Press Release

PHILADELPHIA, November 10 /PRNewswire/ -- Elsevier (http://www.elsevier.com), a world leader inhealthcare and medical publishing and online solutions, today announced thatTrinity Health (http://www.trinity-health.org), the nation's fourth largestCatholic health system with 44 hospitals across eight states, will installseven of Elsevier's online clinical decision support (CDS) solutions to meetthe evolving needs of its thousands of physicians, nurses, pharmacists andallied health professionals for evidence-based clinical content.

Trinity Health chose Elsevier's comprehensive,interdisciplinary and integrated suite of CDS solutions, including ClinicalPharmacology (http://www.clinicalpharmacology.com), which delivers expertdrug information; ToxED 2.0 (http://www.toxed.com), which facilitatestreatment of drug overdose emergencies; First Consult, which providesevidence-based answers at the point of care; MD Consult (http://www.mdconsult.com), which brings leading medical resources together ina single online service; Mosby's Nursing Consult (http://www.nursingconsult.com), which helps nurses find answers to pressingclinical questions; Mosby's Nursing Skills (http://www.mosbysnursingskills.com), which presents nearly 1,000 interactiveskills adapted from nursing reference texts; and Mosby's Index(http://www.mosbysindex.com), the most robust nursing and allied healthjournal abstracts and indexing database available.

"Trinity Health places a high value on evidence based care andwill support this by expanding our licensing to every single facility withinour organization. This is world-class content for clinical professionals inmedicine, nursing and pharmacy," said J. Michael Kramer, MD, MBA, ChiefMedical Information Officer (CMIO), Trinity Health. "Elsevier's suite of CDSsolutions will enhance our journey toward Magnet status and create a commonreference for generating evidence-based practice standards."

Elsevier CDS solutions will be installed in numerous criticalaccess facilities, long term care and ambulatory facilities in California,Idaho, Indiana, Iowa, Maryland, Michigan and Ohio.

"Elsevier will provide CDS solutions that deliver timely,consistent and accurate information for enhanced diagnostic and treatmentdecision making," said Chris Dillon, Managing Director, Elsevier ClinicalDecision Support. "When Trinity Health's diverse care providers can accessthe same high-level evidence-based content, they'll be better positioned tomake informed decisions, coordinate care, engage patients and families andenhance quality, safety and efficiency."

"Online decision support solutions, including the ElsevierMosby's Nursing Suite, will play a vital role in fulfilling Trinity Health'smission to improve the health of our communities and to steward the resourcesentrusted to us," said Gay Landstrom, MS, RN, Senior VP & Chief NursingOfficer (CNO) for Trinity Health. "The adoption and use of Elsevier'ssolutions will help us to create the services, processes and structures thatwill improve and sustain the health of the patients and families we serve."

About Elsevier

Elsevier is a world-leading publisher of scientific, technicaland medical information products and services. The company works inpartnership with the global science and health communities to publish morethan 2,000 journals, including The Lancet (http://www.thelancet.com) and Cell(http://www.cell.com), and close to 20,000 book titles, including majorreference works from Mosby and Saunders. Elsevier's online solutions includeScienceDirect (http://www.sciencedirect.com), Scopus (http://www.scopus.com),Reaxys (http://www.reaxys.com), MD Consult (http://www.mdconsult.com) andNursing Consult (http://www.nursingconsult.com), which enhance theproductivity of science and health professionals, and the SciVal suite(http://www.scival.com) and MEDai's Pinpoint Review (http://www.medai.com),which help research and health care institutions deliver better outcomes morecost-effectively.

A global business headquartered in Amsterdam, Elsevier(http://www.elsevier.com) employs 7,000 people worldwide. The company is partof Reed Elsevier Group PLC (http://www.reedelsevier.com), a world-leadingpublisher and information provider, which is jointly owned by Reed ElsevierPLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam),REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

About Trinity Health

Trinity Health is the fourth-largest Catholic health caresystem in the country. Based in Novi, Mich., Trinity Health operates 44acute-care hospitals, 379 outpatient facilities, 33 long-term carefacilities, and numerous home health offices and hospice programs in eightstates. Employing 45,800 full-time staff, Trinity Health reported $7.0billion in unrestricted revenue and nearly $400 million in community benefitsin fiscal year 2009. For more information about Trinity Health, visithttp://www.trinity-health.org or become a fan of the Trinity Health Facebookpage at http://tinyurl.com/ylpm3np.

  Tom Reller Director, Corporate Relations +1-215-239-3508 T.Reller@Elsevier.com