1. : Why? Why Healthcare needs broadband everywhere What it can do Why it is important to all of us Wayne Easterwood, Chief Information Officer Broadband - KY

2. Patient Engagement is the blockbuster drug of the century Leonard Kish, Healthcare strategist quoted in Forbes magazine 9.2.2012 Broadband - KY

3. Ownership - Responsibility Connection – care between visits Coordination & Collaboration - What in the World is Patient Engagement?

4. Better Health Better Quality Lower Costs Triple Aim of HealthCare Reform

5. Because healthcare transforming impact will happen out in the community & in homes not in the hospitals and clinics. Why does this matter to you

6. Healthcare - hospital focused Readiness, Responsive, Crisis, Always On Today’s Healthcare = Sick Care

7. Medicaid Readmission Health Complexity 90%+ psychotropic medications prescribed by PCP Future = Wellness

8. One of nation's largest providers of behavioral healthcare. Not-for-profit organization Whole-person health Full range Behavorial health addiction disorders intellectual & developmental disabilities Integrated primary care Centerstone At a Glance

9. 85,000 children, teens, adults and families each year Illinois, Indiana, Florida, Kentucky and Tennessee 150+ facilities & 220 partnership locations 2600 Clinic and Community Staff Additional 400 in nationwide provider network. Primary Care Clinics embedded Majority of footprint in rural communities Centerstone At a Glance

11. TeleHealth CrisisChat, CaseMgt CareMgt Health Navagation Foster Care CoAction 3 Quick Examples

12. Actively - 15 years Telemedicine – Telepsychiatry - Telehealth

13. Clinical Telehealth Carts – Universal (29) Mobile Crisis Teams (10) Laptops Hospitalizations CON (5) iPads Telehealth Current Picture

14. What is Next Where are We Going Extracting Capacity, Accessible Specialties

15. What is Next Where are We Going Extracting Capacity, Accessible Specialties Integrated Physical Health High Utilizers, Super Utilizers Incarceration & Law Enforcement

16. Multi-specialty Network (43 carts, 16 iPads) Super Utilizer Pilots Smartphone based – (130 devices) Telehealth Developing Innovation Projects

17. Two Canoes – One foot in each canoe

18. Optimize vs. Opportunity Today Telehealth can be: A solution to improved access A key lever to reduce cost Tool to Extract lost capacity Path to Increase productivity Care taken to not reduce revenue

19. Optimize vs. Opportunity Tomorrow Telehealth likely be an Essential element to Value Based Care Models Health Homes, Medical Homes Tool to Building competencies in Integration & Collaboration Intervention & Prevention

20. Optimize vs. Opportunity Payors happy to allow you to Improve service, squeeze waste, do more for same rates. Become Well tune, highly optimized commodity On your Dime That is A Race to the bottom Strive to be Value for new markets Build competencies Build differentiation