6. Web

7. Prevention Early intervention Improved outcomes More effective management of chronic disease

8. SNF ADLs Homegrown Application(s Document Imaging Data Warehouse Residence Accounting Future Applications Learning Management SNFTherapyHome HealthHospicePharmacy General Ledger Dietary Human Resources Telehealth Shadow IT Organization

9. SNF ADLs Document Imaging Residence Accounting Learning Management SNFTherapyHome HealthHospicePharmacy General Ledger Dietary Human Resources Telehealth RUG & Level of Service Monitoring Active Diagnostics Monitoring Hospital Outreach Active Therapy Monitoring Adverse Drug Event Surveillance Appropriate Pharmaceutical Utilization Active Quality Monitoring Pharmacy Billing Auditing Data Warehouse Homegrown Application(s Future Applications

10. Shadow IT Organization

13. Has this patient been re-hospitalized three times in the last three months? Which patients on Coumadin do not have an INR/PT ordered? Which patients are on 2 or more psychotropic medications? What is the root cause behind the missing INR/PT orders? What is the cause of potentially avoidable hospitalizations? What are the root causes behind these medication orders? Real timeOver time

14. Patient is cooperating so much more in therapy as her cognitive skills have increased Patient is showing much better range of motion in his shoulder Looks like we're starting to see more falls at this facility Are treatments gains resulting in decreased pain medications? Is Nursing staff rating her as showing fewer disruptive behaviors on her MDS? What percentage of our staff has taken the E- Learning on Balance Management? Real timeOver time

16. Physicians Pharmacies and PBMs Hospitals Health & Fitness Device Manufacturers Assisted Living Application Provider Laboratories Skilled Nursing Facility Health Plans Health & Fitness Device Manufacturers Pharmacies and PBMs Application Provider Hospitals Laboratories Physicians Healthcare Associations Employers

17. On admission to a Golden Living facility or to a hospital, a Golden Living Resident may decide to share certain data elements from their HealthVault account. Medications, allergies, and discrete results from home devices (blood pressure, blood glucose) While receiving routine care at Golden Living or when being discharged from a hospital, the institution can share information with the Golden Living Resident’s HealthVault account Discrete data if available, discharge summaries, medication data, etc

19. Amalga Web Community Health System Medications Discharge instructions Lab test results EKG Report Operative Report Medications Discharge instructions Lab test results EKG Report Operative Report Record