1. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Assessing Your Needs and Preparing RFPs… Brian Anderson Southeast Zone MedSeries4 Account Executive

2. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 2 Request For Proposal FUNCTIONAL REQUIREMENTS Met Fully Under Develop ment Not Available General Product Overview Do you provide implementation services? Briefly describe. Does your product support online help? Does your product support online documentation? Briefly describe format. Can users modify or customize the documentation? Can users print the documentation? Do you provide support 24x7x365? How do users contact your support department? Do you provide software and hardware support? Do you have an escalation policy? Briefly describe. Does your system provide a hosted (ASP) option? Briefly describe. Has your system been CCHIT certified? Explain. Can your software provide support the main tenants of HIPAA (e.g. code sets, transactions, privacy and security)? Do you support HIPAA auditing? Describe.

3. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 3 We hear you…  EHR Assessment Tool  Roadmap Tool  ARRA Calculator

4. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 4 HIMSS Analytics EMR Adoption Model ℠ Trends Stage 7 Stage 6 Stage 5 Stage 4 Stage 3 Stage 2 Stage 1 Stage 0 Stage Cumulative Capabilities 2007 Final 2008 Final Medical record fully electronic; HCO able to contribute CCD as byproduct of EMR; Data warehousing in use Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS Closed loop medication administration CPOE, CDSS (clinical protocols) Clinical documentation (flow sheets), CDSS (error checking), PACS Available outside Radiology Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging Ancillaries – Lab, Radiology, Pharmacy – All Installed All Three Ancillaries Not Installed 0.0% 0.3% 1.9% 37.2% 25.1% 2.2% 0.5% 19.3% 14.0% 35.7% 31.4% 11.5% 15.6% 2.5% EMR Adoption Model SM Data from HIMSS Analytics™ Database N = 5073/5166/5170 © 2009 HIMSS Analytics 2009 Q1 0.3% 0.8% 3.6% 2.8% 37.0% 32.1% 9.0% 14.5%

5. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 5 EHR Assessment Tool HIMSS RANKING Application SW Live / ContractedCurrent Vendor Beds: 101 - 200QualityEfficiency System of Choice EHR Ranking Cardiology & PACS Cardiology Information System 27%XXX3 Cardiology PACs -----XXX3 Clinical Decision Support Clinical Decision Support (Rules Engine) -----XX3 Data Warehouse -----XX5 Emergency Department Emergency Department Information System (EDIS) 57%XX3 Electronic Medical Record Clinical Data Repository 67%XXX2 Computerized Practitioner Order Entry (CPOE) 12%XXX4 Medical Terminology/Controlled Medical Vocabulary 5%X2 Order Entry (Includes Order Communications) 90%XXX2 Physician Documentation 12%XXX6

6. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 6 MedSeries4 ® Roadmap (example)

7. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 7 Hospital Specific Benefit Calculator Medicare Incentive for meeting ARRA criteria Hospital Specific Benefit Calculator (Results Assume Hospital Qualifies By 2013) Enter hospital specific data for the most recent reporting period: Total Discharges Total Gross Revenue Charity Care Charges Medicare Inpatient Days Attributable to Parts A and C Total Inpatient Days Hospitals are given a $2 million base amount plus a discharge related amount, which is $200 per discharge for all discharges between 1150 and 23,000. Discharges 1-1149 and after 23,000 receive no additional payment. The base amount plus the discharge related amount is then adjusted by a Medicare share ratio: Medicare inpatient days / (total inpatient days*((gross revenue - charity) / gross revenue)) Calculations: Base Amount$2,000,000 Qualifying Discharges-1,149 Discharge-related Amount0 Revenue Ratio1.000 Medicare Share Ratio#DIV/0! Results: Total Payment -- Year 1#DIV/0! Total Payment -- Year 2#DIV/0! Total Payment -- Year 3#DIV/0! Total Payment -- Year 4#DIV/0! Total Payment Over Four Years#DIV/0! Note: This tool uses the most current reporting period to provide a rough estimate of future payments from the ARRA. Siemens makes no guarantee of payment. According to the American Recovery and Reinvestment Act (ARRA), qualified hospitals are expected to be paid the full adjusted amount in year 1, 75% of this amount in year 2, 50% in year 3, and 25% in year 4. Hospitals first qualifying after 2013 are subject to reduced transition factors. Hospitals that are not meaningful users by 2016 will receive no incentive payments. Penalties will be applied to hospitals that are not meaningful users by 2015.

8. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 8 Stay Informed  Visit the Siemens Executive Gateway www.siemens.com/executivegateway

9. Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved. Page 9 Questions & Answers