IBM Micromedex® with Watson Clinical Decision Support and Patient Education For Technology Partners

By 2020 29 hours ½ of the workday Challenges with delivering effective care By 2020 medical data is expected to double every 73 days3 45% of medicine is not evidence based1 29 hours Approximate amount of time Doctors would have to read each workday to keep up with new professional insights2 ½ of the workday Primary care physicians spend nearly 6 hours interacting with the EHR during and after clinic hours4 Sources: 1) http://www.nejm.org/doi/full/10.1056/NEJMsa022615#t=abstract 2) J Med Libr Assoc. 2004 Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC521514 3) https://www-03.ibm.com/press/us/en/photo/46588.wss 4. Tethered to the EHR: Primary Care Physician Work- load Assessment Using EHR Event Log Data and Time- Motion Observations Watson Health © IBM Corporation 2019

DRAFT IBM Micromedex® Delivers. Valuable information to standardize care across your organization through access to evidence-based guidelines and protocols Information from international sources so you can independently assess the information to make informed treatment decisions from a single platform Evidence-based knowledge to enable appropriate treatment decisions anytime, anywhere Patient education in multiple languages to help patients participate in their healthcare Micromedex® is a leader in evidence-based clinical content that improves clinical decision making and fosters patient engagement. Helps clinicians avoid adverse drug events and treatment errors, guides medication use policy, and enables actionable patient health education Watson Health © IBM Corporation 2019. 

IBM Micromedex® A solid history of Longevity and Innovation. Used by over 4,500 hospitals in 80+ countries Used by governments and hospitals for 40+ years Used in schools of pharmacy and academic centers internationally Supports toxicology management in poison control centers around the world CMS-named compendia since 2008 Content created and maintained using a NICE accredited editorial process Contains in-depth information that clinicians may need for complicated cases Quick access to evidence with the AI of Watson Notes: Use for customer-facing presentations. Image and layout from the IBM Watson Health VBC deck Facts are current as of 5/Oct, 2017 and approved Watson Health © IBM Corporation 2019. 

The Micromedex difference, putting the power of AI to work for you IBM Micromedex® with Watson™ 1 2 Trained by clinicians Designed for you Developed with the evidence of Micromedex. Regularly validated by IBM clinicians to answer more questions from an expanding source of evidence. Provides more flexibility to type questions in a more natural and conversational way, for clear and concise answers. 3 4 Reliable evidence Easily accessible Accelerate your access to the evidence-based information you count on IBM Micromedex for. Multiple delivery methods for online work from Micromedex or from within the EHR, help leap system constraints and deliver reliable access. 2- train tune cycle Watson Health © IBM Corporation 2019

IBM Micromedex® Getting Started

IBM Micromedex® can help you deliver more value Rapidly expand technology platforms to include evidence-based information for provider care and patient education at relevant intersections and points of care. Online Clinical Evidence Deliver curated content in your web based application. Includes an AI powered Watson Assistant to find the most relevant information, fast. Key Offerings IBM Micromedex with Watson, Clinical Knowledge IBM CareNotes and Medication Essential Fact Sheets, Patient Education IBM NeoFax and Pediatrics, treatment and enteral nutrition evidence for neonatal and pediatric patients Integrated Clinical Evidence Embed Micromedex evidence directly into a host Health Information System (HIS), web portal, or partner application. Key Offerings Integrated Watson Assistant Integrated CareNotes Integrated NeoFax and Pediatrics Summary Drug, Disease, Lab evidence from HL7V3 Infobutton Summary Drug Evidence for embedded Use RED BOOK™ pricing data for embedded Use Automated Screening Tools Cloud or on-prem software services to provide medication screening based on patient specific information. Key Offerings EMR/Pharmacy System Support Package Includes: Drug Interaction Screening IV Compatibility Warning Labels Drug Identification Summary Drug Evidence Medication Instructions IBM Watson / © 2019 IBM Corporation

of patients are not getting recommended care1 Sources: 1) http://www.nejm.org/doi/full/10.1056/NEJMsa022615#t=abstract 2) J Med Libr Assoc. 2004 Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC521514 Q: How do I keep up with the vast amount of information that can help my patients? A: With IBM Micromedex. 50% of patients are not getting recommended care1 167 hours of weekly reading for a health professional to keep up with new professional insight2 CareNotes Comprehensive Library Educates a Broader Population Sources: 1) http://www.nejm.org/doi/full/10.1056/NEJMsa022615#t=abstract 2) J Med Libr Assoc. 2004 Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC521514

Patients immediately forget Q: How do I educate my population? A: With IBM Micromedex CareNotes and Medication Essential Fact Sheets. Care providers access multiple sources for patient education material. Inefficient workflow and education is inconsistent. CareNotes comprehensive library educates a broader population. 14,000+ titles Written at 4-8th grade reading level Stages of care from pediatric to geriatric High risk and co-morbidities Wellness information Medication Education (standard and brief length) Patients immediately forget 40-80% of medical information they are told and ½ of the information they do remember is incorrect1 CareNotes Comprehensive Library Educates a Broader Population 1- Patients' memory for medical information, Roy P C Kessels, J R Soc Med. 2003 May; 96(5): 219–222.

Q: How do I ensure safe and effective drug therapy for neonatal/pediatric patients? A: With IBM NeoFax and Pediatrics. Neonatal and pediatric patients are at increased risk for medication errors. Many drugs used are for off-label indications. NeoFax and Pediatrics provides age- and indication-specific, off-label focused drug information for the most vulnerable patient populations. Neonatal- and pediatric- specific monographs Age-and indication-specific drug dosing calculators Enteral formula and human milk fortifier nutritional information Pediatric patients are 3X more likely to experience a medication error or adverse drug event1 CareNotes Comprehensive Library Educates a Broader Population Source: 1) https://jamanetwork.com/journals/jama/fullarticle/193775

29 hours Q: How do automate medication screening for every patient? A: With IBM EMR/Pharmacy System Support. EMR Pharmacy System Support, helps reduce medication prescribing and administration errors to improve patient safety. EMR or Partner Solution Drug Interaction Screening IV Compatibility Labeled Warnings Drug Identification Summary Drug Evidence Medication Instructions Coming Soon: Drug code mapping for local trade names and generics 29 hours Approximate amount of time Doctors would have to read each workday to keep up with new professional insights.1 CareNotes Comprehensive Library Educates a Broader Population Source: 1) J Med Libr Assoc. 2004 Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC521514

IBM Micromedex® can help you deliver more value Partners can depend on IBM Watson Health to focus on core business. Experienced Implementation & Education Teams Dedicated implementation teams, experienced with delivering Micromedex offerings in Health Information System (HIS). Robust training center to support user proficiency with direct access to eLearning tools, office hours and live webinars. Reliable Product Support Online Support requests are handled during business hours with responses to most requests sent within 1 to 2 days. Product Support: U.S. and Canada: 1.877.843.6796 for Product Technical Support Global: +1.303.354.4100 for Product Technical Support https://developer.ibm.com/watsonhealth/micromedex-support/ IBM Watson / © 2019 IBM Corporation

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