1. The Nexus Effect - Managed Cloud Interfacing for Data Exchange Presented by: Joseph Wortmann Vice President of Operations at YourCareUniverse DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2. The Problem with Direct Interfacing A A B B C C D D E E F F G G H H

3. Interface Engine Solution to Direct Interfacing Interface Engine A A B B C C D D E E F F G G H H

4. Advantages of the Interface Engine Approach Creates an abstraction that simplifies - 8 versus 20+ connections Substantially more maintainable and sustainable Places control of interfaces back in the hands of the hospital

5. Disadvantages of the Interface Engine Approach Potential single point of failure Interface engines can be expensive Interface engineers are expensive and relatively rare Abstraction is limited to facility or IDN scope

6. Why is Scope So Important? Healthcare interfacing world has changed Forced interaction between facilities and the state –Forced for Public Health Reporting by Meaningful Use U2 –Being forced by states for Medicaid reporting ACO model forces interaction between facilities Outreach Lab and Rad models forcing interaction between facilities Others being added constantly

7. Facility/IDN-Based Interface Engines Cannot Address the New World Order

8. Why? A A B B C C D D E E F F G G H H

9. Cloud-based Interface Engine A A B B C C D D E E F F G G H H

10. Managed Cloud-Based Interface Engine Solves the New World Order problem through abstraction Must be: –Owned by an independent third-party –Managed – creation, monitoring and maintenance –Located in the cloud –Fully secure –Purchased operationally

11. Advantages of Managed Cloud-Based Interfacing All the advantages of facility/IDN-based interface engines without: –Single point of failure –Capital expense –Personnel expense Not limited by scope

12. Thank You!