The Cisco HealthPresence Solution

1. The Cisco HealthPresence Solution Shaping a World of Healthcare Without Boundaries Tim Lake Strategic Account Manager Cisco Public Sector

2. Rising patient load, especially the elderly and those with chronic diseases Shortage of medical professionals Rising cost of providing care ERs are overcrowded and often a patient’s first choice for care Specialists aren’t always available locally Challenges in Healthcare Delivery

3. Finding the Right Solutions As healthcare providers work to address these challenges, they need solutions that: • Increase caregiver efficiency • Make care available to more people • Improve the patient experience • Increase the availability and flow of information

4. NEW OLD NEW OLD NEW OLD Patient goes to the service and waits. Service comes to the patient. The best possible expert sees the patient, even if the patient is far away. Caregiver time lost between patient encounters, limited geographical coverage. More patient encounters, less in-between time, broader geographical coverage. Heavy use of emergency rooms and overburdened systems. Patients can access routine and specialty medical care using offsite clinics in urban and rural areas. The Cisco HealthPresence Solution IsTransformational Change Access Productivity Efficiency

5. Healthcare Technology Foundations Smart Healthcare Facilities Connected Imaging Care-at-a-Distance Clinical Workflow Solutions that optimize imaging workflow and image access Solutions that support clinical care unbounded by distance, physical location, or setting Solutions that streamline workflows and improve communication among clinicians Comprehensive healthcare IT infrastructure solutions that enable security, reliability, and regulatory compliance Services that enable hospitals to reduce capital and operating expenses of their facilities Portfolios for Cisco Connected Health

6. Attendant places call to a remote doctor with a single touch Medical instruments provide vitals Patient in a remote area needs to see a doctor Local attendant (a licensed healthcare professional) places patient at Cisco HealthPresence unit Remote doctor sees patient in high-def video and views data from medical devices in streaming video The Cisco HealthPresence Solution Using the network as a platform, the Cisco HealthPresence solution combines high-definition video, advanced audio, and patient medical data to create an environment similar to what most people experience when they visit their doctor or health specialist. • Increased convenience and access to healthcare for patients • Optimizes the use of scarce expert resources while containing costs and offering a live, “face-to-face visit” experience • Offers the ability to augment and optimize the capacity and reach of care-delivery systems in a patient-friendly and convenient way Business value

7. Components of the Cisco HealthPresence Solution Cisco®Vitals Software for secure session management, transmission of medical data, and viewing of electronic medical record (EMR) Cisco Session Management Applicationfor interoperability with Cisco Unified Communications, enabling intelligent routing and management & one-touch dialing Cisco TelePresencefor a realistic face-to-face experience Components Medical Devices AMD-2500 General Examination Camera AMD-3700 Telephonic Stethoscope AMD-2015 ENT Scope Welch Allyn Spot Vital Signs Lxi (blood pressure, temperature, pulse rate, pulse oximetry)

8. Building on the Cisco Network Session Management App Third-party apps • Pharmacy • Campus • Hospital Connected hospital or care facility Third-party services Intelligent routing Digital signage (future) • Rural areas • Specialty services • Emergency response TelePresence and Internet Protocol Communications GP office or specialist Vitals app connects medical devices Hosted EMR The Cisco HealthPresence solution uses the network as the platform for service delivery and has unsurpassed potential to extend geographic boundaries

9. The Cisco HealthPresence Solution in Action—Public Sector and Healthcare Providers • Doctors can examine and treat far-away patients without traveling • Care can be extended to underserved, remote, and rural areas • Patients can be referred to other doctors, no matter where they are • A single doctor can serve many more patients Flexible configurations Easy expansion and scalability

10. The Cisco HealthPresence Solution in Action—Enterprise Applications Large corporate sites, manufacturing facilities, and universities can reduce costs and absenteeism by providing onsite healthcare services • Stay onsite to see a doctor • Reduce sick days • Lessen time away from campus • Extend coverage to remote sites • The system builds on existing Cisco networks

11. The Cisco HealthPresence Solution in Action—Retail Applications Drugstores and other retailers can expand their services to include more sophisticated wellness and healthcare services • Treat the “worried well” and the uninsured • Use a distance visit to renew prescriptions or periodically check on patients with chronic illnesses, especially in nursing homes • Mobile units, within a motor vehicle, are also possible, for roving care

12. Expand the Boundaries of Healthcare The Cisco HealthPresence solution changes the way we experience healthcare • Delivers a better experience between patient and provider • Improves lives by making it easy to access quality care • Extends the reach of providers and specialists • Redirects unnecessary ER visits • Increases productivity • Increases efficiency

13. Aberdeen, Scotland—Scottish Centre for Telehealth, Cisco, and National Health Service Patient Results 99% 93% 95% Were satisfied with the experience Felt the visit was confidential Would recommend the service Remote clinic experience for patients with non-life-threatening illnesses and injuries Patients • Aged 16 to 75+ • 51% male, 49% female

14. San Jose, California—Cisco LifeConnections Health Center and United Health Group (UHG) Patient Results 97% 90% 98% Were able to communicate effectively with healthcare professionals using the service Were comfortable using the technology Would recommend the service Cisco LifeConnections Health Center in San Jose provides an alternative to in-person doctor visits for employees in Research Triangle Park, North Carolina UHG coordinated administrative process (scheduling, payments, coordination of benefits, network availability of clinical services)

15. Q&A Cisco HealthPresenceShaping a World of Healthcare Without Boundaries 15

16. For More Information The Cisco HealthPresence Solution http://www.cisco.com/web/strategy/healthcare/care_at_a_distance.html