Centricity Technical Conference 2014 - CHUG

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Centricity Technical Conference 2014 Technology Roadmap: Enterprise RCM, Centricity Business Imagination at work.

Presenters Brian Coles Product Architect, RCM GE Healthcare IT Clinical Business Solutions, HSS Eric St-Pierre GM Engineering, RCM GE Healthcare IT Clinical Business Solutions, HSS 2

Enterprise Revenue Cycle Solutions 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Objectives Investing in our joint success 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Agenda Planned Priorities & Strategies Partners, Future Direction Planned Technical Roadmap Q&A 5

Planned Priorities & Strategies 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Engineering Priorities Reduce costs Technical cost of ownership need to be lowered while still delivering the best technology possible Better access & user experience Consistent and meaningful user experience with anytime/ anywhere access End-to-End Integration Provide better integration capabilities from payers to providers 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 GE’s discretion and are subject to change and applicable regulatory clearance. Mission: Improving Financial Performance

Engineering Strategies Simplify Lift Be Agile Simplify and refactor our proven RCM solution Modernize our UI with device agnostic approach Refresh our service-oriented architecture Deliver more value with the help of our key partners: Early and frequent delivery, Deliver sooner key customer values Continuous and early testing, raising the bar on software quality 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Partners, Future Direction 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Zen Reports and DeepSee Analytics Browser based launch for reporting with HTML and PDF formats Department level real-time analytics w/ Interactive dashboards Ensemble Business Process Management enables for modeling, execution and monitoring of business processes Service Architecture Access to Caché objects and service layer JSON and RESTful services in conjunction with Ensemble 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Introducing the GE Software Center Igniting the next industrial revolution by connecting minds and machines 1B investment over 3 years Launched in 2011 Silicon Valley location Aggressive strategy for talent acquisition & growth

Going mobile: anytime/ anywhere Access Cloud for efficiency and agility End-to-end Security Predictive insights from Big Data 021010308 013161090 040109010 104078050 Industrial Internet Platform Requirements Consistent and meaningful User experience Cloud based Integrated Asset Management Transition to “Brilliant machines” 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 GE’s discretion and are subject to change and applicable regulatory clearance. GE Confidential

Predix for Healthcare Concept Specialize Predix where necessary to create next-generation healthcare domain solutions Built on Predix industrial internet platform Delivers healthcare-specific content, services and technologies Defines public APIs for healthcare Apps, frameworks and platform boundaries GEHC App GEHC App GEHC App Predix for Healthcare Predix Predix Runtime Fabric (Servers, VMs, Devices, etc.) 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 GE’s discretion and are subject to change and applicable regulatory clearance. Achieving customer required functional convergence is the most critical aspect

Predix for Healthcare Platform View Existing Customer Devices & IT Predix Non-Platform 3rd Party Apps HDX UX on supported HTML/CSS/JS front-ends Desktop Tablet Handheld End-User Clients PFH Embedded PFH App Integration Modules Publish App Modules Analytics Modules Message Bus HL7 DICOM IHE Healthcare Design Extensions (HDX) Healthcare Analytics Framework (HAF) Etc. Healthcare Std. Toolkits App / Module Repository Integration Platform Predix Net Service Tools Predix Market Deploy Platform Instancing Deployment Monitoring Predix Insight Predix Core Kernel & Business Framework Predix Core Predix Core Visualization Web App Platform UMF/Deterministic Devices Imaging Modules Device Modules Image Visualization Device Config Device Platform (Realtime QoS) Service Modules Privacy & Security Annotation Real-time OS Predix Asset Solution Service Platform Analytics Platform Predix Machine Storage Platform Imaging Platform RDBMS Image Processing Predix Core NoSQL Workflow Data Services Core Service Platform File System Cloud Storage Collaboration Serviceability Predix Core PFH Fabric 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Predix- Enterprise RCM Lift Modern user experience, accessible from any device HDX UX on supported HTML/CSS/JS front-ends Desktop Tablet Handheld Consistent look and feel across GE Embedded Healthcare Integration Modules Message Bus HL7 DICOM IHE Analytics Modules Healthcare Analytics Framework (HAF) Etc. Healthcare Std. Toolkits Integration Platform Predix Insight Predix Core Kernel & Business Framework Predix Core Service Modules Privacy & Security 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 GE’s discretion and are subject to change and applicable regulatory clearance. Workflow Collaboration Data Services Serviceability Core Service Platform Predix Core Analytics Platform

Centricity Framework on Predix 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Predix SOA Framework An Architectural Strategy Leverage service benefits across enterprise Technical (engineering), operational (services) and business (product, marketing) architectures An Organizing Principle Clear contracts between enterprises, departments, dev teams, individuals “Your value is only visible if it’s service-enabled” Services are in order to/enable Well-defined and modular Reusability through clear responsibilities Interoperable Common protocols and data models Flexible solution architecture Reusability Loosely-coupled Through use of precise interfaces Sustain manageability, serviceability Encourage reuse Flexible solution architecture Remotely accessible Between machines, networks, clouds Support distributed/cloud architectures Inter-enterprise partnerships 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Predix Analytics - Clinical Quality Reporting Use Cases Thousands of physicians benchmarking millions of patients in a secure database. Providing clinical insight in a proactive manner. Analytics lead physician directly to action. High Value Questions: Chief Medical Officer: How are my clinicians performing vs. hospitals like mine? Clinician: How am I performing for my patients? Clinician: Which patients need help now? 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Planned Technical Roadmap 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Planned Technical Roadmap Topics Enterprise RCM Desktop & User Interface Server, Infrastructure Services, Reporting & Database Enterprise RCM Solutions 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 GE’s discretion and are subject to change and applicable regulatory clearance.

CloudHouse Application Anywhere Desktop & User Interface Deploy rapidly using controlled self-service capabilities Minimize administration and significantly cut costs compared to traditional approaches Application runs in virtual environment on user PC 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 GE’s discretion and are subject to change and applicable regulatory clearance.

User Interface Refresh Desktop & User Interface Re-Engineer forms using standard HTML (Predix HDx) Web baseline forms move off telnet connection Workflow, Form interaction and validation remains the same 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 GE’s discretion and are subject to change and applicable regulatory clearance. 23

Planned Technical Roadmap In Progress Done Extended ETM for HPA and MCA Windows 8.1 Support (CB 5.2) (8.0 not supported) Patient Picture in the banner Internet Explorer 11 Support (CB 5.1.1) User Interface Standardization (CB 5.1.1) Desktop & User Interface User Interface Zero Footprint Under Consideration Predix for Healthcare CloudHouse Offering 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Planned Technical Roadmap Server, Infrastructure Under Consideration Done In Progress Microsoft SQL 2012 support for Web Server Caché 2014 Support Cloud & VM infrastucture Security Management Upgrades Linux Support and HA Windows Server 2012 Security & upgrade simplification (CB 5.2) Security Audit, LDAP enhancements (CB 5.2) 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Prospective Payment System Services, Reporting & Database 3M’s Prospective Payment System (PPS) is our new solution as a grouping and pricing solution Web service integration direct to 3M – no middle level server Faster turn-a-round on regulatory updates New grouper options 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 GE’s discretion and are subject to change and applicable regulatory clearance. 26

Planned Technical Roadmap Done In Progress BCM DeepSee Cubes & Dashboard Replace Cognos with InterSystem’s Zen (CB 5.2) 3M Grouper/Pricer for HPA Ensemble business Services for Financial Risk Management (FRM) (CB 5.1.1) 3M Grouper/Pricer (MCA/FRM) 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 GE’s discretion and are subject to change and applicable regulatory clearance. Services, Reporting & Database Under Consideration Complete InterSystem’s Zen reports migration Web service integration with InterSystem’s Ensemble InterSystem’s DeepSee Cubes & Dashboard (FRM) Open up ETM to external input/tasks

EDI Future State Current State GM Enterprise RCM Solutions Claims / Remits Transactions SaaS Hosted Claims Manager Payer-Provider connectivity Provider-Provider connectivity Attachments Patient liability estimator Trad. X12 Electronic claims submission Remits Electronic Eligibility Claim Status Reporting Ingest registry data KPI Dashboards Reimbursement benchmarking Optimization services “Insight” Sales Prescriptive analytics Analytics 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Analytic Enterprise RCM Solutions Analytics Phase 1: Phase 2: Phase 3: Uplift Iterate Elevate Origin Analytics v6, DeepSee, Zen FastWorks Prototyping, Predix Integration Predictive and Prescriptive Solutions Moving from simple historical reporting into predictive and prescriptive analytics Elevating our Centricity Business Informatics BI solution to a complete web deployment 001 101 Leveraging embedded InterSystems tools to offer realtime analytics Rapid prototyping of next-gen solutions using FastWorks methodology and GE’s Predix Visualizations Tapping into data scientists at GE’s Global Research Center to harness healthcare’s expansive data streams to push analytics further Improving analytics capabilities to creates new value from data 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 GE’s discretion and are subject to change and applicable regulatory clearance.

Planned Technical Roadmap Enterprise RCM Solutions Done In Progress Under Consideration RedHat Linux, Oracle 11g & CORE certification Replace eGate with open sourcebased stack (EDI) Software as a Service, Payor workflow integration (EDI) (EDI 6.2) MU2 Certification (POL 13 SP3) 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 GE’s discretion and are subject to change and applicable regulatory clearance. CB Informatics Uplift to Origin Analytics web platform (BI) Next Generation Analytics using Predix Visualization (BI) Credit Card PA-DSS 2.0 certification HL7 FHIR, Support for CB Service Layer (POL) (Clinical Connectivity)

Thank you! Q&A 31

Predix for Healthcare Concept Specialize Predix where necessary to create next-generation healthcare domain solutions Predix for Healthcare Predix GEHC App GEHC App GEHC App Predix Runtime Fabric (Servers, VMs, Devices, etc.) Built on Predix industrial internet platform Delivers healthcare-specific content, services and technologies

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