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COMPANY CONFIDENTIAL
US HEALTH IT TRANSFORMATION
US Healthcare Digital 
Transformation
David Feygin, Ph.D., MBA
VP of Health IT Integration and Strategic Innovation, BD
COMPANY CONFIDENTIAL
Rapid change driven by converging policy, clinical, demographic and 
technology trends
• Coverage Expansion • Population Health
• Value-Based Payments • Personalized Treatments
• Provider Consolidation
• Aging Population • Patient Consumerism
• Provider Shortages • Healthcare IT & Informatics
• Care Setting Shift
RAPIDLY 
CHANGING  
HEALTHCARE
ENVIRONMENT
Patient-centric,
evidence-driven,
technology-enabled,
cost-effective,
location-optimized,
high-quality
HEALTHCARE
Provider-centric,
experimental,
paper-based,
wasteful,
hospital-bound,
inconsistent
SICKCARE
FROM: TO:
PARADIGM SHIFT
COMPANY CONFIDENTIAL
Reform and Data Are Creating New Opportunities to 
Improve Lives
Shifting profit pools and creating vast new
economically viable opportunities
Hospitals Highly Connected
(HIMSS Stage 4+)
>55%>55%50 ‐70%50 ‐70%
Hospital Revenue from Value Based 
Reimbursement by 202O
Available, Connected DataValue Based Reimbursement
COMPANY CONFIDENTIAL
As Incentives Align, Informatics Becomes Key to 
Addressing Major Needs
Viable OpportunitiesFrom To
Pay for service & provider 
incentives to maximize revenue
Focus on what’s broken or 
inefficient (adherence, errors,
ineffective treatments, overuse)
Pay for performance and efficiency
Individual components and 
products
total solutions, portfolios of products 
and services
Risk sharing service models, 
startups create key components
Solutions for patients and 
providers
Solutions for patients, providers and 
payers
Data aggregation and analytics 
(big‐data), Population Health 
Management Solutions
Cost reduction and Incremental 
Innovation
Disruptive, innovations that solves 
health‐system level problems
New skills, Bigger Problems
Theoretically Equivalent “Non‐
Inferior” Products
Proven Superior Products (Clinically 
Proven)
Proven Superior Products 
(Clinically Proven)
Pure focus on clinical outcomes Focus on clinical and economic
outcomes
Drive healthcare delivery efficiency 
and optimize processes
Physician preference and custom Data driven, analytically proven, and 
standardized
Automation, analytics (CDSS), big 
data 
Operating Rooms & Hospitals as 
primary Revenue Drivers
Operating Rooms & Hospitals as 
primary Cost Drivers
Technologies that keep patients out 
of the hospital and OR
4
COMPANY CONFIDENTIAL
New “breed” of innovative Value Based Care (VBC) solutions leverage information 
technology to improve access, reduce cost, increase efficiency and manage risk
5
Care 
Coordination 
Connected 
Medical 
Devices
Healthcare 
Consumer 
Engagement 
Analytics and 
Big Data 
Population 
Health 
Management 
Wearables
and 
Biosensing
Personalized 
Medicine 
Telemedicine 
EHR and 
Clinical 
Workflow 
Digital 
Diagnostics 
Home and 
Retail Care  
Converging biomolecular medicine with
technology services and bioinformatics to
empower physicians, patients and payers
RECENT FUNDING: $375M
Offers software, services and access to
clinical services to anyone who wants to
offer a complete telehealth service
RECENT FUNDING: $130M
Provides partners with a continuous care
program, including care coordination, risk
management, and IT enablement
RECENT FUNDING: $125M
COMPANY CONFIDENTIAL
Dave’s (Not So Insightful) Digital Health Predictions
1. Internet of Medical Things/Medical Industrial Internet will fundamentally improve patient 
care and reduce costs
2. Connecting well‐care, prevention and sick‐care will align with reimbursement incentives and 
consumer interest – but behavior change and fundamental differences in well‐care/sick‐care 
industry dynamics will slow change
3. Big Data will revolutionize healthcare, but generating and leveraging “the right”, real‐time 
data will drive more immediate value
4. Enhanced access to care (Tele‐Medicine), healthcare process and delivery automation 
(Kiosks) and the democratization of healthcare knowledge (digitized care paths) will drive 
care delivery toward lower costs professionals and patients themselves
5. The comprehensively digitized and individualized patient (wearable tech, genomics, etc.) will 
enable personalized/customized medicine at “mass‐produced” cost.
6. Care coordination across care teams (patient, family, retail, nurse, physician,), care sites 
(home, retail, acute) and along the continuum of care (wellness to monitoring) driven by 
connectivity and digital care plans, will identify tremendous opportunities for improved care
which will be gradually addressed by broad‐based “solutions”
7. Healthcare best‐practices and clinical guidelines will be more defined by looking backward at 
robust historical data than looking forward at prospective clinical trials.  Watson, Explorys, 
etc. will identify broad opportunities for healthcare efficiency improvement. 
Updated January 2014
BD Overview
• Enabling safer, simpler and more effective
parenteral drug delivery
• Improving clinical outcomes through new, accurate
and faster diagnostics;
• Providing tools and technologies to the research
community that facilitate basic science, drug
discovery and cell therapy;
• Enhancing disease management in diabetes,
women’s health and cancer, and infection
control.
• Improving clinical, laboratory and research
practices in emerging markets
Strategy and Focus Areas
Drive revenue
growth through
investment in
innovation
BD’s Strategy is to Apply Technology and Clinical Knowledge
to Make Healthcare More Effective, Efficient and Safe.
The Five Areas of Focus Are:
BD’s Strategy is to Apply Technology and Clinical Knowledge
to Make Healthcare More Effective, Efficient and Safe.
The Five Areas of Focus Are:
9
BD SafetyGlide™
Injection Needle
BD Nexiva™ Closed IV
Catheter System
BD PosiFlush™
Heparin-filled Flush Syringe
BD Soluvia™ Prefillable
Microinjection System
Enabling safer, simpler and more effective
parenteral drug delivery
BD Emerald™ Syringe
BD Sterifill Advance™
Plastic Prefillable Syringe
Insert BD
Simplist here
BD Simplist™ line of
ready-to-administer
prefilled injectables
Improving clinical outcomes through new,
accurate and faster diagnostics
10
BD Viper™ System
with XTR Technology
BD MAX™ System
BD FocalPoint ™ GS
Imaging System
BD Kiestra™ Total Lab Automation
BD Veritor™ System
BD BACTEC™ FX
11
Providing tools and technologies to the research community
that facilitate basic science, drug discovery and cell therapy
BD FACSVerse™ Analyzer
BD™ LSR II
BD FACSCanto II™
Flow Cytometer
BD Accuri® C6 Flow Cytometer
BD FACSCount™ SystemBD LSR Fortessa™
Cell Analyzer
Research Technologies Clinical Technologies
BD FACS Jazz™
BD FACSCalibur™
BD FACS™ Lyse Wash
Assistant
Enhancing disease management in diabetes,
women’s health and cancer, and infection control
12
BD Viper™ System
with XTR Technology BD BACTEC™ FX
Women’s Health and Cancer Infection Control and Patient Safety
BD PosiFlush™
Heparin-filled
Flush Syringe
BD SurePath™
PAP Collection System
Diabetes Care
BD Ultra-Fine™ Nano 4mm
Pen Needles with
PentaPoint™ Comfort
BD AutoShield™ Pen Needle
ConfidentialConfidential
NantHealth
5/21/2015
13
ConfidentialConfidential
BD TO ACQUIRE CAREFUSION FOR $12.2 BILLION
Combination of Complementary Portfolios Creates
Global Leader in Medication Management and
Patient Safety Solutions
Accelerates BD’s Strategy to Improve Quality of
Care and Reduce Healthcare Costs; Enhances
Emerging Market Growth Opportunities
Generates Significant Value for Shareholders;
Accretive to Cash EPS on a Double-Digit
Percentage Basis in the First Full Year
14
ConfidentialConfidential
15
COMPANY CONFIDENTIAL
The Combined Product Portfolios Would Enable an End-to-End
Medication Management Solution from Pharmacy to Patient
Coronado Portfolio
BD Portfolio
1
6
ConfidentialConfidential
17
ConfidentialConfidential
18
ConfidentialConfidential
19
ConfidentialConfidential
20
ConfidentialConfidential
What’s Next …
21
“Link Diagnosis and Care Delivery to Solve Health System Problems
and Improve the Lives of Individual Patients”
“Link Diagnosis and Care Delivery to Solve Health System Problems
and Improve the Lives of Individual Patients”
BD’s Medical Internet of Things!BD’s Medical Internet of Things!
Personalized Health System 
Level Solutions
(Reduce Cost & Improve Outcomes)
Personalized Health System 
Level Solutions
(Reduce Cost & Improve Outcomes)
ConfidentialConfidential
Entrepreneurship
(Medical Robotics Startup)
ProductsProducts
David Feygin, VP Health IT Integration & Strategic
Innovation (Former VP Corporate Strategic Innovation)
22
Deep Technical &
Medical Understanding
(Ph.D. in Medical Robotics)
ScienceScience Slides!Slides!
Commercial Strategy &
Innovation
(MBA & Business Strategy)
I am driven to create new understanding, new products and
new enterprises that dramatically improve people’s livesCommon Thread:
Mission: To provide a clear path for outside‐the‐home‐court innovation that supports our 
corporate growth strategy and corporate mission of helping all people live healthy lives. Our 
first area of focus (Part 1) is ensuring a clear path for OTHC innovation that lead to solutions 
beyond our core.
Mission: To provide a clear path for outside‐the‐home‐court innovation that supports our 
corporate growth strategy and corporate mission of helping all people live healthy lives. Our 
first area of focus (Part 1) is ensuring a clear path for OTHC innovation that lead to solutions 
beyond our core.
Unfortunately, BD Has Not Been Able to Capture Such High Value
Opportunities Outside Our Core…but Change is Coming!
Comprehensive 
Examination
• Leading Growth and Innovation Course
• Growth Leader Panel
• GM Accelerator Innovation Diagnostic
• Innovation Profile
Consistent 
Diagnosis
Significant Gaps
•Bias toward home court when competing w/innovations
•Insufficient, dedicated resources for synthesis
•No innovation process or funnel (ideas have no pathway)
•No accountability for innovation
•Risk averse & inwardly focused behaviors
Clear   Prescription
BD Innovation Work 
System
•Search, Synthesis, Select & Execution
•BU, Regional  & Corporate Systems
•Innovation clearinghouse enables oversight 
and like vs. like comparisons
•Dedicated corporate group accountable for 
innovation system and search/synthesis of 
white space opportunities
24
Purpose of our BD Innovation System
25
Outside the Home Court
Home Court
The BD Innovation System:
• Provides a clear path for outside‐the‐home‐
court innovation that leads to solutions 
beyond our core
• Enables us to search for opportunities, 
synthesize ideas into innovation, select 
innovations for greatest impact, and 
execute innovation
Why do we need an Innovation System?
26
• Today, the healthcare industry is changing 
in fundamental ways 
 Upgrades to BD’s core products not 
sufficient to completely achieve our 
desired growth aspirations
 Need outside‐the‐home‐court 
innovation as well
• Established structures, behaviors, and 
processes acting like “prevailing winds” 
against efforts to seek and pursue outside‐
the‐home‐court innovation
 Need different structures, behaviors, 
and processes to support outside‐the‐
home‐court innovation
Outside the Home Court
Home Court
What is the BD Innovation System?
27
• New Accountable Structures, new 
Behaviors and Culture, such as Constructive 
Challenge, and a new rigorous yet dynamic, 
multi‐stage Innovation Process
• The Step 5 Coalition is our leadership 
change network that will build critical 
awareness and make connections across BD
• Implementation is already well underway 
Accountable Structures, Customer Centricity, Innovation Process,
Cultural Change and “Network Based” Change Enable OTHC Innovation
28
Red Teams
Negative Experts
Functional Challenge
Rules of Challenge
Robust Innovation Process & Portfolio
BDX Innovation Council Strategic Innovation Groups
Established OSMT  
Constructive
Challenge
Accountable
Structures
Leadership Change
Network
BDT “Innovation Center”
6 BU Innovation systems
Execution Leads
Shared Value
Europe
Innovation
BD Tech
HR/Talent
Synthesis
Leads
Asia
Innovation
Policy/Regulatory
& Medical
R&D & 
Science
Bus‐Dev/Corp‐Dev
Finance
IP and
Legal
BU Strategic
Marketing
HEOR
CSIG, Strategic 
Innovation Leads
Emerging Regional Innovation Systems
Step
5
Coalition
29
Innovation System – Idea Journey
Manages the entire BD Innovation Portfolio
BDX
Innovation Council
BU/Regional 
Innovation Council
Strategic 
Innovation
Leader
BDT
Corporate 
Strategic 
Innovation 
Group
Medical
Strategic Marketing
HEOR
R&D
Regulatory
Transitional or Adjacent Spaces Outside Business and Regional Efforts or Cross‐Business Initiatives
Idea
2
Idea
1
X‐Functional Support & Challenge
30
Outside‐the‐home‐court innovations move through the Stages of the Innovation Process:
0 Direction for Innovation ‐ Explore spaces and trends in order to uncover unmet needs of select current and potential customers, 
and connect our innovation efforts to benefits and outcomes they desire and deem essential.
1 Needs & Problems – What is the problem you are trying to address? What is the scale of the problem?
2 Business Opportunities – Is the need clearly identified? Could the hypothesized solution achieve significant differentiation for BD?
3 Characterized Space & Opportunities – What do we know about this space? Who are the competitors? What does the 
environment and landscape look like? What opportunities exist and how could BD capitalize on those opportunities?
4 Actionable Strategy – How does BD win? How do we capture and maintain sustainable competitive advantage?
5 Incubate & Execution – How do we nurture and support this new solution? Where in BD does it fit? How do we ensure a smooth 
transition into our existing infrastructure?
Stages of Innovation
31
Innovation System – Idea Synthesis
Market Analytics
Market sizing, segmentation, pricing, trending, primary, 
secondary market research Market creation strategies
Portfolio approach , sustainable differentiation, stakeholder 
Analysis, EcoSystem Analysis
Business Development
Relationship management, diligence, negotiating & deal structuring, external partner management
Global Sensing/Sourcing
Angel Networks, VC connections, Investor 
conferences, regional sensing/sourcing
External Associations 
to Understand Problems
KOL relationships, Research Centers, 
Universities
Macro‐economic, Policy, 
Market, Clinical Trends
Macro Trend Analysis
Health Economics Assessment Including Market Development
Identify large cost areas … cost‐benefit, comparative effectiveness  ….  market development studis/trials
Policy/Regulatory Changes
Alignment of incentives, regulatory paths, reimbursement, 
establishment of regulatory barriers to entry, policy influence, etc.
Concept Development
Consolidated business plans, 
Evaluation of novel concepts
X‐Functional Innovation Synthesis
Corporate Strategic Innovation Group
(CSIG)
32
Responsibilities
• Shares responsibility for innovation performance with BD Innovation Council
• Engages on selection of innovations
• Implements support and challenge systems
• Manages innovation funnel
Cross Business & Outside the Core
Search & Synthesis
Center Of Excellence 
for Innovation
Ownership of BD 
Innovation System
• Support Business Unit implementation of 
Innovation IIG to synthesize or execute a >$250M 
top‐line innovation
• Coordinate global Search & Synthesis 
• Track innovation performance metrics
• Drive Search, Synthesize, Select excellence
• Work with Business Unit Innovation 
Systems (Cells, Councils, etc.) to implement 
and coordinate best‐practices
• Develop white space and cross business opportunities
• Ensure constant flow of innovation opportunities that enable long term 
growth by moving the company into new growth markets
ConfidentialConfidential
Backup
33
BD Locations
Industrialized Markets
Emerging Markets
Latin America - 1952
• ~5,200 Associates
• 8 Countries, 5 Plants
U.S.A. - 1897
• ~12,000 Associates
• 29 Plants
•
Canada - 1951
• ~550 Associates
• 1 Plant
Asia Pacific - 1971
• ~4,600 Associates
• 16 Countries, 5 Plants
India - 1995
• ~550 Associates
China - 1994
• ~2,200 Associates
Europe - 1952
• ~6,000 Associates
• 21 Countries, 10 Plants
•
Japan - 1971
• ~600 Associates
• 1 Plant
•
EMA - 1994
•~ 250 Associates
• 10 Countries
*note: last updated April 2013
35
BD Foundation: Our Purpose and Values
“Helping all people live healthy lives”
We treat each other with respect
We do what is right
We always seek to improve
We accept personal responsibility
36
The “Three Greats”
Great performance for customers and shareholders
Great contributions to society
Great place to work
FY 2013 Revenues: $8.054B
BD Biosciences
$1.1B
BD Medical
$4.3B
BD Diagnostics
$2.7B
By Segment: By Geography:
38
BD Medical
Focuses on providing innovative solutions to reduce the spread of infection,
enhance diabetes treatment and advance drug delivery.
Customers Served
• Hospitals and clinics
• Physicians’ office practices
• Consumers and retail pharmacies
• Governmental and nonprofit public health agencies
• Pharmaceutical companies
• Healthcare workers
Products
• Needles and syringes
• Intravenous catheters
• Safety-engineered and auto-disable devices
• Prefillable drug delivery systems
• Prefilled IV flush syringes
• Insulin syringes and pen needles
• Regional anesthesia needles and trays
• Sharps disposal containers
• Closed-system drug transfer devices
• BD Simplist™ line of ready-to-administer prefilled injectables
• Medication workflow solutions
39
BD Diagnostics
Focuses on improving quality, increasing productivity and ensuring flexibility to help
laboratories guide medical decisions.
Customers Served
• Hospitals, laboratories and clinics
• Reference laboratories
• Blood banks
• Healthcare workers
• Public health agencies
• Physicians’ office practices
• Industrial and food microbiology laboratories
Products
• Integrated systems for specimen collection
• Safety-engineered blood collection products and systems
• Automated blood culturing systems
• Molecular testing systems for infectious diseases and women’s health
• Microorganism identification and drug susceptibility systems
• Liquid-based cytology systems for cervical cancer screening
• Rapid diagnostic assays
• Plated media
• Microbiology laboratory automation
40
BD Biosciences
Focuses on continually advancing the science and applications
associated with cellular analysis.
Customers Served
• Research and clinical laboratories
• Academic and government institutions
• Pharmaceutical and biotechnology companies
• Hospitals and reference laboratories
• Blood banks
Products
• Fluorescence-activated cell sorters and analyzers
• Monoclonal antibodies and kits for cell analysis
• Reagent systems for life science research
• Cell imaging systems
• Cell culture media and supplements for
biopharmaceutical manufacturing
41
FY2013 Shared Value Outreach
• Pursue our purpose through long-standing relationships with non-governmental
organizations.
• Corporate grants, product donations,
volunteer service initiatives and disaster relief
programs
• Donate time, technical expertise and resources
• Contributions: ~$11 million
– Product donations: $5.1 million (fair market value)
– Cash support: >$5.9 million, including $940,000
in matching gifts
42
FY2013 Shared Value Outreach
Associate engagement programs:
– International volunteer opportunities:
• BD Volunteer Service Trip Program
• BD/PEPFAR Lab Strengthening and Safe Blood Collection Programs
– Henry P. Becton Volunteer Impact Awards Program
– Paid-time off for Volunteer Community Service hours (U.S.)
– U.S. Matching Gifts Program: $940,000 to match associate giving
43
FY2013 – Top Corporate Contributions*
1. AmeriCares*
2. Catholic Medical Mission Board*
3. Heart to Heart*
4. Project HOPE*
5. Direct Relief International*
6. National Cancer Coalition*
7. U.S. Fund for UNICEF
8. Joint Commission’s Center for
Transforming Healthcare
9. GHESKIO TB Hospital, Haiti
10.Accordia Global Health
Foundation
Awards and Recognitions: Highlights
44

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mHealth Israel_Becton Dickinson_US Healthcare Digital Transformation_July 2015

  • 2. COMPANY CONFIDENTIAL Rapid change driven by converging policy, clinical, demographic and  technology trends • Coverage Expansion • Population Health • Value-Based Payments • Personalized Treatments • Provider Consolidation • Aging Population • Patient Consumerism • Provider Shortages • Healthcare IT & Informatics • Care Setting Shift RAPIDLY  CHANGING   HEALTHCARE ENVIRONMENT Patient-centric, evidence-driven, technology-enabled, cost-effective, location-optimized, high-quality HEALTHCARE Provider-centric, experimental, paper-based, wasteful, hospital-bound, inconsistent SICKCARE FROM: TO: PARADIGM SHIFT
  • 3. COMPANY CONFIDENTIAL Reform and Data Are Creating New Opportunities to  Improve Lives Shifting profit pools and creating vast new economically viable opportunities Hospitals Highly Connected (HIMSS Stage 4+) >55%>55%50 ‐70%50 ‐70% Hospital Revenue from Value Based  Reimbursement by 202O Available, Connected DataValue Based Reimbursement
  • 4. COMPANY CONFIDENTIAL As Incentives Align, Informatics Becomes Key to  Addressing Major Needs Viable OpportunitiesFrom To Pay for service & provider  incentives to maximize revenue Focus on what’s broken or  inefficient (adherence, errors, ineffective treatments, overuse) Pay for performance and efficiency Individual components and  products total solutions, portfolios of products  and services Risk sharing service models,  startups create key components Solutions for patients and  providers Solutions for patients, providers and  payers Data aggregation and analytics  (big‐data), Population Health  Management Solutions Cost reduction and Incremental  Innovation Disruptive, innovations that solves  health‐system level problems New skills, Bigger Problems Theoretically Equivalent “Non‐ Inferior” Products Proven Superior Products (Clinically  Proven) Proven Superior Products  (Clinically Proven) Pure focus on clinical outcomes Focus on clinical and economic outcomes Drive healthcare delivery efficiency  and optimize processes Physician preference and custom Data driven, analytically proven, and  standardized Automation, analytics (CDSS), big  data  Operating Rooms & Hospitals as  primary Revenue Drivers Operating Rooms & Hospitals as  primary Cost Drivers Technologies that keep patients out  of the hospital and OR 4
  • 5. COMPANY CONFIDENTIAL New “breed” of innovative Value Based Care (VBC) solutions leverage information  technology to improve access, reduce cost, increase efficiency and manage risk 5 Care  Coordination  Connected  Medical  Devices Healthcare  Consumer  Engagement  Analytics and  Big Data  Population  Health  Management  Wearables and  Biosensing Personalized  Medicine  Telemedicine  EHR and  Clinical  Workflow  Digital  Diagnostics  Home and  Retail Care   Converging biomolecular medicine with technology services and bioinformatics to empower physicians, patients and payers RECENT FUNDING: $375M Offers software, services and access to clinical services to anyone who wants to offer a complete telehealth service RECENT FUNDING: $130M Provides partners with a continuous care program, including care coordination, risk management, and IT enablement RECENT FUNDING: $125M
  • 6. COMPANY CONFIDENTIAL Dave’s (Not So Insightful) Digital Health Predictions 1. Internet of Medical Things/Medical Industrial Internet will fundamentally improve patient  care and reduce costs 2. Connecting well‐care, prevention and sick‐care will align with reimbursement incentives and  consumer interest – but behavior change and fundamental differences in well‐care/sick‐care  industry dynamics will slow change 3. Big Data will revolutionize healthcare, but generating and leveraging “the right”, real‐time  data will drive more immediate value 4. Enhanced access to care (Tele‐Medicine), healthcare process and delivery automation  (Kiosks) and the democratization of healthcare knowledge (digitized care paths) will drive  care delivery toward lower costs professionals and patients themselves 5. The comprehensively digitized and individualized patient (wearable tech, genomics, etc.) will  enable personalized/customized medicine at “mass‐produced” cost. 6. Care coordination across care teams (patient, family, retail, nurse, physician,), care sites  (home, retail, acute) and along the continuum of care (wellness to monitoring) driven by  connectivity and digital care plans, will identify tremendous opportunities for improved care which will be gradually addressed by broad‐based “solutions” 7. Healthcare best‐practices and clinical guidelines will be more defined by looking backward at  robust historical data than looking forward at prospective clinical trials.  Watson, Explorys,  etc. will identify broad opportunities for healthcare efficiency improvement. 
  • 8. • Enabling safer, simpler and more effective parenteral drug delivery • Improving clinical outcomes through new, accurate and faster diagnostics; • Providing tools and technologies to the research community that facilitate basic science, drug discovery and cell therapy; • Enhancing disease management in diabetes, women’s health and cancer, and infection control. • Improving clinical, laboratory and research practices in emerging markets Strategy and Focus Areas Drive revenue growth through investment in innovation BD’s Strategy is to Apply Technology and Clinical Knowledge to Make Healthcare More Effective, Efficient and Safe. The Five Areas of Focus Are: BD’s Strategy is to Apply Technology and Clinical Knowledge to Make Healthcare More Effective, Efficient and Safe. The Five Areas of Focus Are:
  • 9. 9 BD SafetyGlide™ Injection Needle BD Nexiva™ Closed IV Catheter System BD PosiFlush™ Heparin-filled Flush Syringe BD Soluvia™ Prefillable Microinjection System Enabling safer, simpler and more effective parenteral drug delivery BD Emerald™ Syringe BD Sterifill Advance™ Plastic Prefillable Syringe Insert BD Simplist here BD Simplist™ line of ready-to-administer prefilled injectables
  • 10. Improving clinical outcomes through new, accurate and faster diagnostics 10 BD Viper™ System with XTR Technology BD MAX™ System BD FocalPoint ™ GS Imaging System BD Kiestra™ Total Lab Automation BD Veritor™ System BD BACTEC™ FX
  • 11. 11 Providing tools and technologies to the research community that facilitate basic science, drug discovery and cell therapy BD FACSVerse™ Analyzer BD™ LSR II BD FACSCanto II™ Flow Cytometer BD Accuri® C6 Flow Cytometer BD FACSCount™ SystemBD LSR Fortessa™ Cell Analyzer Research Technologies Clinical Technologies BD FACS Jazz™ BD FACSCalibur™ BD FACS™ Lyse Wash Assistant
  • 12. Enhancing disease management in diabetes, women’s health and cancer, and infection control 12 BD Viper™ System with XTR Technology BD BACTEC™ FX Women’s Health and Cancer Infection Control and Patient Safety BD PosiFlush™ Heparin-filled Flush Syringe BD SurePath™ PAP Collection System Diabetes Care BD Ultra-Fine™ Nano 4mm Pen Needles with PentaPoint™ Comfort BD AutoShield™ Pen Needle
  • 14. ConfidentialConfidential BD TO ACQUIRE CAREFUSION FOR $12.2 BILLION Combination of Complementary Portfolios Creates Global Leader in Medication Management and Patient Safety Solutions Accelerates BD’s Strategy to Improve Quality of Care and Reduce Healthcare Costs; Enhances Emerging Market Growth Opportunities Generates Significant Value for Shareholders; Accretive to Cash EPS on a Double-Digit Percentage Basis in the First Full Year 14
  • 16. COMPANY CONFIDENTIAL The Combined Product Portfolios Would Enable an End-to-End Medication Management Solution from Pharmacy to Patient Coronado Portfolio BD Portfolio 1 6
  • 21. ConfidentialConfidential What’s Next … 21 “Link Diagnosis and Care Delivery to Solve Health System Problems and Improve the Lives of Individual Patients” “Link Diagnosis and Care Delivery to Solve Health System Problems and Improve the Lives of Individual Patients” BD’s Medical Internet of Things!BD’s Medical Internet of Things! Personalized Health System  Level Solutions (Reduce Cost & Improve Outcomes) Personalized Health System  Level Solutions (Reduce Cost & Improve Outcomes)
  • 22. ConfidentialConfidential Entrepreneurship (Medical Robotics Startup) ProductsProducts David Feygin, VP Health IT Integration & Strategic Innovation (Former VP Corporate Strategic Innovation) 22 Deep Technical & Medical Understanding (Ph.D. in Medical Robotics) ScienceScience Slides!Slides! Commercial Strategy & Innovation (MBA & Business Strategy) I am driven to create new understanding, new products and new enterprises that dramatically improve people’s livesCommon Thread:
  • 23. Mission: To provide a clear path for outside‐the‐home‐court innovation that supports our  corporate growth strategy and corporate mission of helping all people live healthy lives. Our  first area of focus (Part 1) is ensuring a clear path for OTHC innovation that lead to solutions  beyond our core. Mission: To provide a clear path for outside‐the‐home‐court innovation that supports our  corporate growth strategy and corporate mission of helping all people live healthy lives. Our  first area of focus (Part 1) is ensuring a clear path for OTHC innovation that lead to solutions  beyond our core.
  • 24. Unfortunately, BD Has Not Been Able to Capture Such High Value Opportunities Outside Our Core…but Change is Coming! Comprehensive  Examination • Leading Growth and Innovation Course • Growth Leader Panel • GM Accelerator Innovation Diagnostic • Innovation Profile Consistent  Diagnosis Significant Gaps •Bias toward home court when competing w/innovations •Insufficient, dedicated resources for synthesis •No innovation process or funnel (ideas have no pathway) •No accountability for innovation •Risk averse & inwardly focused behaviors Clear   Prescription BD Innovation Work  System •Search, Synthesis, Select & Execution •BU, Regional  & Corporate Systems •Innovation clearinghouse enables oversight  and like vs. like comparisons •Dedicated corporate group accountable for  innovation system and search/synthesis of  white space opportunities 24
  • 25. Purpose of our BD Innovation System 25 Outside the Home Court Home Court The BD Innovation System: • Provides a clear path for outside‐the‐home‐ court innovation that leads to solutions  beyond our core • Enables us to search for opportunities,  synthesize ideas into innovation, select  innovations for greatest impact, and  execute innovation
  • 26. Why do we need an Innovation System? 26 • Today, the healthcare industry is changing  in fundamental ways   Upgrades to BD’s core products not  sufficient to completely achieve our  desired growth aspirations  Need outside‐the‐home‐court  innovation as well • Established structures, behaviors, and  processes acting like “prevailing winds”  against efforts to seek and pursue outside‐ the‐home‐court innovation  Need different structures, behaviors,  and processes to support outside‐the‐ home‐court innovation Outside the Home Court Home Court
  • 27. What is the BD Innovation System? 27 • New Accountable Structures, new  Behaviors and Culture, such as Constructive  Challenge, and a new rigorous yet dynamic,  multi‐stage Innovation Process • The Step 5 Coalition is our leadership  change network that will build critical  awareness and make connections across BD • Implementation is already well underway 
  • 28. Accountable Structures, Customer Centricity, Innovation Process, Cultural Change and “Network Based” Change Enable OTHC Innovation 28 Red Teams Negative Experts Functional Challenge Rules of Challenge Robust Innovation Process & Portfolio BDX Innovation Council Strategic Innovation Groups Established OSMT   Constructive Challenge Accountable Structures Leadership Change Network BDT “Innovation Center” 6 BU Innovation systems Execution Leads Shared Value Europe Innovation BD Tech HR/Talent Synthesis Leads Asia Innovation Policy/Regulatory & Medical R&D &  Science Bus‐Dev/Corp‐Dev Finance IP and Legal BU Strategic Marketing HEOR CSIG, Strategic  Innovation Leads Emerging Regional Innovation Systems Step 5 Coalition
  • 29. 29 Innovation System – Idea Journey Manages the entire BD Innovation Portfolio BDX Innovation Council BU/Regional  Innovation Council Strategic  Innovation Leader BDT Corporate  Strategic  Innovation  Group Medical Strategic Marketing HEOR R&D Regulatory Transitional or Adjacent Spaces Outside Business and Regional Efforts or Cross‐Business Initiatives Idea 2 Idea 1 X‐Functional Support & Challenge
  • 30. 30 Outside‐the‐home‐court innovations move through the Stages of the Innovation Process: 0 Direction for Innovation ‐ Explore spaces and trends in order to uncover unmet needs of select current and potential customers,  and connect our innovation efforts to benefits and outcomes they desire and deem essential. 1 Needs & Problems – What is the problem you are trying to address? What is the scale of the problem? 2 Business Opportunities – Is the need clearly identified? Could the hypothesized solution achieve significant differentiation for BD? 3 Characterized Space & Opportunities – What do we know about this space? Who are the competitors? What does the  environment and landscape look like? What opportunities exist and how could BD capitalize on those opportunities? 4 Actionable Strategy – How does BD win? How do we capture and maintain sustainable competitive advantage? 5 Incubate & Execution – How do we nurture and support this new solution? Where in BD does it fit? How do we ensure a smooth  transition into our existing infrastructure? Stages of Innovation
  • 31. 31 Innovation System – Idea Synthesis Market Analytics Market sizing, segmentation, pricing, trending, primary,  secondary market research Market creation strategies Portfolio approach , sustainable differentiation, stakeholder  Analysis, EcoSystem Analysis Business Development Relationship management, diligence, negotiating & deal structuring, external partner management Global Sensing/Sourcing Angel Networks, VC connections, Investor  conferences, regional sensing/sourcing External Associations  to Understand Problems KOL relationships, Research Centers,  Universities Macro‐economic, Policy,  Market, Clinical Trends Macro Trend Analysis Health Economics Assessment Including Market Development Identify large cost areas … cost‐benefit, comparative effectiveness  ….  market development studis/trials Policy/Regulatory Changes Alignment of incentives, regulatory paths, reimbursement,  establishment of regulatory barriers to entry, policy influence, etc. Concept Development Consolidated business plans,  Evaluation of novel concepts X‐Functional Innovation Synthesis
  • 32. Corporate Strategic Innovation Group (CSIG) 32 Responsibilities • Shares responsibility for innovation performance with BD Innovation Council • Engages on selection of innovations • Implements support and challenge systems • Manages innovation funnel Cross Business & Outside the Core Search & Synthesis Center Of Excellence  for Innovation Ownership of BD  Innovation System • Support Business Unit implementation of  Innovation IIG to synthesize or execute a >$250M  top‐line innovation • Coordinate global Search & Synthesis  • Track innovation performance metrics • Drive Search, Synthesize, Select excellence • Work with Business Unit Innovation  Systems (Cells, Councils, etc.) to implement  and coordinate best‐practices • Develop white space and cross business opportunities • Ensure constant flow of innovation opportunities that enable long term  growth by moving the company into new growth markets
  • 34. BD Locations Industrialized Markets Emerging Markets Latin America - 1952 • ~5,200 Associates • 8 Countries, 5 Plants U.S.A. - 1897 • ~12,000 Associates • 29 Plants • Canada - 1951 • ~550 Associates • 1 Plant Asia Pacific - 1971 • ~4,600 Associates • 16 Countries, 5 Plants India - 1995 • ~550 Associates China - 1994 • ~2,200 Associates Europe - 1952 • ~6,000 Associates • 21 Countries, 10 Plants • Japan - 1971 • ~600 Associates • 1 Plant • EMA - 1994 •~ 250 Associates • 10 Countries *note: last updated April 2013
  • 35. 35 BD Foundation: Our Purpose and Values “Helping all people live healthy lives” We treat each other with respect We do what is right We always seek to improve We accept personal responsibility
  • 36. 36 The “Three Greats” Great performance for customers and shareholders Great contributions to society Great place to work
  • 37. FY 2013 Revenues: $8.054B BD Biosciences $1.1B BD Medical $4.3B BD Diagnostics $2.7B By Segment: By Geography:
  • 38. 38 BD Medical Focuses on providing innovative solutions to reduce the spread of infection, enhance diabetes treatment and advance drug delivery. Customers Served • Hospitals and clinics • Physicians’ office practices • Consumers and retail pharmacies • Governmental and nonprofit public health agencies • Pharmaceutical companies • Healthcare workers Products • Needles and syringes • Intravenous catheters • Safety-engineered and auto-disable devices • Prefillable drug delivery systems • Prefilled IV flush syringes • Insulin syringes and pen needles • Regional anesthesia needles and trays • Sharps disposal containers • Closed-system drug transfer devices • BD Simplist™ line of ready-to-administer prefilled injectables • Medication workflow solutions
  • 39. 39 BD Diagnostics Focuses on improving quality, increasing productivity and ensuring flexibility to help laboratories guide medical decisions. Customers Served • Hospitals, laboratories and clinics • Reference laboratories • Blood banks • Healthcare workers • Public health agencies • Physicians’ office practices • Industrial and food microbiology laboratories Products • Integrated systems for specimen collection • Safety-engineered blood collection products and systems • Automated blood culturing systems • Molecular testing systems for infectious diseases and women’s health • Microorganism identification and drug susceptibility systems • Liquid-based cytology systems for cervical cancer screening • Rapid diagnostic assays • Plated media • Microbiology laboratory automation
  • 40. 40 BD Biosciences Focuses on continually advancing the science and applications associated with cellular analysis. Customers Served • Research and clinical laboratories • Academic and government institutions • Pharmaceutical and biotechnology companies • Hospitals and reference laboratories • Blood banks Products • Fluorescence-activated cell sorters and analyzers • Monoclonal antibodies and kits for cell analysis • Reagent systems for life science research • Cell imaging systems • Cell culture media and supplements for biopharmaceutical manufacturing
  • 41. 41 FY2013 Shared Value Outreach • Pursue our purpose through long-standing relationships with non-governmental organizations. • Corporate grants, product donations, volunteer service initiatives and disaster relief programs • Donate time, technical expertise and resources • Contributions: ~$11 million – Product donations: $5.1 million (fair market value) – Cash support: >$5.9 million, including $940,000 in matching gifts
  • 42. 42 FY2013 Shared Value Outreach Associate engagement programs: – International volunteer opportunities: • BD Volunteer Service Trip Program • BD/PEPFAR Lab Strengthening and Safe Blood Collection Programs – Henry P. Becton Volunteer Impact Awards Program – Paid-time off for Volunteer Community Service hours (U.S.) – U.S. Matching Gifts Program: $940,000 to match associate giving
  • 43. 43 FY2013 – Top Corporate Contributions* 1. AmeriCares* 2. Catholic Medical Mission Board* 3. Heart to Heart* 4. Project HOPE* 5. Direct Relief International* 6. National Cancer Coalition* 7. U.S. Fund for UNICEF 8. Joint Commission’s Center for Transforming Healthcare 9. GHESKIO TB Hospital, Haiti 10.Accordia Global Health Foundation
  • 44. Awards and Recognitions: Highlights 44