1. Mission Bay Hospitals Program CTG - Mission Bay IT Update Date: Feb 6, 2014

2. Confidential: University of California San Francisco Medical Center  Successful Oneview Pilot Completed Pilot objectives and success metrics achieved. Core system functionality and hardware solution demonstrated for both Peds and Adult patient rooms in Mission Bay Hospital 8 Demos held over 2 days with 75+ participants from across the enterprise including Patients, Patient Advocates, Family Advisory Council members, Clinicians, Nursing, Executive stakeholders, Construction Management and Information Technology teams.  Clinical and Technical Workshops 2 half-day workshops held to validate Business Requirements for Day 1. Slide 1 Interactive Patient Care

3. Confidential: University of California San Francisco Medical Center Slide 2 Interactive Patient Care - Next Steps  Feedback Analysis and Reports Evaluate Feedback Surveys from Demonstrations Consolidate Feedback from Clinical Workshops Prepare Report Summary by 2/7/14  Finalize and Sign-Off of Business and Technical Requirements Lead break out Work Groups Update Business and Technical Requirements (BRD/TRD) Executive Stakeholder Approval of BRD and TRD by 2/28/14

4. Confidential: University of California San Francisco Medical Center Slide 3 Interactive Patient Care

5. Confidential: University of California San Francisco Medical Center Slide 4 Interactive Patient Care

6. Confidential: University of California San Francisco Medical Center Slide 5 Interactive Patient Care

7. Confidential: University of California San Francisco Medical Center Scope:  Pilot on two units: Parnassus 15 Long (15L) and Mt. Zion 5 East/West (MZ5EW)  100 devices, distributed 60 on 15L; 30 on MZ5EW, 10 in back up status (5 each unit).  Pilot devices will not have cellular service. Devices will communicate via Wi-Fi network, using Voice, Text and Alarm capabilities supplied by VOALTE product.  Integration with Nurse Call alarms on 15L  Integration with voice system via PRI (for 5-digit dialing within the Medical Center)  Pilot Completed on 11/6/13  Post Pilot Surveys distributed on 11/13/13 15L and 5E/W issuing surveys to user through staff meetings and other gatherings Survey results presented to stakeholders on 1/27/14  Known Issues Still Outstanding with iPhones: Dropped calls and/or poor call quality During a call - the call drops completely (waiting for Wi-Fi) Caller places a call, call connects and user cannot hear other person – Vice versa – the call recipient cannot hear the caller Delayed/Missed Text Messages Users state they receive texts delayed by 5-10 minutes and some by hours Users state they send messages and never receive a receipt – end up speaking (verbal) with the text recipient and they never received the text Slide 6 Voalte Pilot Project – Current Status

8. Confidential: University of California San Francisco Medical Center Root Cause of Issues  Apple iPhone Hardware iPhone 5 / 5C / 5S has a bug in the wireless chipset. The bug makes it difficult for an iPhone 5 / 5C / 5S to switch between different wireless access points. The result is dropped calls or poor call quality.  Apple iPhone Operating System Different versions of the iPhone Operating System (iOS) have had bugs that cause the iPhone to disconnect from the wireless network. The iPhone will only reconnect when a user “awakens’ the iPhone. The result is a delay in messages being delivered or sent.  Wireless Network The current Cisco wireless network is approximately 6-7 years old and there is an opportunity to optimize the network for device connectivity. Next Steps  Test new Motorola MC40 wireless voice-over-IP (VOIP) phone on the new UCSF Aruba Wireless Data Network infrastructure – End of February Test iPhones with new iOS and Voalte application version  Engage Voalte to initate workflow development for departments moving to Mission Bay Integrate the workflow development with Nurse Call and Alarm Integration/Management  UCSF IT will develop a fallback plan in the event that Voalte testing on the new UCSF Aruba Wireless Data Network infrastructure results in a fail result Slide 7 Voalte Pilot Project – Acknowledgement of Facts

9. Confidential: University of California San Francisco Medical Center Slide 8 Children’s Hospital Lobby Kick-off and launch meeting – 12/12/13 Design documents approved – 2/21/14 Prototype submitted – 5/12/14 Prototype approved – 6/12/14 Installation begins – 6/30/14 Installation completed – 7/31/14 Acceptance – 8/14/14

10. Confidential: University of California San Francisco Medical Center Use CaseExamplesCommunicationContentWhereHow “Basic” Meeting Conference callVoice onlyDesktop PowerPoint Conference room Office WebEx WebinarBMS weekly seminar Grand Rounds Two-way audio One-way video PowerPointConference room or auditorium WebEx Video Conference Staff Meeting Candidate Interview Two-way HD video Video PowerPoint Conference room Office Jabber Case Conference Tumor Boards Neuroradiology Conference Vascular Conference Fully Interactive Multiparticipant Conference Audio + Video + Content Sharing Radiology Images (PACS) Pathology Slides EEG PowerPoint Large Conference Room WebEx Slide 9 Teleconferencing - Meeting Use Cases

11. Confidential: University of California San Francisco Medical Center Use CaseExamplesCommunicationContentWhereHow Telehealth Encounter patient examVideoHigh Definition Audio and Video Exam roomJabber or video-enabled cart Telehealth Encounter Patient observation Video“”Patient BedroomInteractive Patient Care (IPC) Telehealth Encounter Home follow-upVideoDesktopPatient from HomeWebEx Telehealth Consult Physician to physician VideoApex, PACSOffice, Consult RoomJabber or WebEx Integrated OR Surgery, transplantVideoOR cameras Mission Bay ORStryker Solution VMIMedical ExamVideo Outpatient* Exam room Video phone Slide 10 TeleHealth - Use Cases * In-patient Interpreting Services to be provided via Telephone or In Person

12. Confidential: University of California San Francisco Medical Center Slide 11 Applications Timeline