The document discusses the future of healthcare IT and outlines several key points: 1. Healthcare IT is a $10 billion annual investment that is starting to provide value through backend and clinical solutions but has more progress to make. 2. Mobile health, electronic health records, clinical integration, and empowering patients through information access will be key investment areas for healthcare IT. 3. The "circle of care" is changing as technologies improve access and collaboration between hospitals, providers, payers, families, and home/community care settings.

1. Future of HealthCare IT
Michael K. Wons
President and CEO
August 2010
© 2010 CellTrak Technologies, Inc

2. State of Computing in HealthCare
1. ~$10B IT investment on an annual basis
2. Back-end and Clinical based solutions starting to show value but have a
long way to go…
3. Most organizations are tip-toeing between innovation silos and a house
of cards due to legacy system hangover and limited new development
4. Payer networks and reimbursement model is driving future investments
5. “Traditional” implementations of Back-end and Clinical based systems
are moving toward more service oriented models
6. Collaborative Healthcare model is emerging
7. Agencies want the ease and simplicity of mobility but only if it is an end-
to-end integration solution
8. Government stimulus and care funding becoming available
9. FDA regulation of Healthcare apps starting with Mobile solutions…
10. Privacy concerns and source-of-truth are limiting factors future success
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3. Healthcare is changing…
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4. Future of Healthcare IT
• Clinical
– Quality measurements, quality reporting and business intelligence
• Process
– Best practices (clinical, financial and administrative)
• Software
– Usability, flexibility and customizable (carefully managed)
• Hardware
– Faster, more connected technology, platforms and mobile devices
• Training
– Enhanced, self-service more efficient to deployment models
• Research
– Clinical trials, evidence based medicine, and pharma research
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5. Healthcare IT Foundation
• Healthcare IT is a cornerstone for the future of Healthcare
– Improve Quality and Care Coordination
• Enable circle of care, timely access to patient information
– Patient Safety
• IOM Report that up to 98,000 Americans die each year from medical errors
– Patient Satisfaction
• Reduce duplicative paperwork, increase access, education and
accountability
– Improve Billing and Collections
• 15 minute increments, auto calculations, time tracking, scheduling, etc…
– Clinical Research
• Participate with no workflow disruption with provider and patient revenue
– Reduce Waste, Fraud and Abuse
• Estimated $70B-$200B annually in fraud, $600B-$850B annual overall
spend across North America
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6. Healthcare IT Transformation
Preventative Health – Self-service Era
• Wellness programs
• Self-service intelligent devices
• Proactive prevention data
• Smart home devices
Collaborative Health – Provider-centric Era
• Collaborative Circle of Care
• Homecare
• Physicians and Pharmacy connected to EHR
• Treatment plans involve extended healthcare professionals
Transactional Health – Facility-centric Era
• Clinical Back-end ERP Systems
• Government electronic health records (EHR) initiatives
• Payer Networks – Transaction Payment Systems
• Lots of information from lots of sources but missing the “source of truth”
2000 2010 2020 2030
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7. Revisiting Ten Aging in Place Trends Highlights
Advancement in Technologies
1. Location-aware technologies enables
more info, greater safety
2. Home automation technology
vendors see possibilities
3. Mobile health app possibilities grow
4. Virtual doctors’ visits and other
health innovations
5. Touch screens and eReaders
6. Big companies invest in monitoring
and telehealth technologies
7. Broadband access and Internet use
among seniors grows
8. Caregiver portals and tools blossom.
9. Personal emergency response
systems get a makeover
10. Last but not least, VCs show interest
in aging in place technology
Source: Laurie Orlov, Founder, Aging In Place Technology Watch
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8. Key Investment Buckets for Healthcare IT
1. Increased access to
healthcare and
health-related
Electronic Health Mobile information
Records (EHR) Health 2. Improved ability to
diagnose and track
diseases
Empowering 3. Timelier and more
Patients actionable public
health information
4. Reduction in fraud in
Collaborative Clinical the reimbursement
HealthCare Integration network
5. Patient ownership
for health
information
© 2010 CellTrak Technologies, Inc

9. The Circle-of-Care in Healthcare is changing…
Hospitals and
Care Centers
Trusted Advisor
Payer and Doctors and
Health Plans Physicians
Family Individual
Friends
Home and
Governments Community
Care How does this
impact your
agency?
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10. Healthcare IT mHealth Q Diagram from Triple-Tree
“mHealth solutions are designed to better connect people and resources across
the patient/provider continuum to enhance patient participation in health
related decisions…”
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11. Homecare Market
• Home Healthcare, Hospice and Private Duty
– Over 10,500 Licensed Homecare Agencies in North America
– Over 2.7 Million Field Staff (Aides, Nurses, Social Workers)
– Highly Fragmented industry in beginning stages of consolidation
– Increase in agencies, patients and technology
• Industry Challenges
– Declining Reimbursements
– Nursing / Professional Shortage and Staff Retention
– Demand for Increased Productivity of Field Staff
• Homecare IT market
– Fastest growing mobile workforce through 2016
– IT Investment growing to over $5B annually
– Scheduling, Time Tracking, Location Based Services and Patient
Specific Care Plan solution needs
© 2010 CellTrak Technologies, Inc

12. Homecare enhances Circle of Care
• Homecare services
expanding
• Smart homes and devices
• Self service
• Access to “trusted
information”
• Improved reimbursement
for providers
• Integrated solutions
“Consumer preference to receive care in the
home or in a community-based setting…”
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13. Resources and Additional Information
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14. Thank You for Your Time!
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