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Mission
Improve access to health information through a statewide collaborative process
 by providing services and infrastructure for the secure electronic exchange and
                            use of health information.




                               Vision
     Be the recognized state and national leader that supports measureable
     improvement in clinical quality and efficiency to healthcare consumers,
       providers, and payors through the provision of secure HIE services.




                                   Page 2
HIP TN at a Glance
   Founded in 2009 and reflective of input from 250+
    stakeholders engaged in statewide health information sharing
    efforts
   In 2010 HIP TN incorporated as a 501 (c)(3) organization;
   Over $10MM in State and Federal funding received to date,
   In 2010, partnered with OptumInsight to implement Elysium
    Exchange as statewide backbone for health information
    exchange
   In 2011, began implementation to connect statewide HIE
    partners



                             Page 3
Department     Veterans       Centers for   Social Security
         of Defense    Healthcare       Disease      Administration
                      Administration    Control




Page 4
Core Services
         Services to help organizations
         locate, positively identify, and
         determine how to exchange
         information securely across
         organizational boundaries;

         Enterprise Services
         Services to help organizations meet
         the federal criteria and state
         requirements for the meaningful
         use of certified EHR technologies;
         and

         Value-Added Services
         Services for inclusion within the
         statewide HIE framework based on
         the feasibility, cost, and value of the
         proposed service. It is anticipated
         that services will evolve and be
         accessed through HIP TN’s provision
         of Core Services




Page 5
Funding and Sustainability
                                       HIP TN PROJECTED SOURCES OF FUNDING – 2011 THRU 2016

                                    100%
         PERCENT OF TOTAL FUNDING
                                    90%
                                    80%
                                    70%
                                    60%
                                    50%
                                    40%
                                    30%
                                    20%
                                    10%
                                     0%
                                            2011      2012            2013   2014    2015     2016
VALUE ADDED SERVICES                         0%        0%              0%    25%     25%      15%
STATE OF TN                                 100%       25%            25%    0%       0%      0%
PAYORS                                       0%        50%            50%    50%     50%      60%
CMS 90/10                                    0%        25%            25%    25%     25%      25%




                                                             Page 6
Organization
                                                                HIP TN
                                                           Board of Directors


                                                               Keith Cox
                                                                 CEO




         Finance                    Operations                                             General Counsel                 Program
                                                                  Technology
      Human Resources                 PMO                                                 Privacy & Security             Coordination




                                                 Operations Council               Workgroups




                                Middle Tennessee              East Tennessee                Tennessee
     Mid South eHealth                                                                                                Office of eHealth
                                    eHealth                  Health Information         Regional Extension
          Connect                                                                                                         Initiatives
                                  Collaborative                   Network                    Centers




 Technology              Clinical Workgroup            Privacy & Security           Sustainability             Consumer Advisory
Workgroup Chair                  Chair                 Workgroup Chair             Workgroup Chair              Workgroup Chair




                                                            Page 7
Board of Directors
                               Voting Director Seat                                                                       Appointee
                                   Consumer Director
                                                                                     Patrick Willard, Senior Legislative Representative / State Health and Family, AARP
At least one representative from among the population served by healthcare providers
                                                                                     Government Affairs
                               in the State of Tennessee.
                             Qualified Organizations
                                                                                    Robert S. Gordon, Board Member, Mid-South eHealth Alliance
Three representatives from among those Qualified Organizations that have executed a
                                                                                    Mike Ward, Board Chair, East Tennessee Health Information Network
 Connectivity Agreement with the Corporation and are actively exchanging data over
                                                                                    OPEN
                            the Corporation’s network
                                    Health Insurers
    At least two representatives from those entities that contract to provide health   Robert H. McLaughlin, MD, Senior Medical Director, CIGNA Healthcare
insurance coverage to citizens of the State of Tennessee, such as insurance companies, Thomas Lundquist, MD, Senior Vice President, Quality, Blue Cross, Blue Shield of
     health maintenance organizations and non-profit hospital and medical service      Tennessee
                                     corporations.
                                 Self Insured Employer
 At least one representative from among those businesses in the State of Tennessee      OPEN
 offering health insurance to its employees through a self-funded health benefit plan
                                  Hospital Industry
                                                                                        Reginald W. Coopwood, MD, FACS, Chief Executive Officer, Regional Medical
  At least one representative from among hospitals providing services in the State of
                                                                                        Center, Memphis
                                     Tennessee.
                            Licensed Healthcare Providers                               John Pirolo, MD, Chief Medical Informatics Officer, Saint Thomas Health Services
     At least four licensed health care providers or representatives of providers.      Diane Pace, PhD, RN, Family Nurse Practitioner, University of Tennessee Health
                                                                                        Science Center College of Nursing
                                                                                        Kathy Wood-Dobbins, Chief Executive Officer, Tennessee Primary Care
                                                                                        Association
                                                                                        Richard H. Sain, Pharm. D., President, Reeves-Sain Drugstore
                                       At Large                                         Dawn Fitzgerald, Chief Executive Officer, QSource




                                                                             Page 8
Workgroup Leadership
   Workgroup                             Leadership                                                             Charter
                       Chair: Mike Ward, Senior Vice President and CIO,
                       Covenant Health
    Technology         Vice Chair: Doru Mihaescu, Associate Director,   Supports the overall technical direction of statewide HIE
                       Information Systems, Southern Adventist
                       University


                       Co-Chairs: Vicki Estrin, Program Manager HIP TN
Privacy and Security                                                   Focuses on issues related to implementation of statewide HIE
                       Randy Sermons, HIP TN General Counsel



                                                                        Supports clinical direction and provides input from providers “in the field” on the HIP
                       Chair: Russ Leftwich, CMIO, Office of eHealth
Clinical Workgroup                                                      TN Network and its ability to support providers in the improvement of patient care
                       Vice Chair: John Pirolo, CMIO, St. Thomas Health
                                                                        through the provision of health information as well as support for Meaningful Use


   Sustainability      Tony Dotson, Practice Manager, Erlanger Medical
                                                                       Responsible for HIP TN’s “Sustainability Plan” and overall “Business Plan”
    Workgroup          Center



Consumer Advisory      Chair: Susan Torzewski, Clinical Documentation     Represents patients, family members, and caregivers who consume the services that
     Group             Builder, Mountain States Health Alliance           HIE provides




                                                                        Page 9
Page 10

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HIP TN Investor Relations Presentation 3 2012

  • 1.
  • 2. Mission Improve access to health information through a statewide collaborative process by providing services and infrastructure for the secure electronic exchange and use of health information. Vision Be the recognized state and national leader that supports measureable improvement in clinical quality and efficiency to healthcare consumers, providers, and payors through the provision of secure HIE services. Page 2
  • 3. HIP TN at a Glance  Founded in 2009 and reflective of input from 250+ stakeholders engaged in statewide health information sharing efforts  In 2010 HIP TN incorporated as a 501 (c)(3) organization;  Over $10MM in State and Federal funding received to date,  In 2010, partnered with OptumInsight to implement Elysium Exchange as statewide backbone for health information exchange  In 2011, began implementation to connect statewide HIE partners Page 3
  • 4. Department Veterans Centers for Social Security of Defense Healthcare Disease Administration Administration Control Page 4
  • 5. Core Services Services to help organizations locate, positively identify, and determine how to exchange information securely across organizational boundaries; Enterprise Services Services to help organizations meet the federal criteria and state requirements for the meaningful use of certified EHR technologies; and Value-Added Services Services for inclusion within the statewide HIE framework based on the feasibility, cost, and value of the proposed service. It is anticipated that services will evolve and be accessed through HIP TN’s provision of Core Services Page 5
  • 6. Funding and Sustainability HIP TN PROJECTED SOURCES OF FUNDING – 2011 THRU 2016 100% PERCENT OF TOTAL FUNDING 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2011 2012 2013 2014 2015 2016 VALUE ADDED SERVICES 0% 0% 0% 25% 25% 15% STATE OF TN 100% 25% 25% 0% 0% 0% PAYORS 0% 50% 50% 50% 50% 60% CMS 90/10 0% 25% 25% 25% 25% 25% Page 6
  • 7. Organization HIP TN Board of Directors Keith Cox CEO Finance Operations General Counsel Program Technology Human Resources PMO Privacy & Security Coordination Operations Council Workgroups Middle Tennessee East Tennessee Tennessee Mid South eHealth Office of eHealth eHealth Health Information Regional Extension Connect Initiatives Collaborative Network Centers Technology Clinical Workgroup Privacy & Security Sustainability Consumer Advisory Workgroup Chair Chair Workgroup Chair Workgroup Chair Workgroup Chair Page 7
  • 8. Board of Directors Voting Director Seat Appointee Consumer Director Patrick Willard, Senior Legislative Representative / State Health and Family, AARP At least one representative from among the population served by healthcare providers Government Affairs in the State of Tennessee. Qualified Organizations Robert S. Gordon, Board Member, Mid-South eHealth Alliance Three representatives from among those Qualified Organizations that have executed a Mike Ward, Board Chair, East Tennessee Health Information Network Connectivity Agreement with the Corporation and are actively exchanging data over OPEN the Corporation’s network Health Insurers At least two representatives from those entities that contract to provide health Robert H. McLaughlin, MD, Senior Medical Director, CIGNA Healthcare insurance coverage to citizens of the State of Tennessee, such as insurance companies, Thomas Lundquist, MD, Senior Vice President, Quality, Blue Cross, Blue Shield of health maintenance organizations and non-profit hospital and medical service Tennessee corporations. Self Insured Employer At least one representative from among those businesses in the State of Tennessee OPEN offering health insurance to its employees through a self-funded health benefit plan Hospital Industry Reginald W. Coopwood, MD, FACS, Chief Executive Officer, Regional Medical At least one representative from among hospitals providing services in the State of Center, Memphis Tennessee. Licensed Healthcare Providers John Pirolo, MD, Chief Medical Informatics Officer, Saint Thomas Health Services At least four licensed health care providers or representatives of providers. Diane Pace, PhD, RN, Family Nurse Practitioner, University of Tennessee Health Science Center College of Nursing Kathy Wood-Dobbins, Chief Executive Officer, Tennessee Primary Care Association Richard H. Sain, Pharm. D., President, Reeves-Sain Drugstore At Large Dawn Fitzgerald, Chief Executive Officer, QSource Page 8
  • 9. Workgroup Leadership Workgroup Leadership Charter Chair: Mike Ward, Senior Vice President and CIO, Covenant Health Technology Vice Chair: Doru Mihaescu, Associate Director, Supports the overall technical direction of statewide HIE Information Systems, Southern Adventist University Co-Chairs: Vicki Estrin, Program Manager HIP TN Privacy and Security Focuses on issues related to implementation of statewide HIE Randy Sermons, HIP TN General Counsel Supports clinical direction and provides input from providers “in the field” on the HIP Chair: Russ Leftwich, CMIO, Office of eHealth Clinical Workgroup TN Network and its ability to support providers in the improvement of patient care Vice Chair: John Pirolo, CMIO, St. Thomas Health through the provision of health information as well as support for Meaningful Use Sustainability Tony Dotson, Practice Manager, Erlanger Medical Responsible for HIP TN’s “Sustainability Plan” and overall “Business Plan” Workgroup Center Consumer Advisory Chair: Susan Torzewski, Clinical Documentation Represents patients, family members, and caregivers who consume the services that Group Builder, Mountain States Health Alliance HIE provides Page 9