Specifications include, but are not limited to:Specific Requirements (Listed in Exhibit D) The Health Care District requires an EHR that meets the latest regulations issued by TheU.S.DepartmentofHealthandHumanSe r v i c e s ( H H S ) r e g a r d i n g p r o v i d e r s ’ security and privacy obligations under the Health Insurance Portability and Accountability Act (HIPAA). The system must also be Office of the National Coordinator - Authorized Testing and Certification Body (ONC-ATCB) certified and meet Meaningful Use criteria, and also be accredited by NCQA as PCMH pre-validated. The following are several additional considerations: Customized quality reports Excellent implementation and future support (communication efficiency and experience with product and company) Existing Data migration strategy Sufficient infrastructure and architecture to accommodate growth and high availability performance. Ability to integrate with other products (e.g., practice management software, billing systems, PACS, Lab, and public health interfaces) Privacy and security capabilities and back-up planning Appropriate access controls Audit logs generated and maintained Conduct a workflow analysis to determine how a particular system will impact how tasks will change