NYS Landscape. 9 RHIOs cover state. RHIOs will be interconnected by State Health Information Network of NY (SHIN-NY) - funded by state and CMS

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2 NYS Landscape 9 RHIOs cover state RHIOs will be interconnected by State Health Information Network of NY (SHIN-NY) - funded by state and CMS SHIN-NY will enable each RHIO to access records of any other Hixny leading NYS RHIOs in provider adoption and technical maturity

3 Regional Snapshot Covers more than 1/3 of NYS counties Population of 1.8 million is larger than 12 US states Members include Hospitals Physicians and other healthcare providers Health Plans Employers and business coalitions Educational Institutions Consumer Advocacy Groups Government Organizations

4 High quality affordable healthcare requires well informed communication. Without well informed communication everyone in the healthcare community is seeing a different and often incomplete view of each patient.

5 This leads to inefficiencies, higher cost, lower quality healthcare and Lower quality of life for our patients.

6 100% acute care hospitals 72% PCPs 66% SCPs Home Health, Etc. Hixny provides real-time information sharing that enables the entire healthcare community to see the same view of each patient.

7 Push and pull services enable complete patient information to flow to providers at the point of service. Surveillance logic automatically detects changes in patient status in real-time.

8 Alerts and event notifications proactively notify appropriate providers when new, vital information exists about their patients. Near real-time data supports rapid-cycle analytics.

9 Secure provider-to-provider messaging service allows providers to communicate with or forward patient information to another provider improving efficiency.

10 Stay Informed: Any time - system is running 24/7 with real-time data; not batch uploads Any place - access from any care setting Any how - use any tool: EMR, portal, web/mobile as well as any HIE standard used by these underlying tools

11 Hixny on the rise 72% of PCPs and 66% of specialists exchanging information via Hixny over 2.9 million patients 95% of patients give consent Nearly 590 connected healthcare locations: 30 Hospitals 272 PCP Practices 284 Specialist Practices 4 FQHCs 3 Health Plans (2 million lives statewide) 25+ terabytes of data >60 clinical transactions processed per second 25+ interoperable EMR and HIS vendors >8,400 users More than just providers are engaged Employers and business coalitions Educational Institutions Consumer Advocacy Groups Government Organizations 175 billion clinical messages annually

12 A National Leader in System Interoperability Acusis Dictation Allscripts Askesis PhychConsult athenahealth Cerner CPSI Epic eclinicalworks GE Centricity Greenway Iatric ipatientcare LabCorp MD Online MD suite Medent Meditech Nextgen Novius Radiology Orchard Lab Siemens Sorian STI Computer Services Inc. Sunquest Lab Surescripts Trizetto Vitera McKesson iknowmed

13 Leverage one single, community tool that enables providers to receive information the way they need it.

14 Provider Portal - Patient Summary Snapshot Sample, Patient M 07/04/ Years Allergies: No known allergies Demographics Allergies Problem Lists Diagnoses Medications Lab Results Encounters Immunizations Patient Consent Procedures Discharge Summaries Clinical Documents / Transcribed Reports; Emergency Dept. Reports, Image Reports

15 Integrated EMR CCD Snapshot

16 Introducing Hixny Mobile Coming Soon To:

17 Patient Portal Snapshot Empowering patients to take a more proactive role in their healthcare.

18 Population Health Hixny is redefining healthcare as a leader in population health management. Hixny Healthcare Cloud Real-time information Only system with 360 view of patients Secure platform that already connects 100% of hospitals and 70% of physicians Automated event notification based on surveillance logic Support for program definition and outcomes measurement

19 Hixny Healthcare Cloud - Population health management support solution External EMR connectivity Automated data submission Pull community record on demand Push alert notification (automated or manual) Document Registry & Data Repository Master Patient Index Consent Management Provider Portal Patient Portal (PHR) EMR Light Solution Health Information Exchange Health Hub Care Coordination Engine Clinical Intelligence Active Monitoring Population Health Management Complex clinical risk management (gap in care identification) Real-Time Alerts (Mobile, EMR, portal, secure ) Data mining & opportunity identification Ad Hoc data analysis Manual Alerting to inform Care Coordination Engine and Active Monitoring Program & Provider Operations Real-time clinical dashboards Patient level disease registries Standard operations and clinical reports

20 The Healthcare Cloud in Action Patient (PHR) Store in Repository Retrieval on Demand Health Information Exchange PCP Urologist (EMR) BP = 140/90 Dx = (HTN unspecified) Text Analytics Add to HTN Registry HTN Registry Available for data analysis Notify Providers Care Coordination Engine Care Mgmt Dashboard Query: Patients added to HTN registry w/o PCP visit in 7 Days Update Dashboard Provider Dashboard Active Monitoring Manual Alert Clinical Intelligence Care Coordinator Health Hub Health Hub

21 A single system to create a 360 view of patients.

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