FORWARD-LOOKING STATEMENTSThis is a rolling (up to three year) Statement of Direction and is subject to change without notice.

This document contains forward looking statements regarding future operations, product development, product capabilities and availability dates. This

f b b l d b h information is subject to substantial uncertainties and is subject to change at any time without prior notification. Statements contained in this document concerning these matters only reflect Hewlett Packard's predictions and / or expectations as of the date of this document and actual results and future plans of Hewlett-Packard may differ significantly as a result of, among other things, changes in product strategy resulting from technological, internal corporate, g p gy g g pmarket and other changes. This is not a commitment to deliver any material, code or functionality and should not be relied upon in making purchasing decisions.decisions.

HEALTHCARE IN THE CLOUDHEALTHCARE IN THE CLOUD

Baldur Johnsen, DirectorHealthcare Provider Product ManagementOffice of Strategy & Technology

©2010 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice

HP Business Solutions Organization

…and has IP, service offerings and extensive HP’s broad product portfolio is

One of the World’s Largest Healthcare IT Companiesactive industry participation …and has IP, service offerings and extensive

delivery capabilities across industry segmentsHP s broad product portfolio is integrated into healthcare solutions….

Health Pl

HP services enable key plan-specific solutions• Healthcare administration and claims processing software & services• Eligibility & human services offerings

…active industry participation since 1961

Plans • Eligibility & human services offerings• Medical informatics, care management, & decision support services• IT infrastructure & application services

HP products are key to pharma & life sciences product development

Life Sciences

development• Product tracking & authentication• Modeling and simulation tools• Product lifecycle management• Digital Discovery and Development (SOA)Digital Discovery and Development (SOA)

Providers

HP hardware is core to creating provider based solutions• Digital hospital• Electronic health records• Care Managementg• Medical archiving• Health information systems

MAJOR TRENDS & DIRECTIONS

3 Global Mega Trends

1

Evolving Business Models

Evolving Business Models

Technology Technology

1

2Technology

AdvancementsTechnology

Advancements

Changing Changing 3

5 ©2010 Hewlett-Packard Development Company

g gWorkforce

g gWorkforce

70%70%The increase in real health

di it i th spending per capita in the OECD countries since 1990

6 HP Confidential

Source: OECD

19%19%The average proportion of

ti d time a nurse spends on direct patient care on the

active nursing part of a shiftactive nursing part of a shift

7 HP Confidential

Source: The Permanente Journal Summer 2008: ‘A 36-Hospital Time and Motion Study: How Do Medical-Surgical Nurses Spend Their Time?’

1 year1 yearIncrease in life expectancy

f i 1990 every four years since 1990 in the OECD countries

8 HP Confidential

Source: OECD

60%60%The World’s Disease Burden

i d b Ch i Di carried by Chronic Diseases

9 HP Confidential

Source: World Health Organization

HP'S POINT OF VIEW & HP S POINT OF VIEW & SOLUTION PORTFOLIO

From Healthcare (“Sickcare”) to Integrated Health MManagement

Hig

h Connect providers, pharmacies via e-prescriptionHealth Info Networks using eHealth cards

Integrated Health Management

tion

H

Automatingmanual processes at hospitals

Health Info Networks, using eHealth cards,Central or distribution EHRTo enable information exchange

Management

– Personalized, evidenced base medicine– Predictive, Preventive – Patient centric care management across the

value chaind f

syste

m In

tegr

a

– Health Info Exchanges, EHR ‘s– Patient & Providers Access to Data via Health portalsConnected

Integrated Healthcare

manual processes at hospitals,clinics and physician offices

– Providers, Payers, LifeSciences HIE– Cross EU Health Information Exchange

Eco

– Stand-alone

– Digital Hospitals with– Integrated EMR, EHR, CPOE, Imaging,

Med-Tech, facility mgmt , processesR l ti l t &

– E-prescription– Telehealth & home care

Today’sHealthcare

Healthcare

Quality of Care & OutcomesEfficiency gains

– Best of breed– Fragmented systems

– Real time alerts & messages– Hospitals / primary care integration

Low High

Low

HP’s Healthcare Solutions PortfolioHP’ tf li f i d t ft l ti d i t ll t l it l t th HP’s portfolio of industry software, solutions and intellectual capital represent the enabling technologies required to increase operational efficiencies and enable care coordination... the building blocks in transforming business and health outcomes.

Improving health outcomesJO

URN

EY

Life sciences innovation

BI; clinical analytics; decision support

Enabling care

Care deliverySolutions

Digital HospitalHCIS

Atlanttes

Health Care Administration

Metavance

Managing claims CHN

OLO

GY

J

Health Information Exchange & ePrescriptiong

coordination

Increasing

Atlanttes

Managing care delivery

and coordinating care across the ecosystem

Managing claims, eligibility, fraud

detection,Citizen/member communications

HCA

RE’S

TEC Exchanging

information across the care

ecosystem, internal & externalIncreasing

operational efficiencyH

EALT

H

HP horizontal products, solutions, footprint

HEALTHCARE CLOUD

M h f h h l d Key technology trendsMajor shifts across the technology industry occurringNew forms of computing

M bil• Mobile

• The Cloud – EaaS

• Pervasive/Ubiquitous Computing• Pervasive/Ubiquitous Computing

Consumer Driving Enterprise

Connectivityy

• Sensors – Richter 1000x more sensitive

HP Richter

14

A Brief Cloud PrimerCloud Definition US Federal GovernmentCloud Definition - US Federal Government

Definition

•Cloud computing is a pay-per-use model for enabling available, convenient, on-demand network access to a shared pool of configurable computing resources (e.g., networks, servers, storage, applications, services) that can be rapidly provisioned and released with minimal management effort or service provider interaction. This cloud model promotes availability and is comprised of five key characteristics three delivery models and four deployment modelsfive key characteristics, three delivery models, and four deployment models.

•On demand self service

Key Characteristics

• Homogeneity•On-demand self-service •Ubiquitous network access•Resource pooling•Rapid elasticity

Homogeneity• Location independence• Measured service• Multi-tenancy

Source: Peter Mell & Tim Grance – National Institute of Standards and Technology – Information Technology Lab

A Brief Cloud PrimerService Delivery ConceptsService Delivery Concepts

EaaSE hi S i

SaaS

• Everything as a Service

• Software as a ServicePaaS • Platform as a Service

• Infrastructure as a ServiceIaaS

• Infrastructure as a Service

A Brief Cloud Primer4 Deployment Models4 Deployment Models

Private Cloud

•Enterprise owned or leased

Sh d f f f

Community Cloud

•Shared infrastructure for specific community

S ld t th bli l i f t t

Public Cloud

•Sold to the public, mega-scale infrastructure

•Composition of two or more clouds

Hybrid Cloud

•Composition of two or more clouds

N d l d l b fCloud Impact: Enabling Care Ecosystem IntegrationNew computing models supporting adoption & accelerating benefits

lManager

INTEGRATECOLLABORATE

Specialist

Physician

OrderlyAdmin

Nurse

Manager

COMMUNICATE ANALYZEOrderly

COORDINATE SHARE

18 HP Confidential

COORDINATE SHARE

Impediments to Cloud adoption

RisksRisks

TechnologyTechnology

Transparency Transparency

gygy

Transparency Transparency

I H l h h Cl dGlobal Authentication Service Improving Health in the Cloud

Working with nonprofit mPedigree to combat counterfeit drugs

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g p g g

Key take-aways

Healthcare services are in a dire need of a paradigm shift in terms f idi ffi i tl t d d i t i blof providing care more efficiently; current course and speed is unsustainable

Applying technology in innovative ways to enhance operational efficiency, enabling care coordination and improving patient outcomes is achievableenabling care coordination and improving patient outcomes is achievable

Traditional assumptions in thinking about healthcare technologies will need to be overcome to fully seize the opportunity – lack of Health IT innovation (PWC)y pp y ( )

Is Cloud still nebulous?

Finally

“The reasonable man adapts himself to the world: the unreasonable one persists in unreasonable one persists in trying to adapt the world to himself. Therefore all progress himself. Therefore all progress depends on the unreasonable man.”

George Bernard Shaw“Man and Superman”

22

THANK YOUTHANK YOU

ON THE HORIZON

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I d D l H l h C “S Th ”What’s next? Integrated Digital Healthcare Community – “Strategic Themes”

Personalized Patient-centric ce

Medicine

Evidence based

Care

Real-time C

tion

to P

ract

ic

ualit

y of

Car

e

tive

Trea

tmen

t

based Medicine

Future Ready

Care

Remote MedicineSp

eed

Inno

va

Impr

ove

Qu

Col

labo

rat

Velocity of CarePerformance MetricsMedicineS

Integrated Care Frictionless

W kfl

Invisible “Intuitive”

h l

26 HP Confidential

Environment Workflow Technology

Improve Operational Efficiencies