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Procedure for Establishing a New Fat Client PC

Physician Services requires that the following steps be taken by the client in order to set-up a new fat client.

1. Please complete and sign the following forms and fax to Physician Services.

a. Physician Services Fat Client Configuration Form – This form is used to gather the information required by our Windows Team to properly configure the local PC for fat client setup.

i. Please complete ALL required fields on the form.

b. Physician Services Change Request (CR) form – This form is used to make the actual request for the fat client set-up. (General Request Form)

i. Please complete ALL required fields on the form.

ii. Please include the contact information of any 3rd parties involved in the set-up of the fat client, or any other information that may be helpful.

iii. Important – Please indicate the requested date and time that you wish for our team to have the fat client installation completed by.

iv. Please sign and date the form.

c. Physician Services Production Hours Release (PHR) form – This form allows our team to set-up a fat client during the client’s production hours as most fat client set-ups occur during production hours.

i. Please complete ALL required fields on the form.

ii. Please sign and date the form.

2. Please e-mail all three completed forms to NTT Data at HCLS-PHS_Support@ and a Physician Services ticket number will be assigned upon receipt of all three forms.

3. After review to assure that all information required has been provided, our team will implement the changes for the fat client. Physician Services will contact the customer and technical contact if any information is unclear or if any additional is required.

4. Upon completion of the fat client setup by NTT Data, NextGen Support will be notified of the completion so that they can complete the ICS Scanning configuration on the fat client.

Please contact our Support Department with any questions.

844-879-9042 opt 3 HCLS-PHS_Support@

Requirements for Establishing a Fat Client PC

*All is required to be provided to NTT Data on the form below, or performed and completed prior to submitting the form.

• Static IP Address

o This will be a local, statically assigned IP address that is outside of the local DHCP scope.

• .Net 3.5 SP1 (or lower version) needs to be installed

o .Net 4.0 cannot be installed on the PC as it is incompatible with NextGen software at this time.

• Valid Operating Systems (Windows XP/Vista/7).

o Home Edition of any OS above cannot be used

• Windows Firewall must be DISABLED on the local PC

• Remote Desktop must be ENABLED on the local PC

• NTT Data must be provided with a local administrator account on the Local PC.

• Microsoft’s SQL Native Client 10 ODBC Driver must be installed on the local PC.

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• Power Management Policy on the local PC must be set to never go to “sleep”

1 Advisories

• The local PC will be removed from the local domain and joined to NTT Data’s domain.

• If client wishes to not provide local admin credentials to NTT Data, they must provide a local resource that NTT Data can work with to setup the fat client. This user will need to sit through the installation process with NTT Data to assist in getting NTT Data reconnected after numerous reboots that will take place during the setup process.

• Setup duration period is directly dependent on the clients’ bandwidth at the local site where the PC resides. (Setup time ranges from 3-6 hours, but may run longer)

• NTT Data will open the proper ports on the firewall for the fat client to communicate with the database.

• NTT Data will install the NextGen application on the fat client

• Upon completion of the fat client setup by NTT Data, NextGen Support will need to be notified.

• NextGen Support will setup the ICS Scanning system on the fat client.

Fat Client Configuration Form:

|Fat Client Configuration Form Physician Services Change Request |

|NTT Data EMR Ticket #: | |Client/Vendor #: | |

NOTE: All fields are required. Any required fields that are not completed will result in a delay

in the scheduling of the request and/or a denial of the request.

|Customer ID # |Today’s Date (Format: Fri 02/24/2012) |

|Company / Site |

|Authorized Requester |Technical Contact (Optional) |

|Telephone |Telephone (Optional) |

|Email |Email (Optional) |

|Requirements |Required Information |

| |(An “X” will suffice for items not requesting info but have been met) |

|Static IP Address | |

|.Net 3.5 SP1 | |

|Operating System | |

|Windows Firewall Disabled | |

|Remote Desktop Enabled | |

|Local Administrator Account | |

| |Username: |

| | |

| |Password: |

|SQL Native Client 10 ODBC Driver Installed | |

|Power Management set to never “Sleep” | |

|Hours this PC is available for Install | |

*Departmental policy requires 72 hours (not including weekends) for the review and scheduling of this Change Request upon the receipt of this signed form. Change Requests are scheduled between 8pm and 8am client local time. A Production Hours Release form is required for a change required during production hours.

All changes must be requested in writing using this form, either physically or electronically. It is the responsibility of the authorized requester to ensure that all users who may be affected by this change are notified that the change will be made. Any potentially affected systems, software, hardware, or procedures should be evaluated for the effect of the change upon them, and plans made for remediating any effect and “backing out” any change. No change will be scheduled or implemented until a Change Request form signed by an authorized requester is received. NTT Data Physician Services will make every effort to accommodate change requests in the time frame requested, but will schedule changes when possible during a regularly scheduled maintenance window.

_____________________________________ / ____________

Authorized Requester Signature (Required - *Must Be Hand Signed*) / Today’s Date (Required)

Email Completed and Signed Form to HCLS-PHS_Support@

General Request Form:

|General Request Physician Services Change Request |

|NTT Data EMR Ticket #: | |Client/Vendor #: | |

NOTE: All fields are required unless noted otherwise. Any required fields that are not completed will result in a delay

in the scheduling of the request. If a field is not applicable to your request, please enter N/A in that field.

|Customer ID # |Today’s Date (Format: Fri 1/5/2011) |

|Company / Site |

|Authorized Requester |Technical Contact (Optional) |

|Telephone |Telephone (Optional) |

|Email |Email (Optional) |

|THIS FORM TO ONLY BE USED IF A PRE-FORMATTED FORM DOES NOT SUIT YOUR REQUEST |

|Requested Change (Please be as specific and detailed as possible) |

|Affected Services/Servers/Hardware |

|Backout Plan |

|CUSTOMER ACKNOWLEDGES 72 HOURS FOR DEPARTMENTAL REVIEW AND SCHEDULING UPON RECEIPT OF THIS SIGNED AND DATED CHANGE REQUEST |

|*Date Requested for Change (Format: Fri 1/5/2011) |□ Perform During Production Hours |

| |(NOTE: If box is checked, a Production Hours Release form is required) |

|Maintenance Window Requested (Choose only one below) |

|□ Window 1 |□ Window 2 |□ Window 3 |□ Other Specific Time |

|8pm–1am ET |1am-5am ET |5am-8am ET | |

|8pm-12am CT |12am-4am CT |4am-7am CT | |

|8pm-11pm MT |11pm-3am MT |3am-6am MT | |

|8pm-10pm PT |10pm-2am PT |2am-5am PT | |

| | | |□ ET □ CT □ MT □ PT |

*Departmental policy requires 72 hours (not including weekends) for the review and scheduling of this Change Request upon the receipt of this signed form. Change Requests are scheduled between 8pm and 8am client local time. A Production Hours Release form is required for a change required during production hours.

All changes must be requested in writing using this form, either physically or electronically. It is the responsibility of the authorized requester to ensure that all users who may be affected by this change are notified that the change will be made. Any potentially affected systems, software, hardware, or procedures should be evaluated for the effect of the change upon them, and plans made for remediating any effect and “backing out” any change. No change will be scheduled or implemented until a Change Request form signed by an authorized requester is received. NTT Data Physician Services will make every effort to accommodate change requests in the time frame requested, but will schedule changes when possible during a regularly scheduled maintenance window.

_____________________________________ / ____________

Authorized Requester Signature (Required - *Must Be Hand Signed*) / Today’s Date (Required)

Email Completed and Signed Form to HCLS-PHS_Support@

Production Hours Release Form:

|Production Hours Release Physician Services Change Request |

|NTT Data EMR Ticket #: | |Client/Vendor #: | |

THIS IS NOT AN ESCALATION FORM. ANY WORK ACCOMPANYING THIS FORM STILL REQUIRES REVIEW PRIOR TO SCHEDULING AND IMPLEMENTATION. ESCALATION PROCEDURE MUST BE FOLLOWED FOR ANY WORK THAT NEEDS TO BE COMPLETED SOONER THAN THE MANDATORY INDIVIDUAL CHANGE REQUEST REVIEW PERIOD.

|Customer ID # |Today’s Date (Format: Fri 1/5/2011) |

|Company / Site |

|Authorized Requester |Technical Contact (Optional) |

|Telephone |Telephone (Optional) |

|Email |Email (Optional) |

*NOTE: This Production Hours Release form can only be accepted in conjunction with a Change Request form detailing the requested change. This form is not to request a change; this PHR form is to authorize a Change Request during production hours ONLY.

NTT Data PHYSICIAN SERVICES will never suggest that you make changes to your servers, software, routers, or other equipment during production hours (that is, business hours, while users are working). We always recommend performing any changes during off-hours. No amount of careful planning and execution can eliminate the chance that a change, no matter how insignificant, could render the equipment unusable for some period of time. There may be an occasion, however, when you feel that the change must be made during production hours. In order to schedule a change request during production hours, the Authorized Requester must sign this PRODUCTION HOURS RELEASE acknowledging that NTT Data PHYSICIAN SERVICES has warned you of the danger of making changes during production hours, and you have on your own, without any promises, guarantees, or suggestion from the department, made the decision to require the department to make the change detailed in the accompanying change request during production hours. Further, you agree and promise to indemnify NTT Data PHYSICIAN SERVICES and hold it harmless and waive any and all rights to recovery under any contract or service level agreement for any outage, delay, or difficulty resulting from affecting this change request during production hours, and release NTT Data PHYSICIAN SERVICES from any and all liability and responsibility for any problem arising from said outage, delay, or difficulty.

PLEASE NOTE THAT ALL SERVICE LEVEL AGREEMENT PENALTIES ARE NULL AND VOID IF THEY ARISE FROM MAKING THIS CHANGE DURING PRODUCTION HOURS.

_____________________________________ / ____________

Authorized Requester Signature (Required - *Must Be Hand Signed*) / Today’s Date (Required)

CHANGES DURING PRODUCTION HOURS REQUIRE

A PRODUCTION HOURS RELEASE

Email Completed and Signed Form to HCLS-PHS_Support@

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