Month 245/1/2019 Month 256/1/2019 Month 267/1/2019 Month 278/1/2019 Month 289/1/2019 Month 2910/1/2019 Month 3011/1/2019 Month 3112/1/2019 Month 321/1/2020 Month 332/1/2020 Month 343/1/2020 Month 354/1/2020 Month 365/1/2020 Month 376/1/2020 Month 387/1/2020 Month 398/1/2020 Month 409/1/2020 Month 4110/1/2020 Month 4211/1/2020 Month 4312/1/2020 Month 441/1/2021 Month 452/1/2021 Month 463/1/2021 Month 474/1/2021 Month 485/1/2021 Month 496/1/2021 Month 507/1/2021 Month 518/1/2021 Month 529/1/2021 Month 5310/1/2021 Month 54


Exhibit C.41 (DPH Extension Pricing Spreadsheet)Agreement No. H-705407


EXHIBIT M.9 (DPH INTERFACE LIST) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit M.9 (DPH Interface List)

to the



M.9‐1 EXHIBIT M.9 (DPH INTERFACE LIST) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


EXHIBIT M.9

DPH INTERFACE LIST

No. Application Name HL7? If New, Engine or Point‐

to‐Point?

1 Sunquest Exists Exists

2 Cactus Exists Exists

3 (PACS) Synapse ‐ Fujifilm Picture Archiving and Communication Systems

Exists Exists

4 eConsult Exists Exists

5 (CAIR) California Immunization Registry ‐ HUB/CLOUD

7 DPH's TCGRX Medication Dispensing Machine Exists Engine

8 T‐SPOT (Oxford Labs) ‐ NA

10 Affinity RCO Exists Exists


EXHIBIT GG.9 (DPH SPECIFIC REPORTING REQUIREMENTS) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


Exhibit GG.9 (DPH‐Specific Reporting Requirements)

to the



GG.9‐1 EXHIBIT GG.9 (DPH‐SPECIFIC REPORTING REQUIREMENTS) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


EXHIBIT GG.9

DPH‐SPECIFIC REPORTING REQUIREMENTS

Program Report Name Description

Form Name (Existing form name in which

the data information is

collected for data mapping).

Where will data be collected in future DPH‐

CHS environment Summary of Data Elements

HIV & STD HIV Case Report

State mandated report and required for HIV surveillance grant funding from CDC. Also critical to ensure that HIV‐positive individuals receive partner services and treatment verification.

Adult HIV/AIDS Case Report Form

New STD/PreP Powerforms Demographic, Lab, and Medication data will be collected in the various ORCHID modules

Demographics; Residence & Facility at Diagnosis; Sexual History; Laboratory data; Clinical; Treatment/Service Referrals; HIV Testing/ Antiretrovial Use History

HIV & STD STD Case Report

State mandated and required for our STD cooperative agreement grant from the CDC. The same fields are used for STD surveillance, partner services, and case management activities which are critical to STD control.

STD Confidential Morbidity Report Form


Demographics; Disease(s) Reported; Blood test info; Patient Rx ‐ Meds & Doses and treatment date info

HIV & STD STD Clinic

Patient Report To be used by clinic staff, PHN, PHI in order to perform case management and treatment verification activities.

H2541 & STD Return Clinic Visit Form


Clinical visit data: reason for visit, pregnancy status info, STD History, Sexual Practices, Risk Behavior, Test History, Drug & Alcohol use, Vaccination History, Symptoms/Onset/Duration, Risk Reducation Plan/Counseling, History of Presenting Illness/Exam/ Assessment & Plan, Tests, Rx data

HIV & STD PreP Patient

Report Report is required for CDC grant funding for HIV Pre‐Exposure Prophylaxis (PrEP)

Prep Initial Visit Form


PrEP Eligibility Criteria assessment; MH/SA Assessment; Intake Status; PrEP Contraindications/Counseling info; PrEP Workup Lab info; Rx Prescription info; Referral to Primary Care; Follow Up Appointment info


GG.9‐2 EXHIBIT GG.9 (DPH‐SPECIFIC REPORTING REQUIREMENTS) TO THE ELECTRONIC HEALTH RECORDS SYSTEM AND SERVICES AGREEMENT


TB TB Patient Registry / Report

TRIMS surveillance report used by DPH Public Health Nurses to: register or report a suspected or confirmed case of TB; report the closure of a confirmed case of TB; report a ruled‐out TB suspect. The H‐290 data is used to: ‐ Generate the Report of Verified Case of Tuberculosis (RVCT) and the Follow‐up One (FU‐1) {DST; genotype results} and Follow‐up Two (FU‐2) {treatment disposition; closure} mandated reports submitted to the California Department of Public Health and the Centers for Disease Control and Prevention (CDC). ‐ Calculate Federal and State grant award amounts based on data reported on the RVCT, FU‐1, and FU‐2.

H‐290 Will combine both H‐290 and H‐304 into 1 form.

New TB Powerforms Demographic, Lab, and Medication data will be collected in the various ORCHID modules

The H‐290 collects the following: Patient Demographics, including Medical Record Number; TB Risk Factors, including HIV Status & Risk Factors, along with other medical risk factors; Primary Reason for Exam; Disease Site(s); Vital Status at Diagnosis; Previous History of TB Disease; Skin Test Result(s); IGRA Test Result(s); Initial & Current Chest X‐ray Report; Initial Chest CT Scan Report; Bacteriology Results; Pathology Results; Drug Susceptibility Results; TB Treatment; Source of Supervision: Public or Private Provider Information; Report Type

TB Tuberculosis Screening Report

Paper‐based surveillance report used by DPH Public Health Clinics to record and report the screening and testing of patients for TB infection, along with the diagnosis and treatment of TB infection. The H‐304 is used to: Manage contact investigation and outbreak investigations; Generate Aggregate Reports for Program Evaluation ‐ Contact Investigation (ARPE‐CI) mandated by the Centers for Disease Control and Prevention (CDC) and the California Department of Public Health; Document the US‐based follow‐up medical evaluation of newly arriving immigrants & refugees with a Class B TB designation, a required activity for CDC grant recipients; Document the TB Clearance screening for admission of a client into a homeless shelter; Document a TB screening requirement for employment, drug program admission, school entry

H‐304 Will combine both H‐290 and H‐304 into 1 form.

New TB Powerforms Demographic, Lab, and Medication data will be collected in the various ORCHID modules

The H‐304 collects the following: Patient Demographics, including Medical Record Number; Primary Reason for Screening; TB Risk Factors, including HIV Status & Risk Factors, along with other medical risk factors; Previous History of TB vaccination, TB disease, TB infection ; Prior HIV Status; Skin Test Result(s); IGRA Test Result(s); Chest X‐ray Report; TB Evaluation Outcome {Completed or Not Completed}; ATS TB Classification; Treatment Recommendation for TB Infection; Treatment Initiation for TB Infection; Treatment Outcome for TB Infection; Source of Supervision: Public or Private Provider Information; Screening & Treatment Center(s)

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