Microsoft & Sentillion:Accelerating Insight to Action

Microsoft & SentillionHistory of our Relationship

Sentillion• Founded in 1998 as a spin-off from Hewlett Packard

• Rated #1 SSO vendor in healthcare by KLAS in 2007, 2008, and 2009

• Used by 500,000 caregivers in more than 1,000 hospitals across the US, Canada, and the UK

• Market leader in healthcare for SSO and context management

Microsoft & Sentillion Relationship• Strategic partnership for more than a decade

• Products built on the Microsoft product stack (Windows®, Active Directory®, SQL Server®)

• Worked together to release the Context Management Module with Microsoft® Amalga™ Unified Intelligence System 2009 (UIS),

• Microsoft acquired Sentillion (closed February 1, 2010)

What does this acquisition mean to our customers and prospects?

• Simpler way to access and use applications and information

• Sentillion + Microsoft – leading the way to make full use of data assets

• Broad solution portfolio to provide clinicians with new insights to patients in real-time

4

What is the plan for a combined product roadmap?

• Product Alignment – ensuring our products play nicely in the customer environment. (e.g., Windows 7 and Volume Licensing for Sentillion solutions)

• Product Integration - ensure our products operate well together (e.g., context support within Amalga and the ability to proVision a user’s identify in Amalga)

• Product Innovation – new solutions from the combined teams based on customer needs

5

Amalga UIS & SentillionLiberate, Empower, Connect

Amalga UIS & Sentillion together empower users by accelerating insight to action

Empower People

Connect Care

• Breaks barriers between care settings, facilitating workflows across organizational boundaries

• Supports the organizational efforts to drive for lower cost and more efficient care

• Improves clinical workflow efficiency by easing the transition between applications

• Empowers end users to more rapidly make decisions and take actions that improve patient care and drive continuous improvement

• Enables users to leverage existing best -of-breed clinical applications

• Elevates both data and workflow above the level of individual applications or data sources

• Liberates data and context to be shared between Amalga and other applications

Liberate Data

.

Sentillion ProductsProduct Stack

Single Sign-OnEasy, fast multi-application

log on and log off

User ProvisioningPragmatically enable the right people to access the right systems when they need to because they are allowed to

Clinical WorkstationEasy, fast, patient-centered role-based multi-application

access

Advanced AuthenticationStreamlined strong

authentication for efficient clinical workflows

Advanced AuditingMonitor caregiver access to

electronic health records

expreSSO.expreSSO Benefits

Helps Improve Efficiency and Reduce Cost• Reduces caregiver time spent logging-in and searching for patients

• Helps drive adoption of clinical applications

• Fast access to data encourages more informed decisions about the health of patients

• Self-service password reset eliminates help desk calls

Helps Improve Security and Patient Safety / Privacy• Verifies caregiver is authenticated in every application

• Enables caregivers to spend more face-to-face time with patients

• Built-in support for secure authentication

• Automated logoffs help protect against unauthorized access to patient data

Vergence.Vergence Benefits

Helps Improve Efficiency and Reduce Cost• Reduces caregiver time spent logging-in and searching for patients

• Helps drive adoption of clinical applications

• Enables caregivers to make more informed decisions about the health of their patients

• Secure, self-service password reset eliminates help desk calls

Helps Improve Security and Patient Safety / Privacy• Identity and access management helps ensure security of patient data

• Context management helps ensure accurate patient selection

• Enables caregivers to spend more face-to-face time with patients

• Built-in support for strong authentication devices

• Automated logoffs help protect against unauthorized access to patient data

• Central auditing helps track user activity and prevent wrongdoing

proVision.proVision Benefits

Helps Improve Efficiency & Reduce Cost• Trends towards zero day provisioning

• Provides self-service for non-technical users (e.g. password reset)

• Propagates new accounts to multiple applications

• Synchronizes account updates between applications

Helps Improve Security and Privacy• Streamlined administration and centralization of security policies

• Easy de-activation of obsolete accounts

• Streamlines process of mandatory periodic password change

• Provides more rigorous enforcement of security policies

• Formal approvals from authorized users for outstanding provisioning requests

• Provides Compliance Reporting Capabilities

• Leverages existing enterprise directory for authentication

Helps Improve Efficiency & Reduce Cost• Even faster access to data and applications (in one study reduced logon process by 6.4 sec)

• Allows caregivers to roam on shared workstations in a designated area

• Ease of locking and unlocking sessions encourages users to comply with security policies

Helps Improve Security• Passive proximity badge provides strong authentication

• Facilitates re-authentication required by many applications

• Built on security infrastructure provided by expreSSO and Vergence

• Easy logoff process helps protect against unauthorized access to patient data

Way2Care.

Way2Care.Way2Care Benefits

PrivacyAuditor.Privacy Auditor Benefits

Helps Improve Security• Tracks application access by user across the enterprise

• Who accessed which patient record

• When, where, and how often the access occurred

• Improves regulatory compliance (HIPAA, SB 541, etc.)

Helps Improve Efficiency• Reduces time to complete external audits

• Prevents key logging applications from capturing keystrokes

• Rapid investigation and reporting of non-compliance

• Helps increase operational optimization by providing the ability to analyze systems behavior and utilization

Sentillion VergenceVergence Impact

Community

Average Time to Sign-On

Average Time to Select a Patient

100

50

20

40

60

80

100

120

Pre-Live With Vergence

Tim

e (s

eco

nd

s)

All Applications

CPOEClinical Document

PACSDictation

107

7

0

20

40

60

80

100

120

Pre-Live With Vergence

Tim

e (s

eco

nd

s)

All Applications

CPOE

Clinical Document

PACS

Dictation

Scope and Objective• Provide caregiver sign-on and context management

for ~7,000 users across five facilities

• Reduce caregiver time spent logging on and searching forpatients

Business Problem• Physicians spend 30-60 minutes daily just to sign-on

and select patient data in multiple information systems

• Potential for compromised IS access

• Low caregiver satisfaction with IS

Sentillion Solution• Implemented full Vergence offering with SSO and context

management

• Reduced sign-on time from 100 seconds to 5 seconds

• Reduced patient selection time from 107 seconds to 7 seconds

• Resulted in improved caregiver satisfaction

Sentillion proVisionproVision Impact

Community

Average Time to Fulfill Request

Number of Monthly Requests

Scope and Objective• Centralize provisioning solution to manage ~30,000 identities

• Reduce time to fulfill requests

• Reduce staffing needs

• Reduce errors

Business Problem• Costly, labor intensive provisioning process

• Provisioning process error prone because of manual data entry

• Provisioning backlog of 2-3 weeks per user

• Rapid change and turn-over of identities for current users

Sentillion Solution• Sourced existing identity data from HR system

• Reduced staff requirements

• Virtually eliminated error rate

• Lowered time to fulfill requests to 2-3 days

050

100150200250300350400

Pre-Live 1-MonthLater

1-YearLater

2-YearsLater

Tim

e (h

ou

rs)

0500

1000150020002500300035004000

Pre-Live 1-MonthLater

1-YearLater

2-YearsLater

Nu

mb

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f R

eq

ues

ts

Amalga UIS & SentillionBetter Together

Helps Elevate Quality of Care for Patients

• Use of Amalga together with other clinical applications help caregivers make moreinformed decisions

• Automatic selection of patients help caregivers select the right patient

• Security features help enforce valid authentication and authorization

Helps Improve Efficiency for Caregivers

• Caregivers spend less time executing repetitive tasks (logging-in, searching)

• Caregivers are able to spend more face-to-face time with patients

Helps Reduce Costs and Provide Better Controls for Providers

• Helps improve adoption and utilization of IT assets

• More informed decisions can produce superior quality of care and reduce length of stay

• Helps reduce costs through better efficiency and operational awareness

Sentillion

Amalga UIS & SentillionArchitecture

Existing Healthcare and Life Sciences Applications HealthVault Partner Applications

Amalga UIS

ModulesMedical Imaging Research

Context MgmtQuality

Measures

Windows, Office, SharePoint®, SQL Server…

Enterprise Consumer

Other HealthVault™

Partner Applications

Country, State or Regional Government Connected Heath Solutions

Amalga UIS & SentillionUser Stories

Community

Proactive Action

Trey Healthcare

Contoso Medicine

Neil Orint MD, Cardiologist

Mark Steele MD, Primary Physician

Karen Berg, Dietitian, RD

Neil Orint MD, Cardiologist

Amalga UIS & SentillionCustomer Use Cases – Enabling evidence based medicine

BenefitAmalga UIS and Sentillion enable caregivers to monitor core measure compliance and take immediate action while the patient is in the hospital.

• Dr. Orint is viewing a cohort of core measures patients in the Amalga Quality Measures Module to ensure full compliance with CMS requirements

• He notices that one of his patients, Kevin Liu, has not received aspirin

• He launches the hospital CPOE system to place an order for aspirin. Through Sentillion Bridge technology he is automatically logged-in to the CPOE system and the medication list for his selected patient is displayed

• Dr. Orint places an order for aspirin in the CPOE system

Karen Berg, Dietitian, RD

Amalga UIS & SentillionCustomer Use Cases – Taking proactive action

BenefitAmalga UIS & Sentillion together empower care givers with the ability to take proactive action on preventative care to improve patient outcomes

• Karen reviews data in a custom Amalga UIS dashboard and identifies diabetic patients’ health trends and patterns

• She notices that one of her patients, Ben Smith, is getting the right level of exercise but blood glucose is still high

• Karen opens her dietetics software application to modify Ben’s personalized diet plan

• She is automatically logged into the application and Ben’s diet profile is displayed

• She makes the modification and e-mails him the new plan

Mark Steele MD, Primary Care Physician

Amalga UIS & SentillionCustomer Use Cases – Making informed decisions

BenefitAmalga UIS & Sentillion together connect care and provide a seamless user experience for care providers

• Dr. Steele is a Primary Care Physician working in his own practice. He is treating a patient named Judy Lew who has been complaining of lower abdominal pain and has referred her to a specialist in gastroenterology

• Judy has recently had her examination and is now returning for a follow-up with her primary care physician Dr. Steele

• Dr. Steele is looking at her patient profile in his own local EMR system. He wants to review the images from her test results and opens the Amalga UIS system located on the hospital network

• He is automatically logged on to Amalga UIS and Judy’s patient profile and image results are displayed

Q&A.

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