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Integrated Health System Planning

Integrated Health System Planning. An exclusive Executive Circle Briefing. Healthcare is undergoing a “Copernican Shift”. Microsoft Corporation Confidential and Privileged. The Traditional Healthcare Universe.

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Integrated Health System Planning

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  1. Integrated Health System Planning An exclusive Executive Circle Briefing

  2. Healthcare is undergoing a“Copernican Shift” Microsoft Corporation Confidential and Privileged

  3. The Traditional Healthcare Universe Consumers (C1 to C5) are forced to interact with facilities – focused around the needs of the provider, not the consumer C4 FACILITY C1 C5 C2 C3 In 1543, Copernicus was the first to propose that the Earth rotated around the sun, while accepted scientific thought at the time believed that the Earth was the center of the universe. Copernicus effectively “changed the center of the universe”.

  4. Healthcare’s “Copernican Shift” Healthcare is undergoing a “Copernican Shift” – with the consumer now placed at the center of the orbits of various healthcare strategies • Clinic • Convenience (PHR) • Access (PHR) • Home Prevention • Knowledge (Search) • Fitness (PHR) • Wellness (PHR) CONSUMER • Home Outpatient • MTM (PHR) • Monitoring (PHR) • Hospital • Hospital ERP (Azyxxi) • Full Enterprise • Home Chronic Care • Knowledge (Search) • MTM (PHR) • Senior Care (Devices)

  5. Implications of the “Copernican Shift” The Copernican Shift is being driven by cost & access to information – consumer behavior and attitudes are changing as increasing numbers of consumers are being forced to take on more personal financial responsibility for their health Importantly, the Copernican Shift displaces both providers and consumers. Both parties are now in new orbits, without necessarily having access to the tools they need to fulfill their new roles This has created a “Healthcare Gap” between providers and consumers How can Microsoft make a positive difference in this evolving healthcare industry?

  6. How Can Microsoft Help? Microsoft is unusually well positioned to help solve both the enterprise and consumer challenges of the healthcare industry Our strong enterprise footprint, products, and relationships put us in a unique position to aid the enterprise Our excellent consumer trust and ubiquity put us in a position of responsibility with the consumer Microsoft will be the company that helps providers and consumers span the healthcare gap

  7. Why Microsoft? • When Microsoft makes an investment, we take a long-term view • Seven years ago we recognized the need to invest in the health industry • Today it represents a $1 billion U.S. growth market for Microsoft • History of innovation; We invest $7 billion every year in R&D – the largest R&D budget in the software industry • A significant amount of R&D spending is now focused on healthcare 600 dedicated employees Pervasive in health around the world $1 billion in sales 63 employees, 115 customers $320 million in sales 2000 2001 2002 2003 2004 2005 2006 2007 Microsoft Corporation Confidential and Privileged 7

  8. Our Footprint • 600 million people around the world start the day with Windows when they turn on their computers • MSN Health + Fitness is the number two portal in the U.S. – a strong foundation for future health offerings MSN Health & Fitness What’s Next? Microsoft can be a cornerstone for our long-term health strategy, transforming how healthcare is managed and delivered Microsoft Corporation Confidential and Privileged 8

  9. Provider Challenges Microsoft Corporation Confidential and Privileged

  10. Challenges in Enterprise Healthcare Medication Management Library Radiology Labs Search EKGs Revenue Cycle Scanned Charts Old Records OR Management CPOE Emergency Department Ambulatory Registration Microsoft Corporation Confidential and Privileged 10

  11. Personalized Views What is Azyxxi? Lab EMRSystems ORManagement Imaging Medication Management Ambulatory Emergency RevenueCycle CPOE Azyxxi DB 15

  12. Configurable by User Orthopaedic Unit Nurse Finance Quality Resource Planning Cardiologist Regulatory

  13. Quickly scan latest platelet count in post-op patients on blood thinners Orthopaedic Unit Nurse Configurable by User Snapshot of pre- and post-op patients Anticipated date of surgery Easily see admission diagnosis and attending physician Nurses just one click away from past medical history Orthopaedic Unit Nurse Customized for an orthopaedic nurse to view patients assigned to their unit, their surgical status and key labs.

  14. Finance Configurable by User Track success at collecting co-pays Track success at collecting co-pays Finance Views customized by finance users to integrate and collect data from across all information systems to improve co-pay collections at the time of service.

  15. Benefits of Azyxxi • Why You Need Azyxxi • Azyxxi aggregates and analyzes all relevant data for one, nearly instantaneous view • Health workers can maximize the value of information and make the most informed decisions • Informed decisions save your business money and most importantly, save patient lives What You Have Hard working, disparate information systems that aren’t feeding you the best results What You Need A single version of the truth Azyxxi doesn’t replace, but sits on top of existing information systems It provides integrated and customized views + analysis of clinical, financial, and administrative data

  16. ConsumerChallenges Microsoft Corporation Confidential and Privileged

  17. Health: Advances Require a “Shift Left” The “total-system healthcare win” is in the home Lower cost (good for plans, employers) Higher quality of life (good for consumers) The key focus for all competitors will be on home-based, consumer-centric healthcare solutions HOME CARE FOCUS: Prevention Knowledge Fitness Wellness Dr Communications Chronic Care and Outpatient Medications Monitoring Community Medical Communications HOME CARE Specialty Pharmacy 100% Healthy,Independent Living CommunityClinic SHIFT LEFT ChronicDisease Management Doctor’sOffice Quality of Life COMMUNITY CARE Assisted Living ACUTE CARE Skilled Nursing Facility Specialty Clinic Community Hospital ICU 0% $1 $10 $100 $1,000 $10,000 Cost of Care per Day Source: Intel.com

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  19. “Walled” “Open” PHR Philosophies VS

  20. Consumer Health Platform 3rd Party Applications MS Apps • Platform Services • User authentication • User mapping / identity • Data storage and access • Personalized search • Branded data and tools • Community building • Incentive infrastructure • Integration with other devices and services • Advertising infrastructure My Health Data My Health Data Devices

  21. Family Health Record (FHR) “Seventy percent of our users are women storing information about kids, spouses, aging parents and themselves,” says Fotsch, who runs Medem Inc., on online business that links the needs of patients and doctors through the Web at iHealthRecord.comSource: USA Today – Saturday, January 6, 2006 The “Family Health Manager” or FHM runs the FHR FHR PHR PHR PHR PHR PHR PHR Self FHM has FULL ACCESS Spouse FHM has PARTIALACCESS Senior FHM may have FULL or PARTIALACCESS Minor FHM has FULLACCESS Minor FHM has FULLACCESS Pet FHM has FULLACCESS

  22. Bridging the Healthcare Gap Keystone Providers Healthcare Gap Consumers

  23. Microsoft Health Q&A Discussion

  24. Microsoft Corporation Confidential and Privileged 28

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