The tools needed to capture, organize, and share healthcare data are truly evolving at the speed of light. Patient Centered Medical Homes play a vital role in the path toward accountable care and technology, staff, and workflow transformation are necessary to achieve PCMH recognition. This transformation allows healthcare providers to deliver higher quality coordinated care by streamlining and rationalizing the patient experience.

1. Building Your ACO
and Healthcare IT’s Role
NextGen Healthcare Collaborative Care Solutions Update
a QSI company
TM

2. nextgen.com
Healthcare at the Speed of Light
Where do you fit in the American healthcare ecosystem? You need to know. Where does your practice stand
relative to one of the most complex, interconnected, and constantly evolving business models in the history of
healthcare? Being clear on where you are in the stakeholder spectrum, and what you need to do to succeed, is
essential to meeting today’s healthcare marketplace demands. The tools needed to capture, organize, and share
healthcare data are truly evolving at the speed of light.1
The HIT Revolution — It’s Unstoppable
People and organizations offering the best HIT insights, knowledge, skills, and technologies to successfully
manage the healthcare information revolution, constantly assess how to provide value to the market. They are
highly sought-after because they move with the market. They are always relevant and timely.
These industry pundits create dialogs and relationships with stakeholders that reflect market realities and
stakeholder objectives. These high performers turn roadblocks into opportunities. They will always be in high
demand, as will HIT solutions that advance the quality and efficiency of American healthcare.
Stephen Lieber, president and CEO, Healthcare Information and Management Systems Society (HIMSS), said
last summer at a vendor leadership exchange in Chicago, “The change in healthcare to be more like the rest of
American business… is underway and will not be stopped.”2
The country’s health IT leader, Farzad Mostashari, heads the Office of the National Coordinator for Health IT
(ONC). At the first 2012 meeting of the Health IT Policy Committee he said, “In 2012, Meaningful Use will soar.”
“We’re going to do everything we can to ensure that
every provider can be successful at Meaningful Use.
Vendors and providers are going to be asked to step
up to the challenge – and it is a challenge. But, it’s a
challenge well worth meeting.”3
Farzad Mostashari, Office of the National Coordinator

3. Building Your ACO and Healthcare IT’s Role | Page 3
What We Know Today — How We Prepare for Tomorrow
Healthcare stakeholders of every size and description in 2012 are gearing up for a faster pace of HIT adoption,
implementation, and increased influence in every part of the clinical, financial, and administrative workflow. We
know the hottest buzzwords and we understand their true implications:
• Meaningful Use (MU)
• Patient Centered Medical Home (PCMH)
• Accountable Care Organization (ACO)
Today, public and private organizations have a loose understanding about these quality care mega models. In
fact, the federal government, many non-governmental organizations (NGOs), and private sector professional
societies have created their own distinct definitions. NextGen Healthcare is and has been a leading innovator
supporting emerging healthcare reform models and patient engagement as far back as 2003. We understand
health reform, the implications and trends, and are developing the best solutions to ensure short- and long-
term success for the healthcare community in overcoming challenges faced by physician practices, hospitals,
HIEs, the government, Integrated Delivery Networks (IDNs), and other providers across the country.
ACO
ACO ORGANIZATION
Infrastructure and Legal Entity
Manage, Monitor and Track
Across the ACO Network
Governance and Administration
PCMH
Large
Primary Care
Practice
Large
Multi-
specialty
Integrated
Delivery
System
Practice
Provider
IPA
and/or
MSO
ACO PARTICIPANT
Patient Centered Care Delivery
Population Management
Patient Satisfaction

4. nextgen.com
MU Momentum
Meaningful Use is on the fast track of adoption and acceptance. The federal government has given providers
more time to ramp up electronic health record (EHR) implementations – the initial focus of the Centers for
Medicare and Medicaid (CMS) EHR Incentive Program. The Comment Period available through the federal
government’s regulations.gov website is open for feedback on the MU Stage 2 Proposed Rules until May 7, 2012.
Even so, while hospitals maintain their impressive EHR adoption momentum in 2012 and beyond, small physician
practices will begin moving beyond “the unstoppable” as earlier adopters receive and publicize their MU
incentive checks.
Regardless of current national adoption rates, EHRs and MU already are entering a new phase prompted by the
legal implications of Health Insurance Portability and Accountability Act (HIPAA.) Security breaches, EHR default
templates, and cloned notes (causing improper billing) are forcing CMS to begin auditing recipients of incentive
payments in order to validate their attestations.4
PCMHs, ACPs, and ACOs
Quality and accountable care delivery models are gaining momentum. Already, many hospitals, physician
organizations, and payers across the country are scrambling to form ACOs. For example, the first accountable
care program in New York City involving a Physician Organization and a Health Plan was announced in January
2012.5
In the announcement, Cigna®
said that collaborative, accountable care is the carrier’s approach to
accomplishing the same population health goals as ACOs.
In late 2011, CMS announced the final list of 32 healthcare organizations from across the nation selected to
participate in the new Pioneer ACO initiative.6
Its objective is to encourage primary care doctors, specialists,
hospitals, and other caregivers to provide better, more coordinated care for Medicare patients; it’s projected to
save up to $1.1 billion over five years. NextGen Healthcare will be working with several of these leading Pioneer
ACO organizations to assist them with measuring and reporting the 33 new CMS ACO criteria.
The Role of PCMHs in ACOs
Technology, staff, and workflow transformation are necessary to achieve Patient Centered Medical Home
recognition. This transformation allows health care providers to deliver higher quality coordinated care by
streamlining and rationalizing the patient experience. With organized patient visits that are documented
using HIT tools, providers can more seamlessly and accurately measure outcomes. These elements are an
essential foundation for Accountable Care. PCMH measures are nested within the measures published for
the Pioneer ACO program, which is reflected in the National Committee for Quality Assurance (NCQA)
ACO Accreditation Program.

5. Building Your ACO and Healthcare IT’s Role | Page 5
At a basic level, the concepts of PCMH and ACO models are very different; however, they both share similar
quality-based elements. The PCMH is a model of care delivery, a recognition program for primary care and
relevant specialists, and is also an incentive program for providers who meet a level of NCQA recognition
(offered by both public and private payers across the country). Continuous quality improvement in care and
cost savings are the primary goals. Both healthcare reform models are patient-centered and rely on coordinated
care; however, PCMH can be a stepping stone to becoming an ACO. The PCMH model is based on primary care
delivering quality health care in close coordination and partnership with all community care partners. Although
each PCMH and ACO varies in scope, the two models work hand-in-hand, with a PCMH model acting as a
requisite to becoming an ACO.
That said, ACOs include and assume that PCMH care delivery models are in place. They further incorporate the
concept of multi-provider data liquidity and an enterprise governance structure covering the diverse types of
providers. In addition, ACOs utilize population management strategies, as well as specific quality measures and
business intelligence tools.
NCQA ACO Accreditation Program criteria require that an ACO:7
• Ensures access to and availability of care
• Has a solid foundation of patient-centered primary care
• Has the necessary care management and coordination capabilities
• Monitors practice patterns and uses performance data to improve quality
• Utilizes decision support to help patients and providers identify the best care
According to a Health Policy Brief published by the Robert Wood Johnson Foundation, an ACO is “an
organization, virtual or real, that agrees to take on the responsibility for providing care for a particular population
while achieving specified quality objectives and constraining costs.” ACOs are accountable for both quality and
cost of care for a defined population. The promise of cost containment is a major driver for payers considering
ACO partnerships with physician groups.
Care Coordination and ACOs
To become an ACO, care coordination in relation to quality is important and necessary. Organizations that
do meet these standards will be financially rewarded in order to encourage further improvements in care
coordination. Providers will be paid on a fee-for-performance basis with incentives based on certain objectives.
The goal of these efforts is to reach a fully-coordinated care delivery system.

6. nextgen.com
NextGen Healthcare contributes to an ACO’s success through the exchange of clinical and financial data across
the continuum of care, supporting the ACO’s responsibility to measure, monitor, and manage its participating
population. The common driver is that both sides are committed to continuous healthcare improvement and cost
reduction. The goals of the “Triple Aim8
” health reform programs are to:
• Improve patients’ experience of care
• Improve population health
• Reduce overall healthcare costs
EHRs and MU – The Root of the Pay for Performance (P4P) Model
There is a strong link between MU and the NCQA ACO Accreditation criteria, which supports engaging patients
in the wellness and care delivery process. Implementing an EHR system is central to meeting and attesting to the
quality measurement criteria. Eligible professionals and practices can earn Stage 1 MU reimbursements from
CMS ranging from $44,000 to $63,750 by demonstrating MU of a certified EHR for:
• ePrescribing
• Sharing clinical data with other certified EHR systems
• Reporting on specified clinical quality measures
EHRs drive the capture and reporting of MU data beyond Stage 1 to include the following
PCMH/ACO MU attestation requirements:
• Drug formulary, drug use, drug allergy checks
• Electronic prescribing
• Maintaining up-to-date problem list of current and active diagnoses and medications
• Recording demographics on preferred language as well as gender, race, ethnicity, and date of birth
• Recording and charting changes in vital signs
• Recording smoking status
• Reporting ambulatory quality measures
NextGen Healthcare clients are earning CMS MU incentive revenue, and are establishing PCMH and ACO
organizations, using the following NextGen Healthcare core products: Certified NextGen®
Ambulatory EHR,
Certified NextGen®
Inpatient Solutions; NextGen®
Patient Portal, NextGen®
Health Quality Measures, NextGen™
Health Information Exchange, and a built-in ePrescribing module.

7. Building Your ACO and Healthcare IT’s Role | Page 7
How NextGen Healthcare Supports PCMH, NCQA Recognition Levels 1−6
NextGen Healthcare is constantly re-evaluating and upgrading processes to provide value and results to clients.
Hospitals, practices, and physicians establish a NextGen Healthcare partnership based on our track record and
the value clients get from our knowledge and technologies. We ensure our clients are prepared and successful in
supporting new aspects of payment reform and quality measurement. Helping our clients meet NCQA Standards
to establish PCMH and/or ACO status is a major focus for NextGen Healthcare in 2012 and beyond.
Current NCQA PCMH: 6 Standards, 27 Elements, 149 Factors
step1 step5
35–59
points and all
six must-pass
elements
60–84
points and all
six must-pass
elements
85–100
points and all
six must-pass
elements
level1 level2 level3
THE POINT ALLOCATION FOR THE THREE LEVELS OF PCMH

8. nextgen.com
Summary of Current NCQA PCMH Standards9
There are a total of six PCMH standards that participants achieve and combine to reach one overall score. Each
standard consists of several specific elements. Standards evaluate a practice’s ability to function as a patient-
centered medical home (PCMH). The following table provides a content requirement summary for each of the six
PCMH standards along with NextGen®
solutions available to achieve each standard.
PCMH STANDARD PCMH CONTENT ELEMENTS OF ACO
PCMH 1:
Enhance Access/Continuity
PCMH 2:
Identify/Manage Patient
Populations
PCMH 3:
Plan/Manage Care
Patients have access to culturally and
linguistically appropriate routine/urgent
care and clinical advice during and after
office hours
The practice provides electronic access
Patients may select a clinician
The focus is on team-based care with
trained staff
The practice collects demographic and
clinical data for population management
The practice assesses and documents
patient risk factors
The practice identifies patients for
proactive reminders
The practice identifies patients with specific
conditions, including high-risk or complex
care needs and conditions related to health
behaviors, mental health or substance
abuse problems
Care management emphasizes:
Pre-visit planning
Assessing patient progress toward
treatment goals
Addressing patient barriers to
treatment goals
The practice reconciles patient medications
at visits and post-hospitalization
The practice uses e-prescribing
Patient/caregiver experience
Preventive health
At-risk Populations (diabetes,
hypertension, ischemic vascular
disease, heart failure, coronary
artery disease)
Patient/caregiver experience
At-risk Populations (diabetes,
hypertension, ischemic vascular
disease, heart failure, coronary
artery disease)
NEXTGEN®
SOLUTION
NextGen®
Practice Solutions
NextGen Ambulatory EHR
NextGen Patient Portal
NextGen®
Dashboard
NextGenTM
Consulting Services
NextGen®
Mobil 2.2
NextGen Ambulatory EHR
NextGen Health Quality Measures
NextGen Dashboard
NextGen Health
Information Exchange
NextGen Ambulatory EHR
NextGen Health
Information Exchange
NextGen Inpatient Solutions
Lab Pharmacy integrated
or third party

9. Building Your ACO and Healthcare IT’s Role | Page 9
The Power of Data Integration
Data integration from disparate stakeholder sources throughout the healthcare ecosystem is the “final state”
objective of the HIT revolution. Multiple source data reciprocity — fully reliable, accurate, transparent, and secure
data integration to and from every healthcare stakeholder – isn’t a reality today. However, it is the HIT foundation
– information as a service – that supports collaborative care coordination within a fully-functioning community.
As the shared risk payment model between physicians and payers matures, healthcare providers will be required
to quickly and easily aggregate current and past information about a patient’s health – from the patient’s entire
continuum of care, in order to:
1. Support decisions at the point of care
2. Empower the patient to engage with their care team
3. Assist patients in executing the latest care plan created for them by their physician
4. Coordinate care across the ecosystem
PCMH STANDARD PCMH CONTENT NEXTGEN®
SOLUTION
PCMH 4:
Provide Self-Care Support/
Community Resources
PCMH 5:
Track/Coordinate Care
PCMH 6:
Measure/
Improve Performance
The practice assesses patient/family
self-management abilities
The practice works with patient/family
to develop a self-care plan and
provides tools and resources, including
community resources
Practice clinicians counsel patients on
healthy behaviors
The practice assesses and provides or
arranges for mental health/substance
abuse treatment
The practice tracks, follows up on and
coordinates tests, referrals and care at
other facilities (e.g., hospitals)
The practice manages care transitions
The practice uses performance and patient
experience data to continuously improve
The practice tracks utilization measures such
as rates of hospitalizations and ER visits
The practice identifies vulnerable patient
populations
The practice demonstrates improved
performance
NextGen Consulting Services
Physician Resources Services
Patient Portal Community
NextGen Health
Information Exchange
NextGen Ambulatory EHR
Disease Management
NextGen Health Quality Measures
NextGen Dashboard
NextGen Consulting Services
NextGen Practice Solutions
NextGen Ambulatory EHR
NextGen Health Quality Measures
NextGen Patient Portal
NextGen®
EHR Connect
NextGen Ambulatory EHR
NextGen Health Quality Measures
Medication Management
HQM
ELEMENTS OF ACO
Patient/caregiver experience
Patient/caregiver experience
Care coordination/patient safety
At-risk Populations (diabetes,
hypertension, ischemic vascular
disease, heart failure, coronary
artery disease)

10. The Must Have — Interoperability
True clinical integration of patient care around PCMH and ACO models requires HIT interoperability with other
organizations. To successfully connect disparate technology systems — while reaping the associated benefits of
controlled data flow, decreased costs, and reduced errors — providers need a powerful and proven HIE solution.
A robust HIE/Data aggregation strategy is needed to support interoperability and a clinically integrated structure.
NextGen Health Information Exchange – Private
The goal of HIE technology is to facilitate access to, and retrieval of, clinical data for enhanced patient care. With an HIE,
providers are able to mobilize healthcare information electronically across organizations within a community, a region,
or across the country. HIE provides the capability to electronically move clinical information among disparate healthcare
information systems while maintaining the meaning and security of the information being exchanged.
NextGen
Healthcare Enterprise
Non-Affiliated
System
Pharmacy System
Ambulatory EHR
Hospital
Laboratory System
Patient Portal

11. Building Your ACO and Healthcare IT’s Role | Page 11
Evolution of Participation — Shared Savings Model Criteria10
The Shared Savings Model (SSM) – also referred to as the “Shared Risk Payment Model” – seeks to reduce
fragmentation in care delivery, improve overall patient population health, and lower healthcare costs. Providers
will need to work cooperatively across the healthcare continuum to overcome siloed care delivery, treat patients
effectively, and help them stay healthy.
3-5 Year Process
PM System
PRACTICEREDESIGN
FINANCIAL MODEL
EHR and Registry
CLINICAL QUALITY
PROGRAM
Patient Portal
and HIE
ESTABLISH
MEDICAL HOME Automated
Patient
Outreach and
Physician Mobile
Solution
CONTRACT P4P
WITH PAYERS Enterprise
Performance
Management
ENGAGE IN
ACO OR SHARED
SAVINGS MODEL
ststepep11 ststepep22 ststepep33 ststeepp44 ststeepp55
ADOPTION CURVE
Reports vary widely on how long it will take providers to establish ACO or SSM practices. Part of the value that NextGen
Healthcare and the NextGen Healthcare network can provide to clients and prospects is to educate them about the ACO/SSM
adoption process. NextGen Healthcare provides guidance and recommendations about the specific challenges, opportunities,
and tools required for success at each step of the build process.

12. nextgen.com
NextGen Healthcare Core Products Support the Functional Pillars of an ACO
NextGen Healthcare provides the technology systems to help healthcare providers build a successful PCMH
and ACO. Clients can use our systems to create the functional pillars of an ACO including development of an
HIE; establishing medical home practices; quality patient outreach; reporting and compliance; financials and
analytics; claims; patient management; administration; clinical data; registries; and continuous documentation
improvement. Our clients’ ability to successfully implement these initiatives is supported by NextGen Healthcare’s
Solutions Foundation which includes our core products.
The NextGen Healthcare Solutions Foundation
HIE and
Portal
Medical
Home
Practices
Patient
Outreach and
Mobile
Quality
Reporting
and BI
Financials
and
Analytics
Claims/Clinical
Functional Pillars of an Accountable Care Organization
NextGen Healthcare Foundation
Accountable Care Organization
Meaningful Use Stages
NextGen Ambulatory EHR
NextGen Practice Management
NextGen Inpatient Solutions
NextGen
Health
Information
Exchange
NextGen
Patient
Portal
NextGen
Population
Management
BI/
NextGen
Dashboard
NextGen
Health
Quality
Measures
NextGen
Consulting
Services
NextGen Healthcare provides the tools and systems needed to help providers evolve through MU on the way to an ACO
delivery model with minimal disruption to their practices. The NextGen Healthcare Solutions Foundation provides the
technology, systems, infrastructure, and training required for the transition regardless of where practices and physicians
currently find themselves in the process.

13. Building Your ACO and Healthcare IT’s Role | Page 13
NextGen Healthcare Solution Evolution – Interoperable and Scalable
n Managemen
t
INPATIEN
T
AM
B
ULATORY
EHR
PM
nnnn
AAAAMMM
BBBBB
UUUULLLAAAAALL
TTAA OOORRRRRRYYYYYRR
EHRR
PPPPPMMMMPMMMM
nnnnaaggemmmmmmmeeeeeennnnn
tttt
IIINNNNNNNPPAAPPP TTTTAAA IIIIIEEEEEENNNNNN
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MMMMMMMMMMMaaaannn
TARGET
CO
M
MUNICATE
TRACK AND MEASURE
There are several products and capabilities necessary to support Meaningful Use, 2012
NCQA PCMH, and Accountable Care constructs. Each NextGen Healthcare product supports
interoperability and is scalable for the single practitioner to a multi-hospital integrated delivery
network. The NextGen Healthcare vision includes our commitment to provide flexible,
integrated solutions across the entire continuum of care.

14. nextgen.com
NextGen Healthcare Product Portfolio Supporting Specific MU/PCMH/ACO Criteria
As the core of MU, PCMH, and ACO – the EHR provides the foundation and functionality for practices to achieve
Level 3 PCMH recognition. An EHR satisfies not only Meaningful Use requirements, but also provides a long-term
solution for the provider’s specialty, workflow, reporting, and other clinical and business needs. The ultimate goal
of providers who harness the power of electronic health records (EHRs): Create and share vital patient data across
the continuum of care, in real time, and within existing workflows. Also, PCMHs and ACOs require tools that
support population management to enable providers to focus on patients with chronic conditions. Beyond simple
data exchange the EHR enables providers to improve:
• Provider workflow
• Care coordination
• Patient safety
NEXTGEN HEALTHCARE PRODUCT SUPPORTING FUNCTIONALITY
NextGen Practice Solutions
NextGen Ambulatory EHR
and Registry
A solid practice management system is required to reconcile
current costs and contracts with payers.
Through a registry and an EHR system, the practice can assess
progress in meeting several quality measures.
NextGen Patient Portal and
NextGen Health Information Exchange
NextGen®
Population Management
NextGen Health Information Exchange
Practices should select an EHR that supports PCMH and ACO
with strong case management and referral management. Physician
practices should plan to implement a patient portal and either
join a Health Information Exchange (HIE) or form one of their own
so they can collaborate with other physicians with clinical patient
data integration.
Providers need an intelligent population management strategy
to engage in quality programs and proactively reach out to their
patient populations to schedule non-compliant patients for
recommended care.
Medical practices will need to partner with hospitals, rehabs,
skilled nursing facilities, and home health providers to imple-
ment results-oriented, integrated care solutions and improved
outcomes for individuals, their families, and their local health
system. More advanced portals offer the ability for a physician
and a patient to engage online for E-visits and consultations.
Advanced portals also support connectivity with home health
devices – allowing physicians to access and understand “current
state conditions” of their client base.

15. Building Your ACO and Healthcare IT’s Role | Page 15
In addition, with NextGen Dashboard, providers can access essential information quickly and easily, and display
it in an easy-to-interpret, colorful, and graphical format. If greater detail is needed, providers can drill down from
one level to the next with the click of a mouse. This provider-based tool can create graphic images that reflect the
priorities of the entire practice or of a single provider.
Dashboard, a Practice Performance Snapshot
Third
Party
Population
Management
Dashboard Layer
Care
Management
InSight
Reporting™
HQM
Regulatory
Data
Repository
Equipped with multiple pre-programmed charts, NextGen Dashboard is ready to go at installation, and with its easy-to-use
interface, users can quickly create and save their own personal charts.

16. nextgen.com
NextGen Healthcare and our consultant partners
work collaboratively to deliver timely and relevant
HIT solutions to our clients. PCMH-ACO, financial
performance, care collaboration, and cloud
computing are key initiatives we are targeting.
HospitalA
EmergencyDepartment
PCPPhysicianPractice
Med/Surg/Specialties
HomeHealth
SkilledNursingHome
ExternalLabImaging
Pharmacy
Therapies
MentalBehavioralHealth
SocialService/CaseMgmt
Payer
Person/Patient
ACO Organization Governance/Leadership
ACO Participant Business Operations with IT Alignment Governance
Program Management Communications
Care Coordination Quality
NextGen Healthcare supports the ACO market requirements by providing the platform and tools
to enhance sharing and data integration across the spectrum of healthcare stakeholders. Above
are the current structural requirements of an ACO according to the CMS final rule.
ACO Market Requirements11

17. Building Your ACO and Healthcare IT’s Role | Page 17
ACO Structural Criteria
ACO Payers and Medicare Financial Models Payer/provider shared-risk models are in the early developmental
stages. The four basic payment risk-sharing models are illustrated below.12
ACO Payers and Medicare Financial Models
NextGen Healthcare and Partner Consulting Services
ACOs are a departure from the status quo and are an ambitious goal for even the most advanced healthcare
systems. But the trend is unstoppable. NextGen Healthcare’s goal is to deliver a completely seamless integration
of solutions across all NextGen Healthcare products. We believe that the only way we can authentically assist our
customers to achieve functioning ACO status is by presenting a broad, flexible, integrated offering across every
stakeholder function in the healthcare ecosystem—and the knowledge to leverage it.
We are doing this with strategic planning and tactical execution while simultaneously providing project
management and supplemental staffing as projects and phases are implemented. Our in-depth knowledge in
EHR, practice management, and acute care workflows and processes will result in significant quality improvements
for our clients and a considerable ROI for our consultant network.
MEDIMEDICCAREAREPRIVATE INSURER EMPLOYER
Risk Sharing
Bonus Payment
Market Share
Baseline Revenue Loss
Patient Population
Provider at risk of not receiving a bonus payment based on quality and/or efficiency performance
Patients given lower copays or premium incentives to select specific providers, risk losing market share
Providers face a financial or payment loss if they fail to meet certain cost or quality thresholds,
and/or if actual costs exceed a target cost
Providers manage patient treatment costs for all or a designated set of services within a
predetermined payment stream and are at risk for costs that exceed payments

18. nextgen.com
The Industry’s Vision
Data Exchange, Interoperability, Integration, and Seamless, Secure Access for All
Robust and secure data exchange to external and community information systems at hospitals, labs, pharmacies,
payers, public health, health information exchanges, and patient portals is the critical path that will lead to global
community health. NextGen Healthcare is synchronized with this vision. We provide our customers and the
extended stakeholders within the healthcare ecosystem an innovative solution that supports the patient-centric
model of PCMH and ACO healthcare management.
NextGen®
solutions help our clients align with the journey to global community health. Our client
commitment includes working as partners to address the day-to-day challenges of running a successful
practice or hospital system.
Valued Partnerships
As NextGen Healthcare pursues an aggressive agenda in these next years ahead, relationships with clients,
prospects, and industry consultants, will be nurtured to enhance our knowledge and technology innovations
to educate, support, and deliver solutions of the future. We are convinced that our consultant community and
their expansive services portfolio is a critical component for NextGen Healthcare. Together, we can present new
opportunities to create business solutions for success to clients who can benefit from our shared expertise. Our
consultant network also conveys the accurate and up-to-date market intelligence to craft sustainable business
initiatives that position clients for the challenging times ahead.
NextGen Healthcare is one of the most highly sought-after HIT solutions companies in the industry. We believe
NextGen Healthcare consultants are too. Together NextGen Healthcare and industry consultants are creating new
relationships in the market built on thought leadership, superior technology, a track record of success based on
proof, and an unwavering dedication to helping our clients meet today’s industry challenges.
Final Thoughts
The stakes may seem high and the topic of financial solvency is ever-present. The transition involves taking risks,
no doubt, but with focus, a strong technology partner and the right tools, providers can establish sustainable
health care business practices and a strong business model that will keep their doors open and revenue coming
into the practice while they transition to quality care and P4P remuneration. EHRs and other healthcare information
tools are essential to accomplishing this transition. By successfully adopting and utilizing these tools, practices
are better able to identify high-risk patients, provide more comprehensive care, assess clinical outcomes, earn
performance-based compensation, and share information securely both within and outside the practice.
Ultimately, the true long-term revenue and practice rewards will be demonstrated in improved patient outcomes
driven by real-time access to pertinent clinical patient data, anytime, anywhere.

19. Building Your ACO and Healthcare IT’s Role | Page 19
Footnotes
1. Diana Manos, “Mostashari: Meaningful use to reach new heights,” Healthcare IT News, 11 Jan, 2012.
2. Neil Versel, “HIMSS chief forecasts ‘seismic shifts’ for health IT,” Healthcare IT News, 03 June, 2011.
3. Manos, “Meaningful use to reach new heights,” 11 Jan, 2012.
4. Marla Durben Hirsch, “5 EHR predictions for 2012,” Fierce EMR, 5 Jan. 2012.
5. Business Wire, “Cigna and Weill Cornell Physician Organization Launch First Accountable Care Program
in New York City Involving a Physician Organization and a Health Plan,” 11 Jan. 2012.
6. HHS News Release, “Health Policy Brief: Next Steps for ACOs,” Health Affairs Shared Savings Model
http://www.hhs.gov/news/press/2011pres/12/20111219a.html, (accessed 28 March 2012).
7. NCQA, Accrediting Highly-Qualified Accountable Care Organizations,
http://www.ncqa.org/LinkClick.aspx?fileticket=SPg8KYWfK1s%3dtabid=1312 (accessed 28 March 2010).
8. “Donald M. Berwick,” “Health Affairs,” The Triple Aim: Care, Health, And Cost (online; Health Affairs,
abstract, May 2008, 27), http://content.healthaffairs.org/content/27/3/759, (accessed 28 March 2012).
9. NCQA, “Patient-Centered Medical Home,” PCMH Content and Scoring Summary,
http://www.ncqa.org/tabid/631/Default.aspx, (accessed 28 March 2012).
10. HHS News Release, “Health Policy Brief: Next Steps for ACOs,” (accessed 28 March 2012).
11. CMS, “ Overview,” What’s an ACO? http://www.cms.gov/aco, (accessed 28 March 2012).
12. The Common Wealth Fund, “Newsroom Payment Reform,” Experts Believe Lack of Incentives and
Financial Interests Are Barriers to Integrated and Accountable Care, www.commonwealthfund.org/Publications/
FundReports/2011/Jul/Promising-Payment-Reform.aspx, (Accessed 28 March 2012).

20. SSP EHR PM NCQA MSR P4P HEDIS ON
ACO SSP EHR PM NCQA MSR P4P HED
MU ACO SSP EHR PM NCQA MSR P4P H
CMS MU ACO SSP EHR PM NCQA MSR
PCMH CMS MU ACO SSP EHR PM NCQ
1,2,3 PCMH CMS MU ACO SSP EHR PM
els 1,2,3 PCMH CMS MU ACO SSP EHR
Levels 1,2,3 PCMH CMS MU ACO SSP EH
HQM Levels 1,2,3 PCMH CMS MU ACO
HIE HQM Levels 1,2,3 PCMH CMS MU A
ONC HIE HQM Levels 1,2,3 PCMH CMS
DIS ONC HIE HQM Levels 1,2,3 PCMH C
HEDIS ONC HIE HQM Levels 1,2,3 PCMH
P4P HEDIS ONC HIE HQM Levels 1,2,3 P
MSR P4P HEDIS ONC HIE HQM Levels 1
NCQA MSR P4P HEDIS ONC HIE HQM L
PM NCQA MSR P4P HEDIS ONC HIE HQ
NextGen Healthcare Information Systems, Inc.
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Patent pending.
SFS-0001_04/12a QSI company