1. Connecting the Community: Easing into an EMR NJ HIMSS June 10, 2009

2.  Introduction  About Atlantic Health  Stark: Promise or Problem  The Solution  About Relay Health  Next Steps Agenda

3. Atlantic Health  1 Billion in Revenues  9,000 employees  2,400 physicians  250 residents  1,197 licensed beds  6,800 births  62,000 admissions  600,000 outpatient visits  158,000 emergency visits  Children’s Hospital  Heart Hospital  Cancer Center  Cardiovascular Institute  Neurosciences Institute

4.  How do you collaborate with a disparate group of doctors?  Is there anything you can provide for majority benefit?  Is an EMR the answer?  Can IT help with physician alignment?  Is there a way to foster connectivity between all the parties? Introduction

5. Stark: Promise or Problem  Improved Care  Physician Expectation  Physician Satisfaction  Degree of Physician Alignment

6. There are Issues…  EMR implementations require intense practice participation  There is a long learning curve  Workflow and business process change are required  Patient satisfaction and revenue may be impacted in the short term  Technology is still not perfect  Practice readiness for automation Just because practices use EMRs does not mean they can share data.

7. Areas of Concern  Accountability for success  Uncapped costs  Escalating resource requirements  Hospital liability for practice issues  “Forever” guilty  Resentment  Physician expectations  Some additional costs to the practice  IRS has not fully clarified its position Must structure the IT donation in a manner that helps physicians, does not harm AH, and meets regulatory standards.

8.  Something that…  could benefit a majority of our physicians  would be easy and quick to install  would not create total practice chaos  we could subsidize The Solution

9.  RelayHealth  Appointment Requests  Secure Messaging  Colleague  Patient  Document Sharing  E- Prescribing and Renewals  Personal Health Record  Web-visits Initial Offering

10. Transactional Growth APRMAYJUNJULAUGSEPOCTNOVDECJANFEBMAR 8461243327312 Total webVisits 2008 – 2009 Data

11. Care Fully Connected Introduction to RelayHealth June 10, 2009

12. 12 Virtual Information Exchange (VIE) Hospital Driven, Patient - Centered Connectivity Patients Hospitals Affiliated Physicians Health Plans PharmaciesPartners Employed Physicians Patient-centered Solution to Better Support Care Delivery Connectivity that Drives Better Access and Efficiency Clinical Administrative Opportunity for Technology Leadership in your Physician and Patient Community 6/13/201612

13. 13 Virtual Information Exchange (VIE) Clinical and Financial Connectivity 13 Clinical Connectivity Results ManagementReferral ManagementProvider ConnectivityPatient ConnectivityElectronic PrescribingPatient Education Financial Connectivity Pre RegistrationEligibility ManagementAccount ManagementBill PaymentConsolidated Print RelayRecord HospitalPhysiciansHealth PlansPharmaciesPatientsPartners 6/13/2016

14. 14 Results Management Actionable And Connected Results Exchange In Context And Relevant For All Users Platform To Drive Strong Physician Alignment And More Consistent Service To Patients ePrescribing And Physician Messaging Fully Connected End To End Electronic Prescribing Management Easy To Deploy And Support Physician Connectivity Across Entire Medical Staff Patient Messaging Enhanced Access And Convenience For Both Patients And Physicians Ability To Drive Greater Satisfaction And Loyalty To Patient Base Clinical Solutions VIE Connectivity Solutions 6/13/201614 Patient, Hospital And Physician

15. 15 Pre Service Accelerated Revenue Cycle Process Started In Advance Of The Patient Arriving For Service Convenient Access To Patient Leveraging Data Already Available Through The VIE Point Of Service Simplified Collection Process For Patient Payments Reduced Administration Burden On Hospital Staff Post Service Consolidated Presentation Of Patient Responsibility Reduction Of Account Receivable Aging For Patient Responsibility Financial Solutions VIE Connectivity Solutions Patient, Hospital And Physician 6/13/201615

16. 16 VIE - Core Communication Services Telephone messaging Prescription renewal requests Appointment requests Lab Results requests Colleague/Referral messaging Clinical reminders to patients webVisit® online doctor visits Personal Health Record Electronic prescribing Telephone messaging Prescription renewal requests Appointment requests Lab Results requests Colleague/Referral messaging Clinical reminders to patients webVisit® online doctor visits Personal Health Record Electronic prescribing RelayHealth links hospitals, patients, physicians, and pharmacies in a secure HIPAA compliant network

17. 17 RelayHealth e-Prescribing eScript – Full featured electronic prescribing – Integrated with all RelayHealth offerings – Provides powerful workflow benefits – Enhances practice efficiency Renewals Manager – Automates prescription renewal requests – Renewals route immediately to the pharmacy of choice – Connects to the RxHub-SureScripts network to securely exchange prescription information online with physician practices

18. 18 Results Distribution Service Specialist Primary Care Patient Hospital Results RelayHealth Virtual Information Exchange EMR or Results Manager

19. 19 Our Deployment Process We work with each practice to understand their workflow. Messages are sent to designated staff members: – Rx renewals – Appointment requests – Lab results requests – Clinical: webVisits & note to doctor We assist with enrolling patients – Customized marketing materials – Links directly from website – Electronic invitations to join online office We have a regional project manager and deployment team We have 24/7 customer support for physicians, staff and patients

20. 20 Benefits - For Patients Improved physician access and convenience Access to personal health information: portable PHR Reduced phone tag for appointment requests, prescriptions, labs, and simple follow-up Assistance with chronic care follow-up

21. 21 Benefits - For Physicians Increased Administrative and Clinical efficiency – Study shows an 18% reduction in phone calls and a 10% increase in RVUs Enhanced Productivity – ePrescribing, reducing fax activity (and even toner costs) – webVisit availability – reimbursement and/or pre-visit data collection CMS Incentives/Pay for Performance qualification Platform for automated chronic care follow-up programs Enhanced communication capability with colleagues (primary/specialty referrals)

22. 22 Important component of physician relations strategy Patient satisfaction and loyalty Ability to promote Service Lines Standard communication platform across multiple EMRs Key patient communication and satisfaction Benefits for Hospitals

23. 23 Atlantic Health System Morristown, NJ

24. 24 Atlantic Health System - Physician Search Morristown, NJ

25. 25 Atlantic Health System Morristown, NJ 225 Salaried Providers 321 Community Providers 13,687 Online Patients 7,846 e-scripts/Month 3,282 Results Reviewed

26.  Linda Reed RN MBA – Vice President and CIO, Atlantic Health  linda.reed@atlantichealth.org linda.reed@atlantichealth.org  973-490-3301  Joe Welfeld, FACHE – Regional Vice President – East, RelayHealth  Joe.Welfeld@RelayHealth.com Joe.Welfeld@RelayHealth.com  212-626-6523 Contact Information