Avanade Health Overview

Improved Efficiency Delivers ROI in Patient Relationship Management

November 15, 2011

Jeanine Martin, FHIMSS Director, National Healthcare Avanade, Inc

Avanade Health is a trusted partner helping our clients transform ideas into sustainable solutions that realize life-changing results

June 11, 2011 Washington D.C. September 27, 2011 San Francisco

Avanade Mobile Health Messaging Virtual Health Assistant Framework Re-usable discharge kit that includes an Enables consumers to directly engage in intuitive tablet interface, Microsoft Kinect, their chronic condition care. This is Blood pressure monitor, FitBit Activity achieved by improving patient compliance Sensor, 4G Modem. Patient has access to: using two-way SMS text messaging to help My Therapy, My Progress, My Appointments. the patient stay in contact with the Physicians and patients share a progress physician and remain conscious of their dashboard and 1-click Skype Video e- role in treatment. Appointments. All device data is securely stored in Microsoft Azure.

“Team Avanade pulled off a stunningly deft “The clear winner of the competition was Team feat of programming. Their project won first Avanade and a device which helps clinicians and cardiac patients work together to avoid prize today.” © Copyright 2011 Avanade Inc. All Rights Reserved. hospital readmission after a cardiac event.” What the Industry is saying about Avanade:

“Health 2.0 is excited to announce Team Avanade as the first place winner! The group created a rehabilitation device to help clinicians and cardiac patients work together to avoid hospital readmission after a cardiac event. “

“The team used a Pelican case and an Xbox Kinect, then built a post-discharge congestive heart failure exercise

“Avanade’s [Mobile “TheHealth clear winner Messaging of the comp etitionFramework] was Team Avanade and taps the drumbeat ofa devicechange which reverberating helps clinicians and through cardiac patients work together to avoid hospital readmission after a cardiac event” the healthcare industry. It sees, in, part the convergence of two“Can trends: you change patient healthcare participation in just 28 hours?” in Team Avanade won the Grand Prize, “Creating a cloud data platform to healthcare and technology-ledmanage therapies, healthcare with video appointments initiatives and a shared that bring patients togetherpatient/physician with dashboard.” those in the medical

community.” “Avanade’s Project Aether taps the drumbeat of change reverberating through the healthcare industry. It sees, in, part the convergence of two trends: patient participation in healthcare and technology-led healthcare initiatives that bring patients together with those in the medical community.”

About Us – 13,000+ professionals in 28 countries and more than 60 locations – Global Delivery Network with over 7,000 near-shore and offshore professionals – $1 Billion in revenue, with more than 20% YOY growth since our inception in 2000 – Over 3000 customers served, customer satisfaction of 97%

• What Makes us Unique? - Backed by Microsoft and Accenture - Exclusive Microsoft Focus –World’s largest Microsoft technology provider - Microsoft Delivery Assets and Tools – Solution accelerators designed for enterprise scale deployments. - Multi-Site Delivery Model – Local and global delivery network to meet client timelines and budgets. - Our People – World-class certified professionals supported by global communities of experts.

Health MobilePatient MobileAgent AmalgaMobile UIS Relationship Centered Desktop Management MedicalMedication Home Medication Medication Adherence Adherence Adherence

Healthcare Avanade Office365 for Caregiver Analytics Mobile Health Plans Collaboration Health Framework

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© Copyright 2011 Avanade Inc. All Rights Reserved. Avanade's Microsoft Dynamics CRM Healthcare Provider Highlights • Case/Care Management (Patient/ Family Relations) – Handling Concerns, Compliments and Inquires for a variety of different purposes – Clinical integration with existing EHRs to enhance patient relationship management – Concierge Services Tracking travel and other preferences for families, including VIP and International Scheduling concierge services for families

• Referring Physician Management – Segmenting and Communicating to External Physicians and Patients

• Social Media – Managing tweets and other social media for improved PR and intelligence

© Copyright 2011 Avanade Inc. All Rights Reserved. Applications of the Mobile Health Messaging Framework 1. Medication Adherence Management 2. Preventative Care 3. Clinical Studies 4. Appointment Reminders and (re)Scheduling 5. Member Relationship Management

• Not specific to any technology software platform • Customer deployed • Clinically accepted • Industry acknowledgement

Identification Enrollment Manage Engage Monitor and of at-risk protocol and patients Intervention patients business rules

Patients are identified Patients are enrolled Dynamics manages Two-way SMS Real time monitoring in real-time utilizing into the Microsoft the patient:system gateway enables enables intervention clinical information Dynamics xRM protocols (medication, patients to receive delivery based on systems (like platform. A patient’s treatment, chronic and respond to adherence business Microsoft Amalga. ) xRM record includes conditions, population requests. For rules For example, If Enabling the patient communication health). This enables example, did you take patient misses more identification of at- preferences, clinical the system to provide your Glucophage XR than 2 consecutive risk patients based history, and details contextual and utilize today? Or can you doses request an on a number of about the clinical care unique business rules confirm you will be intervention from the attributes. team. that will match what is able to make your pharmacy. This data required for the patient. appointment this enables outcome afternoon. Responses measurement within are collected. Amalga.

This is an exampleexample created at a Provider Customer. In this case, the framework was integrated into Dynamics CRMCRM for Medication Adherence Management

Patient Subscription Business Rules 2

optional 5 n 3 4 SMS Gateway 1

Clinical Intervention

Personal Health 6 Clinical Systems Record / HealthVault

Measure Outcomes/Feedback/Results

Through Dynamics XRM and SQL Reporting Services, detailed analytics can be performed to drive intervention strategies.

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