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Division of Public Health Agreement Addendum FY 16-17 00051 Page 1 of 4 Administrative, Local and Community Support / Lee County Health Department Local Technical Assistance & Training Local Health Department Legal Name DPH Section/Branch Name 113 Electronic Health Record Activity Number and Description 10/01/2016 — 05/31/2017 Service Period 11/01/2016 — 06/30/2017 Payment Period Phyllis M. Rocco, 919-707-5131 phyllis.rocco@dhhs.nc.gov DPH Program Contact (name, telephone number with area code, and email) DPH Program Signature Date (only required for a negotiable agreement addendum) ® Original Agreement Addendum ❑ Agreement Addendum Revision # (Please do not put the Budgetary Estimate revision # here.) I. Background: In 2007, the North Carolina Department of Health and Human Services (NCDHHS) purchased customizable, off-the-shelf software to implement a fully automated health information system (HIS) to meet the needs of three major agencies within NCDHHS. The software was designed primarily for behavioral health applications and required extensive customization to meet the needs of public health. The Division of Public Health (DPH) is currently the sole state agency using this software. Eventually, the software was customized sufficiently to be a useful billing system for local health departments, but clinical workstations for the electronic health record component evolved with almost 100 customized data entry screens. With passage of the Health Information Technology for Economic and Clinical Health Act (HITECH) enacted under Title XIII of the American Recovery and Reinvestment Act of 2009 (Public Law 111-5), NCDHHS was further challenged to contemplate how health information would be stored, shared, and analyzed. Many local health departments, eager to benefit from the Meaningful Use incentive monies for eligible providers, left NCDHHS's HIS and purchased software systems with local funds. This electronic health record development has proven to be a costly, unsatisfactory software solution for electronic health records (EHR) with a public health application. Approximately 79 counties have opted to use non -HIS vendors for their electronic health record, practice management and billing services. Continued development of an EHR for the remaining counties is not in the best interests of the North Carolinians we serve. Health Director Signature (use blue ink) Local Health Department to complete: LHD program contact name: (If follow up information is needed by DPH) Phone number with area code: Email address: Date Signature on this nage signifies you have read and accepted all Pages of this document. Revised July 2015