Cisco TelePresence for Healthcare

1. Cisco TelePresence forHealthcare Erik Petersen Sr Advisor, Healthcare Business Transformation

2. Agenda • Market opportunity • Use cases • Healthcare TelePresence Endpoints

3. Video traffic is growing rapidly 52% CAGR • The global online video community will surpass 1 billion users by the end of 2010 • Video will exceed 91% of global consumer traffic by 2014 Petabytes per month Video is here. Are you ready for it? Source: Cisco Visual Networking Index, 2009

4. Aging population with high incidence of chronic disease Substantial shortage of medical professionals in both urban and rural communities by 2020 New models of care being adopted such as ACOs, Patient Centered Medical Home Escalating costs of care delivery along with significant reductions in reimbursement Rising patient volumes with passage of Affordable Care Act (32MM newly insured) Emerging trends in healthcare The U.S. Healthcare system faces significant challenges that will require greater collaboration and coordination among all stakeholders (administrators, clinicians, payers, and patients)

5. How does Cisco TelePresence address these challenges? Access Quality Cost • Reduces barriers to patient access • Extends provider’s geographic reach • Brings specialty care to rural areas • Reduces delays to care • Improves care coordination • Designed to improve healthcare delivery • Diffusion of knowledge / provider education • Increases provider efficiency • Reduces ‘brick and mortar’ cost of care • Eliminates unnecessary travel and patient transfers • Engineered to increase patient satisfaction • Resource retention

6. Vision for Cisco Video in Healthcare To empower all healthcare stakeholders (patients, providers, and payors) to practice better medicine by incorporating the use of video technology to enhance access to care, improve clinical collaboration, minimize risks and reduce associated costs. “Forget the terms telehealth and telemedicine. This is simply medicine. We’re just using an enabling technology to do what we normally do.” Dr. Jay H. Sanders Professor of Medicine Johns Hopkins University

7. Gartner – Top 10 Telemedicine Benefits • Making specialist services more accessible to patients • Monitoring patients’ health – enabling frequent and rapid intervention • Avoiding or delaying admissions – hospitals, nursing homes and physician office visits • Using clinicians’ time more efficiently • Reducing travel costs and time for patients, clinicians & family members • Involving & educating patients in their own healthcare • Improving clinician collaboration – skills & expertise • Reducing the social inequalities of health services between urban & rural areas • Enabling hospitals to increase revenue by offering new medical services • Enabling hospitals to eliminate medical services and outsource Gartner - Industry Research 2010

8. Gartner - Telemedicine Challenges • Legal liability, licensing and accreditation • Reimbursement for telemedicine services • Measurement of impact of telemedicine solutions • Requirements for new models of staffing, scheduling and care coordination – i.e., remote monitoring • Financial justification and incentives • Integration of telemedicine data with EMRs and other information systems, as well as with jurisdictional interoperable electronic health records • Last mile – lack of sufficient bandwidth or internet connectivity Gartner - Industry Research 2010

9. Agenda • Market opportunity • Use cases • Healthcare TelePresence Endpoints

10. Primary applications for video in healthcare Consultation at a Distance Provide clinical services across distances using advanced telecommunications technology Continuing Medical Education Education on medical procedures, policies, and other specialty areas Collaboration from Home Facilitates support for patients at home or in remote areas Administrative Potential for cost reduction in managing a large area facility and/or hospital Operational Coordination Improve collaboration capabilities for grand rounds, case reviews, tumor boards, clinical application decisions Video Interpretation Language translation services

11. Primary use case is facilitating care at a distance across a range of specialties Patient + Medical professional Remote specialist Care-at-a-distance applications • Specialist collaboration • Post-Traumatic Stress Disorder (PTSD) • Traumatic Brain Injury (TBI) • Dermatology • Psychiatry • Virtual care teams • Language interpretation Enables less-qualified medical professional to leverage the expertise of colleagues and specialists in an immediate manner, having the potential to provide more timely care at lower cost and convenience to patients

12. Agenda • Market opportunity • Use cases • Healthcare TelePresence Endpoints

13. Healthcare Video Endpoint Portfolio Immersive Multipurpose Price / Performance Mobile Integrator Platforms TX 9000 Personal Profile 65/52 Desktop Web VX Clinical Assistant* C90/C60/C40 CTS 3010/3210 EX90 / EX60 MX 300/200 CPS* E20 Webex C20/SX20 QuickSet CTS-500 VX Tactical* CTS 1300/1100 9900 Jabber Video (PC, Mac, iPad) *Enhanced connectivity capabilities for audio-video medical devices running in-band Healthcare collaboration S/W on dedicated appliances and supporting multiple TP endpoints with 3rd-party medical devices running out of band Video Endpoints in Healthcare HealthPresence Active Collaboration Room Room-based TelePresence solution providing optimal environment for distributed team to collaborate on complex problems

14. Water-, sand-, impact-, chemical- and corrosion resistant case providing portability, durability and functionality. Cisco TelePresenceSX20 codec featuring high definition (HD) video and content sharing with full duplex audio. Sunlight readable screen with brightness controls. 17.5” HD screen, optically bonded Embedded 1080p HD camera and integrated speakers and microphone Tactile control panel offering simplified system control and a tethered infrared remote control for full system operation AC and DC power options for system operation Security hasps (2x) for securing the unit IP67 (closed) Feature highlights

15. VX Tactical doubles up as a room system

16. Cisco TelePresenceVX Clinical AssistantCisco’s next-generation TelePresence endpoint for healthcare • Purpose-built telemedicine cart • Lightweight and highly mobile • High-definition Cisco TelePresence endpoint with optimized functionality for healthcare providers • Medical use cases: remote patient consultations, virtual care and education/collaboration • Full medical certifications

17. Personal Video Solutions:Cisco TelePresence EX Series With the Cisco TelePresence EX Series, healthcare professionals can work, connect and collaborate at their desks… all at the touch of a finger to meet with other physicians, collaborate on patient treatment, or attend training Cisco TelePresence EX60 Cisco TelePresence EX90 • All-in-one work and collaboration tool • Amazing face-to-face communication • Simple and intuitive user interface • Unmatched natural content-sharing experience Business Value

18. Personal Video Solutions: Cisco Jabber Cisco Jabber keeps remote clinicians and first responders visually connected by enabling TelePresence on any laptop, PC or Mac • Faster response and consultation by visually connecting remote physicians and first responders to patients, specialists and administrators via TelePresence on any laptop, PC or Mac • Better care at point-of-care with specialty consultation Business Value

19. Thank you !