1. Knowledge Driven Health: Health Information Networks

2. Instructions to Speakers Video – health future vision, Asklepios Case studies – link to customer evidence portion of CIF Add one or more local partners

3. Health Information Networks—Vital for the World The Critical Need to Access Patient Data Enterprise Challenges Important First Steps Around the Globe Key Microsoft Advances Connected Health Framework—Architecture and Design Blueprint The Benefits of Microsoft Health Information Networks Solutions Dynamic IT Optimization Models Microsoft Connected Health Platform Important Next Steps

4. A Matter of Life and Death: The Critical Need to Access Patient Data Every day, healthcare providers and must gather, interpret, and document massive amounts of patient data Sharing accurate patient data is critical to ensure expert care, reduce clinical errors, and minimize healthcare costs Medical errors cause tens of thousands of deaths annually worldwide Government agencies need to be accountable for ensuring public safety Ongoing legislation and government programs are facilitating change

5. Enterprise Challenges Many portals and applications are incompatible Difficulty integrating information within an organization, as well as to outside organizations Patchwork of applications segregated in silos Difficulty rewiring workflows based on changing requirements and goals Intractability of current integration technologies (such as HL7 v2)

6. Health Information Networks Defined Any health-related information exchange between systems –Within the same organization Enterprise Application Integration (EAI) –Across multiple organizations Clinical Data Exchange (CDX) Health Information Exchange (HIE) Regional Health Information Organization (RHIO) Ambitious HIN projects worldwide Driven by the need for increased patient safety, lower health costs and government mandates

7. Important First Steps Around the Globe U.S. Nationwide Health Information Network (NHIN) Enjoys bipartisan political support For more information see: www.hhs.gov/healthit/rfisummaryreport.pdf Canada Infoway Invests with public sector partners across Canada to implement and reuse compatible health information systems that support a safer, more efficient healthcare system Singapore Electronic Medical Record Exchange (EMRX) Allows all public hospitals and polyclinics to share patient records online The Netherlands AORTA program Creates an infrastructure that links patients, professionals and healthcare insurers U.K. The National Care Records Service (NCRS) seeks to link more than 45 million patient records over the next 5 years And many other countries

8. Key Microsoft Advances Developing architectural guidance –A reliable distributed system for health information exchange based on open standards  The Microsoft Connected Health Framework– Architecture and Design Blueprint Developing a partner ecosystem –ISV partners make customer experience repeatable, cost-predictable, and interoperable –SI partners for business consulting, deployment, integration Engaging early adopters –ADD SAMPLE LOCAL CUSTOMERS HERE Developing and profiling the use of standards –Working closely with SDO to define infrastructure standards –Working with customers and partners to refine use of standards Developing a solid infrastructure for Health Information Networks –Prescriptive guidance for the Microsoft platform and reference implementations  The Microsoft Connected Health Platform Knowledge Driven Health leadership worldwide

9. Connected Health Framework: Architecture and Design Blueprint An overarching framework for health industry architecture –Service-oriented health information integration and collaboration Enterprise-, state-, province- and country-wide projects Faster ROI Based on open standards and protocols –Developing pathways to better, more interoperable solutions Faster ROI for customers Easier integration across multiple healthcare treatment areas

10. Connected Health Framework Q&A What is the Connected Health Framework? The Connected Health Framework is Microsoft’s multi-year world-wide industry strategy, encompassing our industry solutions, partner strategy, platform offering and policy initiatives. What is the Connected Health Framework – Architecture and Design Blueprint? The Connected Health Framework – Architecture and Design Blueprint represents a vendor agnostic set of best practices and approach based on Services Oriented Architecture (SOA), for architecting e-Health solutions for health information networks ranging from within healthcare organizations to across multiple government agencies. What is the Microsoft Connected Health Platform? The Microsoft Connected Health Platform is a Microsoft technology offering prescriptive architecture guidance for e-Health solutions built on the Microsoft platform. What is the Health Connection Engine? The Health Connection Engine (HCE) is a reference implementation part of Microsoft’s Connected Health Platform. HCE accelerates the deployment of solutions based on the guidance in the CHF – Architecture and Design Blueprint.

11. Connected Health Framework Architecture Platform Services and Capabilities Collaboration, Presentation and Point of Access, Identity Management, Privacy and Security, Data, Shared Services, System Management, Communication Platform Services and Capabilities Collaboration, Presentation and Point of Access, Identity Management, Privacy and Security, Data, Shared Services, System Management, Communication User and Business Processes Business Components Connected Health Services Hub

12. Ready Partners for Health Information Networks (Create a different partner list for each local area.)

13. Health Information Networks In Action Large medical group (CA): Cloverleaf and Sybase replacement Wilson Medical Center (NC): BizTalk Martin Memorial Hospital (FL): SeeBeyond replacement United States Quebec HIAL (Healthcare Integration Access Layer): Enterprise Service Bus (+HL7) British Columbia Interior Health Authority: BizTalk, SQL Server (CDR+BI) British Columbia Ministry of Health: Partner with Initiate Systems for provincial EMPI, Sierra Systems for BizTalk + HL7 v3 Canada Asklepios Hospital of the Future (Germany): Microsoft/Intel partnership Clalit Health Services (Israel): with dbMotion ROW

14. PLACEHOLDER FOR LOCAL CASE STUDIES OR CUSTOMER EXAMPLES

15. The Benefits of Microsoft Health Information Networks Solutions Microsoft and its partners enable you to: Improve patient care Reduce costs Access patient data—anywhere Devote more time to patients Enhance productivity Simplify information management

16. Patient Safety Relevant Information at the point of care Value Measurement Time Let Doctors be Doctors Cost 33% of US Health Expenditure does not benefit patients The Microsoft Approach Connected Interoperable by design Productive Familiar tools to automate the way you work Best Economics Driving down the cost of healthcare technology Dependable Proven and Robust

17. The Microsoft Platform for Health Information Networks Leverage.NET Framework as the infrastructure for Health Information Networks Service Oriented Architecture Web Services and XML Use BizTalk Server as the key integration technology Accelerators for HL7 and HIPAA for standards support Native support for XML standards and Web Services Use SQL Server for the clinical repository Information integration enables new opportunities Clinical portals KPI and business intelligence

18. Dynamic Applications Core Infrastructure Application Platform Business Productivity Identity & Access Security Networking Management Virtualization User Experience Business Intelligence SOA & BPM Data Management Development Search Business Intelligence Unified Comms Collaboration Ent. Content Mgmt. Dynamic Infrastructure Dynamic Business Dynamic IT Optimization Models

19. Dynamic Applications Core Infrastructure Application Platform Business Productivity Dynamic Infrastructure Dynamic Business Integrated Platform

20. Service Enablers.NET Framework IIS Silverlight Virtual Earth BizTalk Services (relay, authentication) Live ID and online services Exchange Hosted Services (Forefront, filtering) Windows Update Windows OneCare Dynamics CRM Live Live Meeting Service Hosted Exchange, SharePoint, Office Communication Server “Building Block” Services “Attached”Services “Finished”Services Active Directory Stateless Virtualization Software And Services

21. The Microsoft Connected Health Platform Based on the solid foundation of the Microsoft platform Includes specific prescriptive guidance –The Connected Health Framework Architecture and Design Blueprint Includes reference implementations and building blocks –The Health Connection Engine –The Microsoft Health Common User Interface A healthy partner ecosystem

22. Critical Points to Ponder Healthcare providers and government agencies need immediate access to accurate patient data Microsoft and its partners offer dynamic, easier solutions for Health Information Networks The bottom line: Microsoft is committed to help healthcare professionals provide the very best in patient care, more easily and more efficiently

23. Important Next Steps The Connected Health Framework – Architecture and Design Blueprint http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx Get more details at http://msdn.microsoft.com/healthhttp://msdn.microsoft.com/health –Contact your local Microsoft subsidiary or visit health@microsoft.com health@microsoft.com –Provide feedback and discuss on http://SolShare.nethttp://SolShare.net –Learn more by reading this comprehensive whitepaper: http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx http://www.microsoft.com/industry/healthcare/businessvalue/chframework.mspx Strategize service-oriented business and technical architectures –Leverage Microsoft’s platform for security, collaboration, management and integration

24. Microsoft Health Q&A