1. PHMR: Building the Future Development, First of Type and Beyond Andrew Michaelson, Systems Integration Specialist Tunstall Healthcare (UK) Ltd.

2. Why PHMR matters to Tunstall Delivering managed services at scale Manual processes cannot scale Proprietary, bespoke interfaces are a poor solution Integrated Telehealthcare Delivering data to the point of care Smarter systems and informatics Global markets A single standard, worldwide Better for patients, better for business 2

3. Development of the Release Candidate Richard Trusson and the ITK Team provided: 1. A very inclusive process A community of stakeholders Dedicated portal, message threads and documentation Frequent requests for comments and design recommendations Regularly scheduled WebEx sessions were particularly valuable 2. Architect-to-architect engagement, not just rubber stamping 3. Rapid turnaround of answers and comments A golden opportunity to engage and share 3

4. The ‘First of Type’ programme Early face-to-face engagement onsite Sounding board for implementation and collaboration ideas Technical meeting in early October 2012 Applicable CDA concepts and rules Implementation ‘Quick Start’ advice & guidance Introduction to ITK accreditation – Jane Murphy Telehealth Suppliers Accreditation Workshops, November 2012 Continuing support for First of Type suppliers Valuable support for early adopters 4

5. Where do we go from here? Adding value to traditional Telehealth services Finding new ways to improve healthcare Scaling out as well as up Opening doors to ‘First of Type’ services A ‘Gold’ standard for DALLAS interoperability Interfacing PHR with statutory services Multi-platform service delivery Looking beyond First of Type 5

6. In Summary The time for PHMR has truly arrived Strong stakeholder engagement sought and gained Consistent levels of support and contact produce results Realistic goals and well run, yet generally informal processes We have a solid platform… What have we learned so far? 6 now to build something really great

7. Tunstall Healthcare (UK) Ltd Whitley Lodge Whitley Bridge Yorkshire DN14 0HR t:01977 661234 f:01977 660562 e:enquiries@tunstall.co.uk w:tunstall.co.uk All slides in this presentation are copyright Tunstall and must only be reproduced with express permission. © 2012 Tunstall Healthcare (UK) Ltd