1. Inland Northwest Health Services Collaboration Drives Innovative Health Care Michael Smyly Chief Business Development Officer INHS 12 December INHS / IRM Business CONFIDENTIAL 1

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3. Healthcare Landscape: Regulation and Reform 3 Nov 2011 ACO Final Rules 3

4. The Big Picture PAYMENT REFORM  Value Based Purchasing  Bundled Payments  Shared Savings Program (ACO)  Medical Home Model Stage 1 Store Coded and Structured Information in the EMR Stage 2 Begin Vigorous Data Exchange to Promote Coordinated Care Stage 3 Improved Outcomes and Reduced Costs Shown through Robust Set of Quality Reports

5. Stable IT infrastructure Desktop LAN/WANInternet Disaster Recovery Integrated Electronic Health Record Systems EMR Data StandardsEvendence Based Protocols Interoperability Quality Measures and Reporting Data Driven Definitions Clinical & Payer Data Clear Targets Audit & Accountability Improved Patient Outcomes Public Access to Data Patient WellnessCompete on For Healthcare Shopping IncentivesQuality & Price Heathcare Transparency IT Role in Transforming Healthcare

6. - Thank You - 4 January 2012INHS / IRM Business CONFIDENTIAL 6