Cautionary Language Concerning Forward-Looking Statements

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Safe Harbor Statement

Cautionary Language Concerning Forward-Looking Statements

This presentation contains descriptions of products, services,

features and functionalities that AT&T envisions for the

future. AT&T reserves the right to modify, delay or

withdraw any such product, service, feature or functionality.

This document is not an offer, commitment, representation or

warranty by AT&T and is subject to change.

1

AT&T Telehealth,

m-Health and Health

Information Exchange

Jeff Dygert, Executive Director, Public

Policy

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AT&T ForHealth

SM

We believe that the use of technology and

smart networks can create a healthier world.

3 Why

• AT&T provides healthcare coverage for

1.2 million

people

– 714,000 active employees and dependents

– 505,000 retirees and dependents

Healthcare is Important to AT&T

• Total Annual AT&T Healthcare Expense

$5.5 billion

Who

• Serves

10,000+

healthcare facilities

– Addresses the whole ecosystem including hospitals,

pharmacos, payors, physicians, nursing homes, mental

health consortiums, distributors

How

• Healthcare-focused

organization

– 300+ dedicated healthcare team

Affiliation

Participation

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AT&T Telehealth

AT&T is uniquely positioned to deliver Telehealth

solutions by combining a powerful array of

network resources, video conferencing, and

networked medical devices to provide virtual visits

and monitoring between physicians and patients.

5 Our Telehealth Technology Solutions

enable healthcare professionals to

evaluate, diagnose and treat patients in

remote locations

Market Needs

• Extend the reach of

clinicians beyond metro

clinics/hospitals

• Make specialty medical

care available across a

wider geography

Customer Benefits

• Expands the reach of

scarce specialty care

• Reduces time and cost

associated with travel for

medical care

• Creates an efficient

AT&T Functionality

• Virtual Care

–

Non-managed solution with

video conferencing

equipment and AMD

medical peripherals

• ATS Telehealth

– Fully

managed solution with

6

• Accelerate critical

medical interventions

means to deliver

continuing medical

education and grand

rounds

• Decreases hospital

readmission rates

managed solution with

(4)

Funding Telehealth

American Recovery and Reinvestment Act (ARRA)

¾

$1.4 billion to initiatives across the U.S. and territories

Federal Grants

USDA Di t

L

i

d T l

di i

P

(DLT) i d i

d

¾

USDA - Distance Learning and Telemedicine Program (DLT) is designed

specifically to meet the educational and health care needs of rural America.

¾

Health Resources and Services Administration (HRSA) - Telehealth Resource

Center Grant Program (G22), Telehealth Network Grant Program (H2A)

CMS Reimbursement for Telehealth

¾

HCPS code Q3015 can be charged by a rural clinic/facility as

a Telehealth originating site facility fee (Currently about $24)

¾

66 CPT/HCPS reimbursable codes for professional services

7 provided by the distant site physicians and practitioners

¾

Outpatient visits

¾

Individual psychotherapy

¾

Psychiatric diagnostic interview

¾

End-Stage Renal Disease

related service

¾

Medical nutrition therapy

¾

Pharmacological management

¾

Follow-up inpatient consult

¾

Neurobehavioral status exam

AT&T has retained the services of Grants Office LLC to launch a

program that:

AT&T Grant Support Program for Healthcare

Expertise from a grants specialist at no cost to you

• Helps you identify funding for your patient care initiatives

Provides a Grant Research Customized Report that identifies

• Provides a Grant Research Customized Report that identifies

grant options for your healthcare projects

• Offers a Consultative Call with insight on the most viable

grant opportunities

• Includes a Four-Part Webinar Series sponsored by AT&T

–

Medicare and Medicaid Incentives

–

Mobile Telehealth Funding

–

Regional Funding for Health Information Exchange

For more information, presentation and replays, or to register for future

webinars, please visit

http://www.corp.att.com/healthcare/grants_office.html

Please note: AT&T neither writes grants or offers assistance beyond providing

necessary and pertinent information.

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Telehealth

Mobile Health

AT&T healthcare strategy

AT&T

Healthcare

Community

Online

Electronic Medical

Records

_{Information Management}

Medical Imaging &

9 Telehealth: Portfolio

•Managed AT&T Telepresence Solution

with Custom “Pod.”

•Specialized Teleclinic peripherals:

blood pressure cuff, pulse oximeter,

t

l

t

ATS Telehealth

• Patients monitored remotely utilizing a

combination of:

•Broadband connectivity

•ZigBee wireless

Remote Patient

Monitoring

Remote Patient

Monitoring

•Non-managed solution that includes

medical devices to capture a patient’s

vital signs aligned with video

conferencing from Polycom and Cisco.

E

bl l

ti

d

i t

ti

d

Virtual Care

otoscope, general exam camera, etc.

•Both physician and patient have

endpoints.

Use environments:

•Hospitals

•Rural Clinics

•Retail Centers

•Employer Retail Clinics

ZigBee wireless

•Multimedia protocols

•Secure databases

•Advanced sensors

•Wifi and cellular

• Available devices can measure:

temperature, weight, pulse rate, blood

oxygen level, blood-pressure, and blood

glucose.

Use environments:

•Hospitals

•Home Health Agencies

•Long Term Care Facilities

•Nursing Homes

•Physicians

•Enables real time and interactive second

opinions, consultations, and follow up.

•Both physician and patient have

endpoints.

Use environments:

• Hospitals

• Physician Offices

• Rural Clinics

• Retail Centers

• Employer Retail

Clinics

Pilot Status

In R&D

10

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AT&T Telepresence Solution: Telehealth

Cisco

Managed AT&T

Telepresence Solution with

custom “Pod.”

•Specialized Teleclinic peripherals:

blood pressure cuff, pulse oximeter,

otoscope, general exam camera, etc.

•Both clinical locations have Cisco

HealthPresence endpoints.

Use Cases

•Delivering rural healthcare

•Retail and employment center

healthcare delivery

•Continuing medical education

AT&T

Business

Exchange

Equipment

• Video Conferencing Equipment (Cisco HealthPresence)

• Medical Peripherals (AMD Telemedicine)

• Connectivity (Infrastructure / AT&T Business Exchange)

Note: Teleclinic is currently in pilot/testing phase only and is not available generally

.

11 AT&T Virtual Care

Non-Managed

Stand-alone solution that

includes medical devices to

capture a patient’s vital

signs aligned with video

conferencing.

•Enables real time and interactive

second opinions, consultations, and

follow up.

•Facilitates deaf & language

interpretation which are legislatively

mandated today.

•Some Medicare and Insurance

reimbursement (varies by state.)

Use Cases

•Delivering rural healthcare

•Retail and employment center

healthcare delivery

•Continuing medical education

Equipment

o

Video Conferencing Equipment

o

Tandberg/Cisco

o

Polycom

o

Medical Peripherals - Standard Package

(AMD Telemedicine)

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• Erases distance barriers

between patient and

AT&T Telehealth

Connecting and collaborating

between patient and

caregiver

• Extends reach

• Improves care to specific

populations

P

id fl ibilit

13

• Provides flexibility

• Effective response to

emergencies or disasters

Remote Monitoring

Offer in development and under evaluation

Patients can be

monitored remotely via

electronic technology

utilizing a combination

of:

•Broadband connectivity

•ZigBee wireless

•Multimedia protocols

•Secure databases

•Advanced sensors

•WiFi and Cellular

Available devices can

measure:

•Temperature

•Weight

•Pulse rate

•Blood oxygen level

•Blood-pressure

•Blood glucose

Use Cases

•Monitoring of patients in home or

in nursing homes.

•Monitoring for clinical trials

Equipment

• Actuarius Medical Gateway

• Medical Peripherals

• Connectivity

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AT&T Healthcare Community Online

Sharing data to improve care

• Increases quality of

care by giving

physicians relevant

medical data in

real-time

• Enables interoperability

and retrieval of clinical

data across continuum

15 of care

• Reduces costs by

automating clinical and

administrative

processes

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Use Case: Optimize Scarce Resources

with Virtual Experts

Situation

Regional U.S. healthcare provider with:

Limited clinician resources

Remote and rural patients

Challenge

Seeking cost efficiencies in scaling

Benefits

Illustrative

Challenge

Seeking cost efficiencies in scaling

service

Specialized diagnosis and care

traditionally require face-to-face

interaction

Solution

Telehealth video pods in the remote

locations connecting to the hub

hospitals in larger metropolitan areas

Result

Services now available in remote and

rural settings via virtual care:

Improved access

to scarce medical

expertise

Improved quality

of care

Reduced cost of

care

g

Specialty care

Physician to physician consultation

Continuing education

Specialized diagnostic

Physicians' collaboration improves

diagnosis and treatment Æ reducing

cost of care

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