Presentation by Gina Altieri, SVP, Corporate Services Chief of Strategy & Integration at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.

1. SmartHealth 2018
Gina Altieri, SVP Corporate Services
Chief of Strategy & Integration
Disruption Is Good for Patients:
Transforming Healthcare
In The Digital Age

2. Patient Care by the Numbers
410,000 Patients/1.7 million annual encounters
3,800 Trainees (Residents, Fellows & Students)
837 Employed physicians
228 Researchers
1,600 Nurses
42 Specialties and subspecialties
49 Employed hospitalists
80 Pediatric care locations in five states
18 Collaborating hospitals
7,600 Employees
Wilmington, Delaware
Orlando, Florida
Nemours at a Glance
 Nonprofit devoted to children’s health, providing care,
research, and education
 Enduring legacy of Alfred I. duPont

3. A Transformational Gift
“It is the duty of everyone to do what is within his
power to alleviate human suffering.”
3

4. A Transformational Leader
“Everything we do must be for the child.
If it’s not, then we need to reconsider
why we are doing it.”
Nemours True North: “Help me
receive exactly the care I need and
want, when and how I need and want it.”
David J. Bailey, MD, MBA

6. Approaching Two Decades of IT Evolution
From Paper Records and One-off Software
Solutions…
To a Single Platform EMR, Remote
Monitoring and Healthcare Delivery
Innovation…

7. Technology Expediting Change

8. Technology enables change that
leads to better and safer care through
the application of new technologies to
existing business activity and/or a
focus on supporting new capabilities
for doctors and the business side of
health care.
IT Expedites and Enables Change at Nemours

9. Technologies that Enable Performance…

10. … Better Care,
Better Patient Experience

11. The Clinical Logistics Center
Trained paramedics monitor patients 24/7
Monitor up to 400 patients at both
hospitals from a single location
Immediate video intervention to visually
monitor patients
Capacity to monitor
non-Nemours facilities
1st in the world in pediatrics
Technology For When every second matters

13. • Want on-demand PC during non-traditional hours + virtual options
• Price beats quality – most likely to leave PCP for price increase v. medical error
• Referral Shoppers – 18% likely to break referral, but still shopped for specialty care options
• Least loyal to PCP group – easiest to entice to switch to competitor’s offer
• Local over Top Quality – travel not a deal-breaker but travel time 3x more important than
perceived surgeon quality
• Most ready for telehealth: 73% would consider if in-person care is unavailable
47% would consider if less expensive than in-person care
• Digitally-fluent, most socially-connected generation
• Most likely to read reviews and compare prices to find providers who offer most convenience at lowest cost
• Least loyal to PCP – easiest to entice to switch to competitor’s offer
• Referral Rebels - 34% likely to break referral: most likely to shop for specialty providers and write online reviews
• Least concerned about travelling for surgery
• Ready for telehealth: 67% would consider if in-person care is unavailable
20% would consider if less expensive than in-person care
Patients, Patient-Families Are Consumers

14. Millennial Parent Decision Making –
The Ultimate Consumers
 >9,000 babies born to them daily
 Select providers based through online
research, peer recommendations via
social media
 Value quality, respect and environment
of care over cost
 Choose hospitals based on internet
searches first, then provider validation
Source: NRC Health Millennial Parents

15. Our aim is to expand a more accessible continuum of
care within our communities in order to be a more
proactive partner in guiding and empowering parents
throughout their children’s development.
Anytime, Anywhere

16. @ Nemours
• 260 million+
visits annually to
KidsHealth.org
• # 1 licensor of
pediatric health
education –
200+ hospitals
and health
systems
• Unique Nemours ecosystem of digital assets
• Nemours KidsHealth
• Nemours Prevention &
Population Health
• HIMSS Stage 7 infrastructure
• Telehealth
Center for Health Delivery Innovation

17. Make appt
online
.71% CTR
Find a Doc
.49% CTR
Create Consumer Insights & Digital Strategy
WHAT…
Customer
Journey Starts
on KidsHealth
Call to
Action
Call to
Action
• Analyze our consumers’ digital footprint
• Optimize leveraging of our digital assets

18. Smart Patient Portal
• Building on MyNemours
• Online scheduling
• Telehealth (Nemours CareConnect)
• Connected devices & apps
• Fully-integrated KidsHealth
content
Digital backbone

19. Nemours Telemedicine
Comprehensive Telehealth Program
• Clinician-to-Partner Facility –
Nemours and non-Nemours
Primary Care locations
• Specialty Care
• Clinician-to-Family
• Store & Forward Reads
• Schools
• Cruise ships

20. Nemours App – Tying it All Together
MyNemours Nemours
Reading Brightstart!
KidsHealth CareConnect

21. Thank You