Physician Utilization: Driving Acceptance & Adoption

1. Physician Utilization:Driving Acceptance & Adoption Janice Clark IT Product Manager - Physician Computing Sentara Healthcare Norfolk, Virginia June 28, 2005

2. Discussion Topics • Who We Are • Our Journey • Where We Are Today • Future Direction

3. Sentara Healthcare Sentara Health Foundation Division of Community Health Strategy & Support Care Delivery Health Management Hospitals & Facilities Sentara Norfolk General Hospital Sentara Leigh Hospital Sentara Bayside Hospital Sentara Virginia Beach General Hospital Sentara CarePlex Hospital Sentara Williamsburg Community Hospital Strategy & Planning Optima Marketing & Communication Sentara Family Care Information Technology Mental HealthManagement Human Resources Long-term Care Nursing Centers: Ches., Norfolk, Hampton, Va. Beach, Portsmouth, Currituck, and Windermere Assisted Living: Norfolk, Va. Beach, Ches. Finance Compliance Decision Support Enterprises Home Health, Hospice, DME, Medical Transport, Personnel Services Medical Groups Sentara Medical Group Williamsburg Community Medical Group

4. Physician Computing Journey… 1993 1998 1Q 2003 3Q 2004 1995 2002 2Q 2003 4Q 2004 1999 2Q 2004 2Q 2005 Launch of SPIN – Basic Medical Record SPIN Web Intranet MDoffice – Physician Portal Phase I – CareVISION Pilot Phase II – CareVISION general roll-out to community physicians AGFA Web100 Digital Imaging (PACS) Require-ments gathering For Physician Computing Labs / PVLs ED Reports Health Plan Referrals Claims Eligibility Physician Web Scheduler New Signing Module & Print Capabilities MGMT Reports & Carbon Copies Implement Facility – Based Physician Support Model WI-FI Network completed/ Pocket PC’s delivered to Physicians Business @ The Speed Thought Implement Dedicated Physician Support Desk Application Enhancements Support Milestones

5. Microsoft Case Study “. . .SpinWeb will provide the patient’s medical records online for any medical team with proper authorization. . . “ - Bill Gates Microsoft Chairman March 1999

6. Key Milestones Physician Portal/ Internet 2002 Single Sign-on MDoffice 2004 Sentara Intranet 1998 E-Care e-Care Modem to Modem 1995

7. Dedicated Physician Support Support Model • Facility-Based vs Application • Support in Hospitals & Practices • Dedicated Physician Support Desk • Physician Advocates • Support Environment • Internet Access thru Physician Portal • Hand-Held Access to Patient Records • Dedicated Wireless Network for Physicians Growth of Physician Support Calls with Dedicated Support Desk • Increased Acceptance & Adoption • Targeted Support for Physicians 2002 2003 2004 2005

8. Sentara’s Value Proposition Direction of Physician Computing Infrastructure Facility Based Physician Support Enhanced Coordination with Physicians Increased Adoption of IT Solutions Ongoing Training & Education Integrated Clinical Solutions Sentara IT Infrastructure Physician Portal RESULT Increased Adoption by Physicians and Their Office Staff Yields More Time for Patient Care, Enhances the Quality of Care, and Reduces Errors

9. Transformation of HealthcareEnabled by Technology Phase 2: Enterprise Integration Physician Portal Phase 1: Access Phase 3: All-Pervasive Physician Computing Ac eCare – EMR / CPOE Clinical Data Repository Continuity of Care Record Interoperability for Community Physicians e-prescribing Patient e-Visits Basic Medical Record Electronic Signing Op Notes Health & Physicals ED Reports • Agfa Web1000 (PACS) • CareVISION – Secured • Message Center • Labs, including micro & AP • Health Plan - Referrals, • Claims, Member Eligibility • Hand-Held Access