1. Duke Medicine IT Strategy Jeffrey Ferranti, MD Chief Information Officer / VP Medical Informatics Duke Medicine April 17, 2015

2. Duke Medicine Health IT Strategy CONNECT INFRASTRUCTURE AND SERVICES CARE INNOVATE INSPIRE INFORMATION SECURITY WORK CULTURE FINANCE AND GROWTH Caring for our patients, their loved ones, and each other Enabling the health system to fully leverage information technology in achieving its mission 2

3. 3 Foster a consistent and seamless health care experience across Duke Medicine leveraging the best technology available for patients, their loved ones, and each other. Goal #1: Care Caring for our patients, their loved ones, and each other Maestro Care EHR Care Redesign Provider Workflow Optimization New Clinic Deployments Meaningful Use HIMSS Stage 7 Care Key Initiatives

4. 4 Partner with patients, referring providers, other health care entities to improve health outcomes, the efficiency of care, and the experience of care. Caring for our patients, their loved ones, and each other Goal #2: Connect Patient Engagement Referring MD Communication Health Information Exchange Community Connect Telemedicine Planning Connect Key Initiatives

5. 5 Leverage enterprise data to support clinical care, research, and advanced analytics. Actively deliver actionable intelligence to the point of care. Caring for our patients, their loved ones, and each other Goal #3: Inspire Population Health Enterprise Data Warehouse 2.0 Information Asset Management Enterprise Reporting Inspire Key Initiatives

6. Support development of new ways to take care of patients, including technologies within and around Maestro Care. Provide world class IT services to support Duke Medicine’s vast research mission. Caring for our patients, their loved ones, and each other Goal #4: Innovate IT Innovation M*Health Mobile Apps App Development Incubator Learning Health System Activities Research Services Biobank / Shared Services Basic Science IT Strategic Plan Clinical Trials Management System eIRB My Research Home @ Duke Innovate Key Initiatives 6

7. 7 Build strategic, cost effective IT infrastructure and application services that scale up to support Duke Medicine’s goals Caring for our patients, their loved ones, and each other Goal #5: Infrastructure and Services New NC-1 Data Center Updated G4 Network Architecture Replacement of HL7 Interface Engine Windows 7 Migration Outlook 365 Migration Physiologic Monitor Fleet Replacement Nurse Call IT Service Management Processes Infrastructure Key Initiatives

8. 8 Protect the confidentiality, integrity, and availability of Duke Medicine’s information assets Caring for our patients, their loved ones, and each other Goal #6: Information security Multi-Factor Authentication Vulnerability / Patch Management eRGC Policy System Implemented Network Admission Control (NAC) Mobile Device Management Cisco Managed Threat Defense Security Information and Event Management (SIEM) Security Key Initiatives

9. 9 Create a high quality work force, equipped and motivated to partner with Duke Medicine in providing excellent patient care. Caring for our patients, their loved ones, and each other Goal #7: Work culture Work Life Balance Teamwork Across Teams Communication Skills development and training plans Foster new ideas and innovation Work Culture Key Initiatives

10. 10 Effectively manage expenses, drive efficiency and cost reduction, and improve transparency into services provided and associated costs. Caring for our patients, their loved ones, and each other Goal #8: Finance and growth Service Based Costing Transforming our Future Contracts Database FY 16 Budgeting / Margin Improvement Finance Key Initiatives

11. CONNECT STRUCTURE AND SERVICES CARE INNOVATE INSPIRE INFORMATION SECURITY WORK CULTURE FINANCE AND GROWTH Caring for our patients, their loved ones, and each other 11