Promise #3 Efficient Cost Effective Care

1. Promise #3Efficient Cost Effective Care September 25, 2008 Moderator Lou Porn, Principal, Deloitte Consulting Panel Kent Gale, President, KLAS Enterprises Robert Murphy, MD, CMIO, Memorial Hermann Health System Milton Silva-Craig, President and CEO, Exogen Healthcare Judy Van Norman, Senior Director, Care Transformation, Banner Health

2. Technology as an Enabler Technology has been at the center of healthcare’s progress for decades. In recent years, the applications have expanded. Clinical Systems ERP Technology Revenue Cycle Tele-medicine Business Intelligence

3. Efficient Cost Effective Care Organizations are in different stages of evolution in applying clinical applications to achieve patient centeredness beginning with EMR and currently adding BI to bring the information together to deliver safety, quality, productivity, and profitability. Workflow Disease Management EMR Supplies Business Intelligence CPOE Medication Management

4. Efficient Cost Effective Care Progress has been achieved in many areas ... Market Strategy Customer Service Safety and Quality • Recognition • Physician alignment • Expansion • Access • Remote testing • Results • Chronic tracking • Medication • Bar coding • Imaging results • Monitoring • Alerts Public Health Workforce • Training • Medical education • Information access Business • Safeguarding PHI • Tracking medical trends • Disaster support • Prevented losses • Bed management • Productivity • Workflow

5. Examples of Success Successes have occurred in a variety of clinical areas with documented benefits normally between $10 -50 million. Successes have some common characteristics: • Planning • Experience • Focus • Baseline Mayo CHI NMH Nebraska Heart ENH OSF NSLIJ THR St Barnabas Lahey