1. 1 Performance against Budget Finance Committee November 2009 One record Better, safer care More personalized service

2. 2 Original Health Link Estimated Total Cost of Ownership (TCO)  July, 2006, UWHCA Board approved $48,177,261 project capital and operating budget for Health Link project  Currently, total costs projected to be $52,217,347 (8% > original forecast)  August, 2007, informed Board that decision/approach for UW Health ambulatory install on common patient database would likely take until end of 2010 and potentially risk additional $ 3.4 million

3. 3 Major Sources of Cost Overruns  Decision to reside on the same patient database with UWMF resulted in unbudgeted costs  Decision to install ambulatory module in phases resulted in greater cost of Epic assistance  Use of more expensive consultants to fill open positions, with a greater carrying cost  Costs specific to the Anesthesia module (unavailable at the time of budgeting) were not included in the original budget plan

4. 4 Major Sources of Cost Overruns -Continued  Hardware devices to best support caregiver work and use of the Health Link system exceeded the concentrations originally planned  Handhelds, workstations on wheels (WOWs), new touch screen technology on anesthesia carts and biomedical integration with monitors  Facility renovation to accommodate hardware was required but not budgeted

5. 5 Milestones / Benefits  All features/functions delivered  Inpatient clinical documentation and computerized order entry six months ahead of schedule  Specialty clinics will complete installation 9 months ahead of revised schedule (only 5 months past initial)  ADT/Hospital Billing implemented 3 months ahead of schedule  Recurring savings realized in Health Unit Coordinators, Health Information Management, Pharmacy; transcription cost; forms costs