Health care Technology and automation can lower costs, but introduces risks.

1. Secure Communication: Delivering Secure Connectivity for Healthcare Presented by: Jonathan Gatrell 11.20.2008

2. Automation Spending Out of Alignment 18X More spent on Internal automation than External B2B Automation $55B Internal Automation $3B External B2B Automation But… “Non-linear revenue growth for companies is not going to come from within but from their extended ecosystem…” Harvard Business Review

3. Unrealized Value in Healthcare Healthcare has huge inefficiencies vs. other industries McKinsey

4. Connections are EVERYWHERE! Who owns data and process governance?

5. How to monitor orphaned processes? Who has what data?

6. Opportunity is beyond the 4 walls.

7. Risk is also beyond the 4 walls.

8. Risk Doesn’t Go Away

9. Gartner Predicts in Healthcare By 2011, 50% of CEOs will demand a 10% reduction in the cost and time to collect payment, because reimbursement will be squeezed by federal deficit reduction imperatives. Through 2015, CDOs [Care Delivery Organizations] characterized as having a "low" probability of success are 80 percent more likely to seriously evaluate full IT operations outsourcing than are CDOs characterized as a "high" probability of CIO success. Outsourcing Real-time Automation

10. Access and Controls The right systems, the right platforms, the people and the right partners

12. Data is everywhere New processes and capabilities

13. Some of it just might be PHI Security inside and outside required

15. Increased Relevance of Security Source: “2007 Security Budgets Increase: The Transition To Information Risk Management Begins” “ What percentage of your company’s IT spending will go to Security?” 2007 2007 7.5% 6.9%

19. Complex Systems and Content MFT/ Batch B2B Messaging Records Mgt Payment Applications HRIS Pharmacy Consumer Applications Patient Care Apps LIS/ HIS

20. Fragmented Healthcare B2B Payments Benefits Banking RTA The Enterprise FTP Client HTTP Solution AS2 SW Translator Firewall Healthcare Revenue Healthcare Supply

21. Simplifying & Securing B2B Exchange in Healthcare VAN P2P – Direct Connect Managed File Transfer BizManager Suppliers Payers Banks Providers Clearing Houses

24. Secure Communication: Delivering Secure Connectivity for Healthcare Presented by: Jonathan Gatrell 11.20.2008