Specifications include, but are not limited to: A vendor with a system which will: 1. Connect to a single enterprise Master Patient Index. 2. Be compliant with Federal, N.Y. State and Local regulatory requirements. 3. Support our compliance with The Joint Commission standards. 4. Have well developed decision support. 5. Provide efficient configuration tools for effective development and system evolution, while simultaneously maintaining a highly standardized data dictionary and data model to support business intelligence, management dashboards, sophisticated decision support, complex workflow, and other secondary data uses. 6. Have integrated management tools with flexible and user friendly reporting. 7. Enable Health + Hospitals to reach HIMSS Stage 6 EMR adoption level (short term) and final Stage 7 in the intermediate term. 8. Foster ability to reach Gartner maturity for Clinical Information Systems (ambulatory) in the short term. 9. Be able to integrate or be inclusive with external clinical, financial and business systems, as well as clinical instruments. 10. Allow for web-based functionality. 11. Offer both patient and physician portal solutions. 12. Allow for secure LDAP authentication and provide highly developed patient and role-based access controls as well as all necessary audit trails and tools as prescribed below by Health + Hospitals security requirements. 13. Be ready for the age of personalized medicine and be able to accommodate the complex information and services which will be necessary to make use of genetic information. 14. Make the provision of care as effective and efficient as possible for patients and providers. 15. Verify that all solution components are CCHIT certified. 16. Compliance with all Meaningful Use requirements and all relevant regulations including ARRA/HITECH, Statewide Health Information Network of New York (SHINY), New York State Clinical Records Initiative (NYSCRI), etc. 17. Ensure compliance with HIPAA rules and regulations. 18. Support ICD-10 code sets and provide the ability to translate to/from ICD-9 codes. 19. Support integration with revenue cycle solutions and support insurance and payment compliance