1. August 29, 2010 TechMed Summit 2010: “Get Ready for Success in Health IT” November 10 th , 2010 HIT Session – Day 1 Presented by: Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Strategic Healthcare Solutions

3. August 29, 2010 Welcome Introductions & Networking

4. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Biography Strategic Healthcare Solutions (SHS) is a New England-based healthcare consulting firm providing services for clients in electronic health records, heath information management, healthcare IT, health & wellness services organizations, physician practices, retail pharmacies, long-term care, pharmaceutical, public health, consulting, and market research. We specialize in delivering strategic business solutions servicing clients from small start-ups to large healthcare organizations looking to rapidly increase market development, or to strengthen and enhance the connection and collaboration of health information management through IT. Ms. Magnanti is the founder and managing Principal of Strategic Healthcare Solutions. As a strategic thinker and healthcare consultant, she has brought more than 20 years of executive leadership experience in managing client project engagements to healthcare organizations, private corporations and nonprofit associations by evaluating and responding to emerging healthcare IT market trends and government policy initiatives. Locally, In New England she has also been invited to serve on the Healthcare Advisory boards for the New England Chapter of HIMSS, New England Council, the Massachusetts Technology Leadership Council, the Mass Health Data Consortium’s EHR Forum, and the Hartford CIO Forum's Executive Advisory Council. For her dedication to the HIMSS community over the past ten years, Ms. Magnanti has been bestowed and honored with the following recognition awards; “2009 NEHIMSS 10 Year Board of Excellence Recognition Award”, “May 2007 Spirit of HIMSS Award”, nominated in 2006 for the HIMSS Chapter Leader of the Year Award and was awarded the “2005 NE HIMSS Board Recognition Award”.

5. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Biography Ms. Magnanti earned a Bachelor of Science degree in Medical Laboratory Science with honors from Northeastern University. She is a registered Medical Technologist and board-certified by the American Society of Clinical Pathologists. (SHS) recent client project engagement involved hiring Ms. Magnanti as an Independent Consultant assuming the role as a dedicated partner and Healthcare Advisor for a medical grade document management, electronic health records (EHR) and personal health records (PHR) company for physician practices, prior to that she was hired in an executive leadership role as the Northeast Regional Director of healthcare delivery for a document management services company specializing in processing health information management. In this role she was responsible for launching their entire products and services in the Northeast--including overseeing market development, strategic development along with all marketing and sales efforts, and client relations. In addition, prior to that, Ms. Magnanti was hired as a consultant assuming the role as a Healthcare Advisor for a start-up enterprise access security software company. Before that, Paula was hired on consulting project acting in the role as the Vice President of Strategic Development for a start-up Internet Healthcare Company that specialized in customized web sites for physician practices. Prior to founding Strategic Healthcare Solutions, she was Senior Manager of Strategic Partnering at Bizland, an Internet start-up that provides web services for small businesses & Fortune 500 companies. Before that, she was Director of Sales & marketing at Psyche Systems, a developer of Laboratory Information Systems for the hospital market, and prior to that, she worked for Corporate Software & Technology as the Vendor Manager for Sybase .

6. August 29, 2010 Healthcare national landscape effecting healthcare IT Government Initiatives: The Healthcare Echo System

7. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT The National Healthcare Landscape

8. November 2nd, 2010 Healthcare national landscape effecting healthcare IT ARRA HITECH HEALTHCARE REFORM ACO~ACCOUNTABLE CARE ORGANIZATIONS HIE's, HIO's, RHIO's REC~REGIONAL EXTENSION CENTERS The National Healthcare Landscape MEANINGFUL USE CCHIT, EHR's, PHR's BEACON COMMUNITIES PATIENT-CENTERED MEDICAL HOMES HIPAA 5010, HIPAA HITECH ICD10

12. August 29, 2010 Healthcare national landscape effecting healthcare IT Where Your Money Is Going? $787 billion source: http://www.hhs.gov/recovery/

13. August 29, 2010 Healthcare national landscape effecting healthcare IT for Economic and Clinical Health Act? HITECH Act: What is Health Information Technology The Health Information Technology for Economic and Clinical Health Act (HITECH Act) legislation created to stimulate the adoption of electronic health records (EHR) and supporting technology in the United States. President Obama signed HITECH into law on February 17, 2009 as part of the American Recovery and Reinvestment Act of 2009 (ARRA), an economic stimulus bill. The HITECH act stipulates that, beginning in 2011, healthcare providers will be offered financial incentives for demonstrating meaningful use of electronic health records (EHR). Incentives will be offered until 2015, after which time penalties may be levied for failing to demonstrate such use. The Act also establishes grants for training centers for the personnel required to support a health IT infrastructure. source: http://www.hhs.gov/recovery/

14. August 29, 2010 Healthcare national landscape effecting healthcare IT The Health Information Technology for Economic and Clinical Health Act (HITECH) source: http://www.hhs.gov/recovery/

18. August 29, 2010 Healthcare national landscape effecting healthcare IT Meaningful Use: The Next Steps

20. The Final Rule: Meaningful Use WASHINGTON – Federal officials released the final rule on meaningful use Tuesday, July 13 th , 2010 which will allow physicians and hospitals to qualify for thousands of dollars in stimulus funding incentives for the adoption of electronic health records. The 864-page final rule, several weeks late from its anticipated delivery before June 21, outlines the specific qualifications providers must meet to achieve the meaningful use of electronic health records. According to David Blumenthal, MD, national coordinator for health information technology, the final rule differs from the proposed rule issued last January: It allows providers more flexibility in choosing which measures to use for qualifications The proposed rule required doctors to comply with 23 measures, and hospitals 25 measures . The government received more than 2,000 comments on the rule, many of them asking for more flexibility in allowing clinicians to qualify. Blumenthal said the final rule took those comments into account. The final rule requires doctors to comply with a set of 15 core objectives during the first year - or Stage 1- of adoption . Hospitals are required to comply with 14 core objectives. In addition to the core objectives, both hospitals and doctors will have to choose five more objectives from a "menu" of 10, he said. The remaining objectives will be deferred to Stage 2 of adoption . The final rule also reduced the number of electronic prescriptions a doctor is required to make from 75 percent to 40 percent, Blumenthal said. Kathleen Sebelius, Department of Health and Human Services Secretary , said the Federation of American Hospitals is an "enthusiastic supporter" of the new rule. The federal government hopes other groups will join them, she said. Blumenthal, a physician, said he is confident the use of electronic health records will become a core professional competency among physicians, who will eventually lead the way in adoption. Until then, the government will encourage healthcare IT adoption through financial incentives, such as these set up under the meaningful use rule. The government will also supply "shoulder-to-shoulder" support for providers through the regional extension centers . source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use Healthcare national landscape effecting healthcare IT

21. The Final Rule: Meaningful Use Key changes in the final CMS rule include: Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating meaningful use. The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012. This gives providers latitude to pick their own path toward full EHR implementation and meaningful use. An objective of providing condition-specific patient education resources for both EPs (eligible providers) and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee. A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which conforms to the Continuing Extension Act of 2010 CAHs (critical access hospitals) within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid. source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use Healthcare national landscape effecting healthcare IT

27. Meaningful Use Incentives by Adoption Year source: HIT Policy Meaningful Use Workgroup, July 16, 2009 Meaningful User 2009 2010 2011 2012 2013 2014 2015 2016 Total Incentive 2011 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000 2012 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000 2013 $ 15,000 $ 12,000 $ 8,000 $ 4,000 $39,000 2014 $ 12,000 $ 8,000 $ 4,000 $ 24,000 2015 + $ Penalties

28. August 29, 2010 Healthcare national landscape effecting healthcare IT HITECH: An Interoperetta in Three Acts http://www.youtube.com/watch?v=Gv1s8fM3mMk

29. August 29, 2010 Healthcare national landscape effecting healthcare IT Thank You! Contact Us: Paula J. Magnanti, MT(ASCP) Founder & Managing Principal STRATEGIC HEALTHCARE SOLUTIONS 617.852.5564 cell [email_address] http://www.linkedin.com/in/paulajmagnanti "Your Healthcare Advisor Executive"