1. Transform Clinical Content Management & Collaboration Using Interoperability to DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2. Clinical content growing rapidly In the past, hospital imaging strategies focused on radiology departments using VNA using PACS and

3. Clinical content growing rapidly Providers have become one of the largest consumers of data, with imaging making up over 33% of all data generated within healthcare. * SOURCE: The Enterprise Strategy Group, Research Report: North American Health Care Provider Information Market Size & Forecast *

4. Clinical content growing rapidly But it doesn’t just stop with DICOM content. While full of holes, electronic clinical content is made up of 80% unstructured data. * * SOURCE: The Institute of Health Technology Transformation (iHT 2 ),, Research Report: Analytics, The Nervous System of IT-Enabled Healthcare

5. INCREASING CLINICIAN DEMAND Any FormatAny SourceAny Location

6. Expecting Integration Requiring access to the complete patient record from the EHR Regardless of where this content resides, providers now need it available, on-demand, at the point of care—anywhere, anytime, on any device.

7. Fragmentation reality Top Rated Hospital EHR LOGIN USERNAM E PASSWOR D LOGIN johnreeves ************ NO EHR INTEGRATION NO SHARING ENTERPRISE EHR DEPARTMENTAL PACS / VNA CLINICAL SYSTEMS & REPOSITORIES

8. SHARE AGGREGATE & OPTIMIZE EMC’s standards based approach ENTERPRISE EHR HL7 PIX INACTIVE CLINICAL SYSTEMS FRAGMENTED CLINICAL SYSTEMS XCA/I CDA XDS/I FHIR MHD PPIC REST BPPC PDQ IUA VIEW ALL FORMS OF CLINICAL CONTENT EMC SEARCH ARCHIVED CLINICAL CONTENT ENTERPRISE-WIDE ACCESSIBILITY HEALTHCARE COMMUNITY

9. The new reality Top Rated Hospital EHR LOGIN USERNAM E PASSWOR D LOGIN johnreeves ************ ENTERPRISE VENDOR NEUTRAL ARCHIVE XDS REPOSITORY XDS REGISTRY ENTERPRISE EHR CLINICAL SYSTEMS & REPOSITORIES FULLY INTEGRATED IMAGE- ENABLED EHR XCA-I XCA XDS-I XDS ENTERPRISE- WIDE ACCESS COMMUNITY ACCESS DEPARTMENTAL PACS / VNA HL7 PIX CCD PPIC CDA PDQ

10. Centralized Imaging Archive Case Study (Finland) Medical images were stored in data repositories that were vendor and/or system specific Made sharing of the information between hospitals and systems within the region difficult, or even impossible Created significant expense when migrating medical applications as medical data was proprietary formats EMC was able to migrate multiple data repositories into a single, standard, shared format to build the world’s first cloud archiving service based on XDS technology: Provides services to store, publish, search and retrieve imaging related documents Stores 1 million medical images annually (over 100TB) Considerable cost savings realized Value through access to patient information across modalities, hospitals and clinical disciplines CHALLENGESOLUTION

11. Centralized Imaging Archive Case Study (Finland) VIEWERS SERVICES CONTENT MANAGEMENT PACS and other imaging PortalsGeneric XDS consumers DICOM and HL7 interfaces EMC Documentum Healthcare Connector XDS interfaces EMC Documentum XDS connector Repositories (imaging manager, XDS registry, XDS repository) EMC Documentum Services (archiving, lifecycle management, retention policies, storage management, data transformation) EMC Infrastructure Services (server virtualization, network power, compute power, tiered storage capacity, high availability, serviceability)

12. National Health Archive Case Study (Finland) A comprehensive view of patient information was unavailable to clinicians System hospitals, private clinics and pharmacies were unable to exchange patient information between facilities Needed a common way to share all patient information by leveraging healthcare standards (HL7 / XDS) EMC was able to build one of the world’s first unified national patient record archives based on XDS technology to keep digital healthcare information protected, secure and continuously available for: 300,000 professionals within the Finnish public healthcare and pharmacies, as well as private medical clinics 5.3 million Finnish citizens Pioneered IHE XDS profiles supporting medical information exchange ROI Expected to generate major financial savings, among improvements in patient service, diagnostic excellence and other areas of delivery CHALLENGESOLUTION

13. Integrated Platform Case Study (United Kingdom) Demand for services was growing as funding declined Older legacy clinical systems were proving inadequate and costly to maintain No single view of the medical record or facility to share information—affecting productivity and patient care Regulations mandated increased data security EMC delivered an integrated solution for managing and sharing patient information and images using XDS technology to optimize care through: A single enterprise content management platform A regionally shared VNA Integration with their EHR to address clinical access and patient care needs ROI Significantly reduced operational costs, while meeting the ever growing demand for immediate access to clinical information CHALLENGESOLUTION

14. Integrated Image Sharing Case Study (Belgium) Mostly proprietary storage for electronic documents, scanned documents and for digital PACS images Inability to retrieve and share documents from these systems on-demand Difficult to manage upgrades to storage silos, in addition to long backup and restore times EMC delivered a single, vendor- neutral clinical content repository leveraging open data standards for DICOM, HL7 and XDS to: Aggregate medical images and patient documents across multiple systems Provide seamless access to all forms of patient information Ensure compliance to defined retention policies and security Increased care quality due to immediate access to information, with no record-access downtime ROI Financial return recognized through system consolidation, while improving operational efficiency CHALLENGESOLUTION

15. National Healthcare Cloud Case Study (Georgia) Lacked complete platform to support government mandate for an electronic healthcare system (a national EMR) Inability to implement international standards to capture a minimum data set of electronic medical records No mechanisms to monitor, govern or audit the level of care being provided to citizens EMC was able to centralize all forms of patient information and content enable the EHR to provide access to the national medical archive utilizing XDS and cloud technology, enabling: 360 degree view of the medical record, accessible across the continuum of care Management and sharing of documents and medical images ROI Increased efficiency and maintained a consistent level of care service by being able to seamlessly store and access medical data from a single source CHALLENGESOLUTION

16. National Healthcare Cloud Case Study (Georgia) NATIONAL HMIS EMC VCE vBlock Infrastructure Services (server virtualization, network power, compute power, tiered storage capacity, high availability, simplified support) EMC Documentum Services (archiving, metadata, content, lifecycle management, retention policies, storage management, high availability) EMC Connector (non-XDS Systems) (using HL7, DICOM, CDA) EMC XDS Registry EMC XDS Repository Web Application Portals (hospital, doctor, patient, government) Healthcare Platform (central EHR, central HIS, messaging fabric) Business Intelligence and Reports Design PARTNER