The Real Deal on Enterprise Portals

2. Agenda State of Healthcare in the United States Who is NIA and what is RadMD? The RadMD Enterprise Portal Enterprise Portal Market Requirements Key Success Factors

3. The State of Healthcare in the U.S. Single Largest Industry in the U.S. ->$1.2 trillion in spend As a % of GDP, national expenditures have risen from 5% in 1960 to fully 14% today. This is the largest percentage in the industrialized world Little evidence exists that aggregate outcomes are better in the U.S. than in countries that spend a smaller % of their GDP on health care.

4. The State of Healthcare in the U.S. HCFA predicts costs to grow at 7% CAGR; and reach $2.2 trillion by 2008 Alarmingly, only 1/2 represents �required care�: 20% spent on administrative inefficiencies 30% inappropriate, redundant, and unnecessary procedures Huge service-based industry Over 250 million patients/consumers (aging population) Over 5,000 Hospitals, 40,000 Nursing Home and AL Facilities 700,000 Physicians, 100,000 Dentists Cumbersome 3d Party Payment System Over 500 Managed Care Enterprises

5. The State of Healthcare in the U.S. Billions of claims processed each year, representing multiple patient encounters(doctor visits), and multiple transactions (eligibility, referral, lab studies, radiology studies, etc.) Clinical & Financial Data resting on antiquated technology; mainframe, old client-server. Industry contributes only 2-3% on information technology vs. 6-8% in other highly-information based business Physicians need access and information flow across the continuum of care in order to manage patients and their businesses Consumerism on the rise - accessing information enabling the comparison of quality, treatment options, and outcomes data of hospitals & physicians.

6. The State of Healthcare in the U.S.

7. The State of Healthcare in the U.S.

8. The State of Healthcare in the U.S. - Radiology Diagnostic Radiology Market Size $70 to $80 Billion Spend, 10% of healthcare dollar Rising Costs Direct costs increasing at twice the rate of medical inflation (9% to 12%) Quality Unnecessary radiation exposure and false positives associated with inappropriate use

9. The State of Healthcare in the U.S. - Radiology

10. The State of Healthcare in the U.S.

11. Agenda State of Healthcare in the United States Who is NIA and what is RadMD? The RadMD Enterprise Portal Enterprise Portal Market Requirements Key Success Factors

12. National Imaging Associates & RadMD

13. NIA Call Center & Workflow (pre-EP) Our Operations Call Center/IT organization located in San Bruno, California with over 100 employees; Customer Service Representatives, Registered Nurses, Board-Certified Physicians Provide Medical Management services to over 4.5 million enrollees through our client relationships Process over 80,000 clinical consultations per month involving multiple transactions each - eligibility, clinical decision support algorithms, provider selection and referral, authorization resolution 2000 - strategic move to an Enterprise Portal Computing Architecture

14. NIA Client Server Architecture (1996-1999)

15. Agenda State of Healthcare in the United States Who is NIA and what is RadMD? The RadMD Enterprise Portal Enterprise Portal Market Requirements Key Success Factors

16. Why an Enterprise Portal?

17. Facilitating Information Transfer

18. How did we Develop?

19. NIA Call Center & Workflow Today

20. RadMD Portal (2001)

21. What have we learned? Portal technologies provide a means to connect the participants in the healthcare delivery process to valuable clinical information necessary to improve the quality and efficiency of patient care Look for technology partners and engage existing stakeholders Fundamental Project Management Skills are paramount Value proposition must be unique, tangible, and measurable

22. Agenda State of Healthcare in the United States Who is NIA and what is RadMD? The RadMD Enterprise Portal Enterprise Portal Market Requirements Key Success Factors

23. e-Business Evolution

24. Expanding Opportunities Some companies are actually leveraging the Internet to move to enabling meaningful relationships. Let us take the example of an online credit card company. The fundamental task of attracting customers, retaining them and then optimizing their experience remains the same, but the way of accomplishing this changes dramatically, with the Internet. We�ll compare an online credit card company with a conventional brick and mortar. In order to get a credit card, a customer had to fill in an application form and wait about 5 weeks for the card to arrive. To figure out which offer was the best deal for him, the customer had to do all the work. Moving this business online makes several improvements. First, the customer is attracted with a simple online process for requesting a credit card. Once the customer enters the requested information, the company�s computer system quickly responds by presenting a choice of customized credit card offers. The customer chooses one offer, gets a credit card number almost instantly, and can be directed to a shopping site where he finds a page that has been personalized for him. A few important things transpired here: The prospect was attracted online with a very simple interface. Next, the prospect was converted into a customer by presenting options tailored to his specific needs, and he was engaged by receiving an immediate response to his application. Finally, his experience was enahnced by providing him the never-before -offered service of a personalized shopping site. Not only does this lead to establishing a meaningful relationship with the customer that is mutually beneficial, it also reduces the cycle time to complete the business process. What used to take 5 weeks can now be accomplished in less than 5 mins. This translates directly into lower cost and higher customer retention. From a technology perspective two things are important to note: The first and most obvious is personalization. All customer interaction is personalized to the individual. The Internet enables you to serve the individual customer, not the just mythical �average customer.� Second, a less obvious one, is integration. Only because of integration with external credit bureaus and an internal risk assessment system could the credit card company provide multiple offers personalized to the customer. Having established that the opportunities are very many, let us take a look at some war-stories from the e-Business front.Some companies are actually leveraging the Internet to move to enabling meaningful relationships. Let us take the example of an online credit card company. The fundamental task of attracting customers, retaining them and then optimizing their experience remains the same, but the way of accomplishing this changes dramatically, with the Internet. We�ll compare an online credit card company with a conventional brick and mortar. In order to get a credit card, a customer had to fill in an application form and wait about 5 weeks for the card to arrive. To figure out which offer was the best deal for him, the customer had to do all the work. Moving this business online makes several improvements. First, the customer is attracted with a simple online process for requesting a credit card. Once the customer enters the requested information, the company�s computer system quickly responds by presenting a choice of customized credit card offers. The customer chooses one offer, gets a credit card number almost instantly, and can be directed to a shopping site where he finds a page that has been personalized for him. A few important things transpired here: The prospect was attracted online with a very simple interface. Next, the prospect was converted into a customer by presenting options tailored to his specific needs, and he was engaged by receiving an immediate response to his application. Finally, his experience was enahnced by providing him the never-before -offered service of a personalized shopping site. Not only does this lead to establishing a meaningful relationship with the customer that is mutually beneficial, it also reduces the cycle time to complete the business process. What used to take 5 weeks can now be accomplished in less than 5 mins. This translates directly into lower cost and higher customer retention. From a technology perspective two things are important to note: The first and most obvious is personalization. All customer interaction is personalized to the individual. The Internet enables you to serve the individual customer, not the just mythical �average customer.� Second, a less obvious one, is integration. Only because of integration with external credit bureaus and an internal risk assessment system could the credit card company provide multiple offers personalized to the customer. Having established that the opportunities are very many, let us take a look at some war-stories from the e-Business front.

25. Current e-Business SolutionsFragmented and Impersonal Having heard both the extremes, let�s spend a few minutes on ground reality. Most enterprises that have become e-Business have a website that present a fragmented and Impersonal view to their customer. The Internet as a medium provides an opportunity to provide exceptional service to the customer, but it also equally permits extension of existing ways of doing business by web enabling applications in isolation. But the danger now, is that instead of employees interacting with your existing enterprise applications, the untrained end-user will be interacting with them. Result is no efficiencies and very high maintenance costs. Long term effect a disillusioned management team. Having heard both the extremes, let�s spend a few minutes on ground reality. Most enterprises that have become e-Business have a website that present a fragmented and Impersonal view to their customer. The Internet as a medium provides an opportunity to provide exceptional service to the customer, but it also equally permits extension of existing ways of doing business by web enabling applications in isolation. But the danger now, is that instead of employees interacting with your existing enterprise applications, the untrained end-user will be interacting with them. Result is no efficiencies and very high maintenance costs. Long term effect a disillusioned management team.

26. Enterprise PortalsPersonalized Business Experience An elegant solution to becoming an e-Business is to go the way of an enterprise portal. Simply put an enterprise integrates the entire business environment, personalizes it and presents it through the web. Integration and Personalization are required in equal measure to provide that personalized business experience for the customer.An elegant solution to becoming an e-Business is to go the way of an enterprise portal. Simply put an enterprise integrates the entire business environment, personalizes it and presents it through the web. Integration and Personalization are required in equal measure to provide that personalized business experience for the customer.

27. What is an Enterprise Portal? It�s NOT just a personalized URL directory E.g. Internet Portals like MyYahoo It�s NOT just a personalized employee webtop Corporate Portal technologies It�s about creating a unified e-business experience personalized to the needs of your diverse business audiences: Deeply integrated into the business infrastructure Broadly connecting disparate business infrastructure into a comprehensive e-business experience Focused on the unique needs of each e-business audience to build meaningful relationships The Quality of Service to meet market expectations Lowering the Total Cost of Ownership of e-Business

28. Evaluating Enterprise PortalsThe complete functional perspective

29. Sybase Enterprise Portal

30. Sybase Enterprise PortalEnterprise Class Platform Unified functionality is a good first step, but when setting up an e-Business you also have to focus on the perils of success as evidenced by the Brittanica.com example I mentioned earlier. You have to ensure a) Service Availability b) Scalable Capacity and c) Consistent Performance. Sybase enterprise portal is built on an enterprise class platform, that incorporates technology proven on Wall Street for the last decade. Scalability, Reliability and Continuous Availability is built into the offering. Also furthermore to enable customers to leverage newer applications and technologies that come out in the future, Sybase EP has been built with a focus on Open Standards. This will ensure that standards based third party applications can interact with Sybase EP, ensuring maximum leverage and a good return on investment. To sum up the two unique features of the offering are its unified functionality in a product offering and an enterprise class platform.Unified functionality is a good first step, but when setting up an e-Business you also have to focus on the perils of success as evidenced by the Brittanica.com example I mentioned earlier. You have to ensure a) Service Availability b) Scalable Capacity and c) Consistent Performance. Sybase enterprise portal is built on an enterprise class platform, that incorporates technology proven on Wall Street for the last decade. Scalability, Reliability and Continuous Availability is built into the offering. Also furthermore to enable customers to leverage newer applications and technologies that come out in the future, Sybase EP has been built with a focus on Open Standards. This will ensure that standards based third party applications can interact with Sybase EP, ensuring maximum leverage and a good return on investment. To sum up the two unique features of the offering are its unified functionality in a product offering and an enterprise class platform.

31. Sybase Enterprise Portal Extensions

32. Sybase EP Mobile ExtensionsExpanded services for the mobile community

33. Sybase EP B2B ExtensionsExpanded integration into B2B communities

34. Agenda State of Healthcare in the United States Who is NIA and what is RadMD? The RadMD Enterprise Portal Enterprise Portal Market Requirements Key Success Factors

35. The Sybase Solution A product alone does not offer a complete solution. The Sybase solution involves a few other components distinguishing it from other offerings from in the marketplace. The Sybase solution involves extended relationships with partners to provide the breadth of applications required for becoming an e-Business. To top it Sybase offers services, who combine a proven methodology with best practices learnt from implementing solutions for customers. The total Sybase solution thus comprises of a product offering with unique capabilities, breadth of partners with certified applications for fast deployment and a comprehensive services and education offering. A product alone does not offer a complete solution. The Sybase solution involves a few other components distinguishing it from other offerings from in the marketplace. The Sybase solution involves extended relationships with partners to provide the breadth of applications required for becoming an e-Business. To top it Sybase offers services, who combine a proven methodology with best practices learnt from implementing solutions for customers. The total Sybase solution thus comprises of a product offering with unique capabilities, breadth of partners with certified applications for fast deployment and a comprehensive services and education offering.

36. e-Portal Alliance Partners REPLACE CURRENT PARTNER SLIDE IN BUSINESS AND PARTNER We studied and surveyed the needs of the Enterprise Portal market to include specific areas of solution coverage and then approached the hot providers in each of these 7 key zones. E-Commerce, E-CRM, e-Analysis, E-corporate business productivity, e-content, e-information, and e-workflow. Partner profiles are included in your materials today, please ask me after the session if you have any questions on partners. More categories and partners are on the way this summer! REPLACE CURRENT PARTNER SLIDE IN BUSINESS AND PARTNER We studied and surveyed the needs of the Enterprise Portal market to include specific areas of solution coverage and then approached the hot providers in each of these 7 key zones. E-Commerce, E-CRM, e-Analysis, E-corporate business productivity, e-content, e-information, and e-workflow. Partner profiles are included in your materials today, please ask me after the session if you have any questions on partners. More categories and partners are on the way this summer!

37. Keys to successful Enterprise Portal Implementation Establish executive ownership Develop a vision and define a strategy to get there Balance unit ownership with central leadership Plan for fundamental business change � not just �webizing� your company Design upfront the integration of new e-Business applications with existing systems Involve key business partners in your initiative Invest in a vendor who provides a comprehensive solution The process of building a portal. It is not just technology and it is a process. Ties back to the blown opportunity slide and The process of building a portal. It is not just technology and it is a process. Ties back to the blown opportunity slide and