The Role of Data and Analytics in the Healthcare Ecosystem March 20, 2019

Agenda TELUS Health and data/analytics Improving health outcomes with RWD/RWE Tracking medication adherence Helping employers manage benefit programs using analytics Summary

Data and analytics at TELUS Health Turning information into better health outcomes by connecting patients, providers and insurers through the applications and services of the TELUS Health Exchange (THX) 3

Healthcare data flow Physicians Nurses Allied care Pharmacists Insurers Hospitals Home care Patients Physicians Nurses Pharmacists Home care Hospitals Allied care Patients TELUS connections are electronic and patient centric 4

Data governance office TELUS data governance As a part of the Technology Strategy Team, the TELUS Data & Trust Office (DTO) has a broad mandate as the owner of various TELUS programs. TELUS has appointed a Chief Data & Trust Officer to oversee the DTO and the following areas: Privacy office The TELUS Privacy Office is charged with operationalizing TELUS' commitment to earn and maintain the trust of our customers and other stakeholders when it comes to how we handle personal information enterprise-wide. Compliance office As a business and regulated telecommunications and technology company, TELUS has to comply with a wide variety of laws and regulations. Responsibility for regulatory compliance is de-centralized. Data governance office The TELUS Data Governance Office is responsible for TELUS Data Governance program that supports our commitment to treat data in a manner that fosters innovation and at the same time mitigates privacy, security, and ethical risks associated with previously unimaginable uses of data. Allow for deeper sharing of expertise across the organization and the exploration of new and innovative ideas, while introducing standards and refining best practices to ensure a consistent approach to managing re-identification risk 5

Improving outcomes in health

RWD to RWE (real world data to real world evidence) Deliver Manage Monitor Act Any EMR can participate. No PHI Physician’s dashboard Overall dashboard EMR Metrics Query 7

Prioritizes a care gap they wish to close RWE in action RWE: Defines the care standard Identifies care gaps (population level) 1 2 3 4 5 Impact: Care gap is closed. Patient outcomes improved. RWE evolves Prioritizes a care gap they wish to close Physicians: Presented “actionable insight“ at the point of care “Action” RWE by engaging with EMR-integrated tools, thereby closing care gap Design EMR-integrated tools which identify these care gaps at the physician level 8

Outcomes dashboard - diabetes 9

Clinical results Population addressed: 85,000 patients (57 physicians) A total of 1,802 diabetic patients with an outdated or non-existent A1c result had their A1c done. 10

Screening dashboard 11

Outcomes dashboard - COPD 12

Assisting pharmaceutical manufacturers with decision support

Drug treatment analysis Meter ‘claims’ repository Claims database for strips (880,000 claimants in diabetes) New patient starts Switches over time How many new patient starts are you getting vs new starts on competitive strips? How long patients use their meters and how long until they switch meters / strips. How often do they refill strips? Total diabetes patients Quantify diabetic patient volumes receiving strips with free meters over time. Longitudinal claims analysis New patient starts Adherence and switching # unique patients Adherence by Co-Pay Time on treatment Brand switching Offering for market research and brand planning We can track meters and strip usage over time 14

Longitudinal studies 15

Longitudinal studies – switch rates Nov 2014 Dec 2014 Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015 Jun 2015 Jul 2015 Aug 2015 Sep 2015 Oct 2015 -1,000 2,000 4,000 6,000 8,000 New 7,235 Dropped 5,327 16

Longitudinal studies – concomitant therapy Proportion of patients by therapy Average days to additive therapy 17

Longitudinal studies – adherence rates Projection beyond 2 years 18

Improving outcomes health plan costs

Use of data in program optimization Benefit program managers are focused on the following: Plan management Keeping employees healthy Driving behaviour change Benefit program managers are interested in answering the following: What health conditions are driving our plan costs? Where do the opportunities lie to improve our plan to ensure sustainability? How does our plan experience compare to others? 20

Validating perception with data Source: TELUS Health annual employer survey 2017 21

Plan performance dashboard (enrolment) 22

Plan performance dashboard (KPIs) 23

Additional flexible reporting tools Providing easy and instant access to those that manage the benefit program 24

Summary The healthcare system can be improved by leveraging and integrating various data points Removing historical siloes from data will advance health outcomes Management of healthcare touchpoints (physician decision support tools, pharmaceutical development, and employee access to care) is facilitated through data analysis AI and ML will continue to evolve in healthcare data analytics 25