11 Continental Automated Buildings Association CH-RC Family Ecosystem Forum Meridian Health’s Approach & Experiences

2 About Meridian $1b annual revenue 8000 Employees PCP/Specialists 4 Hospitals (Potentially 2 additional by 2010) 68 Outpatient Facilities –Asst living, NH, Sub-acute –Rehab (F/T) In-Home Nurses and Staff > 500,000 Consumer encounters per year One of the largest metropolitan growth areas for seniors in US

33 Consumer Needs The Consumer (Purchaser & User) Clinical Psychological Financial Environmental Personal Assistance – 70% Transportation – 35% Safety – 68% Independence – 70% Finances – 41% Burdening Children – 23% Socially connected – 35% Feeling safe – 68% Losing mental abilities – 58% Depression – 15% Medication compliance – 55% Disease management – 47% Note: 58% of respondents are for an aging parent Proprietary & Confidential

4 Translating to Core Criteria Features The Consumer (Purchaser & User) Clinical Psychological Financial Environmental Signs, Symptoms, Treatments Emotional Aspects of Care, Service & Monitoring Price, Pricing Model & Value Where the product will be used (home, office, mobile, etc.)

5Meridian Health5 Target Areas for Consumer Product Development Medication Management Safety and Independence Chronic Disease Management All Needs Refined Needs & Opp. Areas of Focus Proprietary & Confidential Focus Today? Medication Management

Designing a New Product or Service The Process Competitive Audit Project Background Expert Interviews Group Input Session User Ethnographies Experience Prototyping User Snapshots Design Criteria = + Service Criteria 6

7 user experience map ORDER PREP DOSE PAY FOR RX PLACE ORDER ( NOTICE EMPTY ) SET SCHEDULE ( SORT INTO DOSAGES ) “STAGE” DOSAGES MD PRESCRIBES RX NOTE TIME ACCESS DOSE ( CONFIRM / LOG )

Three tiered solution Minor League Boot Camp stand alone solution full service solution light service solution Cruise Control Universal Needs: Dexterity, Visibility, and Medication Summaries Core Philosophy: System for sorting pills is more than an artifact – it is a SYMBOL reflecting your state of health and your ABILITY to manage it. Design Goals: System should help patients “know” what pills they are taking “why” as well as which ones they have taken