Cerner’s Digital “Smart” Hospital for Fisher-Titus Medical Center and Magruder Hospital May 20, 2009 Jude Dieterman, Sr. VP & Pres. Client Development Joel Gleason, VP East Jeff O’Berry, VP DeviceWorks Robin Brown, Consulting Executive Director Scott Beegun, Client Executive

Cerner at a Glance Founded in 1979, based in Kansas City, MO Most experienced and stable healthcare IT management; three founding partners still lead Cerner’s vision today. Largest, most strategic clinical healthcare IT client footprint 8,300+ Total Millennium solutions live at over 6,000 client sites 1,200+ Millennium solutions live in past 12 months Contemporary architecture with most comprehensive suite of healthcare solutions on single platform (eliminates interfaces) 57+ Solutions spanning physician offices, hospitals, clinics, laboratories, pharmacies, and consumers’ homes Average Solution Center Implementation = 12 solutions live in 14 months Revenues: 2008 - $1.68 Billion 2007 - $1.52 Billion 2006 - $1.38 Billion 2005 - $1.16 Billion Committed to Innovation through Research & Development: $1.3 billion invested in R&D past 10 years, $1B committed over next 4 yrs Over 7,500 Associates Worldwide (950+ clinicians) Continuous innovation: Cerner Smart Room (Patient Hospital Room of the Future) CareAware medical device connectivity Recent Client Awards: Memorial Hermann Healthcare System in TX receives 2009 National Quality Forum (NQF) award Eastern Maine Medical Center receives 2008 Nicholas E. Davies Organizational Award of Excellence Univ. of Missouri and Cerner receive CHIME Collaboration Award for Medical Home Project Jim Higgins owns this slide. 2

Fisher-Titus Current Position IT Roadmap Partnership with Cerner will position you well to benefit from the Medicare/Medicaid incentive payments Fisher-Titus is currently at HIMSS Level 1 - 2 FTMC & MH Future State → The legislation defines a new concept ‘meaningful use’ which must become a spec … we believe it would be safe and prudent to assume that this will be that it will use a current industry model, probably what is called HIMSS EMR Adoption Model, and a Level 6 or Level 5 would be the safe zone. FTMC & MH Current State → 3

Why Cerner Cerner Innovation 4

Device Fragmentation CareAware 5

Smart Room Cerner’s Smart Room: Integrating Technology at the bedside to empower patients and clinicians. CareAware MDBus: Connecting medical device data to the Electronic Medical Record myStation: Patient Education and Entertainment myHospital, myOpinion, myHealth, mySchedule, myEducation, myCareTeam, myMenu, myMovies, myTV, myGaming, myInternet, myMusic iAware: Customized Clinical Dashboards Aggregates medical device data AND IT systems data and displays in an intuitive configurable dashboard Room Wizard: Electronic Message Board Outside patient room to alert clinicians and patient family/visitors of key information

CareAware MDBus CareAware MDBus™ (Medical Device Bus) Cerner’s USB for healthcare Enables seamless connection of medical device data to the Electronic Health Record (EHR) Continuous availability architecture CareAware Services and Support Patient-to-device association Location services Wave form aggregation/full disclosure Event stream processing Event management Device Lifecycle Detects device “heartbeat” Ensures device status is always known HCIT Jim Higgins owns this slide. 7

myStation: Patient Education & Entertainment

iAware: Customized Clinical Dashboards Device Data, from multiple devices, available at user’s fingertips and upon entering room (ie. via RFID) JAVA based “widgets” User configurable

Room Wizard: Electronic Message Board Improves communication with clinicians, family members & hospital staff Patient Safety: Displays Room # Displays Room/Patient Information in real time. Ex. NPO, Latex Allergy, Isolation, etc. Integration with Nurse Call system Room Availability: Red & green lights to show room Status Display caregiver currently in the room name and role. Visitor Information: Integration with CIPS to display messages to visitors Ex. Do not Disturb.