2006 Cisco All rights reserved.

Cisco Confidential 1
Erik Petersen
Global Healthcare Marketing
Cisco Healthcare Solutions
2006 Cisco All rights reserved. Cisco Confidential 2
Cisco Connected Health Vision
Accessibility, Affordability, Delivering Better Care
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 3 2006 Cisco All rights reserved. Cisco Confidential 3
Agenda
Healthcare delivery changes
Cisco Healthcare Portfolios and Solutions
HealthPresence Cisco on Cisco
Whats next
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 4 2006 Cisco All rights reserved. Cisco Confidential 4
State of healthcare
Healthcare
Reform
Low IT
investment
Stimulus
Package
Organizational
Silos
Patient
Satisfaction/Safety
Alternate Care
Options
Medicare/Medicaid
Reimbursement
Joint Commission /
Government
mandates
Provider
Aging
Population
Patient
Capturing HIT
Stimulus
Transforming
the Patient
Experience
Clinical
Process
Improvement
New Models
of Patient
Care
Operating Margin
Pressures
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 5 2006 Cisco All rights reserved. Cisco Confidential 5
We Live in Exponential Times
Source: The Economist, March 2010
24 hours of content uploaded every minute
Y O U T U B E I S F I V E Y E A R S O L D
38 Years Time to reach an audience of 50M
15 Years Time to reach an audience of 50M
4 Years
WWW
Time to reach an audience of 50M
2 Years Time to reach an audience of 50M
1 Year Time to reach an audience of 50M
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 6 2006 Cisco All rights reserved. Cisco Confidential 6
Video Is Becoming Pervasive
Sources: Wired, Cisco estimates based on CAIDA publications, Andrew Odlyzko
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 7 2006 Cisco All rights reserved. Cisco Confidential 7
Why Video in Healthcare
1
Kandola, Pearn The Psychology of Effective Business Communications in Geographically
Dispersed Teams, Cisco Systems, September 2006
2
Vision Group Research, FMRIB, University of Oxford, UK
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 8 2006 Cisco All rights reserved. Cisco Confidential 8
Need for Collaboration Amongst Clinicians
Root Cause of Sentinel Events Is Lack of Communication
Up to 70% of sentinel events in healthcare are caused by poor
communications, according to a Joint Commission study 19952006
Sentinel events are unexpected occurrences involving death or serious injury
Top sentinel events include wrong-site surgery, medication errors, delay in treatment
Root Causes
Statistics on Root Causes of Sentinel Events
Communication
Orientation/Training
Patient Assessment
Staffing
Availability of info
Competency/credentialing
Procedural compliance
Environ. Safety/security
Leadership
Continuum of care
Care planning
Organization culture
0 10 20 30 40 50 60 70
Percent of 3548 events
All Categories; 2006 All Categories; 19952005
0 10 20 30 40 50 60 70
Source: The Joint Commission
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 9 2006 Cisco All rights reserved. Cisco Confidential 9
Enhancing the Patient Experience
Growing in Importance
> 50% of patients are
willing to switch hospitals
for a better experience
Non-Clinical
Criteria
Willingness to Switch
(% of Patients)
Location
Hospital
Reputation
Patient
Experience
Physicians
Decision
Factors Influencing Patients
Choice of Hospitals
Source: 2007 McKinsey Survey of >2000 US Patients with Commercial Insurance/Medicaid
and >100 US Physicians
2006 Cisco All rights reserved. Cisco Confidential 10
Cisco Connected Health Portfolio of Solutions
Care-at-a-Distance
Solutions that enable remote examinations, consultations, and
distance learning.
Healthcare Technology Foundations
Solutions that provide security, interoperability, and
regulatory compliance.
Clinical Workflow
Solutions that improve
communication, collaboration, and
education.
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 11 2006 Cisco All rights reserved. Cisco Confidential 11
Patient Safety Quality of Care Patient Satisfaction Cost Effectiveness Staff
Satisfaction Regulatory Compliance
Care at a Distance Clinical Workflow
Healthcare Technology
Foundations
HealthPresence
Clinical Presence Cart
Intern Cart
Expert on Demand
Webex for Healthcare
TelePresence for Healthcare
Umi
Nurse Connect
Context-Aware Healthcare
Digital Physicians Office
Medical Data Exchange Solution
PACS Collaboration
Wireless IP Phones
Cius
BioMed NAC
Secure Wireless
Data Center for Healthcare
PCI for Healthcare
Security and Compliance
Medical-Grade Network
Architecture
Connected Health Solution Framework
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2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 12 2006 Cisco All rights reserved. Cisco Confidential 12
Collaborative Patient Room
Digital
Signage
Bedside
Services
Clinical Application
Access
Unified
Communications
Location
Based
Services
Remote Access
Wireless
Connected Imaging
Video Language
Interpretative Service
Video
Surveillance
Telepresence
Medical Grade Network
Nurse Call
Integration
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 13 2006 Cisco All rights reserved. Cisco Confidential 13
Care-at-a-Distance
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 13
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 14 2006 Cisco All rights reserved. Cisco Confidential 14
Case Study: Cisco Employees Connect with
Physician Across the U.S.
Physician in
San Jose,
California
Patient in
Raleigh, North
Carolina
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 15 2006 Cisco All rights reserved. Cisco Confidential 15
Stats: Cisco HealthPresence at RTP
156 total HealthPresence visits since program began in 2009
Drop in physician visits / Increase in nurse only visits
Successful screening events
Skin screen - 65 patients
Know your Numbers screen - 75 patients
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 16 2006 Cisco All rights reserved. Cisco Confidential 16
The Cisco HealthPresence Solution
Using the network as a platform; Cisco HealthPresence solution combines high-definition video,
advanced audio, and patient medical data to create an environment similar to what most people
experience when they visit their doctor or health specialist.
Business
Value
Increased convenience and access to healthcare for patients
Optimizes the use of scarce expert resources while containing costs and
offering a live, face-to-face visit experience
Offers the ability to augment and optimize the capacity and reach of care-
delivery systems in a patient-friendly and convenient way
Patient in a remote area needs
to see a doctor
Local attendant (a licensed
healthcare professional)
places patient at Cisco
HealthPresence unit
Attendant places
call to a remote doctor with a
single touch
Medical instruments
provide vitals
Remote doctor sees patient in
high-def video and views data
from medical devices in
streaming video
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 17 2006 Cisco All rights reserved. Cisco Confidential 17
Components of
the Cisco HealthPresence Solution
Components
Medical Devices
AMD-2500 General
Examination Camera
AMD-3700 Telephonic
Stethoscope
AMD-2015
ENT Scope
Welch Allyn Spot Vital
Signs Lxi
(blood pressure, temperature,
pulse rate, pulse oximetry)
Cisco Session
Management Application
for interoperability with
Cisco Unified Communications,
enabling intelligent routing and
management & one-touch
dialing
Cisco
TelePresence
for a realistic face-to-
face experience
Cisco

HealthPresence
Connect Software
for secure session
management,
transmission of medical
data, and viewing of
electronic medical
record (EMR)
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 18 2006 Cisco All rights reserved. Cisco Confidential 18
Health Services Exchange
Powered by Cisco Cloud Solutions
Patient health and support services provided from the HSX cloud to many different endpoints depending
upon the consumers location, communication and needs
Extending Care Through the Network
Office Mobile Home Hospital
Secure dynamic service access anywhere, anytime
Economical - services at cloud prices
Agile - more new and customized services to meet demand
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 19 2006 Cisco All rights reserved. Cisco Confidential 19
Healthcare Services Exchange Cloud Concept
Datacenter Cloud Gateway
Healthcare Service Exchange
Medical
Information
Services
Video
Services
Telemetry
Services
Application
Virtualization
Services
Health Services Marketplace
EMR PACS Clinic
Virtual Clinical Specialist
Health
Management
Health
Management
Episode Management
Pre-Admission Admission Post-Admission
Pre-Authorization
Telemedicine
Health Information
Exchange
Provider Services
Patient Services
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 20 2006 Cisco All rights reserved. Cisco Confidential 20
Addressing a Range of Health Services Needs
Market Expansion
New Services
Enables existing capabilities to
new markets
Aligns strategically with the
Connected System
Health IT Investment
Meaningful Use
EMR/HIE
State Exchanges
Health Reform
ACO
Reimbursement Changes
Compliance
Cost
Capital Investment Reduction
Automation
Access
Rural
Specialty
Market Expansion
Quality
Improve Outcomes
ED, Readmissions
Predictive Techniques
Speed to Market
Connecting a disparate
health system
2008 Cisco Systems, Inc. All rights reserved. Cisco Confidential Presentation_ID 21 2006 Cisco All rights reserved. Cisco Confidential 21