Microsoft NHS regional road-show introductions

Microsoft NHS regional road-show introductions
4/12/2017 2:51 AM Microsoft NHS regional road-show introductions Tim Gee, Healthcare Business Manager, Microsoft UK © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Regulations for Fire Alarms
Housekeeping Restrooms Rest Breaks Regulations for Fire Alarms Retire the Phone (or at least on silent please!) Relax and enjoy the sessions!

Morning agenda for Roadshow
Introduction & welcome Microsoft & NHS Partners Showcase & Exhibitors Microsoft in Healthcare Worldwide & UK NHS Connecting for Health Enterprise Agreement & NHS Infrastructure Maturity Model NHSmail Next generation NHSmail Local Community ICT Strategy & Plans Local perspective on IM&T Plans Smart procurement Get the best out of the EA and Software Asset Management NHS Resource Centre eLearning, HUP, EPP, News, Collaboration

Afternoon agenda – Partner NHS Showcase
Connect – Infrastructure optimization SCC Collaborate – Collaboration online and off-line IOKO & D2i Collaborate – Unified Communications & Collaboration HP Inform – Business Intelligence University Hospitals South Manchester & 21C

Bytes Technology Group
Smart Licensing Procurement NHS Software Asset Management Here today: Ian Holroyd – NHS North West/West Midlands Account Manager Luke McAllister – NHS Internal Account Manager Chris Hibbert – NHS Service Delivery Manager Andrea Perrot – NHS/Public Sector Team Manager

SCC Slide

Building Collaborative Solutions
Taran Sohal Business Development Manager ioko (Carelink) MOSS solutions – Intranet, Information Governance & E-Forms N3 Hosting – web, application, spine aggregation Sophy Tayler Senior Account Manager D2i Building Collaborative Solutions People * Knowledge * Technology Steve Prokopiu Practice Manager IM Group Business Intelligence and Performance Management Consultancy Global MS Business Intelligence Partner of the Year – 3 years running Ongoing relationships with several NHS organisations including: - Bradford and Airedale PCT - Lincolnshire Teaching PCT - London Ambulance Service - Warwickshire PCT

HP Slide

21C - Knowledge-Driven Healthcare Solutions
Daniel Wakefield – Sales Director A Practical Approach to NHS Information Management using the Microsoft Product Framework: Case Studies from University Hospital South Manchester (Integrated Portal Solutions using MOSS 2007) Kent & Medway Partnership Trust (Mental Health Performance Management using SQL/MOSS/PerformancePoint) Wandsworth Primary Care Trust (EMIS Performance Management using SQL/MOSS/PerformancePoint)

Mini partner expo NHSMail – Cable & Wireless
18wk wait & Patient Costing - Ardentia Connected Health – SIMPL Electronic Document & Records Management – Tower Software

NHSmail is moving to Microsoft Exchange 2007….
…providing a user-friendly front end based on Outlook Web Access 2007 and greater opportunities for additional features. NHSmail will become a service at the forefront of development Benefits for organisations: a secure service that can be used for exchanging clinical and other sensitive information; a service based on Exchange 2007, effectively a service upgrade centrally funded, so free at the point of use; an to SMS facility can be used to send patient appointment reminders, free of charge, reducing DNA rates; frees up budget currently spent on maintaining and upgrading servers. “NHSmail is uniquely placed to provide secure communications to the NHS and my objective for the service is to see it become as ubiquitous as phones or bleeps and to be understood by everyone that it is THE way to communicate securely with their colleagues.” Dr Simon Eccles, Consultant in Emergency Medicine & NHSmail Senior Responsible Officer

Ardentia – Solutions Healthware Manager: Pathway Manager:
making sure hospital information is reliable and accessible where and when you need it. Pathway Manager: take control of referral to treatment monitoring. PLC Patient Level Costing: give clinicians the tools to improve hospital performance Delivering SLR and PLC to NHS Trusts

Simpl Slide

Healthcare and Electronic Document and Records
TOWER Software’s EDRM solution, TRIM Context enables organisations to comply with legislation, the ISO Document Records Management Standard and the NHS Code of Practice for Records Management TRIM Context applies all the necessary structures and rules for ERM without impacting the end user. Documents can be saved directly into the system from with desktop applications and clients and SharePoint (MOSS 2007) collaboration sites. WHY TOWER and SharePoint (MOSS)? Has achieved VERS certification and complies with ISO Document Records Management Standard and the e-GIF/e-GMS UK Government standards Audit trail/security around accessing of information Information stored electronically does not take up storage space Information readily available to those who are authorised to view it View, access & create TRIM documents/records via SharePoint Windows Leverage collaboration features of SharePoint Derby Hospitals NHS Foundation TRIM Context supports 7000 users by managing all non-clinical documents and improve access to information to support remote workers. As part of the Trust’s ongoing ‘Reshaping Health Services’ project, the system will enable a move away from paper-based processes, thus reducing the space & cost associated with the physical storage of files and documentation.

Microsoft in Healthcare
4/12/2017 2:51 AM Microsoft in Healthcare Tim Gee, Healthcare Business Manager, Microsoft UK Nick Umney, Lead Account Technology Strategist © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Microsoft in Healthcare Over 700 people dedicated to Health:
4/12/2017 2:51 AM Microsoft in Healthcare Over 700 people dedicated to Health: Worldwide Public Sector Healthcare Healthcare, Health and Social Services Microsoft Healthcare & Life Sciences -US Providers, Health Plans, Life Sciences Health Solutions Group Consumers, Enterprise Hospitals and Health Systems Academic Hospitals and Medical Schools © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Our Growing Commitment
A large partner ecosystem supported by more than 700 Microsoft employees Our Growing Commitment 2007 Acquisition of Global Care Solutions 1995 MSHUG formation Growing Healthcare Presence Active X for Healthcare Windows NT SQL Server Partner ecosystem development 2005 Health Solutions Group Peter Neupert Re-joins Microsoft from Drugstore.com to incubate and lead HSG 2006 Acquisition of Azyxxi 1995 Microsoft Healthcare Team established 2007 Acquisition of Medstory 2007 US launch of HealthVault 1999 health & fitness 1995 1996 1998 2000 2002 2003 2005 2006 2007 Microsoft Corporation Confidential and Privileged

4/12/2017 2:51 AM Announced in February The new Microsoft Amalga family of Health Enterprise Systems The new version of the product formerly known as Azyxxi, is the “Unified Intelligence System” that allows large hospital enterprises to unlock the power of all their data sitting in clinical, financial and administrative silos. Without replacing current systems it offers an innovative way to capture, store, access and instantly present data. The new version of Hospital 2000, is a state-of-the-art, integrated hospital information system designed for international markets. Amalga HIS includes an integrated Electronic Medical Record with complete patient and bed management, laboratory, pharmacy, RIS/PACS, pathology, financial accounting, materials management and human resource systems. Its integrated architecture allows the radiologist to use a single application to manipulate images and access the entire patient medical record. The workstation interface is optimized for workflow, including support for pre-defined templates, an intuitive report editor, voice recognition and dictation capabilities. Available as a standalone system as well as a component of Microsoft Amalga HIS. ©2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Microsoft Health Solutions Group
4/12/2017 2:51 AM Microsoft Health Solutions Group Fulfilling a vision of connected health that serves the patient by bringing together information from across the healthcare ecosystem Integrated health information solutions for hospitals Health information integration platform that brings together data from hundreds of different sources Consumer health information platform connecting doctors, partner applications, and devices Consumer health search Partner Applications Microsoft Technology Platform Hospital Legacy Systems Enterprise Consumer © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Microsoft Health Future Vision

Medication Management
Remote Monitoring Virtual Visit with Case Manager Hospital Rounding Medication Management

Retail Clinic Services
Locating Equipment In-Patient Visit Virtual Consultation Retail Clinic Services

Health Future Vision

Microsoft UK & the NHS NHS / Microsoft Enterprise Wide Agreements have been in place since 2001 Current framework extends to 2012 Microsoft UK Healthcare team extends to over 50 staff working across : Account Team – supporting NHS Customers & Partners Online Team – NHS Resource Centre NHS CUI Development Programme CAPS ; IM&T and Knowledge Worker tools Consultancy and Support NHS CfH; CSC; C&W, NHS Trusts Microsoft Premier Support Services

Knowledge Driven Health
4/12/2017 2:51 AM Knowledge Driven Health Microsoft has a compelling vision for healthcare that targets improved health outcomes and patient safety across the continuum of care - not just in the developed world, but truly around the globe. Our vision centers on the promise of a personal, dynamic, portable and complete health record for everyone, in every country. This stems from an understanding that technology has a very real and proven ability to drive transformation. This transformation is achieved by arming health workers and consumers with the best knowledge at hand, in the most time effective manner, while eliminating geographic barriers. Our commitment to knowledge driven health extends across small physician offices and clinics; large hospitals and health systems; homecare services; and individuals, who are increasingly tasked with assuming responsibility for their personal health. As one of the largest global citizens, Microsoft’s interest in effecting change in healthcare is personal as well as corporate. As an employer of over 70,000 people and an insurer of over 160,000 individuals, Microsoft is actively exploring the potential of technology to reduce the costs associated with healthcare, while improving the quality of health outcomes. As part of its ongoing research and development efforts, Microsoft is continually assessing its broad technology platform for ways in which industries like health can best leverage its capabilities for breakthrough innovation. In some cases, this translates into tailored solutions like Microsoft Dynamics, which addresses customer relationship management and financial challenges faced by health organizations; or like Azyxxi, a hospital solution developed on Microsoft technology – and recently acquired by Microsoft - to improve access to, and usability of, clinical data. In other instances, Microsoft works with a broad ecosystem of partners – industry software vendors and systems integrators – that combine their deep knowledge of the health system with the broad capabilities of our rich, software platform, to develop breakthrough solutions that benefit stakeholders across the spectrum of care. © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

4/12/2017 2:51 AM Knowledge Driven Health Quick and easy access to data and information via enhanced analytical tools, dashboards and business intelligence Share citizen records as appropriate to speed services and avoid duplication, using security-enhanced technologies Improved access to information and services including Search View data from multiple agencies in a single repository More informed decision-making. Improved decision-making through increased real-time collaboration, using data from across agency silos Improved content and data management reducing the time spent searching for info Maximize Enterprise Search capabilities that help people find and share information Integrated collaboration capabilities such as automated workflow Collaborate seamlessly virtually anywhere on virtually any device. Microsoft has a compelling vision for healthcare that targets improved health outcomes and patient safety across the continuum of care - not just in the developed world, but truly around the globe. Our vision centers on the promise of a personal, dynamic, portable and complete health record for everyone, in every country. This stems from an understanding that technology has a very real and proven ability to drive transformation. This transformation is achieved by arming health workers and consumers with the best knowledge at hand, in the most time effective manner, while eliminating geographic barriers. Our commitment to knowledge driven health extends across small physician offices and clinics; large hospitals and health systems; homecare services; and individuals, who are increasingly tasked with assuming responsibility for their personal health. As one of the largest global citizens, Microsoft’s interest in effecting change in healthcare is personal as well as corporate. As an employer of over 70,000 people and an insurer of over 160,000 individuals, Microsoft is actively exploring the potential of technology to reduce the costs associated with healthcare, while improving the quality of health outcomes. As part of its ongoing research and development efforts, Microsoft is continually assessing its broad technology platform for ways in which industries like health can best leverage its capabilities for breakthrough innovation. In some cases, this translates into tailored solutions like Microsoft Dynamics, which addresses customer relationship management and financial challenges faced by health organizations; or like Azyxxi, a hospital solution developed on Microsoft technology – and recently acquired by Microsoft - to improve access to, and usability of, clinical data. In other instances, Microsoft works with a broad ecosystem of partners – industry software vendors and systems integrators – that combine their deep knowledge of the health system with the broad capabilities of our rich, software platform, to develop breakthrough solutions that benefit stakeholders across the spectrum of care. Create electronic client records, providing a single unified view of the client Pull records from multiple agencies into one client record via common client ID Create interoperability within IT infrastructure, to tie into older systems, and to move data between old and new systems Share and integrate data appropriately with security-enhanced technologies Create service-oriented architecture. © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

NHS Infrastructure Maturity Model
Level 1 Basic Disjointed, manual Infrastructure Knowledge not shared Reactive & ad-hoc Unpredictable service performance User driven “who shouts loudest” Focus is to Avoid Downtime Level 2 Controlled Coordinated, manual Infrastructure. Knowledge silos exist Reactive with some planning in place Services manageable & getting predictable Problem driven Focus is to Get Control Level 3 Standardised Standardized Infrastructure Individual Level collaboration and knowledge sharing Reactive & becoming proactive Stable & architected IT Infrastructure Request driven Focus is to Adopt Standards & Best Practice Level 4 Optimised Consolidated and virtualized Infrastructure Team level knowledge sharing & collaboration Proactive & accountable Continuous service improvement Service driven Focus is on Efficiency Level 5 Innovative IT & business stakeholders work in partnership Enterprise level knowledge sharing & collaboration Strategic asset Drives service innovation Value driven Focus is to become a Catalyst for Innovation The NHS have launched their own infrastructure maturity model – NHS Infrastructure Maturity Model (NIMM). NIMM provides guidance and direction for NHS Trusts to objectively benchmark their infrastructure capabilities suppliers so they create infrastructure solutions that the NHS needs (and is ready for) NIMM can be used by NHS Trusts to build a plan for coordinated capability improvement describe their infrastructure roadmap in IM&T plans set investment (people & money) priorities understand desired outcomes at each maturity stage

More Pressure Than Ever on NHS IT Budgets
Regulatory Compliance Technology Innovation Maintain Strict Security Information Governance 80% Reactive Critical Business Uptime - With 80% on maintenance, CIO can’t redeploy budget and resources to shift IT to strategic business asset Cost Efficiencies 20% Proactive Patient & Customer Connections Improve Clinical & Admin Productivity Improved Results & Patient experience

CUI Programme Goals CUI Programme Mission
To support NHS Connecting For Health in achieving the following: Increasing patient safety Increasing clinical effectiveness Increasing the ease of adoption and relevance of Microsoft Windows and Microsoft Office to the NHS CUI Programme Mission “Delivery of best-practice guidance and solutions that will support NHS Connecting For Health and their suppliers in delivering the National Programme for IT, such that NHS employees are able to work within a more consistent, relevant, productive and managed environment.”

CUI Programme Focus Areas
Clinical Applications and Patient Safety Delivers technology agnostic standards and Microsoft Windows-based components which all clinical applications should adopt in order to be easy to use, enable patient safety, and provide consistency of user experience across the whole of the NHS. IM&T and Knowledge Worker Tools Efficiency Delivers best practice advice and guidance to assist NHS Entities in moving towards a more mature, secure, centrally managed workstation and server infrastructure. Delivers additional Microsoft Office functionality to support NHS clinical and business processes, and provide the NHS with a more productive information worker environment.

Microsoft Premier Support
12/04/2017 Microsoft Premier Support Customisable Support contract Reactive and Proactive Services Offered. 12 month Service Delivery Plan by a Technical Account Manager Knowledge Transfer and enablement Achieve operational efficiency in line with Local IM&T plans 16 NHS Organisations Committed “I want to really leverage what I can get from the Enterprise Agreement [that Microsoft has with the NHS] and the Premier Support contract can help me to do that” - John Thornbury, Director of ICT at Worcestershire Health ICT Services © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

NHS Premier Customers Health Informatics Services NHS Trusts
12/04/2017 NHS Premier Customers NHS Trusts Barnsley Hospitals Eastern and Coastal Kent PCT Heartlands Hospital Leeds Partnership NHS Trust London Ambulance South Tees Hospitals Health Informatics Services Lancashire Care NHS Trust North Cumbria HIS North Staffordshire HIS St Helens and Knowsley HIS Surrey HIS Worcestershire ICT DoH - NHS Choices NHS Connecting for Health NHS Wales – Informing Healthcare © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Connected Health Framework Architecture
Communication Operations Management Security Collaboration Services Presentation and Point of Access Services Identity Management Services Privacy and Security Services Service Publication and Location Shared Services System Management Services Communication Services Data Services User Processes Business Processes Connected Health Services Hub Integration Services Business Components Service Component Interface Data Access Logic Components Business and User Process: Bring People and partners together To encourage the creation of health information networks that serve the broadest range of healthcare needs, Microsoft has developed a guideline for e-health software solutions called the Connected Health Framework Architecture and Design Blueprint. The Connected Health Framework is an architectural approach to developing health information networks with common business and technical design definitions for public and private organizations. Connected Health Framework puts the patient at the center, and recommends a path for transforming healthcare through technology solutions that are dependable, economical, productive, and connected by design. Shared Services and Technical Capabilities: Drive healthcare processes using business modeling in conjunction with the best of clinical care processes Connected Health Services Hub: Integrate the environment so that it interoperates efficiently and effectively Service Interface Components: Expose the components of the environment to the environment for use by other applications Business Components: Bring together all the bits of the environment to be used Data Access Services: Allow access to the data that is needed Operations management: Maintain the Service Level Agreements and Key Performance Indicators Communication Services: Allow information to flow freely and effectively Security Services: At all points incorporate Privacy and Security © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Microsoft’s Connected Health Platform
4/12/2017 2:51 AM Microsoft’s Connected Health Platform Communication Operations Management Security Collaboration Services Presentation and Point of Access Services Identity Management Services Privacy and Security Services Service Publication and Location Shared Services System Management Services Communication Services Data Services User Processes Business Processes Connected Health Services Hub Integration Services Business Components Service Component Interface Data Access Logic Components Windows Mobile Office System, LiveMeeting, Exchange, Windows Server System Office System BizTalk Server, .NET Framework Visual Studio, .NET Framework SQL Server Operations Manager, System Center © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

NHS CUI – IM&T Tools - Focus
“To assist NHS Entities in achieving an easily deployable, well managed, and more secure desktop and server infrastructure.” Costs Manageability Safety Productivity The IM&T Tools Project will contribute to the following outcomes: Increasing infrastructure maturity, to provide a solid foundation Reducing diversity, to provide a common platform Simplifying deployment, to provide efficient implementations Realising value from the Enterprise Agreement The IM&T Tools Project will contribute to the following outcomes: Increasing infrastructure maturity, as measured by the NHS Infrastructure Maturity Model (NIMM), to provide a solid foundation for NHS line of business applications and NHS CUI solution enablers Reducing diversity in the infrastructure across NHS Entities, to provide a common platform that maximises the value to the NHS of IT training and reduces the burden of IT support through reuse of familiar tools Simplifying deployment and operations of NHS desktops and supporting infrastructure through guidance and tools, to provide efficient implementations of a platform that has lower operating costs Realising value from the Enterprise Agreement

Phase 1 Guidance and Tools

Phase 2 Guidance and Tools
4/12/2017 2:51 AM Phase 2 Guidance and Tools

Launch a Video Conversation
Dr Jordan I need your help with a diagnosis Do you have time to join me in a Video conference?

Extend to the whole team

Universal Availability - Rich & Reach
Converged modality Identity-centric Available Anytime, anywhere Multiple browsers Presence Consistent Experience

Live Meeting in Healthcare
4/12/2017 2:51 AM Live Meeting in Healthcare Grand Rounds Presentations Clinical Case Conferences Medical Staff Meetings Staff Training Patient Referrals and Case Consultations Internal Patient Education Group Patient Visits for Chronic Disease Counseling and Follow-up Visits Practice Marketing External © 2004 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

Business Intelligence?

UK Healthcare Information Needs
Payment by Results “focuses on improving the quality of patient level data that underpins the effective operation of payment by results” Practice based Commissioning “Expert, imaginative commissioning is central to a patient-led NHS and changes to the organisation of primary care are in making the NHS fit for the 21st century” 18 Week Care pathways “‘Pioneers’ who have been working since the start of the year to look at how we track and measure the timeliness of patients’ progress from referral to treatment” Patient Level Costing? Our Health, Our Care, Our Say 10 year plan to become more responsive to patient needs and prevent ill health by the promotion of healthy lifestyles – Predictive Healthcare

Business Intelligence Layers

NHS BI Proof of Concept A demonstrable method of managing the performance of a Trust, Hospital or shared service Automation of manual effort – current systems are error prone and take many days to compile management data Fewer people working smarter – “moving people up the value chain”

NHS Trust Hospital Scorecard
FINANCIAL ACTIVITY Maintain Break Even Position Reduce waiting list / times Deliver Value for Money Reduce cancellations Reduce Budget by x% over n years Reduce re-admission and DNAs Maximize bed availability Reduce hospital acquired infections Meet contract targets PATIENT FACING PEOPLE Improve patient satisfaction Reduce sickness / absence Improve quality and access to information Everyone has an appraisal every year Improve # patients who choose hospital Meeting headcount targets Reduce # complaints Manage locum consultant appointments

NHS BI Proof of Concept 80GB of anonymous data offered by Portsmouth for Live VPC Demo with Exec teams Easy step by step demo built for Partners and virtual Healthcare team Office Web component Introduction SQL Server Reporting Services Introduction Excel 2007 formatting Excel 2007 forecasting Information Integrated with Vision and MapPoint Report Builder Demonstration

demo Demo Title Name Title Group 4/12/2017 2:51 AM
© 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

Introducing | Microsoft Amalga
Amalga, the Unified Intelligence System, turns information into critical knowledge by unlocking the power of data sitting in clinical, financial and administrative silos. Unified Microsoft Amalga provides a single point for unified access to the wealth of information present in healthcare organizations. This system helps users correlate information from multiple systems. Flexible With its innovative and flexible data capture, storage and presentation capabilities, Microsoft Amalga quickly delivers rich, role-based, customizable views and allows users to adapt the system to their own workflow and preferences. It helps users to be immediately productive with minimal disruption Manageable Designed from the inside out for simplified deployment and support, Microsoft Amalga allows for changes and organic evolution without added burden to the organization. The system is built on widely used and supported Microsoft products for high availability, scalability and data storage with security features. 62

Unified | …To Data FUSION
Electronic Medical Record Medication Administration Labs Pathology Cardiology Procedure Documentation OR Management Emergency Department Imaging Pharmacy Dictation Charting Hemodynamics CPOE Clinical Notes Medication Dispensing PACS Orders Mobile Data ICU/ Critical Care Nursing Workflow/ Documentation VIEWERS DATA CORE FUNCTIONS Advanced Analytics Image Distribution RIS Amalga Amalga Amalga Financial/ ERP Enterprise Scheduling Contract Management Document Imaging Revenue Management Bed Management Business Decision Support Inventory Physician Practice For years we’ve heard people in healthcare asking “now that we have all this data, how can we use it to do a better job?” Azyxxi is the answer to that question. It is an enterprise-wide clinical and financial with powerful built-in capabilities for viewing and analysis, that lets hospitals to create knowledge from all the existing data. Azyxxi allows a health system to tie together these separate elements into a single view – taking these IT systems, aggregating patient data (including computer generated, text, images, video, scan data, etc.) so that clinicians can get an instant picture of all the data in all the hospital’s systems at any time. It spans both user and business processes to provide customized data that spans clinical, financial and administrative systems thus maximizing the value of information in order to make the most informed and timely decisions. Purchasing Medical Records Coding Registration Staff/Nurse Scheduling Outcomes Management Transcription Access Management Claims Management Call Management Microsoft Amalga is the new way to capture, consolidate, store, access and quickly present data in meaningful ways 63

Flexible | Base View Client Viewer
Displays title of view Navigation and function buttons Displays current patient count Navigation and function buttons Filter Sort Timeframe Data Scope Info Input Forms Client Viewer A A B B C D E F G C D 1 2 3 4 5 6 7 8 9 10 11 12 E F Details and values displayed in columns G Details and values displayed in columns Name Age/Sex Date/Time In Chief Complaint Vital Signs Past Medical History Lab Results Radiology Results Medications Ordered X-Ray Images Dictations CT Scan Images 1 2 The top right field, displays the current patient count captured in the view. Use different colors for A – G and 1 – Highlight derived fields! 3 4 5 6 7 8 9 10 Patients displayed in rows 11 12

Flexible | People-Ready Amalga
Orthopedic Unit Nurse Finance Manager Quality Manager Microsoft Amalga Client Built by clinicians for clinicians Rich client architecture provides powerful, rich user functionality Provides relevant, unique experience based on user role Highly accessible; no data more than two clicks away Easy and fast to use and access data Simple to use, requires little training Let’s take a look at how some of your organization’s users could use Microsoft Amalga to improve workflow and optimize decision making. Resource Planner Cardiologist Compliance Officer

Manageable | How Amalga Works
Amalga is designed with a layered architecture to support: A high level of redundancy Deferred data decisions Efficient and speedy data retrieval Minimized interdependencies Transparency and traceability from the original message to end

Amalga Customers Name Type First Use MedStar Health System Operations
Johns Hopkins Academic Teaching Core Measures New York Presbyterian Clinical Operations Financial & Clinical Wisconsin Health Information Exchange Health Info Exchange for Emergency Rooms Emergency Room Linkage Novant Health System H. Lee Moffitt Cancer Center & Research Inst. Oncology & Research Support Research Efforts St. Joseph Health System Operations & Quality

Summary | Amalga Is Unique
Unlocks data that sits in clinical, financial and administrative silos across organizations Rolls up all patient centric, financial and operational data into one unified database Enables people to create customized, flexible views for immediate, on-the-fly analysis Offers a manageable enterprise platform to capture, store and present the data from across all existing systems Provides instant access to people that need to turn the data into critical knowledge

4/12/2017 2:51 AM Knowledge Driven Health Microsoft has a compelling vision for healthcare that targets improved health outcomes and patient safety across the continuum of care - not just in the developed world, but truly around the globe. Our vision centers on the promise of a personal, dynamic, portable and complete health record for everyone, in every country. This stems from an understanding that technology has a very real and proven ability to drive transformation. This transformation is achieved by arming health workers and consumers with the best knowledge at hand, in the most time effective manner, while eliminating geographic barriers. Our commitment to knowledge driven health extends across small physician offices and clinics; large hospitals and health systems; homecare services; and individuals, who are increasingly tasked with assuming responsibility for their personal health. As one of the largest global citizens, Microsoft’s interest in effecting change in healthcare is personal as well as corporate. As an employer of over 70,000 people and an insurer of over 160,000 individuals, Microsoft is actively exploring the potential of technology to reduce the costs associated with healthcare, while improving the quality of health outcomes. As part of its ongoing research and development efforts, Microsoft is continually assessing its broad technology platform for ways in which industries like health can best leverage its capabilities for breakthrough innovation. In some cases, this translates into tailored solutions like Microsoft Dynamics, which addresses customer relationship management and financial challenges faced by health organizations; or like Azyxxi, a hospital solution developed on Microsoft technology – and recently acquired by Microsoft - to improve access to, and usability of, clinical data. In other instances, Microsoft works with a broad ecosystem of partners – industry software vendors and systems integrators – that combine their deep knowledge of the health system with the broad capabilities of our rich, software platform, to develop breakthrough solutions that benefit stakeholders across the spectrum of care. © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

In Summary Microsoft is in Healthcare for the long term
The NHS EWA offers a wide range of outstanding products Solution Envisioning is a key part of our strategy IOI / NIMM offers evolutionary track to increase operational efficiency and deliver greatest value for EWA Microsoft & Partner Services can offer key to success Enjoy the day!

© 2008 MICROSOFT CORPORATION. ALL RIGHTS RESERVED.
4/12/2017 2:51 AM © 2008 MICROSOFT CORPORATION. ALL RIGHTS RESERVED. THIS PRESENTATION IS FOR INFORMATIONAL PURPOSES ONLY. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS SUMMARY. © 2006 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.

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