1. © System C Healthcare plc 2008 Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs

2. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Who we are System C is an independent British company, with 15 years dedicated experience of providing information systems and services to the healthcare sector Products A range of large scale and departmental clinical and administrative healthcare systems

3. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Who we work for NHS trusts University Hospital Aintree Christie Hospital East Sussex Hospitals Queen Mary’s Sidcup Swindon and Marlborough Tameside and Glossop Acute Services + many Trusts using our solutions and deployment services NHS Connecting for Health All LSPs – Accenture, BT, CSC and Fujitsu Connecting for Health Other suppliers Independent and private healthcare sectors

4. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Our Product Family System C's advanced Patient Administration System (PAS) and EPR system MedWay is being used successfully by a number of NHS Trusts. MedWay provides support for the majority of clinical and administrative users through a single integrated product System C's HealthData Manager is a reporting and management information system configured specifically to support the needs of the healthcare sector. HealthData Manager provides a data warehouse structure that organises healthcare data in such a way as to make it easily accessible to NHS users One of the System C product family, IQUtopia is a patient management system that offers an integrated holistic solution for elective centres, GP led centres and clinical assessment services Care Records, part of the System C Healthcare Group of companies deliver specialist clinical information systems and services. The company is an expert in this field and is a developer of leading edge technology which is used to produce the Eclipse maternity system and a diabetes management system. Maternity Sigma Proxima Sigma Proxima

5. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Example Contract: The Isle of Man Contract awarded 27 March 2007 - £7.5m over 5 years Go Live Phase 1 due: November 2007 Provision of island-wide Community Care Support Service. Implementation and support services Acute Hospital PAS & clinicals (Medway & other clinical systems) Wider health Community, including Ambulance, Island-wide health record, ICPs, Mental Health / social care

6. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs … this was what hospital systems used to look like at the beginning of the 1990s – almost two decades ago … … they were monochrome, dumb terminals, entirely character based

7. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs … this was MedWay ‘DOS’ – in 1997 the first version of MedWay. For its time it was quite revolutionary – bringing design and colour to a work environment that had always been the province of ‘green screens’ … but that was all about to change …

8. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs … but nothing stands still for long in the computer industry … … 2002 saw the first release of MedWay GUI – one of the very first to bring the power of WindowsTM to the healthcare desktop … … 2002 saw the first release of MedWay GUI – one of the very first to bring the power of WindowsTM to the healthcare desktop …

9. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs But … “In this business you have to learn to obsolete your own products. If you don’t, then someone else will do it for you.” Bill Gates But … “In this business you have to learn to obsolete your own products. If you don’t, then someone else will do it for you.” Bill Gates

10. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs So 2008 saw the release of the most powerful HIS and EPR application yet developed on the Microsoft Platform – Medway Sigma

11. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Using standard MS/NHS Common User Interface Components to standardise user experience across applications Patient Banner Patient Search View Patient Search Control Navigation Pane User’s My Workspace Pane

12. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Exchange of key patient data Seamless integration of third party products using service orientated architecture – e.g. Map of Medicine

13. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Shared reports generated using SQL reporting services and PerformancePoint and published to all users Integrated links to core applications Integration of SharePoint facilitates information sharing and workflow Users given access to knowledge networks from within application

14. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs SharePoint used to create national and customised data collection screens Common data dictionary Workflow and sharing of complex data Clinical data collection

15. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs PerformancePoint used to offer dashboards, data analysis, presentation and drill down tools within operational systems Embedded Excel web parts Easy to read gauges show performance in real time Data visualisation using standard components

16. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs The power of Word is used to organise and present complex patient data using all the power of standard word processor Storage, retrieval and workflow of documents integrated with core application software All Word formatting functions available Merged clinical data

17. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Outlook and Exchange integration combines day-to-day activities with application specific diaries Shared personal and work diaries Mobile devices supported by default Integrated scheduling

18. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Standard user interface components support intuitive computing Unambiguous patient context Drag and drop touch screen technology Familiar interaction styles and context sensitive menus

19. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs CHF Business Framework Medway Sigma Framework All data access is through server side DAL Both client and server is built using a modular framework design Compliance with Connected Health Framework delivers scalable designs and future-proof architecture

20. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs We made a decision to align with Microsoft.. and this gave us access to MS technologies and expertise ….. and this gave us access to MS technologies and expertise …

21. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs We made a decision to align with Microsoft.. access to Microsoft research ….. access to Microsoft research ….. scalability testing.. scalability testing.. performance testing.. performance testing.. and stored procedures.. and stored procedures

22. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Smart client technology Feature rich, thick client functionality but thin client (web type) deployment. Smart client technology Feature rich, thick client functionality but thin client (web type) deployment. …using MS technology and being able to build a product from the ground up gave us a number of important benefits.. A Highly configurable product, easy and quick to deploy An International product easy to localise to languages, dates, and alphabets

23. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Multi Campus functionality from the ground up …using MS technology and being able to build a product from the ground up gave us a number of important benefits.. Familiar and intuitive (Microsoft Desktop) User experience Reduced cost of ownership

24. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Future proof against changes in Microsoft technology, Windows, Office etc. Build an N-tier application developed in C# within a.Net 3.0 framework and the new MS SQL2008 data layer… Leapfrog old technology like LORENZO and Millennium Microsoft.net has enabled us to build a ‘next generation application’ swiftly, and consistently. It has allowed us to: Microsoft.net has enabled us to build a ‘next generation application’ swiftly, and consistently. It has allowed us to:

25. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Redesign MedWay to meet the Microsoft / NHS Common User Interface standards (CUI) Comply with NPfIT systems and MiM standards Making it much easier for the product to communicate with Spine services. Comply with NPfIT systems and MiM standards Making it much easier for the product to communicate with Spine services. Microsoft.net has enabled us to build a ‘next generation application’ swiftly, and consistently. It has allowed us to:

26. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Smart client: Can be deployed from a data centre or locally One server (sized appropriately can drive multiple Trusts) Changes to screen layouts can be done by trained staff. No longer a need to place a chargeable change request for amendments to screens / grids. Open architecture for ease of integration Based on SQL Server which is very cheap for a Trust to own Trust staff are experienced in supporting MS products Smart client: Can be deployed from a data centre or locally One server (sized appropriately can drive multiple Trusts) Changes to screen layouts can be done by trained staff. No longer a need to place a chargeable change request for amendments to screens / grids. Open architecture for ease of integration Based on SQL Server which is very cheap for a Trust to own Trust staff are experienced in supporting MS products Some reasons why Smart Client Works so well …

27. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs Sigma data manager … Based entirely on Microsoft technologies Can perform OLAP analysis on Trust data cubes Forecasting of future Trust activity Ability to merge data from Sigma and other disparate systems to give data warehousing capability

28. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs © System C Healthcare plc 2007 Medway sigma – Architecture

29. © System C Healthcare plc 2008 improving patient care through effective IT www.systemc.com Talk to E3 about System C and the Medway Sigma application for your Electronic Patient Record Needs © System C Healthcare plc 2007 Sigma Data Manager – Architecture