 Enterprise-Wide EHR Deployment Robert Margolis, M.D. Chief Executive Officer Healthcare Partners Exhibit 99.4 |
 2 Background Five Regions In LA County 375 Employed Full-Time Clinicians 2,500 Employees 39 Community Facilities 5 Urgent Care Centers 24/7 Patient Support Center Medical Spa |
 3 Selecting an EHR Why Allscripts? Expertise in Ambulatory Space Fit with Practice Management System (IDX/GE Flowcast) Web-Based Application Senior Management Team Industry Leadership A Partner Selection Process RFP Distributed in 2004 8 Vendors Replied 5 Vendors Evaluated Cross Functional Teams Evaluated the Products: Operational Clinical Workflow Technical Allscripts Selected in 2/05 |
   4 Implementation Approach Enterprise-Wide Go-Live All in a Day’s Work… February 21, 2006 1,082 Users Logged onto TouchWorks 9.5 Million Orders Containing 88 Million Results 6.7 Million Medication Orders 10.5 Million Documents |
 5 Project Approach Technical Teams Project Management Clinic Operation Teams Clinician Teams Steering Committee |
 6 Current State Approximately 1,800 Active Users 60,000 Lab Results Received Daily 3,600 Transcription Notes Interfaced Daily 1,800 Faxes Outbound Daily 3,200 eRx’s Written Daily (Tracking to 1 Million+/Year) 1,100 Notes Created Daily |
 7 Physician Reviews “TouchWorks has all I want to know!” “I sit here calmly clicking through my patient’s record instead of fighting with six inches of paper.” Christine L Oman, MD HealthCare Partners Medical Group |
 8 “TouchWorks offers us the ability to deliver high quality patient care and provides a level of professional fulfillment and job satisfaction not previously obtainable.” Robert Blackman, MD HealthCare Partners Medical Group Physician Reviews |
 9 “Our old system was increasingly being defined by what it could NOT do.” “I see TouchWorks defined by what it can do, will do, and what it shall do in the future.” Eric Silbiger, MD HealthCare Partners Medical Group Physician Reviews |
 10 What’s Next? Moving Beyond Our Own “Four Walls” Partnered With Allscripts to Offer TouchWorks To Community Physicians Under HCP Banner EHR Practice Management System Leverages Our Investment in Technology, Learning, and Processes Creates a “Community Care” Model Likely to Increase Overall Quality Of Care in the Region |
 11 Lessons Learned 1. Real Change Requires Real Leadership 2. There is No Substitute for the Hard Work of Pre-Planning and Organizational Readiness 3. Physician Utilization is the Goal, But It Takes a Whole Organization To Get There 4. Seize the Opportunity To Do Things Differently 5. Set Clear Destination Goals, But Remember It’s An Ever Evolving Journey |
 Enterprise-Wide EHR Deployment Robert Margolis, M.D. Chief Executive Officer Healthcare Partners |