Sunrise Enterprise. Enabling You to Achieve Measurably Superior Outcomes

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1 Enabling You to Achieve Measurably Superior Outcomes Children's Hospital, Omaha, NE Thank you to our clients who appear in the photos included in this brochure. Children s Hospital, Omaha, NE Presbyterian Intercommunity Hospital, Whittier, CA Springhill Medical Center, Mobile, AL West Parry Sound Health Centre, Parry Sound, ON, Canada About is a leading provider of advanced, integrated clinical, revenue cycle, and access management software, clinical content and professional services that help healthcare organizations improve clinical, financial, operational and client satisfaction outcomes. For more information, see or info@eclipsys.com. Copyright 2007 Corporation. All rights reserved. Corporation and The Outcomes Company are registered trademarks of Corporation., XA, Sunrise Clinical Manager, Knowledge-Based CPOE, and Sunrise Access Manager are trademarks of Corporation. Other products and company names are trademarks and/or registered trademarks of their respective companies.

2 Take Proactive Control of Your Outcomes With, has taken outcome achievement to a new level. Our advanced clinical and financial tools provide a big-picture view of individual encounters as they take place, bringing strategic decision-making into the present. Issues such as lost revenue, hospital-acquired infections and resource utilization can be identified and addressed proactively, in real time. With Sunrise Access Manager available on the XA extended architecture, healthcare organizations have more flexibility than ever before to drive outcome improvements the moment a patient enters the enterprise, before the care encounter begins. Outcomes Methodology Measurable, Repeatable, Shareable delivers more than just software. We work closely with our clients, incorporating a continuous-improvement methodology refined through hundreds of successful implementations. These proven methods begin with early identification of improvement opportunities and continue through end-user adoption, dissemination of best practices, ongoing measurement of success and goal refinement. Healthcare providers of diverse sizes, specialties and geographies invest in solutions based on our clients consistent success improving their outcomes in care, cost and satisfaction. clients achieve measurably superior outcomes in key areas including: Acute myocardial infarction (AMI) Deep vein thrombosis (DVT) Medication reconciliation Safe patient handoffs Days in accounts receivable (AR) Shared Best Practices and its clients collaborate to develop a validated collection of best practices to measure and improve clinical, financial and operational outcomes. Known as Outcomes Toolkits, these best practices give healthcare organizations a head start in reaching their goals through: Proven practices to enhance outcomes via workflow integration, clinical decision support and evidence-based content. Practices that proactively address current healthcare challenges such as The Joint Commission s national patient safety goals, the Centers for Medicare and Medicaid Services Core Measures and the Institute for Healthcare Improvement. Only when success has been defined and technology adopted can outcome improvement be achieved. Presbyterian Intercommunity Hospital, Whittier, CA continues to develop updates to their solutions that provide increasingly enhanced value to us and to our patients. Analytics is the next plateau and has tremendous opportunity: Understand what you're doing, measure it, drive it to greater performance, greater safety and re-measure it. It's a continuing improvement process that really goes on and on. William McClatchey, MD, FACP, FACR Chief Medical Information Offi cer Piedmont Healthcare Atlanta, GA Alamance Regional Medical Center, Burlington, NC 20% increase in administration of beta blockers to AMI patients within 24 hours of arrival 13.3% reduction in unadjusted mortality from AMI

3 Connected Constituents Connecting Patients, Providers, Organizations Connected Communities More care is being provided in ambulatory offices and community care clinics than ever before. extends the patient-centric electronic medical record (EMR) to outpatient settings so patients can receive ongoing treatment and monitoring in the most comfortable environment possible. Physicians can use the same tools in the ambulatory space that they use for inpatient care to see data and alerts across visits whether those visits take place in the office, emergency department, acute care unit, or any other part of the enterprise. Patients become participants in a true electronic health record environment. Connected Enterprise connects the numerous caregivers involved in a single patient s care. At each stage of the care process, each clinical team member has access to the up-to-date health record. It begins when care is scheduled and continues through registration and each stage of the care process so patients don t have to repeat the same information at every encounter. Physicians can make informed, timely decisions. Clinical teams can deliver integrated care across facilities and throughout the course of the patient s care. Order Reconciliation By connecting the care team with a shared database and EMR, goes beyond medication reconciliation to full reconciliation of all care orders. Clinicians have access to the patient s outpatient medication list and previous medication orders, can review them alongside new orders and plans for care, and reconcile any differences in a proactive manner. Conversion from prescriptions to orders is seamless. From the physicians placing orders, to the pharmacists dispensing medications and the nurses administering the medications incorporating the five rights, provides an end-to-end solution that connects the care team and helps prevent errors. When the patient is ready to go home, the orders are seamlessly converted to prescriptions, with full reconciliation logic automatically captured. Improved constituent satisfaction Effi cient scheduling and bill collection Informed clinical decision making Improved quality and safety Sixty to 80 percent of our patients come from our continuity clinics. Now I ve got a record. I know their history. I can review their last note and give those people better care. In the days before Sunrise that would not have happened. Michael Dominguez, MD Medical Informatics Offi cer University Health System San Antonio, TX University of Pennsylvania Health System, Philadelphia, PA Improved compliance with The Joint Commission s pneumococcal vaccination standard from 0.9% to 62% 76% improvement in documentation of patient allergies

4 Executable Clinical Content Integrated Access Connecting Clinical and Financial Operations Enhanced safety and A Positive First Impression No matter how talented the clinical team, a patient s initial encounter with the organization during scheduling and registration sets the stage for the patient s overall experience and satisfaction. Inefficiencies at this early stage of the process follow the patient throughout care and back home. Beginning when care is scheduled, through registration and each stage of care and billing, integrates patient data and helps leave patients with a lasting positive impression of the organization. Advanced insurance eligibility and authorization quality of patient care Care coordination and consistency across teams and across sites Quality documentation for reduced medical-legal risk, and improved Joint Commission Children's Hospital, Omaha, NE Improved Care Coordination, Improved Revenue Delivered on the XA extended architecture, Sunrise Access Manager solutions extend the power of the EMR to gather patient data as soon as an individual enters the healthcare system. Organizations can foresee scheduling conflicts and take corrective action during booking, saving time and utilizing resources most effectively. Following discharge, bill collections are streamlined by information gathered at the beginning and throughout the care process. Efficiency and Satisfaction With easy access to information on payor authorizations, the organization can ensure patient eligibility before providing services. At the same time, patients gain more confidence in the organization because they aren t asked to repeat the same information at every care encounter. Enhanced patient confi dence and satisfaction Effi cient resource utilization Increased revenue compliance Faster implementations and rapid time to value Connecting Clinicians to Clinical Knowledge Actionable Knowledge With care-transforming content embedded in Sunrise Clinical Manager, a core set of clinical solutions, continues to set the standard for evidence-based care. Clinicians receive actionable knowledge when and where they need it at the point of decision making. Organizations can leverage the preconfigured content to drive action that leads to improved outcomes. Introducing a new protocol can be as straightforward as integrating a new rule or flowsheet. executable content provides a long-term strategy for maintaining high standards of care. Organizations can stay abreast of evolving healthcare challenges, the growing body of clinical evidence and increasingly complex regulatory requirements. Proactive Care within the Window of Opportunity Healthcare teams can deliver proactive care to high-acuity patients using the customizable rules engine that continuously monitors the electronic medical record and alerts appropriate clinicians to potentially critical changes in a patient s health status. Clinicians can respond within the window of opportunity, when appropriate clinical intervention can have the greatest impact on patient outcomes. User-friendly Order Sets Knowledge-Based CPOE, adopted by more physicians than any other in the industry, enhances time to value. Organizations can leverage the evidence-based order sets to improve efficiency and drive adherence to best practices, including complex orders such as chemotherapy regimens. And because the user-friendly interface allows physicians to build their own order sets, more physicians embrace our CPOE solution as their solution to support and improve their practice. Presbyterian Intercommunity Hospital, Whittier, CA As physicians, we really appreciate how Sunrise Clinical Manager puts all of the information we need right at our fingertips wherever we are, day or night so we can guide the absolutely best care possible. It makes this a great place to practice. Cornelius Flowers, MD Chief of Medical Staff DeKalb Medical Center Hillandale, GA WellSpan Health, York, PA Reduced net days in accounts receivable by 12.9 days from 71.1 to 58.2 days and $13.3 million Reduced unbilled accounts receivable by 4.9 net days and $5 million

5 Synchronous Care and Predictive Informatics Connecting Actions to Outcomes Connecting Outcomes to Actions Synchronous Care A physician places an order, sees pertinent alerts and the order immediately generates tasks on the appropriate caregivers worklist or flowsheet the patient receives the prescribed care sooner. A patient presents at a physician practice after a night in the emergency department the primary care provider has immediate access to the tests, medications and documentation from that visit. takes the guesswork out of care with just-in-time patient data at the point of decision making. The comprehensive EMR and clinical summary views help ensure that important information is communicated between caregivers and caregiving teams, supporting the best possible decisions and outcomes for patients. Predictive Informatics For healthcare organizations today, improving outcomes involves analyzing historical data to discover trends, identifying opportunities and implementing changes aimed at future improvements. brings outcomeimprovement initiatives into the present, delivering essential data at the point of decision making. Which of the patients in the ICU is at the highest risk of infection? What is this patient s risk of heart disease? Pulling together clinical information from different venues of care, analyzing that data and presenting it to clinicians allows the caregiving team to properly focus on the sickest patients, regardless of where they receive care. As the industry leader for more than 35 years, wrote the book on decision support. clients have an advanced toolkit that analyzes clinical data from the thousands of care encounters documented in to deliver real-time, actionable decision support to clinicians and executive staff. From physician practice patterns to the efficacy of a care regimen for a specific patient to insurance eligibility, healthcare organizations can support strategically sound decisions throughout the enterprise. Real-time outcome improvements for the individual patient as well as populations of patients Anticipating a patient s changing care requirements becomes the standard, not the exception Support for strategic decision making at the organization level Springhill Medical Center, Mobile, AL Springhill Medical Center, Mobile, AL We have to make strategic decisions based on what's actually happening in our hospital, with our patient population, and with our medical staff. We use IT so we can see the big picture and choose the right strategic direction. Analytics will help us attack the kind of problems that are inherent to all healthcare organizations. Jeff St. Clair Administrator and Chief Operating Offi cer Springhill Medical Center Mobile, AL NYU Hospitals Center, New York, NY 30% increase in patient satisfaction scores 43% reduction in patients who leave the ED without being seen by a medical provider

6 Extended Architecture Leading the Way to Measurably Superior Outcomes Flexibility to create applications that meet organization-specifi c needs Improved end-user experience Access to multiple systems using a single sign-on and interface West Parry Sound Health Center, Parry Sound, ON, Canada Connecting Systems and Organizations Through Extended Architecture More Ways to Streamline Workflow has architected the most advanced healthcare information solutions available with open, scalable architecture and interoperability built right in. The days of waiting for an IT vendor to respond to a product enhancement request are over. Healthcare organizations can build unique applications that extend electronic medical records with third-party systems, integrate individual views and quickly build applications while maintaining familiar interfaces. XA extended architecture and integration capabilities allow organizations to build out solutions that meet internal workflow needs and participate in regional health information organization (RHIO) strategies. Organizations can build their own unique applications that access patient electronic medical records or extend solutions across the enterprise and between suppliers, customers and business partners. Establish Benchmark Engage End User Optimize Workflow Drive Performance Measure Results Analyze and Refine Target areas for improvement Involve key constituents in planning Transform clinical and operational processes Leverage technology to reinforce best practices Compare against benchmark Review progress, target next areas for improvement ObjectsPlus has given us the ability to pull data from any component of the electronic chart into a single view that the physicians have asked us to create. It s the first time that we were able to replicate a look and feel that made our physicians lives easier rather than asking them to adjust to a look and feel developed by someone else. Judy Gizinski Vice President, Information Services Health First Rockledge, FL Community Hospital of the Monterey Peninsula, Monterey, CA 26% reduction in days in accounts receivable from 69 to 50 days Exceeded budgeted annual cash collections by $16 million