The HOSTING Healthcare Cloud

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Housekeeping

HOSTING Overview

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380

400

Employees

Independent Audits In 2014

US-based Datacenters

SOC 2TYPE II

SOC 3CERTIFIED

H I P A AC O M P L I A N THealthcare Customers

CHIME Founding Partner

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Healthcare and select clients

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Industry Comparison

6.0% 5.8%

4.7% 4.5%

3.2%

Financial Services

Software / Tech

Education

Media

Healthcare

IT Spend as Percent of Revenue

Source: Gartner IT Metrics 2013

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The 5 Budgetary Buckets

Compliance & Security

Interoperability

Back-OfficeApplications

New ClinicalService Apps

Core ClinicalSystems

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TECHNOLOGY IMPACT

All of which inhibits our ability to maximize our clinical impact and serve more patients

Technology is...

1.Limiting our clinical mission and/or business model

2.Causing us significant business risk

3.Dependent on people we have a hard time retaining

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IT Labor Benchmarks

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Job Title Avg Salaries Function (What They Manage) Metric Ratio Benchmark

CIO/CTO $110K-$225K Architect CXO per Company 1:1

Project Managers (PM)

$60K-$95K Manages Tech Projects Projects per QRT per PM 5:1

Network Eng $55K-$95K Internet | Data | Network Security

Sites per Head 10:1

Developers $75K-$120K Application Development Apps per Developer 8:1

DBA | Data Manager

$95K-$180K DB Support DBA per Company 1:1

Sys Admin $45K-$65K Desktops | Servers | Printers Servers per Tech 250:1

Telcom $45K-$65K Phones / PBX Phones per Tech 1000:1

Physical Security $35K-$55K Access Control/Physical Security

Sites per Head 12:1

Desktop Support $35K-$55K Desktop Employee per Tech 300:1

Apps Support $45K-$65K Apps Support Apps per Tech 30:1

QA $60K-$95K SaaS QA and Internal QA Releases per Month per Eng 2:1

Training $45K-$65K Training Classes per QRT per Trainer 5:1

Storage Engineer $95K-$150K Storage and Databack-up Data (TB) per Eng 50:1

Compliance / Business Continuity

$85-$120K Internal Audits | Certifications Head per Company 1:1

IT Leader’s Business Challenge

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IT Leader’s Business Challenge

Help Me GrowHelp Me Deliver Sooner

Help Me with New Revenue

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Save Me MoneyMatch Costs with Revenue

Build in Future Savings

Guide MeWhat are Others in my Space

Doing Better then Me?

Save Me from Myself

Reduce My RiskUptime & Compliance

Contract and Tech Flexibility

I hate Moving

Benchmark Challenge

Core ClinicalSystems

Back-Office Applications

ReduceInteroperability

Compliance & Security

InvestNew Clinical Service Apps

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BehavioralHealth Org

Compliance & Security

Interoperability

Back-OfficeApplications

New Clinical Service Apps

Core Clinical Systems

Can’t Do It Alone

Vendor /Partners

Co-Source

PHI

• Visual Ops

• 5 Frogs on a Log

• Dual-Vendor Strategy

• Checklist Manifesto

My Advice on Where to Go

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New Business Models

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Healthcare Cloud Use Cases

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MHC of Denver

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3STAFF.ING CONCERNS HOSTING staff operates as anextension of MHCD’s IT staff

New VDI platform has enhanced stability and availability, helpingto maximize the clinical staff’s impact

Solution enhances skill mix, addresses key business drivers, and allows MHCD to focus on its clinical mission

•MHCD struggled to find and retain the right quantity of IT staff, and the right expertise to fully support its mission

•The Virtual Desktop Interface was experiencing numerous issues that limited staff productivity

•MHCD wanted additional guidance on how to redesign their systems, and was seeking the right partner

•Designed and implemented a system-wide Proof of Concept customized to MHCD’s needs

•Designed and implemented a new Virtual Desktop Interface customized to MHCD’s needs

•Embedded support teams to complement MHCD capabilities

Situation Solution Status

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The Plan

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Clinical Systems Move to SaaS Model

Interoperability/Security Design Scalable Architecture Leverage Part-Time Compliance Experts – Dashboard

Tracking

Everything Else (Phased Approach) Got Out of the Datacenter Business (Healthcare Cloud) Implemented a Virtual Desktop Solution Leverage Part-Time IT Experts – Managed Services

New Applications Reduce Budget Above to Focus on New Revenue Streams

The Process

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CONSULTDiagnostic Offer

SOLVESolution matching

EXECUTERoadmap

The Process

CONSULTDiagnostic Offer

SOLVESolution matching

EXECUTERoadmap

Architecture AssessmentSecurityVirtual Desktop Proof of Concepts

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Application Map Vendor MapPart Time Staff (Delivery Team)

Private Cloud Virtual DesktopPart Time Staff as a Service(CISO and Tech Acct Manager)

The Result

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View Dr. Clark‘s video in “Attachments” section:

https://www.youtube.com/wat ch?v=1nDDIFP2feQ&feature= youtu.be

Appendix

Compliance & Security

Interoperability

Proof of Concept

Back-OfficeApplications

New ClinicalService Apps

Project Based Services Recurring Services

Compute

Network

Tele-care

Access | Threat& Patching

BCDR

Part-Time Sys Admin

Cloud Desktop Apps

Part-Time Sec Officer

Core ClinicalSystems

Storage Part-Time DBA

Assessments

HIPAA

Security

Path to Cloud DB Health Checks

Cloud Desktop

Assessments

HOSTING SERVICES

PHI

HIPAA-COMPLIANCE DASHBOARD

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OPS DASHBOARDS FOR IT STAFF

T?RUST BUT VERIFY your

PARTNER • No secret “outs”e.g. through Janitor orConduit clauses: “Thisentire agreement will only apply if [Competitor X] is a Business Associate as described by [HIPAA]”

Is your partner’s Is it Specific?BAA “Real”?

Are ResponsibilitiesOutlined?

•“HOSTING agrees to… use appropriate safeguards to protect PHI and comply with HIPAA”

• Data Center’s

• Customer’s

• Joint

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Industry Leading CustomerSatisfaction

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NPS2015 Q1

Our NPS Peers

ComplianceDashboard

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About you

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Q&AJoel Daly | HOSTING Founder and EVP of Sales