1. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Cautionary Language Concerning Forward-Looking Statements This presentation contains descriptions of products, services, features and functionalities that AT&T envisions for the future. AT&T reserves the right to modify, delay or withdraw any such product, service, feature or functionality. This document is not an offer, commitment, representation or warranty by AT&T and is subject to change. 1 Safe Harbor Statement Last Updated: 5/12/10

2. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. - AT&T in Healthcare - Connecting the Healthcare Ecosystem - Core Components of HIE - What’s Important? - Considerations Agenda

3. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Why AT&T provides healthcare coverage for 1.2 million people –714,000 active employees and dependents –505,000 retirees and dependents Total Annual AT&T Healthcare Expense $5.5 billion Who Serves 10,000+ healthcare facilities –Addresses the whole ecosystem including hospitals, pharmacos, payors, physicians, nursing homes, mental health consortiums, distributors How Healthcare-focused organization –300+ dedicated healthcare team Affiliation Participation Key affiliations with leading healthcare organizations Healthcare is Important to AT&T 3

4. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. State/Federal Agencies & Payors Community Clinics/Physician Offices Vendor Suppliers Long Term Care Facilities Urgent Care Centers Hospitals/ Health Systems Patients/Consumers/ MDs @ Home Pharmaceuticals Healthcare institutions operate largely as “islands” with separate systems and processes National Healthcare “Ecosystem” In Need of an Overhaul 4

5. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. AT&T Healthcare Community Online (HCO) 5

6. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Portal Services  A collaborative framework for displaying aggregated information in a “centralized” patient-centric dashboard, as well as accessing applications across HIE initiatives. Identity Services  Establishes the privacy and consent management process that satisfies the requirements and needs of a HIE initiative, while having a “centralized” approach to managing digital identities of users across the initiative. AppCloud®  An “application marketplace” of 3rd party clinical and administrative applications and services integrated to the “HCO Platform” for delivery to healthcare communities and initiatives. Data Exchange Services  A “centralized” engine to allow messaging of data to the system of choice for the participants across the HIE initiative. This will expedite data routing and transformation between all legacy systems and external sources/end-points. Record Locator Service (RLS)(MPI)  A “centralized” service that manages the location of various episodes of care for quick retrieval and access to a single patient medical record across many sources. Master Patient (Person) Index (MPI)  Establish a “centralized” MPI for participants (providers, payers, etc.) to support broad-based data exchange and quality reporting, ensuring a patient is identified only once across the HIE initiative. Core Components of HIE

7. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Collaboration, Aggregation 7

8. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Labs Hospital EMR Software “A” LAN/WAN/WLAN Radiology Pharmacy Laboratory Data Center PatientPractitioner Government Data AT&T Network Hospital EMRSoftware Hardware Radiology Pharmacy Laboratory Data Center PatientPractitioner Hospital EMRSoftware “B” LAN/WAN/WLAN Radiology Pharmacy Laboratory Data Center PatientPractitioner Hospital EMRSoftware Hardware Radiology Pharmacy Laboratory Data Center PatientPractitioner Hospital EMRSoftware “C” LAN/WAN/WLAN Radiology Pharmacy Laboratory Data Center PatientPractitioner HCO Portal The HIE System Integrates internal and external data sources and legacy applications 8

9. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Page 9 Fewer clicks and fast response Well organized, predictable, intuitive display of information Simple admin & support staff activities Meets incentives, rules & regulations Work-at- a-glance Prevents unintended consequences without alert fatigue Manages daily tasks – Am I done for the day? What’s Important to a Physician User? 9

10. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. HIE Considerations Page 10 HIE Technology is easy. Acheiving agreement and trust is the challenge. Reasons organizations may not want to share data: – How do I Know that the HIE meets HIPAA requirements? – Am I opening myself up to liability? – How do I know that the HIE will honor my data-sharing agreements? – Am I giving someone else a competitive advantage? – What else is my data being used for? – What about legal discovery and non-repudiation of data? Security and privacy, when implemented properly, provide a framework for trust.

11. © 2010 AT&T Intellectual Property. All rights reserved. AT&T, the AT&T logo and all other AT&T marks contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies. All other marks contained herein are the property of their respective owners. Connect. Share. Collaborate. Interoperability and management of patient records Retrieval of clinical data across continuum of care Broader data exchange and access to applications Comprehensive view of patient information Clinical and administrative process automation