1. Community Healthcare Access Presentation for the Health Information Technology Summit West March 8, 2005 Theresa McGillvray-Dodd, Siemens Product Manager

2. 2 Introducing “Community” “A class or group with common interests”…Webster’s definition of a community.

3. 3 Community Goals Healthier Population  Patient Safety  Quality Care Delivery  Promote Personal/Public Health Improvements Better Expense Management  Improved Use of Resources  Streamlined workflows  Shared information

4. 4 Siemens Vision of Connecting Communities “CHIN” – Community Health Information Network Telehealth/Telemedicine Initiatives Health Information Websites Patient Portal

5. 5 Attention at the Highest Levels

6. 6 Public and Private Money for eHealth Initiatives National Health Infrastructure Initiative (NHII) eHealth Initiative Consolidated Health Informatics Initiative (CHII) President’s Information Technology Advisory Council (PITAC): EHR+CPOE+CDS+NHII AHRQ Grants for Transforming Healthcare Quality Through Information Technology (THQ-IT) HHS Demonstration Project for Doctor’s Office Quality Through Information Technology (DOQ-IT) HHS-AMA Consortium Standards for Quality Measurement

7. 7 Industry Impacts of NHII Cost savings of tens of billions, if not hundreds of billions, over the next 10 years (NHII 2004 IT panel) Reduce medical errors by 80% or more through the use of EHR Enable personalized medicine, earlier and more effective treatments Eliminate the slow processing of patient information through old technologies Drive the availability of secure electronic medical records Detect patterns and protect against bioterrorism through real- time aggregation of health data Enable more informed healthcare decisions for consumers

8. 8 What Does NHII Mean to You? React to change without losing focus on key drivers; Control cost, improve quality, grow market share, remain competitive, increase efficiency and safety Change in business process Need to move towards electronic operations Incentives currently being evaluated Siemens support and partnership Working collaboratively with NHII Supporting standards/mandates Developing our portfolio in line with NHII direction Protecting your investment

9. 9 Strategic Framework Goals & Strategies Goals Strategies Examples Inform Clinical Practice Incent EHR adoption Reduce risk of EHR investment Promote EHR in rural and underserved areas OHSU SHANDS Cleveland Clinic South Florida Denver Health Susquehanna Interconnect Clinicians Foster regional collaboration Develop a national health information network Coordinate federal health information systems St. Luke’s LifeSpan Nebraska Heart Virtua Alegent NPN/PCMS Personalize Care Encourage use of PHRs Enhance informed consumer choice Promote use of telehealth systems Meridian Rose Medical Group NPN/PCMS Improve Population Health Unify public health surveillance architecture Streamline quality and health status monitoring Accelerate research and dissemination of evidence Methodist Hospital-PHL Baptist Trinity Homecare WellPoint Novartis NPN/PCMS

10. 10 Future State Health Care Delivery – Connected Health Home Care DX, TX, & Surgi-Centers Labs SNF’s Quality Review Organizations Employers Payers Citizen Private Practices Owned/Affiliated Practices Public Health Institutions Retail Pharmacy Alternative Medicine Pharma, GPO, Genomics Hospitals/ Rehab

11. 11 Community Connectivity: Key Features ED follow-up Scheduling requests Results request Records request Patient Online consultation Request for appointment Referral request Refill medication request Insurance & Billing questions Personal Health Record Set reminders Records request Health Plan Remote disease management Discharge planning Single sign-on Claim notification Medical Group Messenger model polling Member roster management Online fee schedules General message Physician Phone log Intra-office communication Referrals PCP to specialist Results delivery Online fee schedules Patient communication Set reminders Hospital

12. 12 Siemens as a Market Leader Leader in Advocacy AAFP Partners for Patients Leader in Standards HL7 member benefactor Participation on the Continuity of Care Record (CCR) workgroup Providing Leadership in developing ANSI X-12 270-271 data sets

13. 13 Working on Collaborative Networks Create an infrastructure for secure information exchange  Share clinical information among physicians and other providers  Make clinical information available regardless of where care is delivered  Improve privacy and security of health information  Improve patient-practitioner relationships

14. 14 What is Siemens offering to the market? Soarian Community Access Soarian Portal (Dashboard) Community Connection (ReachMyDoctor)

15. 15 Soarian® Portal with Soarian Community Connection

16. 16 Physician or Staff view of Community Connection Inbox

17. 17 Patient view when signing on to Community Connection

18. 18 Collaborative Care Network

19. 19 Value Ramp

20. 20 Where are we going? Soarian Community Access Phase II: Value Add E-prescribing EMRs Eligibility Disease Management Soarian Community Access Phase III: Integration CNI Soarian Clinical Access Soarian Financials / Scheduling Patient Access Home Health Net Access

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