1. © 2012 TeraMedica, Inc. Archiving to a Secure, Enterprise Cloud: The Business Case Karen Burton, US Healthcare Mgr Mike Martin, VP Cloud Services

2. © 2012 TeraMedica, Inc. Presenter Bio: Karen Burton Karen Burton, US Healthcare Business Development Manager, Logicalis Responsible for US healthcare business of $127M, 300+ healthcare customers Over 20 years in healthcare industry CPHIMS MA in Organizational Communication Karen.burton@us.logicalis.com (251) 605-7693 Spanish Fort, AL

3. © 2012 TeraMedica, Inc. Presenter Bio: Mike Martin Mike Martin, VP Cloud Services, Logicalis Responsible for the development and go-to-market plan for Logicalis Cloud solutions, including product life cycle management, sales & presales leadership and customer support. Developed cloud solution for key healthcare customer, API Healthcare Mike.Martin@us.logicalis.com (920) 338-7619 De Pere, WI

4. © 2012 TeraMedica, Inc. Course Overview Archiving Images to a Secure, Enterprise Cloud Critical Success Factors & Business Drivers Brief history of archive media Business case for Cloud Archiving What is an Enterprise Cloud? Archiving Future Are you ready?

5. © 2012 TeraMedica, Inc. “Always-On”, Non-Disruptive Archive Mission Critical - Clinical Performance Reliable Data Integrity Easy to Manage and Administer Easy Migrations due to changes in software/hardware Automated Recovery Affordable and Scalable Critical Success Factors for Medical Image Archiving Digital Pathology Slide Over 1 GB with compression 3-D echocardiography

6. © 2012 TeraMedica, Inc. Archiving Business Drivers Medical Images will make up 30% of all STORAGE by 2015 Stage 2 Meaningful Use includes Radiology, Cardiology EHR Mandate will include images by 2015 Earlier is Better: Cost of re-ordered tests one of key cost drivers Current PACS archive technology is unsustainable –Data Migrations are expensive –Data Migrations will eventually take longer than the implementation of a new imaging system Current Economics of supporting, storing, disaster recovery, viewing and integrating PACS to other applications are unsustainable

7. © 2012 TeraMedica, Inc. Film & paper records CDs Tape backup Storage Arrays Digital Archiving Service Cloud Storage Brief History of Image Archiving Media

8. © 2012 TeraMedica, Inc. Business Case for Cloud Archiving Do More with Less –Pay only for what you actually need –Lower implementation costs Service Improvement –Shorten time to deliver projects –Fewer skill-sets needed Risk Mitigation –Aging datacenter facilities –Compliance challenges –Enhanced disaster recovery Breakthrough Agility: –Focus on highest value activities –Align IT to driving business innovation

9. © 2012 TeraMedica, Inc. Many definitions of Cloud  Physical  Dedicated  Static  Heterogeneous Private Cloud Public Cloud PaaS SaaS IaaS Hybrid  Federation with public clouds  Interoperability  Cloud bursting App1App2App3 Private IaaS Private PaaS Virtual Private Cloud Hybrid PaaS SaaS IaaS Private Cloud  Self-service  Policy-based resource mgmt  Chargeback  Capacity planning App2App3 Private IaaS Private PaaS App1 Silo’dVirtual  Virtual  Shared services  Dynamic  Standardized appliances App1App2App3 App1App2App3 Private IaaS Private PaaS

10. © 2012 TeraMedica, Inc. What is an Enterprise Cloud? HIPAA PCI NIST Secure Flexible Scalable

11. © 2012 TeraMedica, Inc. Logicalis Enterprise Cloud Multi-tenant, Infrastructure as a Service Composed of virtual compute containers Compute Storage Bandwidth –Multiple virtual servers and services –Ease of management of capacity and services –“Burstable” to Logicalis Enterprise Cloud Enterprise -class infrastructure and services ITIL-based management of services Robust ITSM services management and Portal

12. © 2012 TeraMedica, Inc. Why VNA to the cloud? Make this your last migration Store industry standard formats Implement Clinical ILM Use a Universal viewer Don’t scale a data monster!

13. © 2012 TeraMedica, Inc.

14. Future of Archiving is… Cloudy! Pay for use model Economies of scale Rapidly changing technology Scale from GB to Zetabytes

15. © 2012 TeraMedica, Inc. Ready for Cloud Archive? Do you need easy access to a 2 nd copy of your medical images offsite? Do you maintain multiple PACS backup strategies today? Are the costs of maintaining an off-site copy of your medical images growing with no relief in sight? If you answered YES to any of these- you may be ready….

16. © 2012 TeraMedica, Inc. Q & A