Keeping Community Hospitals Thriving and Independent

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Keeping Community Hospitals Thriving and IndependentReed LigginVP Sales, athenahealth

This event is live as of XYZ

Welcome and introduction 1

2100%90%80%70%60%50%50%30%% of Registered2011201220132014

33%

61%84%66%83%93%95%94%EH

EP

Source: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/October2014_SummaryReport.pdf Virtually all physicians and hospitals intend to adopt an EHR to help coordinate care

Use MU registration data as a proxy for EHR intent. Doesnt make sense to register for MU unless you have adopted or are planning to adopt an EHR.

Data sources:2011 EP and EH totals -- http://healthit.gov/archive/archive_files/HIT%20Policy%20Committee/2011/2011-12-07/MU_Analysis_for_HIT_Policy_Committee_12-6-11%20NON.pptx2012 EP and EH totals -- http://healthit.gov/archive/archive_files/HIT%20Policy%20Committee/2013/2013-02-06/hitpc_feb2013nn_1.pdf2013 EP and EH totals -- http://healthit.gov/archive/archive_files/HIT%20Policy%20Committee/2014/2014-02-04/HITPC_Feb2014_HITPC.pdf2014 EP and EH totals -- http://www.healthit.gov/FACAS/sites/faca/files/HITPC_August2014_HITPC.pdfRegistration Data -- http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/September2014_SummaryReport.pdf

http://www.healthit.gov/facas/sites/faca/files/HITPC_CMS_Update_2014-05-06.pdf

Only 19% of Stage 2 eligible hospitals have attested to Stage 2 Meaningful Use (as of September 2014)

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Those intentions arent translating into results87% of physicians cant exchange information electronically with others outside their organization of eligible hospitals attested to Stage 1 MUof eligible hospitals have attested to Stage 2 MU85% 34%

41% of EHR adopters cant even enter lab and imaging orders or request a consult electronically72% of adults cant access their online medical record

Source: http://www.healthit.gov/facas/sites/faca/files/HITPC_CMS_DataUpdate_2014-12-09.pptx http://www.healthit.gov/FACAS/sites/faca/files/HITPC_InteroperabilityUpdate_2014-08-06.pdf3

http://www.healthit.gov/FACAS/sites/faca/files/HITPC_EHR_Incentive_Programs_2014-11-04.pdfhttp://www.healthit.gov/FACAS/sites/faca/files/HITPC_InteroperabilityUpdate_2014-08-06.pdf

----- Meeting Notes (12/8/14 10:13) -----EMPs for Rural Metro photos???

Maybe "intentions" isn't the right word?? change to "implementations"? ----- Meeting Notes (12/9/14 13:19) -----jasmine has source. need1/25/16athenahealth inc. - confidential3

And the hospital business model is under assault, necessitating new operating platforms4Source: http://www.tha.com/blog/Default.aspx?pid=175.0%0.0%-5.0%-10.0%-15.0%-20.0%-25.0%

Total Hospital Medicare Margins by Year20032004200520062007200820092010201120122013201420152016201720182019

Community hospitals have been hit especially hard5Between 2013 and 2014, 14 CAHs closed in 10 states.

Of the 2,000 community hospitals open in 2012,20 filed for bankruptcy in 2014.

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More than 60% of the nations hospitals are now part of larger hospital systems6Since the passage the ACA, total mergers rose from 50 in 2009 to more than 100 in 2012.

05060708091011125054606050769310538413616222232346752403438382216Total DealsFor-Profit BuyersNon-Profit BuyersHospital mergers and acquisitionsSource: New York TImes

And yet community hospitals have some key advantages in the market7

Long history and deep experience with community healthWell-established relationships with patients and providersSmaller size makes it easier to adapt to change and standardize processesExperience in looking across the continuum of careIncreased payments from those previously uninsuredExperience running lean

My health care journey started as a hospital pharmacist

Tell story of not being about to trust the records in the pharmacy and needed to walk down the hall.

President and co-founder of RazorInsights (provider of cloud-based EHR & HIS solutions)Pharmacist with over 14 years of experience in the HIT industry Served in sales and sales management roles for AssistMed, McKesson, Purkinje and Allscripts in both the acute and ambulatory care marketsB.A. in biology from the University of West GeorgiaB.S. in pharmacy from the University of GeorgiaM.B.A. from the University of Massachusetts-Amherst

1/25/16athenahealth inc. - confidential8

Our Focus: To provide a single, integrated HIS solution for rural, critical access and community hospitals (acute, ambulatory, rehab, LTAC)

1/25/16athenahealth inc. - confidential9

Our success formula requires an experience that feels native to athenaNet11

Liz go to graphics (Frankenstein graphic ambulatory buys inpatient)Bolt on: inpatient and ambulatory (failed M&A in the space)Each product development, go GA, get KLAS

Have a picture showing Allscripts + Eclipsys with a line through it the point being that bolting systems together has not worked well in health ITPivot towards showing how long it takes us from Dev GA Best in KLAS for our existing products the point being that were good at this----- Meeting Notes (12/8/14 10:13) -----remove the words, bolts 11

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We are building a national health information backbone.

We build trust with health care providers, helping them do well by doing the right thing.VISION MISSION

athenahealths award-winning services can help you thrive through change13

2014 Best in KLAS Awards: Software & Services, January, 2015. 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

#1 Practice Management System (1-10, 11-75 physicians)#2 Practice Management System (over 75 physicians)#2 EHR (over 75 physicians)

#2 Patient Portal

#2 Overall Physician Practice Vendor

2014 Best in KLAS62,000+ providers on athenaNetClients ranging from 1 to 5,000+ providers50 states and 112 medical specialties$14 billion in client collections per year Acquired Epocrates March, 2013

The Cloud-based Service14Performance & visibilityHIGHHIGHConnection to Outcomes

Software

ASP

SaaS

Cloud-Based Service The Cloud

Both RazorInsights and athenahealth were leaders in bringing the Cloud to health careReady for fee-for-value Open platform Easy, automatic updates

Rapid, low-costimplementation

Best in KLAS usability#1No capex

Designed first for mobile

Single patient record across the continuum of care

RESULTSVisibility, insight & performance coachingInteroperability-as-a-service

Software | Knowledge | Work

Lighter weight implementationLeverage MDP and other best in KLAS cloud players..How will we be differentbullet with picture of how we will be different..We are ok with others competing and sharing the $$

Slide to show that we are good product builders----- Meeting Notes (12/8/14 10:13) -----Add "results" driven at the bottom??? Or change to S K W for

Common cloud with ambulatory, urgent, ----- Meeting Notes (12/9/14 13:22) -----results come in on build. 15

By joining our network you are clinically integrated with the care continuum16170,000+ Interfaces65,000+ Trading Partners7,000+ new interfaces created per monthLess than 0.01% message processing error rate62,000+ Providers60 million patients350+ Imaging Centers39,000+ Pharmacies1000+ Labs320+ hospitals, IPAs, HIEs47 Registries

Network services

Population health managementAggregates data, identifies gaps in care, contact patients and coordinates care.

Patient access and care coordinationEnsures seamless transitions of care for patients and less work for staff. We take on your order and referral management work. Ambulatory services

Revenue cycle managementAutomated intelligence and back-office teams take on your administrative busywork.

Electronic health records Keeps providers focused on care. Delivers measurable quality and efficiency improvements. Inpatient services

Electronic health recordsConnects care in hospital and across your community, via single inpatient information system. Includes all patient encounters from admission to discharge.

Revenue cycle managementProvides comprehensive financial management information. Delivers a real-time view of your hospital financials.One platform to coordinate care across all care settings17

What you can expect that no one else can deliver:18Immediate Results: We implement and start seeing results within 6 months.

Minimal investment: No upfront costs ensure immediate benefit with no riskSeamless updates: without costly upgrades

Partnership: Perpetual monitoring, sharing and implementation of best practices

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Closing remarks and thank you19