Elevating Healthcare through Advanced Communications

1. Elevating Healthcare throughAdvanced Communications

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

3. Challenges for Healthcare Today’s Environment and Challenges Enhancing Patient Care Mobility of personnel resources Critical care collaboration High visibility and liability associated with errors and failures 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 Reducing Operating Costs Mobility of personnel resources Reduce conference costs Reduce resource requirements for routine procedures Key to Meeting these Challenges Assume a Readiness Posture – Proactive and Reactive Rapid and Reliable Communication and Collaboration

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

5. Enhancing Patient CareAlerting and Collaboration Workflow Point-of-Care Workflow and Messaging Mobile and FixedStaff and Assets Alerts issued to mobile nursing and clinical staff 1 Reliably Drive Urgent Information to Mobile Staff Members Staff can quickly react, communicate and collaborate 2 Mobile and desktop phones for managing alarms and call back to patient Controller-based wireless LAN solution for optimized voice communication Wireless LAN Nurse Call Nurse call system foralarming and communication Phones VoIPServer PatientMonitor Quality ofService Bandwidth management tosecure life critical alarming Providing alarms toany kind of device Vital sign monitor foralarming and observation Staff and equipment location, tracking and alert triggers Location Tracking PatientPhone AlertingEngine High reliable distribution ofalarms and critical events Communication betweenpatient and nurse Integration platform for test results, orders and other patient care related alerts Inte-gration

6. Enhancing Patient CareNurse Call Mobility Can’t Answer Alert Next Nurse 0 Accept Request Proceed to patient room to clear request Phone Rings 1 5 Connect toPatient Room Consult, hang up and clear request (except shower cord requests) or Reassert request based on assessment of severity: Answers Call 1 Nurse Call ST 3 RM 11 B2 STAT (emergency) 2 Green (high) 3 Yellow (medium) 4 Orange (low) Patient Call Mobility and Enhanced Productivity of Nursing Staff in Responding to Patient’s Request for Assistance Patient Call Integrates: • Rauland-Borg Nurse Call • HiPath HiMed • HiPath DAKS • HiPath 4000 • HiPath Wireless • optiPoint WL2 • CorNet-IP

7. Enhancing Patient CarePatient Monitor Alerts Care staff are called on wireless phones with emergency ring toneand text display of critical values Notify attending physician 2A ALERT Mon 6 Bed 2: HR 68 ALERT Mon 6 Bed 2: HR 68 2B Notify on-duty nurse 3 If nurse does not answer, another nurse is called and/or nurse station is alerted Mobile wireless monitors and fixed wired monitors raise threshold alarms 1 Mobility and Improved Responsiveness of Clinicians Monitoring Changes in Patients’ Vital Signs Integrates: • Draeger Monitor • Draeger Infinity Gateway • HiPath DAKS • HiPath 4000 • HiPath Wireless • optiPoint WL2 • CorNet-IP

8. Enhancing Patient CareCode Blue 2A 1A Response Center alerted and connected to calling nurse Nurse pushes Code button in patient room or unit 2B 1B Responding to shout from attending nurse unable to reach Code button, associate nurse uses speed dial to initiate Code response Code Team called on wireless phones with emergency ring tone and text display of Code location CODE BLUE ICU Unit 490 CODE BLUE ICU Unit 490 CODE BLUE ICU Unit 490 Immediate Notification and Collaboration for Emergencies Integrates: • Rauland-Borg Nurse Call • HiPath DAKS • HiPath 4000 • HiPath Wireless • optiPoint WL2 • CorNet-IP

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

10. Enhancing Patient CareTest Results and Orders Physician views results and posts orders 4 Efficient and Timely Delivery of Critical Test Results to Clinicians DAKS alerts physician to availability of test results 3 1 Integrates: • Siemens OPENLink • HiPath DAKS • HiPath 4000 • HiPath Wireless • optiPoint WL2 • CorNet-IP Test results post for a patient of interest 2 6 DAKS alerts duty nurse or nurse station to availability of posted orders 5 Interface performs rules-based mapping of posted results to a DAKS notification request Interface performs rules-based mapping of posted orders to a DAKS notification request

11. Enhancing Patient CareCritical 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 Alert service technicians and scheduling managers Monitor service and fault alerts on critical equipment Integrates: Detect assets wandering away from authorized areas • Ekahau RTLS • Ekahau WiFi Tags • HiPath DAKS • HiPath 4000 • HiPath Wireless • optiPoint WL2 • CorNet-IP Locate people and mobile assets

12. Enhancing Patient CareReferences • 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. BuyingMotivation Several studies investigated the impact of point-of-care alertsand reminders imbedded within an EHR system during the process of documentation or entry of orders into the system. These decision-support 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.

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

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

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

16. Improving Safety & SecurityStaff Call Back Automated dial-out to home and/or mobile phones with alert announcement and instructions Track for each staff resource: Success or failure of contact and message delivery 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 Automated Mobilization of Appropriate Resources

17. Improving Safety & SecurityEmergency Response Center Caller and security agent are setup in two-party no-hold conference with caller location displayed on phone 2 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 1 Emergency number is dialed Swift, Intelligent, Effective Mobilization

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

19. 2 Calls are placed to worker on a cyclical basis 3 4 Worker answers surveillance call and reports status If worker fails to answer, alerts are issued to monitoring and/or rescue teams with worker’s last status report ImprovingSafety & 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

20. Improving Safety & SecurityMulti-Faceted Resolution Support Comprehensive Response and Resolution Workflow RAPID ∙ INTELLIGENT ∙ ADAPTIVE

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

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

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

24. Reducing Operating CostsNurse Mobility and Alerting ROI Example Percent of on-duty time lost traveling to answer phones and waiting at nurse stations Journal of Nursing Administration estimate: 10.1% Siemens customer survey estimate: 5.2% Assume a Mobility and Alerting solution can save 25% of that lost time 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 5.0 FTEs per severity adjusted occupied bed 76.6% annualized occupancy Pre-implementation requirement: 1,019 FTEs Cost savings and/or incremental FTE resource availability 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

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

26. Product Overview

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

28. Contact Strategy Broadcast Priority Parallel or Sequential dialing Subscriber Priority Level dialing E-mail Notifications Leverage Enhanced CorNet-NQ features Contact Acknowledgement Simple “any-key” acknowledgement Positive/Negative Confirmation PIN Required Subscriber calls back, enters PIN and confirms Broadcast Success Criteria Specific number of acknowledgements received Specific number of contacts completed Conditional Follow-up Broadcasts Call back for Completed Message Triggers Phone Call Prompting dialogs PIN protected Direct or via Scenario Operator Console 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) Personal Security Alerts Elevating Healthcare with DAKSIntelligent Notifications Application Launch Telephone, Pager, and/or E-mail Messages to Prescribed Notification Groups Quickly and Reliably

29. Elevating Healthcare with DAKSConferencing Application • Routine Collaborative Conferences • Pre-set conferences • Meet-Me conferences • Ad-hoc and progressive conferences • Emergency Conferences • Any combination of dial-out and dial-in participants • Try alternate phone number if first number is busy • Leverage enhanced CorNet-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 • Internal or external telephone • Attendant at an operator console • Integrated applications • Time-scheduled High Performance and Emergency Conferencing

30. Elevating Healthcare with DAKSOn Demand Updates(Info Telephone) • Emergency Scenario Support • Provide situation updates following emergency alerts without burdening support services staff • Optionally allow subscribers to dial in and listen to the last one or two broadcast alert notifications • Routine Information Announcements • Post recorded announcements accessible to staff, faculty, students, etc. • 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 Multi-Channel Dial-In Announcement ServicesforUp-to-Date Status or Information Messages

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

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

33. Elevating Healthcare with DAKSLeverage CorNet-NQ Variable Ringing Signals Alarm Urgent Normal Station Busy Strategies Forced Release Intrusion with Neutral Announcement Emergency Disconnect Call Waiting Trunks Busy Strategies Emergency Intrusion with Neutral Alerting Announcement Automatic Trunk Release Redirection Override Strategies 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 Elevate Awareness Assure Connection Extend Reach

34. 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 Elevating Healthcare with DAKSDeployment & Operation

35. Tight Integration with On-site Applications and Facilities Alarms, Sensors, Management and Support Systems Nurse Call, Patient Monitoring, Location Services, HIS Ready When Needed Most Eliminates risk of access to shared resource during widespread crisis Integration into daily operations assures user familiarity during crisis response Security of Sensitive Personnel Data 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 Eliminate unpredictable usage fees associated with hosted solutions Buy it once, use it all you want – not usage or time sensitive Expand feature capabilities as needs evolve Elevating Healthcare with DAKSPremised Based Solution Advantages Integration Availability Security Value

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

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

38. Questions? When seconds count….

39. Questions?