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“A Total Imaging Strategy –PACS, RIS, VNA & Storage”A Complimentary Webinar From healthsystemCIO.comSponsored by DellYour Line Will Be Silent Until Our Event BeginsThank You!Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Housekeeping Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com Ask A Question We will be holding a Q&A session after the formal presentations. You may submit your questions at any time by clicking on the QA panel located in thelower right corner of your screen, type in your questions in the text field and hitsend. Please keep the send to default as “All Panelists.” Download the Deck Go to: ng-webinar.pdf Shortened link below appears on all slides. View the Archive You will receive an email when our archive recording is ready. Separate registration is required.Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Agenda — 45 Minutes 20 minutes: Becki Weber, SVP/CIO, Meridian Health 5 minutes: A Word From Our Sponsor — Dan Trott, Worldwide Sales& Business Development Director, Unified Clinical Archive, Dell 20 minutes: Q&A w/Becki WeberSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

“A Total Imaging Strategy –PACS, RIS, VNA & Storage”Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

About Meridian Health Meridian Health is a leading not-for-profit health careorganization in New Jersey, comprising Jersey Shore UniversityMedical Center and K. Hovnanian Children's Hospital inNeptune, Ocean Medical Center in Brick, Riverview MedicalCenter in Red Bank, Southern Ocean Medical Center inManahawkin and Bayshore Community Hospital in Holmdel.Meridian Partner Companies include home health services,skilled nursing and rehabilitation centers, ambulatory care,ambulance services, and outpatient centers.Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Imaging Challenges Today Migration Issues Costs Proprietary PACS Vendors and Integration Compatibility User Performance Demands Access to Old Studies from Long Term Archive (Prior Historical PatientImages for Comparison) Dispersed Diagnostic Reading Stations Improving workflow in a complex imaging environment Inter-institution Image Sharing and Image AccessSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Brief Imaging History @ Meridian 2005 3 hospital system All Analog Radiology Environment Multiple mini PACS Cardiology Environment 2006 Enterprise PACS Implementation Radiology PACS Cardiology PACS 2008 Dark Fiber Implementation 2009 New Hospital Mergers 2011 VNA Cloud Long Term Archive Storage & MigrationPlanning & ImplementationSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Imaging @ Meridian Today Centralized Enterprise HIS System Image Enabled Utilizing Zero Footprint Technology Radiology 1 Centralized Enterprise RIS System 3 PACS Vendors 2 TIER Environment Cardiology Centralized HIS for Orders 2 PACS Vendors 2 TIER Environment Centralized VNA Cloud Based Long Term ArchiveSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Radiology Imaging Data Flow TodayPACS @ Each HospitalCloud DRSite 1Cloud DRSite 2

Cardiology Imaging Data Flow TodayPACS @ Each HospitalCloud DRSite 1Cloud DRSite 2

Meridian Future State Imaging Goals Standardize & Centralize the PACS Architecture Virtualized Environment Implement Vendor Neutral Long Term Archiving to all “ologies” Expand utilization of Zero Footprint PACS access Complete All PACS Migrations to VNA Long Term ArchiveSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Radiology Imaging Data Flow Future StatePACS @ Each HospitalCloud DRSite 1Cloud DRSite 2

Cardiology Imaging Data Flow Future StateCloud DRSite 1Cloud DRSite 2

VNA as a Holistic Approach to Imaging Integration Made Easier Ancillary and other Imaging Systems Modalities Flexibility Choosing a Diagnostic PACS Viewer Application Allows for RIS or PACS Driven Workflow Future PACS Migrations Reduced Storage ConstraintsSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Using VNA to Standardize StorageRadiologyCardiologySurgeryVNALong Term ArchiveOncologyPathologyPerinatology

Best Practices to Approaching Storage Issues Implement a robust, diverse network Plan for a VNA solution as a foundation Front end (Short Term Archive) and Deep (Long Term) Archive Implement disaster redundancy (hot/warm) Utilize all avenues to share knowledge and network with otherhealthcare institutions Implement facility-wide standardized image storage policies andproceduresSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Stage 2 Meaningful Use and Imaging Stage 2 to Begin in 2014 30% of radiology orders must be physician entered (CPOE) 10% of imaging results must be available through EHR Prepare for the “right technology” Clinical Web access image viewer from anywhere Web-based report viewingSlide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

“A Total Imaging Strategy –PACS, RIS, VNA & Storage”Dan TrottWorldwide Sales & Business Development DirectorUnified Clinical Archive, Dell

Medical Imaging Industry ChallengesIncreasing reliance on information technology compounds complexity for clinical teamsMassive growth inhealthcare dataClinical data sharing acrosscare givers in ACOsConsolidation of providerorganizationsPatient centric datamanagement simplifiesintegration riskIncreased organizationalagility to adapt and report19Dell’s Strategic ObjectiveAgility demands a consolidated patient centric Data ManagementSystem that is intelligent, scalable, compliant and cost effective.Do more with information-driven healthcare

Dell Unified Clinical Archive (UCA) – An Enabling Long-Term InformaticsStrategyEnabling Healthcare providers efficiently store, manage and share medical imaging data Uniquely Vendor-NeutralArchive––VNA Software options for datamanagementIndustry leading portfolio ofpartners to augment core solution End-to-end services–––Security –internal and BYODData protection and restorationClinical business continuance Flexible deployment options:––20On-Premise and Hybrid CloudCAPEX/OPEX modelsDo more with information-driven healthcare

Market Leadership in Medical ImagingIndustry’s largest vendor-neutral hybrid cloud for medical imagingMarket Leadership:Securing overMedical Grade:14 years providing digitalmedical archiving services- 6.8 billion images- 96 million studies- Across 1,050 clinical sites- For over 24M PatientsISO 13485:2003 certification onquality systems within Dell DataCenters, Listed with FDAStandards Compliant:Recognition: Frost & Sullivan 2012Track Record:Tested and validated at IHEConnectathons and HIMSSInteroperability showcasesNA Company of the Year inEnterprise Imaging Informatics2013 #1 KLAS Image ArchivePerformance Ranking*Never Lost a study or had aBreach with 6.8 billion (Ticker)images secured21ISO13485 Certification: /en/Documents/dell-insiteone-ct-iso13485.pdf*KLAS Research “Image Archive Performance Study”, September 2013. 2013 KLAS Enterprises,LLC. withAll rightsDo moreinformation-driven healthcarereserved. www.KLASresearch.com

Why Dell’s Unified Clinical Archive?Professional Services:- #1 Healthcare IT Services providerHardware Infrastructure:- Broad portfolio of enterprise solutions for healthcareDell’sUnified Clinical ArchiveSoftware:- 14 Years experience in cloud-based clinical archivingservicesPartnerEco-System:- Integrations with leading PACS, workflow and imageviewing toolsOnly Dell provides an end-to-end solution illustrated above with all thevalue components from a single vendor solution reducing cost and riskto UCA customers22See UCA Webinar and Whitepaper by Michael GrayDo more with information-driven healthcare

Do more with information-driven healthcare

Q&AClick on the Q&A panel located in the lower right corner of your screen,type in your questions in the text field and hit send. Please keep thesend to default as “All Panelists.”Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Thank You! You will receive an email when our archive recording is ready.(Separate registration is required) Thanks to our sponsor: Dell Don’t Forget To Claim Your CHIME CHCIO Credits – AttendinghealthsystemCIO.com Webinars 1 CEU Questions/Comments – Anthony Guerra aguerra@healthsystemCIO.comGo to www.healthsystemCIO.com/webinars to view our upcomingschedule and see the last 12 months of archived events.Slide Deck: http://goo.gl/WCv6MtWebex Support 1-866-223-3239Event # 664 157 237

Multiple mini PACS Cardiology Environment 2006 Enterprise PACS Implementation Radiology PACS Cardiology PACS 2008 Dark Fiber Implementation 2009 New Hospital Mergers 2011 VNA Cloud Long Term Archive Storage & Migration Planning & Implementation