1. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID Tim Lake Strategic Account Manager Cisco Public Sector The Cisco HealthPresence Solution Shaping a World of Healthcare Without Boundaries

2. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 2 Challenges in Healthcare Delivery 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

3. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 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. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 4 The Cisco HealthPresence Solution Is Transformational Change AccessProductivityEfficiency OLD Patient goes to the service and waits. OLD Caregiver time lost between patient encounters, limited geographical coverage. OLD Heavy use of emergency rooms and overburdened systems. NEW Service comes to the patient. The best possible expert sees the patient, even if the patient is far away. NEW More patient encounters, less in-between time, broader geographical coverage. NEW Patients can access routine and specialty medical care using offsite clinics in urban and rural areas.

5. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 5 Portfolios for Cisco Connected Health Solutions that support clinical care unbounded by distance, physical location, or setting Care-at-a- Distance Comprehensive healthcare IT infrastructure solutions that enable security, reliability, and regulatory compliance Healthcare Technology Foundations Services that enable hospitals to reduce capital and operating expenses of their facilities Smart Healthcare Facilities Solutions that optimize imaging workflow and image access Connected Imaging Solutions that streamline workflows and improve communication among clinicians Clinical Workflow

6. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 6 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. Business value  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 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

7. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 7 Components of the Cisco HealthPresence Solution 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) Cisco Session Management Application for interoperability with Cisco Unified Communications, enabling intelligent routing and management & one-touch dialing Cisco TelePresence for a realistic face-to- face experience Cisco ® Vitals Software for secure session management, transmission of medical data, and viewing of electronic medical record (EMR)

8. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 8 Building on the Cisco Network The Cisco HealthPresence solution uses the network as the platform for service delivery and has unsurpassed potential to extend geographic boundaries Vitals app connects medical devices  Pharmacy  Campus  Hospital  Rural areas  Specialty services  Emergency response Connected hospital or care facility Session Management App Third-party apps Third-party services Intelligent routing Digital signage (future) TelePresence and Internet Protocol Communications Hosted EMR GP office or specialist

9. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 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. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 10 The Cisco HealthPresence Solution in Action—Enterprise Applications  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 Large corporate sites, manufacturing facilities, and universities can reduce costs and absenteeism by providing onsite healthcare services

11. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 11 The Cisco HealthPresence Solution in Action—Retail Applications  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 Drugstores and other retailers can expand their services to include more sophisticated wellness and healthcare services

12. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 12 Expand the Boundaries of 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 The Cisco HealthPresence solution changes the way we experience healthcare

13. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 13 Aberdeen, Scotland—Scottish Centre for Telehealth, Cisco, and National Health Service Patients  Aged 16 to 75+  51% male, 49% female Remote clinic experience for patients with non-life-threatening illnesses and injuries Patient Results 99% 95% 93% Were satisfied with the experience Felt the visit was confidential Would recommend the service

14. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 14 San Jose, California—Cisco LifeConnections Health Center and United Health Group (UHG) 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) Patient Results 97% 98% 90% Were able to communicate effectively with healthcare professionals using the service Were comfortable using the technology Would recommend the service

15. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 15 Q&A 15 Cisco HealthPresence Shaping a World of Healthcare Without Boundaries

16. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 16 For More Information The Cisco HealthPresence Solution http://www.cisco.com/web/strategy/health care/care_at_a_distance.html

17. © 2009 Cisco Systems, Inc. All rights reserved.Cisco ConfidentialPresentation_ID 17