17 th Annual Scottsdale Institute Spring Conference April 14-16, 2010 Healthcare Leaders Embrace Reform Camelback Inn Scottsdale, AZ

Centura AHS IS Florida Hospital 37 Hospitals 17 Long Term Care 21 Home Health/Hospice 1,122 Employed Physicians 50,000 Employees $6m Net Revenue

Cerner Selected Pilot Kick- off Pilot Go-Live 2 nd & 3 rd Pilots Live 15 Hospitals Live CPOE Enhancements & 2 CPOE Pilots Final Hospital Live & Upgrade 16 Hospitals Live 13 Hospitals Live A Decade of Clinical Information Transformation  ◦ CEO/CFO/CNO EMR Meeting ◦ Selection of Cerner ◦ Pilots at 3 Hospitals ◦ Replaced ◦ Reg/Schel/MPI/HIM ◦ Lab/Rad/Phrm/Surg ◦ Implemented ◦ Nrsg Doc/ICU/ED ◦ Order Mgt ◦ Doc Imaging  ◦ EMR Rollout to 30 Hospitals ◦ Major Upgrade (4 levels of code) ◦ Developed Evidence Based Order Sets for CPOE  ◦ CPOE pilots & rollout ◦ Physician Documentation Pilot and Rollout ◦ Clinical Doc Enhancements ◦ Process & workflow optimization

Drug/Drug allergy alerts Maintain active Med & Allergy lists List of patients by condition for quality improvement Record Pt demographic data Recording Vitals, Lab Results Implement a 5 Clinical Decision Rule Generate Pt list by specific condition Electronic Eligibility & Claims Submission Provide Pt with electronic copy of health info Provide access to Pt specific educ resources Perform med reconciliation Provide electronic Lab results and Syndronic surveillance data to PH Data Security Risk Assessment Hospital “Meaningful Use” 2011 Objectives Significantly Meets Objectives at AHS: Gaps Today: CPOE – 10% of all Orders Up-to-Date Problem List by Physicians Report on 43 Quality measures from EMR Provide Patient with electronic copy of Discharge Instructions Capability to exchange key clinical information among providers Submit electronic data to immunization registries Provide summary of Care Record for each transition of care

CPOE Drug/Drug & Allergy alerts Maintain Up-to-Date Problem List ePrescribing Maintain active Meds & Allergy List Record Patient demographic data Record Vitals, Adv Dir & Lab Results Patient lists by specific conditions for QI Report Ambulatory Quality Measures to CMS Electronic Eligibility & Claims Submission Document progress note for each encounter Provide electronic copy of pt’s health info Access to pt specific education resources Provide Pt with Clinical Summaries for each encounter Perform Medication Reconciliation Clinical Summary to patient for office visit Physician “Meaningful Use” 2011 Objectives Significantly Meets Objectives for Practices on EPM/EMR: EMR Deployment–Currently 30% of 600 Employed Clinic Phys deployed Patient Portal for Timely electronic access to Health Info Electronic Reminders to Pts for Preventive Care Capability to exchange clinical info among providers Submission of electronic data to immunization registries Provide electronic syndronic surveillance to Public Health Data Security Risk Assessment Implement 5 Clinical Decision Rules Gaps Today:

Alignment of AHS with Meaningful Use Objectives 2009 Projected potential Stimulus Funding Gap Analysis – High Level Aligned IT Strategic Plan with Meaningful Use Requirements 2010 – 1 st Quarter Appointed Meaningful Use Coordinators (Czar) Detail Gap Analysis Completed Corporate Meaningful Use Taskforce Submitted Comments to CMS Corporate – Outlined Allocation of Stimulus Funding

Capital Allocation Based % on EBDITA Balance Sheet Improvement, 25% Strategic, 25% IT, 5% Hospital, 35%

Alignment of AHS with Meaningful Use Objectives 2010 – 2 nd Qtr Continuing Deployment – CPOE/Physician EMR Developing Compliance Reporting/Dashboards 2010 – Next Steps Upon Final Meaningful Use Regulations Update Meaningful Use Gap Analysis Obtain Vendor’s – Approach/Enhancement Timeline Update IT Plan for 2010/2011 Obtain Management’s Support for Plan/Resources Initial Focus: Meaningful Use Requirements Requiring Workflow Changes Hospital/Physicians Achieving Compliance Levels Planning for Stage 2