Healthcare Informatics



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Healthcare Informatics Philips Healthcare Informatics improves peoples lives throughout the patient care cycle by enabling more effective and efficient care resulting in improved outcomes. Oran Muduroglu CEO of Healthcare Informatics

Agenda Healthcare Informatics Enterprise Informatics Radiology Informatics Cardiology Informatics Clinical Applications

Healthcare IT Market 35 30 25 20 15 10 5 0 2,2 Billions IT in Healthcare = Infrastructure IT + Healthcare IT Healthcare IT = Enterprise IT + Clinical IT 22 33 Clinical IT Enterprise IT Infrastructure IT Healthcare IT is: very fragmented (1200+ companies) ~ 24 Bln market (USA 70%) average growth 11%/year 2004-2006 2006 2011 ~7% growth estimate Clinical IT: PACS, Workstations, Clinical Applications, Decision Support, Monitoring related IT products: Many Philips Medical Systems products Enterprise IT: Clinical Data Repository, CPOE, EMR and Departmental IT: RIS, CVIS, etc.: Philips Xtenity powered by Epic Infrastructure IT: IT Hardware, Op. Systems, Networks, Office Desktop. Outsourced infrastructure: Reseller agreements Source: CapGemini U.S., DeLoitte, Gartner Total IT in Healthcare ~ 58 Bln (USA 50%) in 2005

IT Priorities Around Patient Safety, Cost Reduction and Quality CIO Survey: Most important applications in next two years Electronic medical record (EMR) 61 62 Bar coded medication management Computerized practitioner order entry (CPOE) 52 50 55 58 Clinical Data Repository 42 45 Digital Picture Archiving (PACS) 26 42 (%) Point-of-care decision support 37 41 0 10 20 30 40 50 60 70 2006 Survey 2005 Survey Source:2005 Annual HIMSS Leadership Survey

Key Enterprise IT Integrated Solution Vendors + Key PACS Vendors + isite PACS Key Clinical Application Vendors + +

Philips Healthcare Informatics Vision Key Goals Improve outcomes Increase access and lower cost of delivering care Outcomes Modalities Healthcare IT Physicians Patients Evidence Guide Pharmacy Payers National Policy Monitoring Educate Nurses/Techs Results - Images Interventional Reimbursement Taking the complexity out of healthcare

The evolution of Philips Healthcare Informatics Demonstrate clear differentiation in the market Improved outcomes Better asset utilization Improved operational efficiency Provide the common IT infrastructure for our modalities Extended workflow Back-up, preferences, database User infrastructure Support infrastructure Become a leading business in PMS

Healthcare IT is becoming more complex Pharmacy/Medication Safety Physician Clinical Practice Clinical Documentation Departmental Core Information Management Enterprise Patient Access Care Management Clinical Decision Support Health Information Management Chart 2004 by Capgemini U.S. LLC. All rights reserved.

Philips Informatics is taking the complexity out of healthcare Diagnostics #1 #1 in in Radiology --isite isite #1 #1 in in Cardiology Witt Witt & Xcelera Operating room isite #1 #1 Monitoring IntelliVue Diagnostics Decision Support isite isiteenterprise Xtenity EMR Information & Decision support Creating an integrated fabric wrapping around modalities Providing the right medical context via decision support and evidence-based medicine Treatment Intensive Care unit isite isite #1 #1 Monitoring IntelliVue Step down facility #1 #1 Monitoring Lifeline Emergency Room #1 #1 in in Radiology isite isite #1 #1 in in Cardiology Witt Witt & Xcelera Pre-Hospital #1 #1 Ambulance Monitoring Resuscitation & isite isite Extending critical care and monitoring out of the hospital into the home Follow Up Home Telemonitoring Motiva Lifeline

Philips offers a consistent and integrated experience Imaging Modalities & Monitoring Clinical Specialty Solutions Enterprise Solutions

Strengths of current organization Best in KLAS products and services Radiology (isite) Cardiology (Xcelera/Witt) Enterprise (Xtenity/Epic) Philips culture Commitment to do the right thing for the customer Technical leadership Leading edge Partnered with strong modalities

Enterprise Informatics Pharmacy/Medication Safety Physician Clinical Practice Clinical Documentation Departmental Core Information Management Enterprise Patient Access Care Management Clinical Decision Support Health Information Management Chart 2004 by Capgemini U.S. LLC. All rights reserved.

Philips Xtenity Enterprise Informatics A #1 in KLAS comprehensive Healthcare Information System supported by a world-class implementation and training organization Patient Care Cycle demonstrated at HIMSS 2006 Tight integration with isite PACS, isite Enterprise Metro Health Grand Rapids implementation in progress Sales Force certification and training Qualified Philips implementation team Comprehensive, Integrated and proven!

Radiology Pharmacy/Medication Safety Physician Clinical Practice Clinical Documentation Departmental Core Information Management Enterprise Patient Access Care Management Clinical Decision Support Health Information Management Chart 2004 by Capgemini U.S. LLC. All rights reserved.

August 2005: Philips announced acquisition of #1 Rated PACS vendor, Stentor, Inc. Stentor History: Founded in 1998 Based in Brisbane, CA, US 160 Employees #1 ranking in KLAS last three years in a row #2 in NA order intake in 2005 Growth approximately 50% per year Unique Service Delivery Model Over 500 customers

Philips PACS Market Share GE 25% Others 7% Emageon 6% Amicas 8% Philips 18% (North America) 2003, 2004, 2005 Best in KLAS PACS # 2 in MD Buyline Microsoft MS HUG Technology Leadership Award HIMSS 2006 ALI / McKesson 8% Agfa 9% Fuji 9% Siemens 10% Source: Frost & Sullivan 2005

isite Efficient Sales Cycle Pricing Pay-per Study for Maximum Budget Flexibility Approach Enterprise First Model Proliferation Through IDN Strategy Infrastructure Direct Sales Force, leveraging Philips Account Management

isite PACS proliferates across a national Integrated Delivery Network 18 Hospitals in Northern California + + National Enterprise Distribution 11 Hospitals in Southern California 170 Radiologists 5,000 Clinicians 3.2M Members

Predictable, Growth Oriented Model Traditional Software Lumpy, Front-End Loaded Growth Driven by New Deal Flow $ Millions isite Fee per Study Predictable Volume and Revenue Growth Driven by Volume Increases Year 1 Year 2 Year 3 Year 4 Year 5 $ Millions Software Services Hardware Upgrades Maintenance Year 1 Year 2 Year 3 Year 4 Year 5

isite Service Contracts in Place vs. Revenue Forecast % of revenue forecast identified 41% 51% 71% 97% 2006 2007 2008 2009

Cardiology Pharmacy/Medication Safety Physician Clinical Practice Clinical Documentation Departmental Core Information Management Enterprise Patient Access Care Management Clinical Decision Support Health Information Management Chart 2004 by Capgemini U.S. LLC. All rights reserved.

U.S. Market Share of Major Cardiology PACS Providers CAMTRONICS MEDICAL SYSTEMS 5,2% OTHERS 10,1% PHILIPS MEDICAL SYSTEMS 32,2% (WITT BIOMEDICAL 8,3%) HEARTLAB, INC. 17,8% SIEMENS MEDICAL SOLUTIONS 7,6% GE HEALTHCARE 27,1% Source: Frost & Sullivan

Cardiovascular Care Cycle Healthcare Informatics Information & Decision support Treatment Diagnostics Follow Up Screening & Early Diagnostics Informatics is the thread that ties everything together

Complex Workflow in Cardiac Care Healthcare Informatics Early Diagnosis and monitoring Pre-Procedure Planning Interventional Procedure Follow-up and monitoring

Clinical Applications Pharmacy/Medication Safety Physician Clinical Practice Clinical Documentation Departmental Core Information Management Enterprise Patient Access Care Management Clinical Decision Support Health Information Management Chart 2004 by Capgemini U.S. LLC. All rights reserved.

Workstations and Clinical Applications Clinical Applications in the workflow Market trend towards advanced and seamless integration of Hospital Information Systems with PACS and advanced (3D/4D) viewing and clinical applications Clinical advanced use of data requires portability from modality to PACS to workstation: Philips Medical Systems can provide the whole image acquisition, distribution and advanced applications chain Hospital Information Systems PACS Image distribution Advanced Viewing in combination with clinical applications: e.g. 3D Colonoscopy

Philips ViewForum Clinical Workstations Truly integrated 3D capabilities in support of the reading process Wide range of clinical applications to help investigate and quantify pathology Speeds-up the reading process for large and complex CT and MR cases, helping to manage the data explosion Unique 2D / 3D volume inspection integration capability Supporting decision support and CAD

Philips Healthcare Informatics: Taking the complexity out of healthcare Thank you