Beyond the e-Government Gabriella Campi Managing Director Europe Roma,9 Maggio 2006 Company Confidential

President’s Information Technology Advisory Committee (PITAC) Four Essential Elements Electronic Health Records that maximize the amount of information available to healthcare providers Leverage existing workflow and reduce cost Computer-assisted decision support Increase compliance with evidence-based medicine Electronic order entry For outpatient care, and within the hospital environment Interoperable electronic information interchange Highly specific standards for capture of new data Company Confidential

Core Taxonomies Can Extend Across Flexibility Core Taxonomies Can Extend Across The Entire Healthcare Information Supply Chain Countries Industry Standards Bodies Company policies Subsidiary policies Plan specific policies A core taxonomy could be the Corporate Healthcare Data Dictionary or could represent different contractual arrangements such as: Health insurance plan provisions Governmental regulatory requirements Company Confidential

Concept Overview Operating Rules, as used by the banking industry, are a promising tool for the healthcare industry. build on existing standards, infrastructure, and inter-relationships between stakeholders to develop Operating Rules to govern electronic transactions Company Confidential

Operating Rules What are Operating Rules? Operating Rules define the rights, responsibilities and liabilities of parties to a transaction With Operating Rules, parties to a transaction know what is expected of them and what to expect from others They know, for instance, the consequences of not complying with the rules, how an error should be corrected, what kind of security is required ,etc. Operating Rules spell out the standards and formats that participants must use Operating Rules are enforceable in court Company Confidential

Key Benefits for Health Plans Operating Rules promote the use of electronic systems that simplify administration Standards-based systems promote competition , improving quality Costs are contained through uniformity that reduces the need for multiple processes or manual interventions (e.g., phone calls) Uniformity helps promote interoperability, which enhances system efficiency Industry-wide Operating Rules could supplement government regulations and may also correspond more closely with private sector procedures Company Confidential

UBmatrix XBRL and Healthcare UBmatrix is the leader Company in the XBRL space. Healthcare industry needs managing data across entire organizations or industry. For example: Enterprise-based inter-application clinical data access Health records exchange between organizations XBRL provides a standards-based method to prepare, publish, exchange and analyze information XBRL automates the process of reusing healthcare information and allow to reduce costs, time errors. Basically, XBRL is a public standard for exchanging business reporting information. Company Confidential

XBRL is an Open Standard XBRL stands for eXtensible Business Reporting Language.It is an open standard , used as means of communicating information between businesses and on the internet. The introduction of XBRL tags enables automated processing of business information by computer software, cutting out laborious and costly processes of manual re-entry and comparison.   Computers can treat XBRL data "intelligently": they can recognise the information in a XBRL document, select it, analyse it, store it, exchange it with other computers and present it automatically in a variety of ways for users.  XBRL greatly increases the speed of handling of financial data, reduces the chance of error and permits automatic checking of information. Company Confidential

@ Info www.ubmatrix.com gabriella.campi@ubmatrix.com Company Confidential