Dr. George Brenckle from UMASS Memorial Health Center, 2010 initiatives

1. UMass Memorial Health CareConnected Healthcare Overview

2. UMass Memorial Health Care 7 Hospital System Clinical Partner to UMass Medical School 13,500 employees 3,000 registered nurses Approximately 1,600 physicians 1,111 beds $1.4b in Annual Revenue ~60,000 inpatients ~1,000,000 outpatients

3. Healthcare Reform - Factors Declining reimbursement Universal coverage Payment reform Bundled payment Accountable Care Organizations (ACO’s) Quality & Outcomes Coordination of care Redefinition of Relationships Competitor vs Partner Privacy and Security Issues Expanding role of technology 3

4. Current Information Systems Evolved Historically HealthAlliance Hospital Clinton Hospital Private Medical Practice A Wing Memorial Hospital Hahnemann Memorial Marlborough Hospital University Community Medical Group Medical Group Private Medical Practice B Meditech Private Medical Practice C Meditech Siemens Soarian Allscripts / IDX

5. HealthAlliance Hospital Clinton Hospital Private Medical Practice A Wing Memorial Hospital Hahnemann Marlborough Hospital Memorial University Community Medical Group Medical Group Private Medical Practice B Initiate & dbMotion Private Medical Practice C Siemens Soarian Allscripts / IDX Allscripts / Soarian Scheduling (pilot) Allscripts MyWay The Future

6. Vision for Connected Healthcare Enable high-quality, patient-centric care by making all relevant information about a patient available at the point-of-care, irrespective of organization, geography or care setting.

7. Connected Healthcare Solution Stack Seamless access Aggregate and harmonize Value Uniquely identify patients and providers Connect organizations EMR at the point of care Scope of Information Sharing

8. External Organization Traditional Approach to Sharing Data – Central Repository UMass Memorial Health Care 2 1 dbMotion Clinical Repository & Portal Enterprise Master Patient Index Local Applications 3 Send data to UMass Memorial so we can put it in our systems in case it’s needed 1 We store, aggregate and use the data 2 Data, information, or service provided back to external organization 3

9. Challenge – What Data to Share? 9 UMass Memorial Health Care Independent Medical Group Shared Patients

10. Acute and Ambulatory EMR Allscripts Enterprise UMass MemorialHealth Care Community Affiliated Hospital Organization Private Medical Group or IPA Ambulatory EMR Any other EMR Community Portal Community EMPI Independent Physicians UMass Memorial Healthcare Many locations, 1600+ providers, 1 connection Initiate EMPI Meditech Allscripts MyWay Soarian Any other EMR Wing Meditech

11. Connectivity Appliance Simple, rapid deployment Provides secure, encrypted communication No software to install or PC’s at remote locations None of the cost or complexity of a virtual private network Real time monitoring and trouble-shooting Can view and support connected systems anddevices

12. Unique Patient Identification UMass MemorialMedical Center John Smith 123 Main Street Anywhere USA U: 1234 M: M7766 C: 9883-2 H: 7765A W: D-33338 O: 555555 Marlborough Hospital Clinton Hospital Health Alliance Hospital Wing Memorial Hospital Outside Organization

13. Data Aggregation and Harmonization Meditech John Smith 123 Main Street Anywhere USA Allergies Medications Problem List Surgical History Immunizations Etc. Imagecast VISICU Allscripts Soarian Enterprise Master Person Index Outside Organization

14. Clinical Portal – Access & Use First Last DOB Search Standalone Portal Access ‘Button Integration’ Embedded View

15. For Providers with an EMR Document Delivery their data about their patients selected UMMHC data about their patients enabled by Accenx and Initiate EMPI Access to everything when the want it enabled by Initiate EMPI and dbMotion clinical portal Bi-directional orders and results enabled by Accenx

16. For Providers without an EMR Allscripts MyWay Different EMR than Allscripts Enterprise used by UMMHC specifically designed for the smaller practice (< 5 physicians) Offered by Allscripts as UMMHC’s preferred EMR for private physicians per month subscription fee with no upfront setup or implementation fees full EMR, integrated practice management, ePrescribing, electronic claims submission includes three days of additional on-site training, one day of customization, and full interoperability with UMMHC

17. Summary Connected healthcare is key to our future Building a platform for both intra- and inter-enterprise interoperability Strategic partnerships between our vendors will play a large part of realizing our vision Technology is only part of the solution

18. Thank You. Questions?