The essential tools on-call providers need to deliver the best care possible

1. TM The essential tools on-call providers need to deliver the best care possible HHIC Final Presentation Indiana HIMSS Conference November, 2012 Dave Wortman, Chairman & CEO dwortman@diagnotes.net 317.430.2882 Last Updated 23OCT2012

2. Diagnotes Overview • The essential tools on-call providers need to deliver the best care possible • Automatically, securely delivers patient record to smartphone • Supports follow-up actions, including encounter documentation • Facilitates secure text messaging among providers • Alerts providers and staff of pending or completed encounter actions • Clear compelling need • Over 50 million on-call encounters after regular business hours alone • Errors and noncompliance create health and liability risks • On-call activities currently not reimbursed, despite incentives • Ready to go, ready to grow • 3rd party security audit passed – fully HIPAA compliant • Multiple pilot studies completed – excellent user satisfaction ratings • Experienced team spanning IT, healthcare and early-stage companies

3. On-Call Medicine “In the Dark” • COST • Unnecessary ED visits • Higher readmission rates • Lost reimbursement • Inefficient use of provider’s time • RISK • Sub-optimal or erroneous diagnosis/treatment • Compromised quality and continuity of care • Increased malpractice risk • Greater HIPAA compliance risk • Lack of complete and accurate medical history • Lack of efficient tools for follow-up and documentation • Lack of secure and convenient communication

4. Putting Numbers to the Problem • Lack of complete and accurate patient information leads to errors • Study shows medical errors occur in 16% of calls • 27% of patients urgently readmitted to hospitals following ED discharge • Extremely poor rate of documentation • Study shows only 5% of calls were completely documented • 23% availability of ED discharge summaries at first follow-up • Clinical liability costs exceed $500,000/event • Missing/inaccurate documentation creates indefensible position • Closed case study shows 60% of cases awarded to plaintiff • Potential for HIPAA non-compliance fines • On-call encounters are costly and challenging • - An incomplete and disconnected process - • - Relying mostly on memory and hand-written notes - • - Resulting in diagnostic and legal risk -

5. Automated, Compliant Workflow Connects patients to on-call providers via phone Connects doctors and nurses to on-call providers via secure text messaging Immediate documentation of encounter actions and follow-up Comprehensive encounter logging and performance monitoring Retrieves patient medical record and delivers automatically to on-call provider’s smartphone Provides on-call scheduling and provider notification

6. A Closer Look: Patient Encounter

7. A Closer Look: Provider Communication

8. A Closer Look: Practice Management

9. Active Pilot Program • 12 providers, 1500 encounters, 6 care locations • 5 EMR environments • Excellent product performance • Post-pilot survey shows strong physician support

10. Compelling Benefits

11. Why Diagnotes? • The essential tools on-call providers need to deliver the best care possible • Automatically, securely delivers patient record to smartphone • Supports follow-up actions, including encounter documentation • Facilitates secure text messaging among providers • Alerts providers and staff of pending or completed encounter actions • Clear compelling need • Over 50 million on-call encounters after regular business hours alone • Errors and noncompliance create health and liability risks • On-call activities currently not reimbursed, despite incentives • Ready to go, ready to grow • 3rd party security audit passed – fully HIPAA compliant • Multiple pilot studies completed – excellent user satisfaction ratings • Experienced team spanning IT, healthcare and early-stage companies

12. Founding Management Team • Dave Wortman, Chairman & CEO Experienced tech executive and entrepreneur. Former CEO, Made2Manage (NASDAQ: MTMS), Mezzia. Co-founder, Pritsker. Venture Partner, Spring Mill VP. Advisor, ARCH Development. Chairman, SonarMed, Akoya. Managing Director, Midwest VP. • Bharath Bynagari, CTO Created original concept behind Diagnotes On Call. 15 years of IT experience with Eli Lilly, Stanley Works and FirstDataBank. Founder of Mavensphere, an IT consultancy. • Jason Vasquez, Lead Developer Partner with Developer Town, Diagnotes development partner. 13 years of IT and software development experience with Interactions, Fusion Alliance, Eli Lilly and Xerox. • Marc Kleinman, Director of Business Development Founding Principal, MJK Life Science Solutions. Strategy, marketing and business development experience with multiple life science and technology companies. • Jim Schulz, CFO Seasoned financial professional. 18 years of experience with Ernst & Young, Eli Lilly, Suros and numerous start-up medtech/life science companies. Partner, Upward Focus.

13. Advisors • Ramarao Yeleti, M.D., FAAC, FSCAI. President, Community Physician Network. • Harry Laws, M.D., FAAP. Chief Medical Information Officer, Community Health Network. • Todd Saxton, Ph.D. Indiana Venture Faculty Fellow and Associate Professor at IU Kelley School of Business. • Andy Cothrel. President, Blue Marble Medical. EIR, Dayton Development Coalition.