1. A Co-development Collaboration Between ALU and UPMC to Enable Telehealth Telehealth Enabled by The Virtual Exam Room

2. UPMC Background Telehealth Landscape ALU UPMC Collaboration Technology Enablement Storyteller Agenda 2

3. $8 billion in revenue 20 hospitals operating over 4,200 beds; 187,000 admissions per year 4.5 million outpatient admissions; 480,000 emergency visits per year 1.5 million UPMC Health Plan members More than 400 outpatient locations 50,000 employees; 2,700 employed physicians UPMC Background 3

4. Addresses an unmet clinical need Improves patient care Enhances physician productivity Extend high quality care to regions/communities in need Telehealth: Why do we need it? 4

5. The Convergence of Technology and Medicine: Telehealth 5

6. Create a quality and safety program Launch an employer onsite clinic Create a continuity of care through eVisits and home care Expand patient outreach through physician access Create telehealth suites for consultations Centralize the telehealth operational model to drive efficiencies Expand services regionally, nationally and internationally Provider Objectives Enabled by Telehealth 6

7. Needs for the Future Scalable infrastructure to support the expansion of Telehealth and enterprise video conferencing across the health system Equipment redundancy with disaster recovery plan Robust support model and service level agreements for support issues Network monitoring, quality of service, and equipment standards Simple to use, effective, integrated workflows

8. UPMC ALU Telehealth Advantage 8 UPMC + ALU Global Reach IT Vision Payer Provider Access R&D Cloud Computing Clinical Experts

9. Build an infrastructure that is proactive about system health Focus on the user experience Example: Video conferencing is magic “But we ruin that illusion by forcing everyone that interacts with it to be an IT expert.” “Any sufficiently advanced technology is indistinguishable from magic.” ~ Isaac Asimov Philosophy 9

10. Choose technologies that are not bottlenecks in the future. Model 10

11. The ALU UPMC Platform Difference 11 UPMC Current StateMarket Current StateFuture State Model:Point to Point ModelCentralized ModelHub and Spoke Model Focus: Specialized Solutions for each Service Line Specialty or Modality Specific Solutions General solution across service lines with clinical workflow engine to accommodate variances Workflow:Workflow FocusLimited WorkflowWorkflow Focus System Dependency: Deep Dependency on UPMC Systems Limited System Dependencies Device Handling: Device Specific Model Device Agnostic Model Support Model: Human Support Model System Health Features for Support

12. Benefits of New Platform 12 Scalable Hub and Spoke Model Service Line Coverage Clinical Protocols Video Device Agnostic Efficient Support Model

13. Experiences Tele-stroke and scalability Tele-dermatology and specialist engagement Tele-consult in burn care Concepts Virtual exam room and employer on-site clinic Virtual hospital room Virtual home Storytellers 13