How Health IT is Transforming Your Hospital A convergence of undeniable trends Phil Stravers, CEO, ICE Technologies

1. How Health IT is Transforming Your Hospital A convergence of undeniable trends Phil Stravers, CEO, ICE Technologies

2. A New Reality • ARRA - Approximately $20 Billion for Health IT • Key concepts: • CERTIFIED EHR technology • CCHIT / NIST • Meaningful Use Objectives for 2011 • Improve Quality, Safety and Efficiencies • Engage Patients and Families • Improve Care Coordination • Ensure Privacy and Security Protections • Increased Security & Privacy Protections

4. New Expectations • Payers will follow CMS lead • Patients • Comparative analysis • “Snowbird support” • Medications management • Patient / Clinician communication • Joint Commission / Regulatory • Security • Disaster Recovery – downtime procedures • Access policies

5. Not Your Father’s IT • Budgets and IT Operations changes • Average operating budgets for IT– 3.12%* • Capital spending for IT – 47%* • Cost and resource shifting • IT resource requirements have changed • Medical Grade Networks • Service Level Agreements • Security • Report Writing – Analytics *Source: HIMSS 2009 Annual Leadership Survey

6. Business Impact – Value & Compliance • Your facility IT goals / plans should… • Be focused on outcomes, not the tools • Put things in proper order • Include infrastructure and staffing • Recognize IT as a change event more than a product install

7. It’s not just talk anymore • Page 1 of many • Increasing requirements • Nothing brand new • Timeline is new

8. Meaningful Use – Hospital Priorities – Quick Glance 2011 • 10% of Orders via CPOE • All Orders via CPOE – Physician (interfaces to receiving entities not required) • Maintain current ICD-9 or SNOMED based problem lists • Maintain Active Med List • Record Vital Signs • Active Medication Allergies • Lab Results in E.H.R. as structured data • 2013 • 100% of Orders via CPOE –(Evidence-based) • Record all clinical documentation in E.H.R. • Conduct Closed-Loop medication Management in (eMAR & BMV) • Use Clinical Decision Support at the point of care

9. Meaningful Use – Hospital Priorities – Quick Glance 2011 (continued…) • Report hospital quality measures to CMS. • Implement one clinical decision rule related to a high priority hospital condition. • Insurance eligibility checking (where possible) • Provide patients electronic copy of health information (lab results, problem list, med list, allergies, discharge summary, procedures) • 2013 (continued…) • Access for all patients to PHR populated in real time with patient health data

10. Meaningful Use – Hospital Priorities – Quick Glance 2011 (continued…) • Capability to exchange key clinical information (discharge summary, procedures, prob list, med list, allergies, test results) among providers of care and patient authorized entities electronically. • Perform medication reconciliation at relevant encounters and each transition of care • Public health exchange • 2013 (continued…) • Produce and share an electronic summary of care record for every transition in care (place of service, consults, discharge) • http://healthit.hhs.gov

11. Be Ready! • The Health IT Consultant Employment Act • IT governance and project management structures • Commit the team up front • Implementation oversight • Change management • Report writing • 7X24 systems – infrastructure counts! • Vendor Language Interpreters (VLIs) • “First do no harm.” • Docs & nurses need our help! • Interoperability • Systems availability & security

12. Software Vendors • Choose Wisely – certified • Hold them accountable • Put them in their proper place • Take charge of your implementations • Take charge of your interfaces • Take charge of your reporting • Take charge of your compliance • Take charge of your usage

13. Health IT Futures • PHR Integration – Google Health, Microsoft HealthVault • Cell phones – Smart Phone Usage • AirStrip OB – On-line Fetal Monitoring • Epocrates Rx iPhone – Drug Reference – 85,000 downloads in 30 days • OpusMobility – EMR formatted for a phone • MercuryMD and PatientKeeper – ePrescribing, rounding tools • Virtual Health Provisioning • Web 2.0 • Focus on Social networking • Intuitive, anticipatory extension of personal and business life • Pervasive Mobility – is your infrastructure ready? • Business Intelligence – Real Time • Knowledge Engineering • Super Portals

14. What MIT-types are up to • Mind reading isn’t as far off as you think – Intuitive brain-computer interface technology using tiny implanted electrodes • In tests, they could tell what instrument sound the subject was thinking • Wireless electricity • Reality Mining – using cell phones to learn about human behavior • Driverless Cars • Lithium-ion electrode batteries – long life – better safety • Non-invasive Trauma Monitors (near-infrared light sensing levels of oxygen, pH and hematocrit in a patient’s muscle tissue) • Biomedical robots galore – from spiders to dogs • Robotic surgery (current Guinness record for longest distance between patient and surgeon is 3,866 miles on Sept. 7, 2001)

15. Questions Phil Stravers CEO 877-754-8420 phils@icetechnologies.com