2009 MEDITECH Customer Events

1. 2009 MEDITECH Customer Events Financing IT PROJECTS: Successfully Linking, Financial And Technology Strategies Bradley R. Swenson, VP – Winthrop Resources Member: MUSE, HFMA, MGMA, HIMSS, AICPA

2. *Accenture Ads – 2007-2009

3. *Accenture Ad - 2009

4. How Will Your Strategies Be Affected By The “Forces of Change”?

5. How Will Your Strategies Be Affected By The “Forces of Change”?

6. Agenda • Linking Business/Financial and Technology Strategies • Identify Healthcare Forces of Change • The ARRA/HITECH Carrot/Stick • Mapping Costs to Benefits Received by ARRA and System • Q & A

7. Link Your Business/Financial With Technology Strategies BUSINESS/FINANCIAL STRATEGIES “…technology is not a goal; its an enabler. Technology only matters in so far as it enables sound business processes.” Robert Fromberg, Editor-in-Chief HFM ENABLES DRIVES TECHNOLOGY STRATEGIES

8. Linking Business/Financial With Technology Strategies

9. How Will Your Strategies Be Affected By The “Forces of Change”? BUSINESS/FINANCIAL STRATEGIES OPPORTUNITY RISK TECHNOLOGY STRATEGIES

10. Identify Your Forces of Change Healthcare IT is impacted by Market, Hospital and Technology Forces of Change Definition of "Meaningful Use” Changes in the “Carrot/Stick of ARRA/HITECH HIPAA • CCHIT, Changes in Standards • Implications of Interoperability • Vendor Trials/Tribulations • ICD10 Integrating with Affiliated MDs Clinical User Adoption Financial Implications Marketing/Competitive Implications

11. Healthcare Forces of Change - Technology • TECHNOLOGY • Workflow Efficiencies • Better, Cheaper, Faster • New Standards • Vendor Trials/Tribulations

12. Healthcare Forces of Change – Technology: Moore’s Law Moore’s Law: transistor count doubling every two years 4004 Dual-Core Itanium Pentium

13. Healthcare Forces of Change – Technology: CT

14. Healthcare Forces of Change – Technology: Women’s Imaging

15. Healthcare Forces of Change – Technology: Women’s Imaging

16. Healthcare Forces of Change – Technology Hospital • HOSPITAL • Mission • Recruiting/Retaining Staff • Competition • Financial

17. Healthcare Forces of Change – Hospital: Recruiting/Retaining MDs

18. Healthcare Forces of Change – Hospital: Financials

19. Healthcare Forces of Change – Hospital: Competition

20. Healthcare Forces of Change – Hospital: Recruiting/Retaining MDs 100% Computerized Doctor Orders 100% Medication Scanning

21. Healthcare Forces of Change – Hospital: Coop-etition

22. Healthcare Forces of Change – Hospital: Recruiting/Retaining MDs • MARKET • The Economy • Reimbursement • Regulatory • Government • Consumerism

23. Healthcare Forces of Change – Hospital: Consumerism

24. Healthcare Forces of Change – Hospital: Consumerism

25. Healthcare Forces of Change – Hospital: Consumerism

26. Healthcare Forces of Change – Hospital: Consumerism

27. Healthcare Forces of Change – Market: ARRA

28. HITECH Act: What is meaningful Use?

29. HITECH Act: How close are we to ‘Meaningful Use’? *HIMSS Analytics

30. HITECH Act: How close are we to ‘Meaningful Use’? *Healthcare Informatics - 07.09

31. EHR – Affiliated Physicians

32. Build Agility into Strategy Lease Lease Loan Loan Tax-Exempt Tax-Exempt Cash Cash Bond Bond

33. What Technology Requires Agility? Lease Lease Loan Loan Tax-Exempt Tax-Exempt Cash Cash Bond Bond

34. Build Agility into Strategy

35. Build Agility into Strategy

36. Mapping Costs to Benefits Received by ARRA & MEDITECH

37. Build Agility into Strategy BUSINESS/FINANCIAL STRATEGIES • Linking Business/Financial and Technology Strategies • Identify Healthcare Forces of Change • The ARRA/HITECH Carrot/Stick • Mapping Costs to Benefits Received by ARRA and MEDITECH TECHNOLOGY STRATEGIES

38. *Accenture Ad - 2009

39. BRIAN SLIPKA Winthrop Resources – General Manager Carolinas bslipka@winthropresources.com 952.936.0226 DAN MANDY Winthrop Resources – Government Affairs dmandy@winthropresources.com 952.656.7687 BRADLEY R. SWENSON Winthrop Resources – VP Healthcare Practice bswenson@winthropresources.com 952.656.7689