Allscripts Population Health Management Investor Summit

POPULATION HEALTH dbmotion FollowMyHealth 6.5.14 Allscripts Population Health Management Investor Summit

Disclaimer This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, without limitation, statements regarding Allscripts Healthcare Solutions, Inc. s (the Company s ) financial estimates. These forward-looking statements are based on the current beliefs and expectations of the Company s management and are subject to significant risks and uncertainties. Actual results could differ from those set forth in the forward-looking statements, and reported results should not be considered an indication of future performance. Certain factors that could cause the Company s actual results to differ materially from those described in the forward-looking statements can be found in the Company s Annual Report on Form 10-K for the year ended December 31, 2013 and in the Company s most recent Quarterly Report on Form 10-Q for the quarter ended March 31, 2014. Each of these reports is available on the Company s website (http://investor.allscripts.com) and on the Securities and Exchange Commission s website (http://www.sec.gov). Allscripts, the Allscripts logo, and other Allscripts marks are trademarks of the Company or its subsidiaries. Other company and product names featured in this presentation may be the trademarks of their respective owners. Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 2

Agenda 10:00 am Welcome Seth Frank Vice President, Investor Relations, Allscripts 10:05 am Overview and Strategy Paul Black President & Chief Executive Officer, Allscripts 10:15 am The Spectrum of Population Health Peter McClennen General Manager, Population Health, Allscripts 11:00 am Client Success Stories in Population Health Robert Curry Chief Executive Officer, Citrus Valley Health Partners Robin Sodano Associate Chief Information Officer, UMass Memorial Health Care Danny Schunk Vice President, Clinical Product Development, HCA Linda Van Allen, RN Senior Director, Case Management, Tenet Healthcare Rasu Shrestha, MD Vice President, Medical Information Technology, UPMC 12:30 pm Lunch and Q&A Rick Poulton Chief Financial Officer, Allscripts 1:30 pm Adjourn Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 3

POPULATION HEALTH dbmotion FollowMyHealth Paul Black President & Chief Executive Officer Allscripts

POPULATION HEALTH dbmotion FollowMyHealth Peter McClennen General Manager, Population Health Allscripts

Building Population Health Information-powered clinical decision-making Use robust patient data sets to support proactive, comprehensive care Operate within an integrated data network Position a leader to merge data analytics with clinical care Primary care-led clinical workforce Elevate PCP to CEO of care team Mobilize community workforce to extend care team reach Patient engagement and community integration Map services to population need Overcome non-clinical barriers to maximize health outcomes Integrate patient s values into the care plan Use community stakeholders to connect patients with high-value resources Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 6

KLAS Review of Population Health What is Population Health Management Anyway? PHM is the process of proactively monitoring and caring for defined patient groups. Unfortunately, terminology varies among both vendors and providers. KLAS breaks PHM into four areas: 1. Data Aggregation: Combining patient data from disparate sources 2. Risk Stratification: Segmenting populations to prioritize interventions 3. Care Coordination: Directing care providers efforts 4. Patient Outreach: Engaging patients in their care Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 7

Black Book Looks at Connectivity Allscripts dbmotion honored as #1 ambulatory/physician EHR health information exchange solution in 2014 #1 Client service and support #1 Data use, reliability and continuity #1 Patient accessibility 98% of healthcare organization decision makers believe private, community-based HIEs are the preferred choice to achieve Accountable Care Organization deliverables. Only 3% of ACO Managers find operational public HIEs capable of meeting their data requirements as currently configured and funded. BLACK BOOK MARKET RESEARCH 2014 USER SURVEY State of the Enterprise Health Information Exchange Industry Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 8

Degrees of Interoperability Providers and healthcare organizations must find ways to securely and reliably share patient data within an enterprise, throughout the broader healthcare community and across disparate technologies. Silver Commonwell, Direct Enables standards-based data sharing for identity management and record location Providers can access information residing in other clinical systems Gold dbmotion EHR Agent Delivers delta clinical information directly to the caregiver s workflow Organized and harmonized, completely actionable at the point of care Platinum dbmotion Fusion Brings community information to the point of care fused into the Allscripts Sunrise EHR Increase adoption and usage through native integration Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 9

Foundational Components HIE Data Aggregation Care Coordination Analytics Patient Engagement EHR Agent Collaborate Collaborate Care Management Population Health Analytics EPSi Gateway FollowMyHealth FollowMyHealth Achieve dbmotion Top HIE score for Helping Maximize Value Care Management #1 suite Population Health Analytics KLAS Best analytics on aggregated data EPSi Category Leader for Decision Support eight years running FollowMyHealth 100% would buy again Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 10

What You Will Hear Today Allscripts delivers a complete suite of population health solutions that: Provide depth in each of the four foundational population health components Provide breadth across the population health components Can be modularly deployed to meet clients at their immediate point of need Addresses the entire global provider and health system spectrum of needs Are real demonstrable solutions that can achieve results at the largest IDNs and in community health systems Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 11

Demonstrated Population Health Value Community Health System Connecting Affiliates Three-hospital system connecting 220 affiliate physicians in California to reduce readmissions to below 10% for CHF patients. Academic Health Care Engaging Patients Adding 1,000 patients per week to a single portal on TouchWorks and Siemens to earn $46M with meaningful use. Deriving Insights from 160+ Connected Hospitals Harmonizing and analyzing clinical data from 2.5 million transactions per day to guide decisions across non-standard EHR deployments. Managing Patient Transitions Across 78 Hospitals Using Care Management to support an effective process for coordinating patient care. Large IDN Connecting Western Pennsylvania Integrating data from 30+ hospitals and a 2 million member health plan to achieve insights at the point of care and in aggregate. Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Powered by Allscripts 12

POPULATION HEALTH dbmotion FollowMyHealth Robert Curry President and Chief Executive Officer Citrus Valley Health Partners

Citrus Valley Health Partners (CVHP) Three hospitals (625 total beds) plus home health/hospice, inpatient hospice and ambulatory surgery center Highly diverse primary service area serving nearly one million people Payer mix nearly 80% government Approximately 750 physicians Primarily in small or solo practices Wide range of installed ambulatory EHRs Recent survey showed 13 Many low cost or free Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 14

Population Health Management The population health management model highlights three components: The central care delivery and leadership of primary care providers The critical importance of patient identification, activation and engagement Expansion and patient focus of care coordination provided through wellness, disease management and chronic care management programs It is a set of interventions designed to maintain and improve people s health across the full continuum of care: From low-risk, healthy individuals to high-risk individuals with one or more chronic conditions Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 15

% of Population Chronic Conditions Follow Demographics 100% 80% 60% 40% 20% 0% 19% 7% 4% 14% 17% 53% 30% 71% 56% 80% 56% 33% 52% 20% 9% 10% 24% 23% Core Northeast Central West South Overall Asian / Pacific Islander Black / African American Hispanic or Latino Other Race/Unknown White Diabetic Amputations Core Northeast Central West South Overall Total Cases 51 21 87 47 28 234 Adult Population 144,154 93,408 180,313 97,563 153,205 668,644 Cases/100,000 35.4 22.5 48.2 48.2 18.3 35.0 National Benchmark-36.1 cases/100,000 Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 16

Success Connecting the Community Offering independent clinical partners access to Citrus Valley s connected community of health or a subsidized EHR with access and measuring impact on chronic conditions User Agreements Readmissions Impact Piloted a Congestive Heart Failure (CHF) Care Continuum Clinic Program in July of 2013. Enrolled patients 30-day readmission rates dropped dramatically to less than 10%. National rates of readmissions are 23%. Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 17

Summary In order for us to become population health managers, we need to make significant investments and build new competencies Competencies Physician alignment Patient relationship management Care coordination Information technology and analytics New payment structures Initiatives Health Information Exchange Physician-owned IPA Federally Qualified Health Center (FQHC) Care Continuum Clinic Diabetes clinic Limb-salvage program ACO (MSSP and commercial) Medical Foundation and other physician alignment options Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 18

POPULATION HEALTH dbmotion FollowMyHealth Robin Sodano Associate Chief Information Officer UMass Memorial Health Care

UMass Memorial Health Care UMass Memorial Health Care is the largest health care system in Central and Western Massachusetts Clinical partner of UMass Medical School 3-campus academic medical center 4 member/community hospitals 100 hospital-based clinics 80+ office-based practices 1,700 physicians on active medical staff 1,125 beds Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 20

Patient Engagement Strategy Not Just ARRA Patient Satisfiers Patient Satisfiers Consumerism/Access Patients want to be involved in care Direct communication with my doctor Online Appointments Prescription Renewal Online bill pay Eligible Professional MU ($23m) $19m to date; $3-4m through 2017 Eligible Hospital ($23m) $8.8m to date; $10-15m thru 2017 Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 21

Strategy One Patient, One Portal Across Complex Best of Breed IT Environment Ambulatory Environment Allscripts TouchWorks Acute Environment Siemens Soarian 3 hospitals Siemens Soarian 1 member hospital Meditech 1 member hospital Specialty EMRs ED Picis Pulsecheck ICU Phillips Visicu OB GE QS Pediatric ICU Phillips ICIP Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 22

Rapid Impact with Ambulatory Practices Started with ambulatory clinics and practices 200 clinics and practices deployed with Allscripts TouchWorks 1-20 physicians per practice and clinic 70 specialties Four month deployment (timeline driven by meaningful use) 19,500 patients enrolled average ~1,000 patients per week Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 23

Next Steps Expansion + Functionality One Patient, One Portal Acute for academic medical center and two community hospitals CCDA produced out of Siemens Soarian Registration/consent handled by patient access services staff Implementing AutoInvite Acute for health alliance hospital (June 2014) CCDA produced out of Siemens Soarian Separate management dashboard Implementing AutoInvite Ambulatory Rollout for Wing Memorial Hospital (June 2014) Allscripts TouchWorks Separate Marketing Package Enabling Additional Functionality Allow for patient-generated changes to information Develop links to other portals EMC RSNA MyCareTeam Achieve Diabetes Management Second generation inpatient EMR integration Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 24

POPULATION HEALTH dbmotion FollowMyHealth Danny Schunk Vice President Clinical Product Development HCA

The Largest Non-Government Hospital System in the U.S and much more Leading hospital provider #1 or #2 in key markets with market shares ranging from 20% to 40% Operating in 17 of the 25 fastest growing MSAs with populations > 500,000 Provide 4-5% of all U.S. hospital services (160+ hospitals) 1 in 22 ED visits occur in an HCA hospital Leader across a range of services One of the largest clinical networks with over 35K active physicians ~3K employed physicians Leader in oncology clinical trials 2 nd to MD Anderson 2 nd largest behavioral health provider Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 26

Complexities of Analytics at HCA Diverse Environment Four main EHRs supporting acute and ambulatory settings and growing Meditech Magic 5.6, Meditech 6.0, Epic, eclinicalworks Big Data ~20 million patient encounters per year 2.5 million transactions per day Transaction Life Cycle Management Our Data A Competitive Advantage Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 27

dbmotion @ HCA Improving Patient Care and Outcomes Timeliness of Data Peak at 60 messages per second Data latency requirements vary by use case Data Standardization Non-standard implementations across 30-plus markets in 20 U.S. states Customized Dictionaries within each market Terminology Standards SNOMED, LOINC, RxNorm Foundation for our Strategies HIE Longitudinal view of patient records Consumer portal bill pay, scheduling, preregistration, clinical results Natural Language Processing Decision Support at Point of Care (future) Analytics Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 28

Analytics at HCA Meaningful Use Compliance Analytics and attestation processes are centralized within data warehouse Clinical Excellence Analytics used to score and benchmark care areas to drive out clinical variance and improve quality across the enterprise Emergency Department Real-time analytics optimizes throughput and customer satisfaction; posting ER wait times on billboards across the community Surgical Services Analytics used to drive efficiency of operating rooms Using MicroStrategy to build analytic dashboards Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 29

POPULATION HEALTH dbmotion FollowMyHealth HCA and dbmotion. A Strong Relationship

POPULATION HEALTH dbmotion FollowMyHealth Linda Van Allen, RN Senior Director, Case Management Tenet Healthcare

POPULATION HEALTH dbmotion FollowMyHealth Rasu Shrestha, MD Vice President, Medical Information Technology UPMC

UPMC Today: Snapshot $12 billion integrated global health enterprise 60,000 employees 21 academic, community, and regional hospitals with more than 4,200 licensed beds More than 187,000 inpatient admissions and 165,000 surgeries performed annually Each year, more than 4.5 million outpatient visits and 480,000 emergency visits More than 40 UPMC Cancer Centers with 180 affiliated oncologists UPMC Health Plan: 2.4 million total members, a network of more than 125 hospitals and other facilities and more than 11,500 physicians Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 33

UPMC Connecting Western PA No single vendor could adequately support the UPMC enterprise Employed dbmotion to integrate systems, including: Point of care Enterprise analytics Accountable Care, integrating UPMC Health Plan Linking surrounding hospitals Developing new solutions at Technology Development Center dbmotion at UPMC Deployed at 30+ hospitals 45,000 registered users 9 million patient records Integration with 70+ systems Deep integration with Cerner and Epic Deployed at 12 surrounding health systems and UPMC Health Plan Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 34

Connected Medicine in Action A patient that was admitted to the UPMC St. Margaret ED complaining of abdominal pain was referred for a standard workup. A nurse consulted her interoperability platform and discovered that the patient had a history of an aortic aneurysm. The patient was immediately sent for a CT scan which revealed an acute dissection with the likelihood of a rupture. The UPMC St. Margaret team decided to transfer the patient to UPMC Presbyterian for the complex operation. Prior to transfer, the nurse also noted, via interoperability platform, that the patient was taking a blood thinner and appropriate therapy was initiated during transfer thus preventing further delay of surgery and saving the patient s life. Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 35

ClinicalConnect Health Information Exchange National Health Information Network (NHIN) Altoona Regional Hospital Immunizations PA SIIS Quest/Labcorp Clinical Connect HIE dbmotion UPMC State of PA UPMC Health Plan The Washington Hospital The Children's Institute Armstrong County Hospital Butler Hospital Excela Health System Heritage Valley Health System Presbyterian Senior Care Pediatric Alliance St. Clair Hospital Allscripts Sunrise Cerner EHR eclinical Works emd Siemens EHR Allscripts TouchWorks NextGen Siemens Meditech EHR Epic EHR GE Centricity Answers on Demand 36 Allscripts dbmotion Node Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 36

POPULATION HEALTH dbmotion FollowMyHealth Peter McClennen General Manager, Population Health Allscripts

Demonstrated Population Health Value Community Health System Connecting Affiliates Three-hospital system connecting 220 affiliate physicians in California to reduce readmissions to below 10% for CHF patients. Academic Health Care Engaging Patients Adding 1,000 patients per week to a single portal on TouchWorks and Siemens to earn $46M with meaningful use. Deriving Insights from 160+ Connected Hospitals Harmonizing and analyzing clinical data from 2.5 million transactions per day to guide decisions across non-standard EHR deployments. Managing Patient Transitions Across 78 Hospitals Using Care Management to support an effective process for coordinating patient care. Large IDN Connecting Western Pennsylvania Integrating data from 30+ hospitals and a 2 million member health plan to achieve insights at the point of care and in aggregate. Copyright 2014 Copyright Allscripts Healthcare 2014 Population Solutions, Health Inc. Innovations by Allscripts 39

POPULATION HEALTH dbmotion FollowMyHealth Lunch and Q&A