Elevating Healthcare through Advanced Communications Agenda CUSTOMER

Elevating Healthcare through Advanced Communications

Agenda CUSTOMER Requirements Meeting Today’s Healthcare Challenges w Enhancing Patient Care w Improving Safety & Security w Reducing Operating Costs DAKS Product Overview w Features & Capabilities w Deployment Questions & Answers 2

Challenges for Healthcare Today’s Environment and Challenges w Enhancing Patient Care Mobility of personnel resources · Critical care collaboration · High visibility and liability associated with errors and failures · w Improving Safety and Security · · · Heightened possibility of threats to public safety First responders collaboration Off-duty staff mobilization Stress-induced human error Multiple constituency situation updates w Reducing Operating Costs Mobility of personnel resources · Reduce conference costs · Reduce resource requirements for routine procedures · Key to Meeting these Challenges w Assume a Readiness Posture – Proactive and Reactive w Rapid and Reliable Communication and Collaboration 3

Meeting Healthcare Challenges Enhanced Patient Care Key Factors w Prompt attention to patient needs w Available, informed and mobile staff w Available, accessible and operational equipment w Improved workflow and process throughput Solutions for the Collaborative, Mobile Healthcare Enterprise Application Scenarios w Nurse Call Mobility w Patient Monitor Alerting w Code Blue w Test Results and Orders w Critical Resource and Asset Tracking 4

Enhancing Patient Care Alerting and Collaboration Workflow Point-of-Care Alerts issued to mobile nursing and clinical staff Reliably Drive Urgent Mobile and Fixed Staff and Assets Workflow and Messaging 1 Information to Mobile Staff 2 Members Staff can quickly react, communicate and collaborate Wireless Controller-based wireless LAN solution for optimized LAN voice communication Phones Vital sign monitor for alarming and observation Quality of Service Bandwidth management to secure life critical alarming Vo. IP Server Communication between patient and nurse Alerting Engine High reliable distribution of alarms and critical events Location Tracking Integration platform for test results, orders and other patient care related alerts Nurse Call Nurse call system for alarming and communication Patient Monitor Patient Phone Mobile and desktop phones for managing alarms and call back to patient Providing alarms to any kind of device Staff and equipment location, tracking and alert triggers 5

Enhancing Patient Care Nurse Call Mobility Can’t Answer Patient Call Phone Rings 1 Answers Call Integrates: • Rauland-Borg Nurse Call • Hi. Path Hi. Med • Hi. Path DAKS • Hi. Path 4000 • Hi. Path Wireless • opti. Point WL 2 • Cor. Net-IP Alert Next Nurse 0 Patient Call Mobility and Enhanced Productivity of Nursing Staff in Responding to Patient’s Request for Assistance Accept Request Proceed to patient room to clear request Connect to Patient Room 5 Consult, hang up and clear request (except shower cord requests) or Nurse Call ST 3 RM 11 B 2 Reassert request based on assessment of severity: 1 STAT (emergency) 2 Green (high) 3 Yellow (medium) 4 Orange (low) 6

Enhancing Patient Care Patient Monitor Alerts Mobility and Improved Responsiveness 1 Care staff are called on wireless phones with emergency ring tone and text display of critical values Mobile wireless monitors and fixed wired monitors raise threshold alarms 2 A of Clinicians Monitoring Changes in Patients’ Vital Signs ALERT Mon 6 Bed 2: HR 68 Integrates: • Draeger Monitor • Draeger Infinity Gateway • Hi. Path DAKS • Hi. Path 4000 • Hi. Path Wireless • opti. Point WL 2 • Cor. Net-IP Notify attending physician 2 B Notify on-duty nurse 3 ALERT Mon 6 Bed 2: HR 68 If nurse does not answer, another nurse is called and/or nurse station is alerted 7

Enhancing Patient Care Code Blue Immediate Notification and Collaboration for Emergencies 1 A Response Center alerted and connected to calling nurse Nurse pushes Code button in patient room or unit 2 B Integrates: • Rauland-Borg Nurse Call • Hi. Path DAKS • Hi. Path 4000 • Hi. Path Wireless • opti. Point WL 2 • Cor. Net-IP 2 A 1 B Responding to shout from attending nurse unable to reach Code button, associate nurse uses speed dial to initiate Code response CODE BLUE ICU Unit 490 Code Team called on wireless phones with emergency ring tone and text display of Code location 8

Enhancing Patient Care Accelerating Communication Simultaneously Call Multiple Expert Resources I need to speak with a specialist. The First Resource to Answer is Connected Directly to Caller and Other Phones Stop Calling 9

Enhancing Patient Care Test Results and Orders 4 Efficient and Timely Delivery of Critical Test Physician views results and posts orders Results to Clinicians Integrates: • Siemens OPENLink • Hi. Path DAKS • Hi. Path 4000 • Hi. Path Wireless • opti. Point WL 2 • Cor. Net-IP DAKS alerts physician to availability of test results 3 1 2 Test results post for a patient of interest 6 DAKS alerts duty nurse or nurse station to availability of posted orders 5 Interface performs rules-based mapping of posted orders to mapping of posted results to aa DAKS notification request 10

Enhancing Patient Care Critical Resource and Asset Tracking Real-Time Location System Alert security personnel Improved Availability and Security of Staff, Mobile Assets and Critical Diagnostic and Treatment Equipment Integrates: • Ekahau RTLS • Ekahau Wi. Fi Tags • Hi. Path DAKS • Hi. Path 4000 • Hi. Path Wireless • opti. Point WL 2 • Cor. Net-IP Alert service technicians and scheduling managers Detect assets wandering away from authorized areas Monitor service and fault alerts on critical equipment Locate people and mobile assets 11

Enhancing Patient Care References Buying Motivation A clinical laboratory alerting system used at LDS Hospital to increase the likelihood that patients in life-threatening situations receive appropriate care decreased length of stay by up to 6 days for some conditions. Tate KE, Gardner RM, Weaver LK, A computerized laboratory alerting system, M. D. Computing, 1990, 7(5): 296 -301. Several studies investigated the impact of point-of-care alerts and reminders imbedded within an EHR system during the process of documentation or entry of orders into the system. These decisionsupport functions within an EHR system, when accompanied by the required changes in process and communication, altered physicians’ ordering behaviors by facilitating appropriate resource utilization and reducing unnecessary charges. Costs and Benefits of Health Information Technology AHRQ; April, 2006. 12

Meeting Healthcare Challenges Improving Safety & Security Key Factors Minimize Scale and Scope Improve Operation Continuity Minimize Duration Safer, More Secure Workplace w Detection and reporting of critical incidents w Immediate and effective collaboration on situation assessment and response strategy w Rapid deployment of response resources w Rapid notification and ongoing communication with affected constituents Application Scenarios w Campus Threat w Staff Call Back w Silent Alarm and Panic Button w Emergency Response Center w Personal Security Communications is the single most important component of how an organization responds to a disaster. 13

Improving Safety & Security Campus Threat Initiate First Responder Emergency Conference Integrated Emergency Collaboration and Alert Notification Simultaneously Intelligently Mobilize Response Resources and Alert Affected People 1 Send Alerts Rescue Services Staff Call Back 2 Activate Dial-in Announcement Services to provide access to situation updates 14

Improving Safety & Security IT or Facilities Management Simultaneously Call Multiple Expert Resources I have a virus on my PC The First Resource to Answer is Connected Directly to Caller and Other Phones Stop Calling 15

Improving Safety & Security Staff Call Back Automated dial-out to home and/or mobile phones with alert announcement and instructions Automated Mobilization of Appropriate Resources Track for each staff resource: w Success or failure of contact and message delivery w Positive or negative response to the call back request Automatic escalation if the call back quota is not satisfied Automatic notifications to supervisors of the result of the call back 16

Improving Safety & Security Emergency Response Center 1 Emergency number is dialed Caller and security agent are setup in two-party no-hold conference with caller location displayed on phone 2 Swift, Intelligent, Effective Mobilization 3 Local security agent can dispatch internal resources and/or join municipal 911 services to the call. Conference call remains active even if the emergency caller disconnects 17

Improving Safety & Security Silent Alarm 1 Employee presses alarm button, telephone key or smart badge Alert notifications delivered to internal security and management personnel With No Audible Sound a Distressed 2 Person Can Request Assistance Emergency conference established among emergency responders 3 18

Improving Safety & Security Personal Security 1 Periodically Contact Staff Member to Assure Safety Monitor People in Hazardous Work Assignments Worker with mobile phone logs in to activate surveillance 2 Calls are placed to worker on a cyclical basis 3 Worker answers surveillance call and reports status 4 If worker fails to answer, alerts are issued to monitoring and/or rescue teams with worker’s last status report 19

Improving Safety & Security Multi-Faceted Resolution Support Comprehensive Response and Resolution Workflow 20

Meeting Healthcare Challenges Reducing Operating Costs Key Factors w Do more with less w Automate manual processes Efficiencies to w Eliminate unpredictable usage fees Drive Lower Operating Costs Application Scenarios w Reduce conference costs w Leverage existing systems and network w Reduce resource requirements for routine procedures 21

Reducing Operating Costs Routine Collaboration Convene Scheduled and Ad Hoc Conferences Leveraging Premise Network In Dial Out Dial 22

Reducing Operating Costs One Number Calling Office Phone Algorithmically Call Multiple Contact Numbers Phase 1 to Reach a Key Resource Caller Can Be Call Dr. Brett @ 1234 Business Cell Phone Informed of the Home Phone Status of the Dialing Phase 2 Delayed Phase 2 Dialing Personal Cell Phone 23

Reducing Operating Costs Nurse Mobility and Alerting ROI Example Percent of on-duty time lost traveling to answer phones and waiting at nurse stations w Journal of Nursing Administration estimate: 10. 1% w Siemens customer survey estimate: 5. 2% Assume a Mobility and Alerting solution can save 25% of that lost time w 25% of 5. 2% represents 1. 3% increase in available work time or reduction in required FTEs per bed For a typical facility of 266 beds, interview data indicates w 5. 0 FTEs per severity adjusted occupied bed w 76. 6% annualized occupancy w Pre-implementation requirement: 1, 019 FTEs Cost savings and/or incremental FTE resource availability w w 13. 25 FTEs based on 1. 3% of 1, 019 FTEs $551, 200 per year based on an average salary of $41, 600 Investment in mobility and alerting solutions: $180, 000 Estimated payback time based on acquisition and annualized operating costs: < 5. 25 months 24

Reducing Operating Costs Mobile Asset ROI Example Typical mobile asset allocation w 60% utilization w 25% of units’ locations unknown w 15% allowance for backup/spare units Typical cost scenario for mobile infusion pumps as cited in Ekahau case studies w Standard requirement for IV pumps: 600 units w Adjusted requirement for “tracked” IV pumps: 500 units w IV pump cost per unit: $5, 000 w Total acquisition cost savings and/or replacement cost deferral: $500, 000 w Investment in asset location tracking solution: $180, 000 w Savings after investment: $320, 000 25

Product Overview

Elevating Healthcare with DAKS Mission Critical Solution Platform Flexible High Performance Integrated Applications § Support simple notification scenarios § No moving parts, magnetic storage or batteries § Intelligent Notifications § High MTBF > 400, 000 hours § On-Demand Information Services § Optimized Linux OS § One Number Calling Services § Support comprehensive incident response and resolution workflows § For routine as well as emergency notification and collaboration scenarios § Strong Integration – protocols and applications § High Performance and Emergency § Low power consumption Conferencing § E-mail to Hi. Path Phones § Wi-Fi Location Services 27

Elevating Healthcare with DAKS Intelligent Notifications Application Contact Strategy Launch Telephone, Pager, and/or E-mail Messages to Prescribed Notification Groups Quickly and Reliably w w w Broadcast Priority Parallel or Sequential dialing Subscriber Priority Level dialing E-mail Notifications Leverage Enhanced Cor. Net-NQ features Contact Acknowledgement w w Simple “any-key” acknowledgement Positive/Negative Confirmation PIN Required Subscriber calls back, enters PIN and confirms Broadcast Success Criteria w Specific number of acknowledgements received w Specific number of contacts completed w Conditional Follow-up Broadcasts w Call back for Completed Message Triggers w Phone Call · · · Prompting dialogs PIN protected Direct or via Scenario w Operator Console · · w w Launch and monitor Direct or via Scenario Electrical Contacts Scheduled Integrated Applications External System Interfaces · · E-mail services Production control Facilities management Custom integrations (via API) w Personal Security Alerts 28

Elevating Healthcare with DAKS Conferencing Application Routine Collaborative Conferences High Performance and Emergency Conferencing w Pre-set conferences w Meet-Me conferences w Ad-hoc and progressive conferences Emergency Conferences w w w Any combination of dial-out and dial-in participants Try alternate phone number if first number is busy Leverage enhanced Cor. Net-NQ features Priority setting to arbitrate allocation of resources Triggered with or without Operator intervention Conferees can be automatically dialed or added via “no hold” Convening and Triggering w w Internal or external telephone Attendant at an operator console Integrated applications Time-scheduled 29

Elevating Healthcare with DAKS On Demand Updates (Info Telephone) Emergency Scenario Support Multi-Channel Dial-In Announcement Services for Up-to-Date Status or Information Messages w Provide situation updates following emergency alerts without burdening support services staff w Optionally allow subscribers to dial in and listen to the last one or two broadcast alert notifications Routine Information Announcements w Post recorded announcements accessible to staff, faculty, students, etc. w Message selection based upon: · Last digits of the dialed number, or · Digit input prompted during the call Announcements are played immediately and always from the beginning 30

Elevating Healthcare with DAKS One Number Calling Services Application Significantly Increases the Availability of Mobile Users and Callers Do Not Wait as Long to Reach the Resource Reach People Quickly and Easily At One Published Telephone Number Group Calling w Dialing a published number calls all members of a group simultaneously w The first person to answer takes the call Personal Calling w An individual can be called simultaneously on several phones assigned to him/her via a single number w Global “follow-me” number management w Reach key decision maker in a crisis situation Features w Different announcements for callers before, between and during dialup phases w Special announcement to called subscribers before connecting to caller w Call Screening with up to 20 authorized callers with up to 9 levels of authorization 31

Elevating Healthcare with DAKS Personal Calling Services Office Phone Algorithmically Call Multiple Contact Numbers to Reach a Key Resource Phase 1 Call Brett @ 1234 Business Cell Phone Caller Can Be Informed of the Status of the Dialing Home Phone Phase 2 Delayed Phase 2 Dialing Personal Cell Phone Slide 32

Elevating Healthcare with DAKS Leverage Cor. Net-NQ Variable Ringing Signals Elevate Awareness Assure Connection Extend Reach w Alarm w Urgent w Normal Station Busy Strategies w Forced Release w Intrusion with Neutral Announcement w Emergency Disconnect w Call Waiting Redirection Override Strategies w w Ignore Call Forwarding Ignore Pickup / Hunt Groups Ignore Do-Not-Disturb Direct Access to Executive in Executive/Secretary Configurations Automatic Speaker Activation Variable 1 - or 2 -line Text Display Output Trunks Busy Strategies w Emergency Intrusion with Neutral Alerting Announcement w Automatic Trunk Release 33

Elevating Healthcare with DAKS Deployment & Operation TDM or SIP Interface to PBX Up to 10 Administrators and Operators Real-Time Monitoring No Human Intervention Required to Launch a Broadcast Automatic and Ad -hoc Report Generation 34

Elevating Healthcare with DAKS Premised Based Solution Advantages Tight Integration with On-site Applications and Facilities Integration Availability Security Value w Alarms, Sensors, Management and Support Systems w Nurse Call, Patient Monitoring, Location Services, HIS Ready When Needed Most w Eliminates risk of access to shared resource during widespread crisis w Integration into daily operations assures user familiarity during crisis response Security of Sensitive Personnel Data w w Eliminate security risk of providing personnel data to third party Only authorized personnel access confidential personnel data Runs on internal secured servers and workstations No data exposure to the to Internet Low Total Cost of Ownership w Eliminate unpredictable usage fees associated with hosted solutions w Buy it once, use it all you want – not usage or time sensitive w Expand feature capabilities as needs evolve 35

Elevating Healthcare with DAKS Pricing & Warranty Pricing Driven by Scale and Features Scaled to Customer Size and Tailored to Business Requirements w Number of channels and subscribers w Application modules (Broadcast, Conferencing, Info. Telephone, Calling Services) w Additional features such as Text-to-Speech, E-mail or Integration Purchase Price includes 12 Months of Support w Hardware repair/replacement warranty w Software maintenance releases w 8 x 5 technical support help desk Annual Maintenance Agreements w Extended hardware warranty, software maintenance and help desk access w Priced as a percentage of the system configuration US Suggested List Price 36

Why DAKS for Healthcare? Elevated Patient Care Simple w Reliably drive urgent information to mobile clinicians w Improve availability and productivity of medical staff Reliable Communications for Incident Response Flexible w Initiate staff call-back and track real-time staff responses by name w Certainty of alerting and conferencing capabilities during large scale disasters and public health emergencies Reliable w On-demand announcement services for situation updates without burdening staff Leverage-able Investment to Support Routine Operational Needs w Flexibility of voice announcements and e-mail message notifications Secure w Consultative conferencing for case review, scheduled and ad-hoc w Critical systems monitoring and automatic notification Easy to Use, Highly Adaptive Cost-Effective Secure, Internal System Low Total Cost of Ownership 37

When Questions? seconds count…. 38

Questions?