1. Technology Council of Maryland Health IT Forum “Big Data” and the Real World

2. IMS Health - What We Do IMS Health 11/14/2013 2

3. Pharma Hospitals Government EmployersCliniciansPBMsPharmacies Connected Healthcare IMS Health 11/14/2013 3 Convergence: Everyone Asks the Same Questions CONNECTED HEALTHCARE Health Information Exchange Patients Health Plans

4. Global Healthcare Data & Analytics IMS Health 11/14/2013 4 Creating real-world healthcare intelligence Medical Claims Integrate 7 Billion Transactions / Year Medical Claims Integrate 7 Billion Transactions / Year Treatments 70+% Dispensed Prescriptions Treatments 70+% Dispensed Prescriptions Healthcare Visits 8M Inpatient & 105M Outpatient / Year Clinical Specialties All, including cardiology, neurology, oncology Clinical Specialties All, including cardiology, neurology, oncology Consumers 145M Consumer Profiles Prescribers 1 Million Tracked Weekly Prescribers 1 Million Tracked Weekly Providers 1M+ professionals, 1M organizations & 2M affiliations Providers 1M+ professionals, 1M organizations & 2M affiliations Payers / Plans 8,000 Plans Payers / Plans 8,000 Plans Groups/IDNs 760 Entities Groups/IDNs 760 Entities Longitudinal Rx 2.4 Billion / Year Longitudinal Rx 2.4 Billion / Year Unique Patients 210 Million / Year Unique Patients 210 Million / Year Rx Information 3.0 Billion / Year A SINGULAR VIEW Near-census treatment insights Dynamic representation of total patient care Disparate data sources integrated Privacy protection, encryption

5. “Big Data,” More than a Data Warehouse IMS Health 11/14/2013 5 Data Preparation Data Collection Data Transformation Building Intelligence Knowledge Management Identification Qualification Preparation Implementation Quality Assurance Validation / Certification Product Integration Training Medical / RX EMR Wholesaler Hospital Survey Data On-Site Clinic OTC Dental / Vision Lab Results Data Proprietary Methods Episodes of Care Performance Measures Disease Staging Norms / Benchmarks Provider Clinical Measurement SFE Commercial Analytics R&D Pharmacy Pharmacy Benefit Strategies Consumer Program Integrity Government Data Analytics Consulting Services Privacy Protection Standardization Customization Enhancement Quality Assurance Quality Improvement Integration Application Delivery Data Lifecycle GLOBAL

6. Information & Analytics IMS Health 11/14/2013 6 De-Identification and linkage across data sets Medical Office/Clinic Physician IDs (referring & rendering) Patient ID Pharmacy/ Prescription Retail OTC Prescriber IDs Patient ID Behavioral & Demo- graphics Physician IDs Consumer/ Patient ID Hospital Inpatient/ Outpatient Physician IDs (referring & rendering) Patient ID Laboratory/ General EMR Labs Physician IDs Patient ID Long-Term Care Physician IDs Patient ID Encryption engine protects patient privacy while linking information Encryption engine protects patient privacy while linking information What happens to patients before & after interactions?

7. Real-world evidence IMS Health 11/14/2013 7 Extends beyond definition of data alone Meaningful questions Fit-for- purpose data & analytics Externally validated findings REAL-WORLD EVIDENCE (RWE) Real-World Evidence as a capability— data, tools, processes, organization— underpinning several functions to drive business intelligence REAL-WORLD DATA (RWD) Pharma data (RCT, observational) Mortality, other registries Hospital visits, service details Social media Test results, lab values, pathology results Pharmacy data Electronic medical and health records Consumer data Claims databases

8. Contact Brian Krantz Senior Principal and Director Data and Informatics IMS Health – Government Solutions 703-204-3842 bkrantz@us.imshealth.com