1. Wounded Warrior Continuity of Care in a Production Environment Reflection on the value for implementing NHIN in the VA/KP/DoD production environments to support the Wounded Warrior clinical data exchange 1 TUESDAY, 3:00 – 3:20PM Steve Steffensen, MD, Chief Medical Information Officer, TATRC, Department of Defense Zachary Gillen, Senior Project Manager, Kaiser Permanente Jamie Bennett, NHIN/VLER Program Manager, Department of Veterans Affairs

2. Department of Defense (Military Health System) HIMSS 20102 Military Beneficiaries: 9.5 million Military Bases in US: 202 Military hospitals: 63Medical/Dental Clinics: 826 Encounters/month: 9 million Average outpatient visits/ year/patient: 4 74%70%59%56% 1:4 military families move in a given year (moving on average once every 3 years) MHS Beneficiary Distribution Value Proposition: 60-70% of DoD beneficiary care is provided by the civilian (i.e. “Network”) sector. DoD beneficiaries are one of the largest and most mobile patient populations.

3. NHIN and Kaiser Permanente Importance of HIE Members and wounded warrior population Moving forward with exchange on Federal standards (NHIN) Value Proposition Current – Continuity of Care Future – Enacting meaningful use Further develop and enrich the functionality of the pilot implementation Nation’s largest nonprofit health plan Integrated health care delivery system 8.7 million members 14,000 physicians 165,000 employees 36 hospitals and medical centers 431 medical centers HIMSS 20103

4. NHIN and Veterans Health Administration Importance of Health Information Exchange Cost Savings – Quick Release of Information, avoid duplicate services Patient Safety – Avoidance of adverse drug events. Quality Outcomes – Higher level of patients receive recommended care. Value Proposition 3 out of 4 Veterans receive care from non-VA providers Need for a more complete record to make informed decisions. Relieve the burden on patients and family for health information exchange. VA Hospitals153 VA Nursing Homes136 Domiciliary Residential RehabiPrograms44 Outpatient Clinic Totals876 Hospital Based Outpatient Clinics156 Independent Outpatient Clinics4 Mobile Outpatient Clinics5 Community Based Outpatient Clinics711 Vet Centers206 HIMSS 20104

5. Questions? Come visit us at the Enhancing Wounded Warrior Care demonstration (Kiosks 42, 43 and 44) Other Information: Veterans Health Administration Contacts: Tim Cromwell – tim.cromwell@va.govtim.cromwell@va.gov Jamie Bennett – jamie.bennett@va.govjamie.bennett@va.gov HIMSS 20105

6. Thank You 6 The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services.