MedLifeCard in real-life scenarios Cost Saving Improved Patient Care

1. MedLifeCard in real-life scenarios • Cost Saving • Improved Patient Care

2. MedLifeCard Demonstrations • The following scenarios are based upon actual patients seen in the ER. • Each clinical course is described as it occurred (without a MedLifeCard), then contrasted with the difference a MedLifeCard would have made. Direct cost comparison using figures provided by Medical Management Specialists, PC. Photographs are used with the consent of the subjects.

3. Case #1- Ashley S. • Ashley is an otherwise healthy 2 year-old who presents to the ER with a fever of 102.6. Her physical exam is unremarkable except for her fever and fussiness. Urinalysis reveals an uncomplicated urinary tract infection. Her mother thinks she might have an allergy but is uncertain. Her physician starts her on Bactrim and discharges her home.

4. (Ashley S. without MedLifeCard, continued) • 2 hours later Ashley is rushed back to the ER with her mother after she develops a severe rash, itching, and difficulty breathing. She is quickly diagnosed as having an allergic reaction to the Bactrim. An IV is started, steroids and diphenhydramine are administered through the IV, and she is admitted to the hospital overnight for observation and monitoring.

5. (Ashley S. without MedLifeCard, continued) • The next day Ashley is discharged on oral steroids, a different antibiotic, and diphenhydramine. She must follow up with her Pediatrician the following day for a recheck.

6. How might this have been prevented with the MedLifeCard?

7. Ashley S. with the MedLifeCard When Ashley’s mother mentions that she might have a medication allergy, the Emergency Physician uses Ashley’s MedLifeCard to download her file.

8. Ashley S. with the MedLifeCard, continued The file documents a previous allergy to sulfa-based medications. Realizing that Bactrim is actually trimethoprim- sulfamethoxazole, he instead prescribes amoxicillin for her infection.

9. Ashley S. with the MedLifeCard, continued The next day Ashley is feeling much better with the amoxicillin and spends the day at the beach with her mother instead of at the hospital.

10. Without MedLifeCard First ER visit: $240 Antibiotic: $20 Second ER visit: $540 Overnight on Pediatric ward: $950 Second antibiotic plus medications for allergic reaction: $40 Follow up with Pediatrician: $60 With MedLifeCard First ER visit: $240 Antibiotic: $20 No further follow up needed. Direct Cost Comparisons for Ashley S. Total: $ 1, 850 Total: $ 260 Direct cost comparison using figures provided by Medical Management Specialists, PC

11. Further benefits of MedLifeCard for Ashley S. • Prevent avoidable potentially life-threatening complications such as allergic reactions. • Eliminate return visits to the ER and possible hospitalizations by treating conditions properly the first time. • Resume normal activities more quickly.