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IT Innovations with Centricity TM Solutions for Enterprise Imaging Barbara Mullarky, GE Healthcare IT Debbie Balcik, University of Pittsburgh Medical Center (UPMC) May, 2015

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Welcome 2 Barbara Mullarky Sr. Global Product Marketing Manager GE Healthcare Enterprise Imaging Debbie Balcik, RN, BSN, MS Director Clinical Operational Informatics University of Pittsburgh Medical Center Mercy

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3 2015 General Electric Company All rights reserved. The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE. DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GES DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE. UPMC is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products. Windows is a registered trademark of Microsoft Corporation in the United States and/or other countries. Apple, MAC, iPad and iPhone are registered trademarks of Apple Inc., registered in the U.S. and other countries. "SAMSUNG, Samsung Galaxy Note and Samsung Galaxy Tab are trademarks of SAMSUNG in the United States or other countries. GE, the GE Monogram, Centricity, and imagination at work are trademarks of General Electric Company. All other product names and logos are trademarks or registered trademarks of their respective companies. General Electric Company, by and through its GE Healthcare division.

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Topics Todays Healthcare Environment 1 Imaging Above and Beyond 2 University of Pittsburg Medical Centers Experience 3

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Healthcare is evolving to a collaborative care model Current Hospital-centric Model Collaborative Care Model Fee-for-Service Outcome Driven Hospital centric Fee for service Episodic Departments Closed system Data silos Collaborative care Patient data consolidation Solutions Open & interoperable Outcome driven Patient centric Patients

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A shifting environment requires a new approach to imaging Rise of coordinated care networks Rise of coordinated care networks Increased focus on outcomes and value- driven care Cost Containment Regulatory Pressures Reimbursement Challenges Patient Consumerism Increase diagnostic speed & confidence Integrated storage & management of images Care-pathway specific workflows New pressuresHealthcare system responseImaging requirements New collaboration tools for patient-centric care

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Radiologist Best of breed tools Department Integrated solution Enterprise Standards-based platform Community Collaboration suite Imaging is now an enterprise-level priority Coordinated care demands moving from stand-alone silos of data to integrated, user friendly workflows

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The four key components of enterprise imaging Visualization WorkflowCollaboration Archiving All of these elements are required to truly deliver collaborative care

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Centricity Solutions for Enterprise Imaging Omnyx TM Pathology Suite Omnyx IDP Acute Imaging Suite Ambulatory Imaging Suite Womens Health Imaging Suite Oncology Imaging Suite Centricity Cardio Enterprise Centricity Clinical Archive with Mobile Image Capture Centricity Universal Viewer AW Advanced Visualization Centricity Universal Viewer AW Advanced Visualization Centricity Radiology Workflow Centricity 360 TM Case Exchange Centricity Womens Health Workflow Centricity Oncology Workflow Centricity Cardio Workflow Workflow Visualization Collaboration Archiving Centricity Cardio Enterprise offering is comprised of Centricity Cardio Imaging and Centricity Cardio Workflow. Centricity Clinical Archive offering includes the following product components: Centricity Enterprise Archive, Centricity Universal Viewer ZFP, Caradigm eHIE, Centricity Clinical Gateway, NextGate MatchMetrix EMPI, PACSGEAR PacsSCAN Omnyx products are for in vitro diagnostic use for specific clinical applications, and are intended for research use only on other applications. Omnyx is a trademark of Omnyx, LLC.

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Topics Todays Healthcare Environment 1 Imaging Above and Beyond 2 University of Pittsburg Medical Centers Experience 3

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Imaging today 11 Radiologists reading exams Cardiologists doing Echos and Caths Clinicians reviewing images in their offices But. There are others in the enterprise who take pictures as part of their daily workflow So how do we help them? People think of imaging as: But.

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Lets take the example of wound care Images scanned and associated with patient Images accessible to clinicians Patient in ICU with wound (pressure ulcer) Nurse assesses wound takes a picture with a camera Nurse takes camera to workstation Print photos Patient identification added to paper copy Prints sent to Medical Records for scanning Physician wants to assess wound Nurse removes dressing and reapplies Images NOT accessible to clinicians Manual process

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Lets take the example of wound care Physician wants to assess wound Nurse removes dressing and reapplies Images accessible to clinicians Patient in ICU with wound (pressure ulcer) Nurse assesses wound Logs into app Identifies patient Takes picture Nurse categorizes image, saves and sends Electronic capture

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Safe, secure acquisition no data left behind on the mobile device Helps to reduce the number of steps to add visible light images to the patients medical record Caregivers and clinicians have enterprise wide access to images Improve case documentation required for reimbursements 1 - The iPhone will be the only device tested at release. Other acquisition and ingestion devices are planned DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GES DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE Acquire visible images using an iPhone 1 or other approved mobile device Positive patient ID available by scanning barcoded wrist band or paper barcode Uploads images to Centricity Clinical Archive as an XDS document View images and data with Centricity Universal Viewer ZFP Directly with search or worklists Via the EMR or physician portal Acquiring the image Key capabilities Benefits and outcomes

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15 Image availability View images and clinical content in a zero footprint viewer Available anywhere there is an internet connection Connect via the EMR or directly Clinicians can use device of choice - Windows desktop, Apple MAC , iPad or Android devices 1 1 ZFP has been validated for use the Apple iPad , iPad Mini, Samsung Galaxy Note 10.1 and Tab 4. Images are intended to be used for documentation, not for treatment planning. Key capabilities

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Topics Todays healthcare environment 1 Imaging above and beyond 2 UPMCs experience 3

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The University of Pittsburgh Medical Center (UPMC) experience: Why Centricity Clinical Archive with Media Manager? 17 Efficient photo capture experience Access and visibility of wound photos Monitoring progression of a wound UPMC is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products.

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The UPMC experience - why Media Manager? 18 Advanced Technology Provider Wound experts Archiving PATIEN T

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UPMC experience-to-date 19 Where are we? What have we seen so far?

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The possibilities What success can look like Media Manager Post Acute Care Mo bile Ima ge Ca ptu re Neurology Wound CareResearchBreast LesionsEmergency DepartmentsENT and GI Lab Phys/Occ Therapy Dermatology

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Innovation at the bedside 21 Smart phone. a health care tool Easy to use and send pictures Special technology to maintain confidentiality

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Thank You! Questions? 22