Georgia central EmR project Steering committee, 29th of August, Tbilisi. © Copyright 2013 EMC Corporation. All rights reserved.

Our project mission Improve care by making patient data accurate and available for clinicians Emergence of better informed, more choices, and empowered patients Emphasis on preventive care rather than just cure Shift in alternative care models to reduce costs Increase in shared IT services for clinics and hospitals There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care. The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services © Copyright 2013 EMC Corporation. All rights reserved.

Georgia National/Regional Healthcare Key Objectives NATIONAL EMR International Standards Compliant Archive Best of Breed Infrastructure Technology NATIONAL VNA Medical Image Repository for enhanced Patient Mobility Unified Viewer enabling the future e.g. TeleRadiology NATIONAL ANALYTICS Business Intelligence, Reporting & Analysis Modules Predictive Health, Controlling $, Targeted Campaigns SINGLE VENDOR A proven & packaged solution managed by one vendor Reduced complexity of services & ongoing support FUTURE READY Integration Portfolio enables new eHealth services wHospital Framework is Modular = Enable When Ready © Copyright 2013 EMC Corporation. All rights reserved.

The Healthcare Ecosystem Consumers Providers Government Hospitals Insurance Doctors Office Everyone does… but its each healthcare providers view of their relevant data… Citizens Diagnostic Center Healthcare Life Sciences Pharmacies Medical Research © Copyright 2013 EMC Corporation. All rights reserved.

Interconnectivity of Healthcare is the Key Smaller Hospitals Larger Hospital HIS Smaller Hospitals Smaller Hospital Smaller Hospitals Commercial Cloud Larger Hospital HIS Affinity Domain #2 Central EMR Smaller Hospitals Commercial Cloud Central HIS HIS Affinity Domain #3 Larger Hospital HIS Smaller Hospitals Affinity Domain #1 National Cloud Commercial Clouds Will Form – They Must Be Able To Share © Copyright 2013 EMC Corporation. All rights reserved.

National Healthcare Ecosystem (Initial Phase) EMR Citizen Mobile Wallet Citizen Portal Citizens of Selected Hospital Central EMR Business Intelligence Reports (10) 10 Doctors (Non-Hospital) 1 Large Hospital 5 Pharmacies Representatives of Min. of Health HL7 Integration & Manual EMR WebForm GP Portal ePrescriptions Introduce eHealth to a limited community of actors to prove the architecture, workflows and user experiences (UI). Ensures higher success for the wider rollout to a region/nation © Copyright 2013 EMC Corporation. All rights reserved.

Topics to be discussed After phase one - funding the next activities Connect next hospitals and clinics to national EMR Change Management Image archive and sharing Creation of Center of excellence University program Transformation continuation Mobile care further development Integration to ePrescription Doctors appointments Pills taking reminders Decision support Predictive analytics Home care and TeleCare Chronicle disease Management There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care. The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services © Copyright 2013 EMC Corporation. All rights reserved.

The end result There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care. The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services © Copyright 2013 EMC Corporation. All rights reserved.

INTEGRATED PATIENT RECORD SOLUTIONS DOCUMENT IMAGING FOR MEDICAL RECORDS MEDICAL IMAGE SHARING AND MANAGEMENT VIRTUAL PATIENT INFORMATION REPOSITORY Unlock the information in paper-based patient records Expand the patient record with collaboration and analytics. Consolidate, access, share and manage medical images INTEGRATED PATIENT RECORD SOLUTIONS © Copyright 2013 EMC Corporation. All rights reserved.

Citizen Mobile EMR – Sample Screens Prescription Issued to Citizen, Accessed on Phone, Data pulled from HIP, GPS and Maps linked to Dispensary Locations © Copyright 2013 EMC Corporation. All rights reserved.

Citizen Mobile EMR – Sample Screens Arrived at drug dispensary, Fulfilled by Chemist, Contactless Payment, Written back to Central EMR, Receipt Stored on Device © Copyright 2013 EMC Corporation. All rights reserved.

HIP PatientViewer Workflow Screenshot © Copyright 2013 EMC Corporation. All rights reserved.

Predictive Health (HIP & Greenplum) Linked to data collected from all activities (hospital, outpatients, chronic conditions) the HIP grows… Patient Records Digitisation Mobile Working EPR Patient Portals COST TO SEQUENCE ONE GENOME FELL FROM €80M IN 2001 TO €8K IN 2011 Clinical Processes Telemedicine Medical Imaging Gene Sequencing HIP © Copyright 2013 EMC Corporation. All rights reserved.

Healthcare Business Analytics © Copyright 2013 EMC Corporation. All rights reserved.