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_),STARPOINT <br /> GLOBAL SERVICES <br /> Oct.4,2013 <br /> Proposal For: <br /> Orange County Health Department <br /> Attn:Susan Young; Mike Dolan Fliss <br /> 300 West Tryon St. <br /> Hillsborough, NC27278 <br /> Dear Susan and Mike: <br /> Starpoint Global Services ("Starpoint") hereby submits this revised proposal for the digitization <br /> of paper-based medical records belonging to Orange County Health Department ("OCHD", "the <br /> Health Department"). Thank you for giving Starpoint the opportunity to provide you with this <br /> information. <br /> Executive Summary <br /> The Orange County Health Department operates two clinics in OrangeCounty, one in Chapel <br /> Hill and one in Hillsborough. Medical records for both sites remain paper-based, but a transition <br /> to an electronic health record (Patagonia) is ongoing. Scheduling and billing components are <br /> already in place, and the digital clinical records management component will go live very soon. <br /> Starpoint proposes to enable the EHR by systematically digitizing the Health Department's <br /> hardcopy records for embedding into the Patagonia interface. These legacy records will be <br /> hosted by Patagonia's secure cloud platform. Using this strategy, all patients seen by the clinic <br /> after the go live date for the electronic record will have a comprehensive file stored directly in <br /> the EHR, along with every other patient seen by the clinic since 2010.All retention requirements <br /> for the hardcopy records will be satisfied, and accessibility to medical histories will be <br /> instantaneous. <br /> To accomplish this goal, Starpoint suggests that the Health Department pack all active files <br /> (2010-2013) for relocation to Starpoint's Chapel Hill facility. Starpoint will progress through <br /> these files alphabetically, and data will be loaded in batches directly into Patagonia. The <br /> Department will provide lists of specific patients needed on a priority basis in coordination with <br /> upcoming appointment schedules. As Starpoint continues to progress through the alphabet, fewer <br /> and fewer of these individual requests will be necessary, and the entire effort should be <br /> completed within 3 or 4 weeks from the start of the scanning project. <br /> The Department will keep records of patients with no activity since before 2010,but may opt to <br /> pack containers with files from this population as needed for Starpoint to pick up and scan. Files <br /> scanned individually or in small batches by Starpoint should appear in Patagonia within a few <br /> seconds of a transmission from Starpoint. <br /> 2 <br />