1. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 1 Cisco TelePresence for Healthcare Providers Healthcare Solutions Marketing

2. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 2 Agenda Healthcare Challenges Cisco TelePresence Relieves Challenges Use Cases on Key Areas for Collaboration Why Collaboration and Next Steps

3. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 3 Healthcare Industry Challenges…  External pressures Aging population Shortage of providers Constant/increasing sickness rate Regulations  Internal pressures Growing cost structures Operational complexity Stagnant/reduced budgets Healthcare Providers Must Improve Services While Reducing Costs

4. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 4 Cost-effective Clinical Collaboration Enable Virtual Care Team Consults Manage Distributed Operations Scale Scarce Resources Cost-effective Application Implementations Create Specific Collaboration Challenges Better collaboration can ease these careabouts for providers

5. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 5 Existing Collaboration Does not Meet Required Levels of Interaction "Actual" Collaboration Falls Short of CEOs' Desired Level “The huge gap between the need for collaboration and the ability to do so is clearly a significant roadblock…” IBM Global CEO Study Collaboration Gap Sources: IBM Global CEO Study, 2006; Cisco IBSG, 2008

6. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 6 Sources: Human Productivity Lab 2006 Pearn Kandola:The Psychology of Effective Business Communications in Geographically Dispersed Teams 2006 People remember… 20% …of what they hear Importance of Life-Size Visual Traffic  30% of brain’s cortex devoted to vision, 8% for touch and 3% for hearing  More than 60% of communication is non-verbal 70% … of what they see and hear 30% …of what they see TelePresence Bridges the Collaboration Gap

7. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 7 Agenda Healthcare Challenges Cisco TelePresence Relieves Challenges Use Cases on Key Areas for Collaboration Why Collaboration and Next Steps

8. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 8 Cisco TelePresence Produces an Immersive Experience  Integrated visual, audio and video components delivers valued characteristics of a face-to-face meeting  Cisco TelePresence creates a life-like collaboration experience through:  Smooth and realistic motion  Accurate color replication  An apparent eye-to-eye viewpoint  A superb sound rendering accurately synchronized with the images presented  Allows continuous interaction of several hours duration without user fatigue

9. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 9 Cisco TelePresence Benefits to Healthcare  Enables business transformation to create innovative processes –Creates greater access to healthcare providers in geographically dispersed locations –Provides better and more frequent collaboration between healthcare providers (doctors, specialists, and researchers, etc.) –Expands access for the medical community to accelerate diagnosis and decision-making with real-life, geographically dispersed collaboration  Addresses current economic pressures –Expands healthcare reach without increased travel costs for patients and doctors –Scales specialists ability to serve more patients –Reduces recruiting costs while expanding pool of candidates

10. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 10 Agenda Healthcare Challenges Cisco TelePresence Relieves Challenges Use Cases on Key Areas for Collaboration Why Collaboration and Next Steps

11. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 11 Executive Challenges Physician and Clinician Collaboration  Enhance physician and clinician productivity while maintaining access to on-going training and collaboration  Provide a more efficient access to and effective tools for resident training  Enable more efficient processes to convene more specialist collaboration (e.g., Tumor Boards)  Enhance large forum training by providing a more immersive experience for participants

12. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 12 Cisco TelePresence Example Manage the Cost of Internal Collaboration  Deployed Cisco TelePresence rooms at major healthcare facilities in 5 countries  Skilled physicians can share knowledge and training, collaborate “live,” and scale globally  Visual experience facilitates learning, human interaction in highly cross-cultural context Solution Impact  Better collaboration and effectiveness for continuing medical education and resident training  Improved patient care with better and more frequent training  Lower costs of training residents and staff, saving time and travel costs  Greater staff satisfaction as a result of less business travel Healthcare Facility - US Issue  Diversified healthcare provider must promote on-going collaboration amongst staff on a global basis Healthcare Facility - Europe

13. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 13 Large Global Healthcare Corporation Uses Cisco TelePresence to Improve Communications Challenges  Over 46,000 employees in 26 countries  Must enable effective communication and collaboration among globally dispersed teams  Find ways to accelerate decision-making Solution  Deployed Cisco TelePresence technology to enable “virtual” collaboration to simulate face-to-face meetings Benefits  Better collaboration created a new immediacy that led to faster problem solving and greater creative synergy  Ability to work directly with physicians to improve medical product effectiveness  More efficient and successful hiring process  Travel savings “TelePresence has enabled faster decision making and problem solving among groups who use it. It’s streamlining the way projects move through the system.” Vice President of IT, Bioscience, Large Healthcare Company

14. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 14 Executive Challenges Collaborative Consultation  Advance clinical consultation to locations without subject matter expertise  Provide remote specialist consultation for patients without direct access to care  Improve research collaboration across multiple sites and organizations  Increase patient referral accuracy from remote sites to main sites  Provide care from remote sites by improving physician recruiting and retention of specialized skills

15. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 15 Cisco TelePresence Example Optimize Scarce Expert Resources  Hospitals collaborate to offer improved services not available in satellite or remote settings  Physicians' collaboration improves diagnosis and treatment  Reduces cost of care Impact  Deployed Cisco TelePresence, linking a third of its 100 hospitals and surgery centers in North America: 30 TelePresence rooms (1- screen)  Offers virtual care, allowing hospitals to utilize each other's areas of specialization (remote hospital virtual ICU; cross-training; diagnostic; faster adoption of new protocols) Solution Remote Locations Access to Clinicians Issue  Limited clinician resources meaning remote patients are potentially subject to reduced quality of healthcare  Specialized diagnosis and care require face-to-face interaction  Need cost efficiencies to scale services with limited clinician resources

16. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 16 Scottish Centre for TeleHealth Provides Innovative Patient Care Delivery Challenges  Improve access to healthcare services in rural and urban areas  Scale healthcare services to meet increasing patient demand  Optimize the use of scarce medical expertise Solution  Cisco HealthPresence system for remote consultations –Creates a virtual “in-person” doctor visit –Integrates with call-center technology, offering increased scalability and optimization of scarce clinical resources –Uses the network as a platform to provide the foundation for more efficient collaboration Benefits  Provided diagnoses consistent with face-to-face consultations  Received excellent feedback from both patients and clinicians  Received an agreement to extend the NHS Scotland/SCT pilot “Cisco HealthPresence is an asset to improve the quality of telephone advice and triage. Being able to visualize and have physiological parameters on a patient will improve patient care. It also enables us to offer convenience for patients and service delivery efficiency for our doctors.“ Dr. Karyn Webster and Dr. Fiona Mair, Royal Aberdeen Infirmary, Scotland

17. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 17 Executive Challenges Innovative Corporate Management  Provide executive oversight to regions and divisions  Enable more effective weekly, monthly or quarterly meetings with regional leadership  Optimize research grant collaboration, which requires interviews, progress reports and decision-making  Improve staff and operational meetings which often require extensive travel

18. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 18 Cisco TelePresence Example Provide Executive Leadership as Company Grows  Held weekly strategy meetings with high-level executives to chart new course, review progress  Frequent meetings helped healthcare provider’s executives better understand challenges  Realistic, “face-to-face” meetings helped develop trust among executives across regions and eased transition for regional hospitals Impact  Provider deployed Cisco TelePresence in all major facilities, and in new regional markets — Raleigh, Dallas, Seattle, and San Diego Solution Issue  Hospitals often are centrally managed with branch locations that need executive oversight  Teleconferencing has limited impact, so face to face meetings are needed  Meetings require travel, at great cost which consumes time, fuel, and increases the carbon footprint Regional Hospital Healthcare Executives

19. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 19 Executive Challenges Virtual Application Training  Assure that staff will use the new clinical application effectively through instructor led training  Reduce travel costs from training at various sites  Increase clinician productivity  Improve the level of training

20. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 20 Cisco TelePresence Example Reach More Clinicians with Optimized Training  Clinicians trained across multiple geographies simultaneously  Increased access to remote expertise and ultra-rich multimedia interactions, rather than static, text-based training or asynchronous, Web-based e-learning  Lower training costs  Reduce time for clinician productivity on new systems  Accelerated application implementation Impact  Deployed Cisco TelePresence units in 10 regional hospitals in 10 major metropolitan areas to maximize coverage of clinicians  Remote, video-based training on the new clinical applications to existing and new clinicians from all 10 locations over TelePresence each day Solution Issue  Leading healthcare provider has implemented a new clinical application across their entire healthcare system  Seeking new avenues to effectively train to existing and new clinicians on the application Healthcare Application Trainers Remote Clinicians

21. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 21 Agenda Healthcare Challenges Cisco TelePresence Relieves Challenges Use Cases on Key Areas for Collaboration Why Collaboration and Next Steps

22. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 22 Why Collaboration  Collaboration is essential for managing global environment cost-effectively  Existing collaboration tools are inadequate  TelePresence is a transformational collaboration tool Enables new business models Improves operational efficiency Cost-effective global team management

23. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 23 Service DetailsService Benefits Cisco TelePresence Planning, Design and Implementation Service  Employs industry best practices to assesses network and operation readiness  Prepares remediation plans  Develops and validates network design based on business and technical objectives  Delivers deployment support guide  Avoids expensive redesigns using proven methodologies  Augments in-house capabilities  Decreases implementation time  Mitigates risk during implementation  Improves productivity by designing proper coverage and capacity  Speeds convergence with other Unified Communications apps Successfully Deploy TelePresence Solutions

24. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 24 Essential Operate Cisco TelePresence Services Offerings Services  Technical and maintenance support  Anytime access  Server hardware replacement  Application software updates  Cisco.com knowledge base access Benefits  Seamless experience  Rapid issue resolution  Online tools, resources, knowledge base  Reduces downtime  Maximizes technology investment “Maintain High Availability, Reliability and Operational Efficiency” Select Operate Services  Cisco operated 24x7 remote management  Incident and problem management  Change and release management  Configuration management  Availability and performance management reporting Benefits  24x7x365 single point of contact  Lowers the TCO  Reduced downtime  Better usability and manageability “Proactive Remote Monitoring and Management” Remote Assistance Services  Optional service option if Select Operate is purchased  Accessible via help button on Cisco IP phone in TelePresence room  Remote call scheduling assistance  Remote call set up assistance  “How do I” help desk Benefits  Single point of contact  Quick answers  Ensures a smoother more effective TelePresence experience “Real-time Administrative Support during Cisco TelePresence Sessions”

25. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 25 Next Steps  Engage Cisco Advisory Services to evaluate collaboration opportunities and readiness  Schedule a Cisco TelePresence experience demonstration  Identify key cost-savings opportunities  Utilize Cisco TelePresence “Try and Buy,” “Try on Us,” or Managed Services “Try and Buy” program through Cisco partner AT&T

26. © 2006 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 26