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Attachment II Current EHR COTS Implementation Attachment III Current EHR COTS Implementation Similar to USCG Attachment IV Past Performance References

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Attachment 2. Current EHR COTS Implementation

Site Identifier (Facility Name, City, State) Site Contact (Name/Phone)

Contract Number
# Providers
# Users
Implemented Functionality (Y/N)
Ambulatory
In-Patient
Urgent Care
Dental
Physical Therapy
Optometry/Ophthalmology
Behavioral Health
Occupational Health
Immunizations
Audiology
Radiology
Pharmacy
Laboratory
Patient Portal

Attachment 3. Current EHR COTS Implementations Similar to USCG

Network/Site Name, City, State Contact (Name/ Phone)

Contract Number
# Providers
# Users
# Sites
Implemented Functionality (Y/N)
Ambulatory
In-Patient
Urgent Care
Dental
Physical Therapy
Optometry/Ophthalmology
Behavior Health
Occupational Health
Immunizations
Audiology
Radiology
Pharmacy
Laboratory
Patient Portal

Attachment 4. Past Performance References Organization Name

Point of Contact:

Name Telephone Number Email Address

Contract Number

Number of Sites

Number of Providers

Number of Users

Date of Initial Installation (“Go Live”)

Scope of Work (check all that apply):

Ambulatory

In-Patient

Urgent Care

Dental

Physical Therapy

Optometry/Ophthalmology

Behavioral Health

Occupational Health

Immunizations

Audiology

Radiology

Pharmacy

Laboratory

Patient Portal

Problems Encountered and Associated Solutions:

Other Comments:

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