We will begin today s session shortly! Copyright 2/12/2015 Aternity, Inc

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1 We will begin today s session shortly! 1

2 Please feel free to submit your questions throughout today s presentation via GotoWebinar s Q&A Section If for some reason, you are having any technical problems, or have questions that you would like addressed after today s event, please do not hesitate to me directly at: donna@aternity.com Today s session is being recorded and you will receive a copy of the on-demand session and slide deck within the next 24 hours We invite you to follow Julie Craig (@julie_craig) and Aternity (@AternityInc) on Facebook and Twitter and see us on YouTube! 2

3 Optimizing Healthcare IT Delivery Julie Craig Research Director Application Management Enterprise Management Associates (EMA) Troy Partain Senior Sales Engineering Leader Aternity Inc. February 12 th,

Management Associates (EMA) Troy Partain Senior

4 When End User Experience Management Matters Exclusive Healthcare IT Research Findings Julie Craig Research Director Application Management Enterprise Management Associates (EMA) February 12 th,

Craig Research Director Application Management

5 Intro Healthcare: AN ENTIRELY DIFFERENT ANIMAL Applications mission critical: performance or availability issues can cost lives BUT multiple factors stand in the way Top three application-related challenges include 1. Complexity of foundational hardware and software systems Apps are highly integrated They execute across wide variety of hardware, software and platforms Often span multiple external systems, i.e. providers, suppliers, cloud-based services 2. Mobility Uber mobile workforce, many of whom seldom see a desk On wide variety of mobile devices, often BYOD 3. Performance/availability: Combination of complexity and mobility increase risks of poor user experience End User Experience (EUE) solutions monitor end user vantage point Slide Enterprise Management Associates, Inc.

Complexity of foundational hardware and software systems Apps are highly integrated They execute across wide variety of hardware, software and platforms Often span multiple external systems, i.e. providers, suppliers, cloud-based services 2.

6 1. Complexity of foundational hardware and software Integrated, componentized, and off-premise-hosted components raise the risk of application performance/availability issues Loosely coupled applications such as Hybrid, Mobile, SOA, VDI have multiple potential points of failure Compared to IT organizations as a whole, healthcare orgs are 45% more likely to run hybrid transactions spanning on and off premise 20% more likely to run component-based SOA applications 35% more likely to experience slow app performance 85% run Virtual Desktop Infrastructure (VDI)-based apps Centrally delivered to desktop Performance highly dependent on network Industry-wide, VDI a top priority driving EUE purchases Slide Enterprise Management Associates, Inc.

transactions spanning on and off premise 20% more likely to run component-based SOA applications 35% more likely to experience slow app performance 85% run Virtual Desktop Infrastructure

7 2. Mobility Mobile workforce Healthcare workers 50% more likely to use mobile devices at work More than 40% use tablets during workday 10% higher than industry norm One third use tablets between 50 and 80% of the work day Bring Your Own Device (BYOD) and multi-device Roughly half of all mobile devices used in healthcare are employee-owned Most healthcare employees use PCs as well; 80% are purchased by employers VDI Healthcare workers are 30% more likely to use thin clients, 15% less likely to use traditional windows-based desktops Consumer-oriented healthcare Patients accessing healthcare apps EUE on consumer side difficult to monitor and track Slide Enterprise Management Associates, Inc.

healthcare employees use PCs as well; 80% are purchased by employers VDI Healthcare workers are 30% more likely to use thin clients, 15% less likely to use traditional

3. Performance/Availability Healthcare IT organizations compared to industry norms are half as likely to believe they are effective in terms of EUE Twice as likely

priorities Twice as likely to consider VDI-delivered apps a monitoring priority Twice as likely to consider media/videoconferencing an EUE priority Compliance use

8 3. Performance/Availability Healthcare IT organizations compared to industry norms are half as likely to believe they are effective in terms of EUE Twice as likely to receive multiple performance-related user calls daily Twice as likely to receive performance-related calls on at least an hourly basis Healthcare monitoring priorities Twice as likely to consider VDI-delivered apps a monitoring priority Twice as likely to consider media/videoconferencing an EUE priority Compliance use cases Those who have EUE tools are twice as likely to utilize them to monitor compliance-related metrics AND OpEx savings Slide Enterprise Management Associates, Inc.

End User Experience Management products: See performance as the USER sees it EUE Value-add See app performance as the user sees it no more guesswork Mitigate risk support teams know when

Real User Monitoring (RUM): monitor from perspective of network 2. Synthetic transactions: monitor top level transaction performance 3. Browser injection: monitor from the browser 4.

9 End User Experience Management products: See performance as the USER sees it EUE Value-add See app performance as the user sees it no more guesswork Mitigate risk support teams know when performance is impacting SLAs, productivity and patient care Mitigate impact of complexity Consolidated view of app performance across complex underlying systems Types of EUE Technologies 1. Real User Monitoring (RUM): monitor from perspective of network 2. Synthetic transactions: monitor top level transaction performance 3. Browser injection: monitor from the browser 4. Application server: monitor from application server 5. Client-side monitoring: monitor endpoint device and user experience of apps interacting with endpoint Slide Enterprise Management Associates, Inc.

Client-side EUE differentiators Full visibility to desktop environment Aggregate, analyze and correlate metrics from multiple sources Across desktop, application and user Support for transactions

10 Client-side EUE differentiators Full visibility to desktop environment Aggregate, analyze and correlate metrics from multiple sources Across desktop, application and user Support for transactions within any type of Application Physical or virtual desktop Web, Rich Client, Java and Rich Internet Applications (RIA) Citrix XenApp and VDI environments Mobile EUE plus support for diagnostics and root cause analysis of performance/availability problems Slide Enterprise Management Associates, Inc.

desktop Web, Rich Client, Java and Rich Internet Applications (RIA) Citrix XenApp and VDI environments Mobile EUE plus

11 3 Ways End User Experience Management Optimizes Healthcare IT Delivery Troy Partain Senior Sales Engineering Leader Aternity Inc. February 12 th,

Founded in 2005 Headquartered outside of Boston, MA Global 2000 customers in every major vertical Installed on millions of enterprise devices Physical &

12 Founded in 2005 Headquartered outside of Boston, MA Global 2000 customers in every major vertical Installed on millions of enterprise devices Physical & Virtual Desktops Mobile Devices Deployments from 1K to 100K+ devices Closes the visibility gap within all APM tools Any Application Any Device Any User 12

Virtual Desktops Mobile Devices Deployments from 1K to 100K+ devices Closes

13 Virtual Desktop 13

14 Applications & Databases Network & Storage Hypervisor Health & OS Resources MDM & MAM 14

15 It s slow when I record vitals! Applications & Databases Network & Storage It s slow when I look-up a patient! Hypervisor Health & OS Resources My mhealth app just crashed! It s slow when I schedule treatment! MDM & MAM 15

16 Aternity Workforce APM closes your APM visibility gap by focusing from the perspective of the end user's device on the user s experience of all applications across all devices APM products focus on the performance of web-based applications, one at a time, from the vantage point of the data center Device monitoring products deliver operating system metrics and device health, but no insight into actual end user experience with applications 16

of web-based applications, one at a time, from the vantage point of the data center Device monitoring products

17 Healthcare IT can define user interactions in the context of a patient workflow a single step ( record vitals ) or a more complex sequence of patient care activities These businessdefined user interactions provide the business context to measure, manage and improve medical staff productivity 17

patient care activities These businessdefined user interactions provide

18 Case Study Our Customer Regional not for profit US healthcare system Their Challenge Isolate and resolve problems impacting medical staff ability to access & maintain connectivity to Citrix-hosted APTA rehab app Blame game between the APTA app vendor and healthcare system network team due to lack of visibility into the virtual infrastructure Our Unique Solution Complete VDI Visibility Recovered 400 hours/month of lost medical staff productivity by isolating the problem to an application memory leak 95% reduction in MTTR for similar problems Aternity Impact Recovered 400 hours/month of lost medical staff productivity by isolating and resolving a memory leak in the APTA rehab app. Reduced MTTR by 95% for similar problems 18

Complete VDI Visibility Recovered 400 hours/month of lost medical staff productivity by isolating the problem to an application memory leak 95% reduction in MTTR for similar problems

19 Business Pain Addressed Ensure my medical staff is more productive as we achieve EHR Meaningful Use criteria Hold my application provider accountable to application SLAs for which I am being held responsible Determine if application performance suffered after migrating to a centralized virtual infrastructure Determine the impact of mobile app performance on the success of our BYOD and mhealth initiatives Hold your cloud provider or outsourcer accountable to meaningful application performance-based SLAs Technical Challenges Addressed Monitor and measure EHR application usage across the enterprise to evaluate adoption progress Ensure EHR apps deliver excellent end user experience to extended care providers How can I determine whether performance challenges are due to an application issue, infrastructure issue, or a problem with remote display latency Ensure a quality mobile experience for 3 rd -party developed apps without access to the developer Measure end user experience of applications delivered via SaaS, or hosted by a cloud provider or outsourcer, without access to the infrastructure on which the apps run 19

initiatives Hold your cloud provider or outsourcer accountable to meaningful application performance-based SLAs Technical Challenges Addressed Monitor and measure EHR application usage across the

20 Request a product demonstration and review of your critical EUEM challenges with Aternity Aternity End User Experience Management for Healthcare Go to and register for the FREE Trial, Aternity s Proof of Value for the Enterprise o o o 30-day Product Evaluation Provides insight into key IT performance metrics Generates the empirical evidence you need to quantify the value of enabling your key strategic IT initiatives with End User Experience Management (Physical, virtual, or mobile devices) Troy Partain Senior Sales Engineering Leader ATERNITY Troy.Partain@aternity.com Julie Craig Research Director Application Management EMA JCraig@enterprisemanagement.com 20

Generates the empirical evidence you need to quantify the value of enabling your key strategic IT initiatives with End User Experience Management (Physical, virtual, or

21 United States Aternity, Inc. 200 Friberg Parkway Suite 1004 Westborough, MA Europe Aternity UK, Ltd. Standard House Weyside Park Catteshall Lane, Godalming, Surrey GU7 1XE AternityInc Israel Aternity, Ltd. 3 Hanagar St., P.O. Box 7161 Hod Hasharon Israel

Copyright 11/19/2015 Aternity, Inc

Copyright 11/19/2015 Aternity, Inc 1 Aternity Version 9 Every App, Any Device, Any User Welcome! First Look Webinar 2 Please feel free to submit your questions throughout today s presentation via GotoWebinar s Q&A Section If for some reason,