Tips on using Health IT in Tribal Health communities to provide the best care.

1. Your unique patient population
needs unique technology
Connecting your community1
Reach patients with a patient portal2
See the health of your patient population3
Manage your revenue cycle effectively4
Add mobility to keep your practice moving5
Built-in data analysis to understand patient needs6
An integrated solution to ease and manage change7
Using technology in Tribal communities

2. A note from our Tribal Health director:
The health needs of Tribal Communities require special technology
to manage unique funding initiatives, along with caring for the
whole patient across the spectrum of specialties, including dental
and behavioral health documentation.
Technology can help with:
• Care Coordination
• Interoperability/HIE
• Reporting for quality initiatives, of all types
• Population Health Management
• Patient Portal
• Revenue Cycle Management
NextGen Healthcare offers all of these solutions in one integrated, robust,
versatile platform – all while maintaining configurability so providers can tailor
workflows to their unique patient population.
Adopting these new technologies will accelerate your practice into the
future of healthcare. These tools can help you achieve specific reporting
requirements or federal initiatives, and help your entire organization
communicate both internally and externally. This will enable you to better care
for Tribal patient populations while advancing preventive care – with the
goals of healthier people and lower healthcare costs.
On behalf of everyone at NextGen Healthcare, I wish you the best of success!
Tom Farmer
Director, Tribal Health

3. 1
CHAPTER
Connecting your
community

4. Three ways to improve communication and patient engagement:
Connecting your community
As health reform forges ahead, patient care will continue to become
more integrated, so providers can access and evaluate patient data
across their spectrum of care. When providers are able to share data,
patients benefit from more informed clinical decisions.
Connect community providers with external providers using proven
solutions to coordinate care and manage the health of your entire
patient population. Not only is it better for your patients, but you’ll be
evaluated on it more and more – by both payers and CMS.
Share data with
your healthcare
community via
health information
exchange (HIE)
Support proactive
patient outreach
with comprehensive
PH and patient
portal solutions
Seamlessly
integrate your EHR
with a population
health solution

5. 2
CHAPTER
Reach patients with
a patient portal

6. Open lines of communication build trust between
provider and patient. When patients can reach out
to physicians with questions, retrieve test results, or
schedule appointments at their convenience, they
are empowered to become an active partner in their
healthcare and improving outcomes.
Integrating your patient portal with your
EHR allows you to streamline patient
communications including; appointment
scheduling, documentation, and
prescription management.
• Save staff and patients’ time during every
encounter with electronic documentation
• Manage patient payments easier, online
• Collect and report information such as social
history, HPI, and demographics and see
actionable data across your entire
patient population
• Send secure, mass messages such as
immunization reminders and alerts to
segments of your clinical population
• Receive medication requests and refill
them within the EHR
Help patients help
themselves with a proven
patient portal solution.
Better preventive care and a more
informed and proactive patient.
The result?

7. 3
CHAPTER
See the health of your
patient population

8. Focus on individual patients
or track your whole patient
population:
You need to be prepared to navigate this
new paradigm — Better population health
through better individual care. The key to
smooth sailing is a robust population health
management solution. Anchored by technol-
ogy and data analytics, population health
software identifies high-risk patients and
expedites care management.
We chose NextGen
Population Health to help
us provide the best care
for our patients. The ability
to leverage our practice
management and clinical data
will help us identify treatment
opportunities and improve
quality outcomes.
“
“
1 Schedule preventive care
Automate patient communications
Manage high-risk patients
Decrease no-shows
Increase patient compliance
Meet ACO, PCMH, and MU guidelines
2
3
4
5
6
Dr. Thomas Huth, VP, Medical Affairs
Reid Hospital Health Care Services

9. 4
CHAPTER
Manage your revenue
cycle effectively

10. If you ever feel like there aren’t enough hours in the day to
complete the billing cycle, you should consider outsourcing.
That way, even when your health center is closed, your claims
can be processed and optimized; technology handles
your labor-intensive billing tasks.
When your administrative staff is freed from billing, they
can focus on other essential tasks. Our RCM solutions bill a
few pennies per transaction, and cost is determined by volume.
Our cloud-based revenue cycle services handle any type
of billing, collections, or claims task; ensuring timely,
accurate bills and eliminating hardware, upgrades, and
management costs.
Whether you need help with just billing tasks or want to
outsource your entire revenue cycle, our 900 revenue cycle
experts can help your tribal health center get paid what it’s
earned, at a cost that’s easy to manage.
Clean Claim Rate
90%+
*Source: RCM Survey Report: What’s Happening
Behind the Billing Office Door
Net Collection Percentage
90-95%+
Days in A/R:
30 days/less
More than 25% of lost
medical practice income is
from improper billing
Top RCM benchmarks
you should shoot for*
Outstanding Collections
for Dates of Service Older
Than 120 Days
10-15%

11. 5
CHAPTER
Add mobility to keep
your practice moving

12. Boost efficiency with mobile solutions for
providers on the go.
Remote Provider Apps
Mobile apps and other solutions offer providers the opportunity
to provide remote care for patients in emergency situations
during off hours. In the past, providers would need to travel to
the practice and ER to provide emergency care. Mobile
technology provides a more streamlined solution.
Tablet Apps for office settings
Additionally, tablets can make daily tasks within the practice
much simpler. Instead of spending time in the computer typing
and clicking through patient charts, new apps provide quick
views to patient data and appointment schedules, while allowing
providers to quickly handle routine visits with minimal data entry
– meaning more face time with patients
Mobile Patient Portals
More than half of American adults have a smartphone and
they expect to be able to access anything and everything on
their devices. Offering a mobile patient portal solution is
essential to provide the broadest range of options for
patients to engage in their care.
It’s here! NextGen Go
The NextGen Ambulatory EHR app for iPad®
, NextGen Go™
is an easy-to-use, real-time solution that optimizes workflow
and productivity for physicians in high-volume settings.
It delivers important patient information in an
intuitive interface.
• Accelerate cash flow and ROI w/streamlined workflows
• Access patient documentation for quick pre-visit prep
• Enhance timely care, collaboration, and transitions of care
*” Mobile Technology Fact Sheet.” Pew Research Centers Internet American Life Project RSS.
December 27, 2013. Accessed January 29, 2015. http://www.pewinternet.org/fact-sheets/
mobile-technology-fact-sheet.

13. 6
CHAPTER
Built-in data analysis to
understand patient needs

14. Fortunately, tools such as NextGen®
Dashboard
provide data analytics on demand to give you a look
into the health of your patient population...and your
bottom line.
With NextGen Dashboard, you can deploy a solution
that allows your practice to accommodate as many
users, data sets, and data sources as needed.
Data visualizations help track patient populations,
visualize trends, and share digestible, actionable
data that can enhance reporting, analysis, and
process improvement projects and manage
compliance and incentive programs.
• Does your vendor provide thoughtful data analysis software
to give you a thorough, holistic view of what is happening
in your practice?
• Are you able to see if you’re on track to achieve outcomes?
• Can you see whether patients are engaged in their care
and identify trends?
A powerful solution for ACOs
We have the tools and solutions to position
your tribal health center for ACO success.
Deploy a single enterprise platform and your
tribal health center will be able to:
• Easily coordinate and document care
• Exchange data through interoperable solutions
• Improve clinical and financial outcomes
• Measure and report on required quality measures
* See why NextGen Healthcare clients participate in about
one-third of ACO efforts nationwide.
Capturing patient information in
your EHR is meaningless if you
can’t derive insights from it.

15. 7
CHAPTER
An integrated
solution to ease and
manage change

16. Be ICD-10 ready
Be ready for ICD-10 with training, consulting, and
tools like our ICD-9/ICD-10 Comparison Utility. With
this tool you can:
• Compare and convert ICD-9 codes to ICD-10 codes
• Create a valid 837 EDI file to send to Clearinghouse
or Payer for testing purposes
• Help providers better understand which ICD-10 code
sets will be used more frequently
• Better understand the reimbursement comparison
between ICD-9 and ICD-10 codes
Reform is here and you need to manage
change. You need simple solutions that provide
true clinical integration for PCMH, ACO, and
collaborative care initiatives. Your software partner
should provide easy solutions, expertise,
and training.
You should be able to store patient information
and share it securely with other healthcare
providers. Otherwise, you will face barriers
to coordinated care, improving patient
outcomes, and driving population health.
With NextGen®
solutions, you can store
patient information such as HPI, medications,
immunizations, and treatments, then share it with
other providers, regardless of their system.
Achieve the goals of coordinated care, enhanced
patient safety, and ultimately, better health for
your community.

17. When you choose NextGen Healthcare, you get more than our innovative solutions.
We work every day to help our clients with the following in mind:
We’ll give clients more
freedom to care for patients
We’ll help clients grow,
without limits: practice, service,
or specialty
Our Client relationships
extend beyond go-live
Clients should have expert
service, delivered day in
and day out: always available
We’ll work to be first to handle
regulatory changes so clients
can too
Clients shouldn’t have to bear
all the risk of reimbursement
Clients should be able to
Share data when and
where they want
Providers deserve to be paid
for what they do, in a timely way
Our Manifesto:

18. EDU47-6/15
Take the Next Step.
NextGen Healthcare clients get better results.
They simplify workflow, improve patient
care, and are able to track and report quality
outcomes with ease. When you partner with
NextGen Healthcare, you gain expertise, tools,
and strategies to adapt to and thrive in today’s
dynamic, evolving healthcare landscape.NextGen Healthcare Information Systems, LLC, a wholly owned subsidiary of Quality
Systems, Inc., provides integrated clinical, financial and connectivity solutions for
ambulatory, inpatient, and dental provider organizations.
For more information, please visit nextgen.com and qsii.com.
Copyright © 2015 NextGen Healthcare Information Systems, LLC. All rights reserved.
NextGen is a registered trademark of QSI Management, LLC, an affiliate of NextGen
Healthcare Information Systems, LLC. All other names and marks are the property of
their respective owners. Patent pending.
NextGen Healthcare Information Systems, LLC
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solutions,
please contact us at www.nextgen.com/contact.