1. Physician Utilization: Driving Acceptance & Adoption Janice Clark IT Product Manager - Physician Computing Sentara Healthcare Norfolk, Virginia June 28, 2005

2. 2 Discussion Topics Who We Are Our Journey Where We Are Today Future Direction

3. 3 Hospitals & Facilities Sentara Norfolk General Hospital Sentara Leigh Hospital Sentara Bayside Hospital Sentara Virginia Beach General Hospital Sentara CarePlex Hospital Sentara Williamsburg Community Hospital Long-term Care Nursing Centers: Ches., Norfolk, Hampton, Va. Beach, Portsmouth, Currituck, and Windermere Assisted Living: Norfolk, Va. Beach, Ches. Enterprises Home Health, Hospice, DME, Medical Transport, Personnel Services Care Delivery Medical Groups Sentara Medical Group Williamsburg Community Medical Group Sentara Healthcare Sentara Health FoundationDivision of Community Health Optima Mental Health Management Sentara Family Care Health Management Strategy & Planning Marketing & Communication Information Technology Human Resources Finance Decision Support Compliance Strategy & Support

4. 4 Require- ments gathering For Physician Computing 19954Q 2004 2Q 2004 2Q 2003 3Q 2004 Physician Computing Journey… Phase I – CareVISION Pilot 1998 1999 2002 1Q 2003 2Q 2005 Phase II – CareVISION general roll-out to community physicians Implement Facility – Based Physician Support Model Business @ The Speed Thought Implement Dedicated Physician Support Desk 1993 Launch of SPIN – Basic Medical Record MDoffice – Physician Portal AGFA Web100 Digital Imaging (PACS) SPIN Web Intranet WI-FI Network completed/ Pocket PC’s delivered to Physicians Labs / PVLs ED Reports Health Plan Referrals Claims Eligibility Physician Web Scheduler MGMT Reports & Carbon Copies New Signing Module & Print Capabilities Application Enhancements Support Milestones

5. 5 Microsoft Case Study “...SpinWeb will provide the patient’s medical records online for any medical team with proper authorization... “ - Bill Gates Microsoft Chairman March 1999

6. 6 Key Milestones Sentara Intranet 1998 Physician Portal/ Internet 2002 Single Sign-on MDoffice 2004 Modem to Modem 1995 E-Care e-Care

7. 7 Dedicated Physician Support Support Model Facility-Based vs Application Support in Hospitals & Practices Dedicated Physician Support Desk Physician Advocates Growth of Physician Support Calls with Dedicated Support Desk 2002 2003 2004 2005 ● Increased Acceptance & Adoption Targeted Support for Physicians Support Environment Internet Access thru Physician Portal Hand-Held Access to Patient Records Dedicated Wireless Network for Physicians

8. 8 Sentara’s Value Proposition Ongoing Training & Education Enhanced Coordination with Physicians Increased Adoption of IT Solutions Sentara IT Infrastructure Integrated Clinical Solutions Physician Portal Facility Based Physician Support Direction of Physician Computing Infrastructure RESULT Increased Adoption by Physicians and Their Office Staff Yields More Time for Patient Care, Enhances the Quality of Care, and Reduces Errors

9. 9 Transformation of Healthcare Enabled by Technology Agfa Web1000 (PACS) CareVISION – Secured Message Center Labs, including micro & AP Health Plan - Referrals, Claims, Member Eligibility Hand-Held Access eCare – EMR / CPOE Clinical Data Repository Continuity of Care Record Interoperability for Community Physicians e-prescribing Patient e-Visits Basic Medical Record Electronic Signing Op Notes Health & Physicals ED Reports Ac Phase 1: Access Phase 1: Access Phase 3: All-Pervasive Physician Computing Phase 3: All-Pervasive Physician Computing Phase 2: Enterprise Integration Physician Portal Phase 2: Enterprise Integration Physician Portal

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