LifeConnections Health Center & Pharmacy

1. LifeConnections Health Center & Pharmacy An onsite medical facility for Cisco employees and their families

2. STRATEGY VISION Through HealthConnections, build a culture where health is a priority. Engaged Leaders: Demonstrate business value so leaders recognize and reward behavior that supports a healthy and productive workforce Health Assessment:Provide tools for employees and their families to assess and understand their health risks Health Intervention: Deliver customized disease prevention and health management programs using the most effective combination of personal, virtual and onsite resources Health Incentives: Design integrated health and well-being programs that provide incentives for healthy behaviors Life Balance: Provide relevant programs and services that help employees and their families resolve problems, enhance resiliency and maintain a balance between work and home Enhance the health and well-being of employees and their families leading to healthier, more fulfilling lives and greater productivity Deliver innovative health enhancement programs to Cisco employees and their families. Internal Partners: Collaborate with global internal partners to understand their unique environments and to help promote HealthConnections Operational Excellence: Strengthen partner relationships so they can work together to create and manage next-generation programs Education and Personalization: Develop communication programs that motivate employees and their families to engage in their health Measure Success: Collect and manage aggregate data to evaluate and evolve programs to maximize effectiveness and control cost Leverage Technology: Utilize Cisco innovations and technology to inspire employees, customers and partners EXECUTION

3. Making Health a Priority Optimal Health • Redefining “health” • Optimal health: • is not the absence of illness • is the state of complete spiritual, mental, emotional and physical well-being • leads to high performance • HealthConnections will enhance the health and well-being of employees and their families leading to longer, healthier, more fulfilling lives. Energy Management

4. Optimal Health Employee Engagement High Performance High Performance “In the zone” Engagement Optimal Health Stressors Stressors • Stressors • Work • Family • Finances • Aging • Lack of self-care • Lack of recovery • Illness • Smoking, drug or alcohol abuse • Optimizers • Nutrition • Fitness • Sleep • Preventive care • Condition management • Life balance Energy Management

5. Condition Management Nutrition and Fitness Family Services Onsite Health Centers Operations LifeConnections Health Center SJ Breastfeeding Support Condition management program Healthy meals at Cisco Cafe Innovative health plan design Health advisor programs Parenting Support Measurement LifeConnections Clinic RTP Onsite fitness centers Electronic remote consults Web-based programs Cisco’s Comprehensive Health Program HealthConnections Preventive Care Health Improvement Health screenings Health assessment Health plan coverage Health coaching HealthConnect Centre Bangalore Flu vaccinations Online health information Elder Care Incentives Child Care Healthy Partners Council Future HealthPresence Clinics Healthy pregnancies TelePresence Adoption Global programming Resilience programs LifeConnections Health Center

6. LifeConnections Provides Life Services to Employees and their Families Child Care Center • High quality child/day care services • Easy access to pediatric preventive services Fitness Center • Integrated with health care to better engage employees • Improves overall fitness and health management Health Center • Unique blend of technology, patient services and integrated care • Patient-focused health services can engage employees/families • Managing health improves the patient experience, health outcomes and reduces cost

7. LifeConnections is a Green FacilityYou get the best possible service with the least impact on the environment Awarded Leadership in Energy and Environmental Design (LEED) Gold-certification • Renovated an existing building • Installed low wattage lighting, except in medical care area • Installed sustainable materials such as recycled glass (ice stone) countertops • Added additional window and skylights to allow for greater use of natural light (versus artificial) • Earned credit for educational elements; teaching children about nature, eco-systems, etc. • Installed bike racks • Near public transportation (bus stops, VTA station)

8. LifeConnections Health Center & PharmacyNurturing health through the human connection Opened November, 2008 The Health Center • Medical services provided by licensed independent Medical Group with five physicians, pediatrician, chiropractor, acupuncturist, physical therapist and physical therapy assistant • Operation & administrative services and EMR provided by Cerner Corporation • Open Mon – Fri, 8 am – 7 pm The Pharmacy • Operated by Walgreens with two full time pharmacists • Private consultation room for personalized care • Variety of over-the-counter products available at discount • Open Mon – Fri, 8:30 am – 7:30 pm

9. Why Cisco Created the Health Center… • Offer integrated healthcare to Cisco employees and their families, resulting in better outcomes • Emphasize prevention and health maintenance to stay ahead of the curve with preventable diseases • Enhance the quality of life for employees and their families • Develop a new model of healthcare delivery and patient experience using the network as the platform to showcase Cisco technologies • Improve productivity, reduce absenteeism

10. We Offer One Stop for Your Health • Primary medical care, pediatrics • Laboratory services • Pharmacy • Digital X-ray • Acupuncture • Chiropractic care • Physical therapy • Travel immunizations • Health coaching and condition management • Employee assistance programs • Cisco HealthPresence solution, care-at-a-distance telemedicine • Online scheduling, secure messaging, EMR view access, education • Kaiser Permanente primary care doctors onsite for Cisco Kaiser plan members

11. Comfortable, Relaxing, Enjoyable…and you can spend up to 45 minutes with your doctor • Patient rooms are spacious, private and comfortable—like a luxury hotel suite. • Care suites are equipped with high- definition video screens for looking at medical tests and records with your doctor. • Each suite has its own restroom and a closet for your clothes. Care Suite Exam Room Private Restroom

12. Care is Personalized, Consultative and Integrated…Your doctor collaborates with you on YOU • Health services have been customized for Cisco employees • While we follow a proactive model of medicine, focused on preventing illness, we treat diabetes, hypertension, etc. • We focus on treating the whole person • Your routine medical check-up becomes a personalized health experience based on your health history, medical issues and your lifestyle • We integrate primary care with complementary medicine, such as acupuncture, chiropractic care and physical therapy • We can refer you for one-on-one consultations with one of our onsite nutrition, fitness or life balance experts • We can work with our onsite pharmacist to determine the best medications for you

13. Your Patient Experience Includes Cisco’s Secure, Leading-Edge Technology • Secure, resilient, medical grade network, unified communications • Electronic self-service check-in with e-signature • Real-time online appointment scheduling and appointment tracking • Personal online account management to access your medical record, secure message your physician, and manage your prescriptions • Care-at-a-Distance solutions including Cisco TelePresence and Cisco HealthPresence

14. What Your Co-workers Say 98% rated the health provider excellent or good 99 % will use LifeConnections Health Center in the future 95% would recommend LifeConnections to a co-worker 90% say their physician collaborated with them

15. Try out the Full Service Onsite Pharmacy…even if you don’t use the Health Center Your prescriptions are sent electronically—pick up your medications as you leave the center—no waiting Amazing deals on generics 15% discount off the Walgreens retail price for all over-the-counter products Satisfy the mail order requirement and pick up a 90-day supply of long-term medications Refill prescriptions online or on the phone Pharmacy will transfer your prescriptions You can set up auto-refill

16. The Doctor is ON • High-definition video • Audio • Network-enabled medical diagnostic devices • Same cost savings as the health center – your medical deductible is waived

17. Physical Therapy room located in the Health Center • Our physical therapy suite is connected to the Fitness Center • It’s easy to transition from physical therapy to more strenuous exercise

18. Variation in Billed and Paid CostSan Jose Area 2008 Choosing Efficient partners

19. Life Connections Health Center Coordinating services Eligible clinic visitors are more than twice as likely to enroll in DM

20. Walgreens Onsite Pharmacy Improving compliance • Associated with: • Higher generic rate • Higher 90-day rate