5. Many Teams Own These Overlapping Responsibilities

6. Combined Teams* More Collaboration Overlapping Responsibilities *being discussed

9. Lync13-FE03 Internet Reverse Proxy DMZ Internal RP1 RP2 Lync-Edge1 Lync-Edge2 Windows NLB (HTTP) DNS LB (SIP Only) Hardware LB (HTTP) DNS LB (SIP Only) Lync13-FE02 Lync13-FE01

15. BYOD Hospital is on an island Expanding into community Space savings Work from home Remote Coders Mobile generation Shared workstations Bed tracking – unit coordinators Expansion Modernization of Workforce

16. x 3000

17. Nursing (3000) TGH-Employed Physicians (50) SRC (25) Environmental Services (50) IT (230) HVAC (25) TGMG Physicians (45) Leadership (150) PCLC (110) SMT (24) Board (12) Lift Team (25) Infection Control (20) Clinical Research (12) Transplant Coordinators (100) Respiratory Therapists (20) Dietary (50) TGH Staff (7000) On-call Groups (50) Non-TGH Physicians (1700) Clinical Non-Clinical by number of users, not devices

20. Routing Physicians RequestorDevice Footprints Application Lync Mobile Patient TGH Employee SCADA IM Office 365 Email Email Lync Enterprise Voice Facilities iPod Touch Amcom Paging Footprints Phone call Ticket Delivery Response

23. ELi ECHO AD Exchange Lync SharePoint Mindlab Diamond II Amcom Epic MedStaff HR Operators Kronos Human Input Systems

29. Clinicians Voice Mobile Connect Email On-call Schedule Operators Care Connect Lync Skype Patients Requestor System-generated PresenceRoutingPhysician Cell Phone GWN Haiku Epic Mobile App Home Phone Code Groups