Helping Those Practicing Medicine To Revolutionize Healthcare

1. Helping Those Practicing Medicine To Revolutionize Healthcare Valens Latin for: Strong, Vigorous, Healthy Confidential

2. OUR FOCUS • Ambulatory patient care • Patient Relationship Management • Facilitate innovation and invention of “Apps” that improve health, healthcare and lower costs • Develop a more effective technology adoption model Confidential

3. U.S. HEALTHCARE • $2.5 trillion cottage industry • Highly inefficient • Nearly impossible to change Confidential

4. INNOVATIONANDINVENTION • Technology innovation and invention are easy… …Adoption is the challenge! • Multitude of decision-makers with different goals: • Patients • Payers • Providers Confidential

5. ADOPTION MODEL • We will not slow down innovation and invention… we must speed up adoption • Our focus is on amore efficient Adoption Model Confidential

6. ADOPTION MODEL • Those practicing medicine will revolutionize healthcare • The driving force is competition • Healthcare systems have already rapidly adopted one technology without reimbursement or stimulus money… … The Internet! Confidential

7. PATIENT RELATIONSHIP • Every healthcare system has acontent-rich and patient-centric Web presence to connect and engage patientsin managing their health • Healthcare systems recognize they are competing with WebMD • What’s next? Confidential

8. APP STORE The competition is… Confidential

9. MOBILE APP STORE The Cleveland Clinic already has amobile App store Confidential

10. HEALTHCARE SYSTEMS APPS • Reflect the healthcare system’s care coordination model • Linked to the healthcare system’s EHR • Clinician's Desktop for point-of-care decision support • Data security and privacy • FDA clearance Confidential

11. SUMMARY SO FAR • The challenge is technology adoption, not technologyinvention • Competition will drive adoption • A revolution is underway…it is about Patient Relationship Management and developinga Web presence Confidential

12. SUMMARY SO FAR • Healthcare systems are now starting to develop App stores • Healthcare systems will needmore sophisticated (yet user-friendly) Apps to engage patients in their health management Confidential

13. BUT WHAT ABOUT ADOPTION? Confidential

14. [Benefactor]INNOVATION&COLLABORATION CENTER (ICC) • Non-profit • Minneapolis location • Academic institution support • Vendor neutral • Multi-disciplinary Confidential

15. OUR MISSION Help those practicing medicine to revolutionize healthcare by fostering innovation and lowering the barriers to the adoption of innovative approaches that improve ambulatory patient health and healthcare practices while lowering healthcare costs Confidential

16. APP FOCUS Technologies that improve: • Ambulatory Pt. data collection • Data integration • Data interpretation • Provider/Patient data communications Confidential

17. BELIEF SYSTEM 1. Healthcare systems will adopt Applications faster if they have “ownership” of the research, innovation and invention Confidential

18. BELIEF SYSTEM 2. The next step in the evolution of a healthcare system’s web presence is the development of proprietary “App Stores” Confidential

19. BELIEF SYSTEM 3. These Apps will be linked to the healthcare system’s EHR and data displayed within a “Clinician’s Desktop” Confidential

20. BELIEF SYSTEM 4. The necessary technologylayers are: • Data collection • Integration • Interpretation • Communication Confidential

21. TECHNOLOGY INTEGRATION APP LIBRARY PATIENT CACHE EHR APP STORE CLINICIAN DESKTOP Confidential

22. SOA & DATA SERVICES APP LIBRARY SERVICES LAYER PATIENT CACHE EHR APP STORE CLINICIAN DESKTOP

23. COMMON DATASERVICES APP LIBRARY SERVICES LAYER • Infrastructure Compatibility • Data Communications • Agent Processes • Data Interpretation • Data Integration (ETL) • Administrative Services • Transaction Services • M2M Connectivity • User Authentication • Master and Meta Data • Data Model • Hosting Services PATIENT CACHE EHR APP STORE CLINICIAN DESKTOP

24. OPEN SOURCE LICENSE The technology developed by the ICC will be available to participants under the terms of an open source license data integration Note: Software technology has been developed and is being provided to the ICC by the U of MN and others,provided the ICC will make it available to participants as open source Confidential

25. CHARTER • Focus on ambulatory patient care • Through interdisciplinary collaboration, create new knowledge related to the prevention and management of common chronic conditions • Identify and demonstrate technology inventions that improve data collection, integration, interpretation and/or communications • Translate knowledge, innovations and inventions into viable patient-centered applications that reflect each healthcare system’s protocols and care coordination methods • Develop software that can be leveraged to create Apps, manage an App store and create a Clinician Desktop (for point-of-care decision support) • Provide support resources needed to implement, manage and maintain Apps Confidential

26. FINAL THOUGHTS • We recognize and are operating well within our limits • We operate an Innovation Center that will become a magnet, attracting innovative organizations and fostering interdisciplinary collaboration • We are developing software - but even then we recognize that this too must be a collaborative effort with the goal of reducing cost • We provide consultative services and development resources • The ICC is a self-funding (vendor supported) non-profit institution • ProValens is the consulting affiliate of the ICC Confidential

27. Helping Those Practicing Medicine To Revolutionize Healthcare Valens Latin For: Strong, Vigorous, Healthy Confidential