1. Why FIDO Matters? Healthcare Tom Groom CEO October 5th, 2015 Confidential

2. Agenda Cyber Risk in Healthcare Market Trends Patient Engagement & Analytics o Role of Technology in Patient Engagement o Health Care Everywhere o Use of data and analytics in Patient Care Why FIDO Matters? ONC - Federal Health IT Strategic Plan Goals HIMSS – Congressional Ask FIDO Enabled Healthcare Use Case

3. Cyber Risk In Healthcare Image Source: Keeper Security Ponemon study estimates that data breaches could be costing the healthcare industry $6 billion a year and healthcare organizations of all sizes are at risk.

4. Cyber Risk In Healthcare SURFWATCH CYBER in SIGHT

5. Market Trends – Patient Engagement and Analytics Role of Technology in Patient Engagement Increased use of health care technologies is empowering patients Technology tools support increased communication and decision-making across all points of care Patients are becoming ‘consumers’ Patient education and technology coordination will need to be foundational Interesting stat – 25% of consumers use mobile apps to schedule appointments Things to consider:  Improving patient satisfaction and driving outcomes will need to be done in new ways through technology  Organizations can select preferred technologies

6. Market Trends – Patient Engagement and Analytics Health Care Everywhere The location of where care is delivered has moved well beyond health care facilities Non-physician care roles are expanding Patient engagement is increasing through the use of technology New care settings bring new challenges in coordination and access Interesting stat – 50% of health care will shift from hospitals and clinics to homes and community over the next decade Things to consider:  Organizations need to establish billing and tracking protocols to ensure coordination of care activities  Investments will be needed to link and integrate fragmented data

7. Market Trends – Patient Engagement and Analytics Use of data and analytics in Patient Care Increase use of electronic health records (EHRs) is creating more patient-based insights Additional data sources such as medical devices, wearables, and other mHealth applications Data and Analytics-Based insights will drive efficiencies Collecting and analyzing data will be very important – meaningful metrics and outcomes Organizational and Operational barriers must be addressed  Who owns the data? Privacy/Content issues?  Security (Identity Proofing, Authentication, User Delegation) EHR’s Things to consider:  Emphasis on improving data tracking and linking across disparate sources  A focus on longitudinal patient data assets

8. Why FIDO Matters? – ONC Federal Health IT Strategic Plan Goals: Goal 1: Advance Person-Centered and Self-Managed Health Goal 2: Transform Health Care Delivery and Community Health Goal 3: Foster Research, Scientific Knowledge, and Innovation Goal 4: Enhance Nation's Health IT Infrastructure The Office of the National Coordinator for Health Information Technology (ONC) is a staff division of the Office of the Secretary, within the U.S. Department of Health and Human Services. ONC leads national health IT efforts, charged as the principal federal entity to coordinate nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.

9. Why FIDO Matters? – HIMSS Congressional Ask 1.Support Robust Interoperability and Health Information Exchange 2.Expand Access to Teleheath Services for Medicare Beneficiaries 3.Support Healthcare's Efforts to Combat Cyber Threats Healthcare Information and Management Systems Society (HIMSS) is a not-for-profit organization dedicated to improving healthcare quality, safety, cost-effectiveness, and access, through the best use of information technology and management systems. Congressional Ask:

10. Why FIDO Matters? – Healthcare Use Case Patient Access to Immunization Records A Use Case

11. Why FIDO Matters? – Healthcare Use Case The universal questions: Where are my family’s immunization records? What immunization do I need? Why can’t there be one place to get your records? The Solution:  Consumer access to Public Health Immunization Information Systems (IIS)

12. Why FIDO Matters? – Healthcare Use Case Public Health Immunization Information Systems Contain patient immunizations given by physicians, hospital staff, pharmacists, employer clinics. Meaningful use requires providers to report Consumer access is an ACA requirement Scientific Technologies Corporation’s MyIR A record of your & your families immunizations A forecast of what immunizations are due A Certified State Immunization Report (school entry, camps, …)

13. Why FIDO Matters? – Healthcare Use Case Today - Authentication & access currently inadequate Step 1: Register on-line Step 2: Now go to your physician as only they can identity proof you and sign you up. Step 3: Remember your password for access records? Identify Proofing: Are you the patient? Who are family members? Authentication: Password protected only. Low uptake Unhappy users 2016 Step 1: Register on-line Step 2: Identity proof on-line Step 3: FIDO strong authentication to access Increased uptake Empowered users

14. Why FIDO Matters? – Healthcare Use Case Specifications UAF & U2F Certifications “FIDO Ready™” Products S3 Suite Partnerships OEMS, Authenticators Camera Fingerprint Sensor Microphone Secure Execution Secure Storage Location Motion, Heartbeat, etc. M7 Face Recognition Fingerprint Recognition Voice Recognition

15. Why FIDO Matters? – Healthcare Use Case

16. FIDO Enabled MyIR: Ensures consumer engagement Can enable: Outreach - Alerting and notifications o Area outbreaks – flu near me o Immunizations due – age appropriate, new vaccines, … o Location of are vaccines – travel, limited supplies Add patient data from other health data sources o Prescriptions o Lab test results o Patient credentialing e.g. Diabetes awareness o Chronic disease indicators Why FIDO Matters? – Healthcare Use Case

17. Tom Groom CEO HealthNexus (651) 269-2323 Tom.Groom@HealthNexusCorp.com www.HealthNexusCorp.com Thank You