1. Healthcare Leaders Embrace Reform 17 th Annual Scottsdale Institute Spring Conference April 14-16, 2010 Camelback Inn Scottsdale, AZ

2. Page 2 Welcome to the Scottsdale Institute!  SI began 17 years ago as healthcare CEOs wanted to better understand IT as a strategic asset.  Our purpose is to support members with IT related investments through networking and collaboration (please note 2010 SI Benchmarking efforts).  49 member organizations include approximately 450 hospitals.  Spring Conferences (here) and Fall Forums (hosted by member health systems).  Weekly teleconferences, publications, virtual communities (SIWebII) and other initiatives are accessed widely by member organizations.  11 Sponsoring Partners support SI both financially and with expertise in all program aspects.

3. Page 3 Welcome to the Scottsdale Institute!  Welcome to the Year of Healthcare Reform! Polarization of ideologues Continued political silence on core issues of overall affordability and alignment of incentives Despite politics – a significant year of change!  Our Executive Panel this year is dedicated to “Preparing for Reform, Stimulus Incentives, and Meaningful Use”. Recent HIMSS conference demonstrated the cynical side of the above: –“fun scavenger hunt would have been to find presentation without words ARRA, HITECH, or Meaningful Use” –“Smartest vendor strategy – guarantee MU” –“Low point – a session that rattled off dozens of government grant programs like the seedy guy in the Free Government Grants infomercial”. We carefully picked our panel – this is a long term investment and the mission remains the same.

4. Page 4 Our Distinguished Panel  All extremely pragmatic and durable individuals that have served the industry for many years: George S. Conklin – Moved from NYC to Houston; survived the culture shock; and helped transform the Christus and its IS function. Carole Cotter & Mary Cooper, MD – Carole has done much at Lifespan for many years with limited resources. Mary is now a partner in arms after training in Philadelphia and at NYP! Bruce Smith – Over 20 years CIO at Advocate and predecessor organization Lutheran General. A good friend recently told me “Bruce doesn’t like to talk about himself, he just gets stuff done”. Brent Snyder – A lawyer, a CIO and a sense of humor! I was recently at a great health system and one of the executives lamented about how well they did it at AE. Bill Spooner – For many years the #2 that made things happen. He has now been the CIO for many years and has made more happen. Bill is the 2009 CHIME CIO of the Year!!

5. Page 5 Questions for the Panel/Audience  What appears to be the most difficult clinical MU criteria for each panelist’s site to meet (and why)?  How are you preparing from a HIPAA/security standard?  Readiness of your reporting systems and processes for the myriad of Quality Measures?  Your levels of confidence in achieving MU?  Your levels of confidence that funding/stimulus dollars will be available?  What internal capabilities are you developing to prepare for and monitor MU efforts?  Do you agree with the AHA’s statements that MU is “out of reach for many providers” and that “currently, no EHR is capable of meeting MU?  Would your priorities and investments be similar without MU and related stimulus dollars?