Information Technology

Stephen BrownChief Information Officer

2

IT Remains Targeted on Achieving Key Tenet Business Objectives

• Excellent Clinical Quality

monitoring systems

• Expanding front-line Clinical Systems

• Excellent physician facing

information systems

• Excellent consumer information

systems

• High performance Revenue

Management systems

• Excellent business back office

information systems:

– Labor

– Supplies

– Logistics

– Business Intelligence

• Improve clinical

outcomes

• Grow both inpatient

and outpatient

volumes consistent

with TGI

• Retain and recruit

great employees and

physicians

• Improve cost metrics,

especially labor

productivity

3

Tenet’s Consumer Tools Create New Business and Support Patient Satisfaction

Patient Self Diagnosis

Physician Referral

Communicating Clinical Quality

Hospital Services and Events

Health Condition Education

Patient Pre-registration

Patient Kiosks

Free Internet Access

The Virtual Nursery

On-line Bill Pay

4

Patient Guidance from Diagnosis to Referral

5

Patient Guidance from Diagnosis to Referral

6

Patient Guidance from Diagnosis to Referral

7

Communicating Tenet Clinical Quality

8

Education Tools Support the Patient Experience

9

Patient Access to Hospital Services

10

Patient Access to Hospital Services

11

Patient Access to Hospital Services

12

Streamlining Registration and Admitting is a Key Objective – Pre-registration

13

Streamlining Registration and Admitting is a Key Objective – Kiosks and Tablet PCs

14

Patients, Families and Friends can Remain in Contact via Free Internet Service

15

Newborn Events can be Shared through our Growing Family Virtual Nursery

16

The On-Line Bill Pay Option Adds Another Layer of Convenience

17

• Personal Health Records

• Appointment requests

• Website editing tools for

the hospitals

• Fresh, new look & feel

What’s Next?

18

Patient Scheduling

Emergency Department

Single Sign-on

Physician Portal

- Patient Location

- Clinical Results

- Medications

PACS Medical Images

Medical Chart Electronic

Imaging and Signature

Productivity and Easy to Use Tools are Important to Dr. Cogan

19

• 40 sites ‘live’ with enterprise scheduling

• 7 additional hospitals will be completed by year end

Pre-registration

services

Single point

of contact

Rules-based

resource

coordination

Enterprise Patient Scheduling

20

• 32 hospitals ‘live’

• 16 additional sites schedules through 2009

Emergency Department

21

• 42 hospitals ‘live’, all hospitals ‘live’ by Q1 2009

Single Sign-On

Single Sign-On

22

Physician Portal

• All hospitals ‘live’

Lab and

Radiology

results

Medical

Images

Patient

Location

Medication

History

23

• 49 hospitals ‘live’

• 7 hospitals ‘live’ with full motion cardio-PACS

PACS – Radiology Image Access

24

• All hospitals ‘live’ by end of 2008

April 23, 2001 – 6:47 am

Deficiency List

Electronic signature

View scanned and

electronic documents

Document Imaging

25

And, We are Researching Several Potential High-Value Initiatives This Year

• Pilot Physician handheld devices integrated with

our Physician Portal

• Pilot full Electronic Medical Record integration for

employed physicians

• Pilot clinical data ‘Push’ technology to provide

real-time results directly to an affiliated physician

Electronic Medical Record

26

IS is Built Upon Design Principles and Architecture that is Highly Cost-Efficient

• Technology and software applications are standardized

across Tenet hospitals

• Outsourcing of virtually all non-management

IT capabilities

– Shared, centrally hosted data center

– Centrally run applications

– End-to-end support

• Leveraging of centralized expertise across hospitals

• Blend of on-shore and off-shore IT workforce to reduce

development and support costs

27

As a Result, Tenet Delivers Highly Effective IT for a Cost that is Far Less than our Peers

Source: Gartner: Summary of 2005 Integrated Delivery Systems IT Budget and

Staffing Study – Average Percentage of Operating Expense budgeted for IT; HIMSS:

2007 Annual Report of the US Hospital IT Market – Average IT Operating Expenses as

a Percentage of Total Operating Expense for IDSs; Tenet analysis

2008 IT Operating Expense as % of Hospital Operating Expense

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

Gartner Summary of 2005

IDSs

HIMSS 2007 Annual Report

for IDSs

Tenet

28

IT Remains Targeted on Achieving Key Tenet Business Objectives

• Improve clinical outcomes

• Grow both inpatient and

outpatient volumes

consistent with TGI

• Retain and recruit great

employees and physicians

• Improve cost metrics,

especially labor productivity