DataRay / OKI Patient Safety Solutions

1. DataRay / OKI Patient Safety Solutions Brent Scales, National Sales Director / VP of OperationsDataRay

2. Hospital’s Bar-Code Applications wish list Bedside Point of Care (BPOC) including Bar-Code Medication Administration (BCMA) Specimen Collection (lab) Phlebotomy Document Imaging Electronic Health Record access

3. Roadblocks to BCMA & other apps HIS EMBOSSER MACHINES IMPRINTERS DOT MATRIX PRINTERS LASER PRINTERS

4. Hospital difficulties resolved with OKI Solution • Lack of bar-code print integration: There are many Hospital System Applications requiring need to scan bar-codes - Not many assist with printing them. • IT department struggle with issue: Often IT department stuck trying to understand complicated clinical process in order to meet hospitals bar-code and printing requirements. • Results in incorrect implementations: Since most applications and IT departments don’t want to spend time to sort out thermal languages and provide continued support for them, most products are incorrectly printed on laser printers (wristbands, chart labels, pharmacy labels, prescriptions). • Forms printing solution needed for thermal printers: Unlike laser printing, since bar-codes are tied to real world product, thermal printing will not dissipate with EHR (Electronic Health Records).

5. The DataRay/OKI Solution DataRay Healthcare Interface Bar Coded Wristbands & Labels 2D & Linear Bar Codes TML MedMap

6. Comparison of customer options • Other printer manufacturers admitted to not understanding end-user environments, and do not have software to provide the required interface to the hospital systems. • We specialize in understanding the workflow process, and how to provide solutions that will meet the needs of that specific department. • We have a ‘printer-side’ software system that can interface to any application. • Comparison: Zebra ZPL (requires application support for language) vs DataRay MedMap (consists of Parsers, Formatters, and Logic Control System).

7. D2 SOLUTION: Cost Savings & Patient Safety HIS DataRay OKI Printer • The only hardware based, plug and play, full featured, thermal printing solution. • Same as normal Network Printserver (i.e. HP JetDirect) but with extra added intelligence • Has three layers of technology • Printer emulation / language translation (SIDM to Thermal) • Data steam parsing and label reformat (MedMap) • Specialty functions (Tall-Man Lettering, 2D barcode wraparound, RFID)

8. Have EHR? (Electronic Health Records) Then do they have… DataRay products in support of the ARRA/HITECH incentives for EHR Stage 1 and Stage 2 Meaningful Use?

9. What Departments have a need? Admitting/Registration Hospitals using Embosser Machines (also called Blue Card, or Addressograph machines) to print patient demographics, or that use laser printers to print labels/armbands. Nursing Hospitals wanting to implement a BarCode Medication Administration (BCMA), and need to implement 2D barcodes on patient wrist band and in-house pharmacy med/IV labels. Inpatient Pharmacy Dot Matrix printers used to print pharmacy label. Need to print Tall Man lettering, and scan barcodes. Doctors Offices/ER/PCP/Urgent Care Centers Need to comply with CMS and state guidelines for printing prescriptions, which is an essential component of an eRx EHR implementation.

10. Before After PHARMACY – MedMap • Bar-coding needed for BCMA • Conform to Institute of Safe Medical Practices (ISMP) • Med/IV label format guidelines **see other advantages of thermal printers below

11. Tall Man Lettering • Upper/lower case letters highlight differences between look alike/sound alike drugs • Modifiable list of FDA-identified look-a-like drug names • Minimize Adverse Drug Events

12. 2D Barcode Wraparound WristBands • Scan any part of band w/o disturbing or touching patient • Advantages of RFID technology without the expense • Meets FDA requirement for 2 patient specific identifiers • Bar code compatibility with Glucometer lab scanners • Can be made to prevent bar code workarounds

13. Ensuring The Highest Readability Seven Bar-Code tips: Use thermal printers Use Code 128 and 2D Print barcode perpendicular (2 reasons) Use highest-quality band Print at 2 IPS (inches per second) Print correct darkness Use 300 DPI • Thermal printer benefits: • Barcode print quality • No jam of labels/bands • Simple band design • Durability • Low waste / Less Cost • Very small footprint • Quite • No first-page wait time • No toner/ink to store/replace Thermal Laser

14. Patient Chart Labels (EHR-AID) • 3”x 1” x 4-across sheet of labels (convenience without waste) • Direct Thermal Labels – No ribbon or toner cost • Instant print on demand with no warm-up period • No label jams or glue ooze as with laser labels

15. DataRay ODDISY (On-Demand Document Identification System • • Scan the ODDISY barcode to instantly AutoPrint new ID labels. • Reduces excess waste resulting from pages of unused laser labels. • Two printers and one scanner attached to one D2. • Scan wristband produces additional wristband. • Scan chart label produces additional chart label. • Can provide band production tracking system. • Band ALERT system can also be provided. • Auto configurable by band/label length. • Can receive reports from many different systems. • Remote administration. • Downtime Solution. Excellent convenience and time saver for nursing staff.

16. Thermal Prescription Printer • Replaces illegible handwritten Rx orders • Interface to EHR and prescription formatting done by DataRay • Thermal tamper resistant security paper exceeds CMS requirements • Provides counterfeit protection features that cannot be provided without security paper • Can meet all states requirements except for CA, NJ, NY • Market to Hospital ERs, Clinics, Urgent Care Centers, PCP chains • Security Features • Blue Pantograph • Reverse RX • Coin Activated Watermark • Color Changing Ink

17. Market / Sales (Mail, email, call campaign) are to the department heads that are relevant to each product Department Head Department Need • IT Director • Pharmacy Director • Admitting Director • Nursing Director • Nursing Informatics • Patient Safety Coordinator • Financial Officer • Ease of installation and support - No PC based Server/Software to add • Higher quality printing - Get rid of loud, problematic dot-matrix • Manpower efficiency and reduced waist - Easier to use wristbands then laser • Convenience and efficiency - Can print readable chart labels at will • Mandatory Preparation for BCMA - Bar-coding on Wristbands and IV/Meds • Eliminate patient safety hazards - Legible print and bar-coding in hospital • Cost savings and ROI - Most economical solution

18. Onsite Demonstration (“Transparent Demo”) New OKI • No network setup • No extra LAN drop • No dependence on IT • We resolve protocols (Pre- Existing) (Pre- Existing)

20. ODDISSY: On-Demand Document Identification System • Scan bar code for instant access to patient records in EHR • Scan bar code to instantly print document labels or wristbands • Reduces waste from pages of unused laser labels • Downtime system for document identification

21. Pharmacy Safety Print System Plus Med & IV label Format System • INSTITUTE FOR SAFE MEDICATION PRACTICES label formats (ISMP) • Meets bar code requirement of Bar Code Medication Administration (BCMA) systems • Tall man lettering to avoid medical errors • Allows printing with larger and easier to read scalable fonts • Side Effects Statement as required by FDA • Integrates with ANY Pharmacy/Hospital system

22. Pharmacy Safety Print System Plus Med & IV label Format System • INSTITUTE FOR SAFE MEDICATION PRACTICES label formats (ISMP) • Meets bar code requirement of Bar Code Medication Administration (BCMA) systems • Tall man lettering to avoid medical errors • Allows printing with larger and easier to read scalable fonts • Side Effects Statement as required by FDA • Integrates with ANY Pharmacy/Hospital system

23. Ward Collect and MAR Updates • Increases visibility, assuring that correct specimen tube is used • Replaces hand writing medication changes on MAR • Helps assure doctor’s EHR orders are correctly followed

24. Lab Department • Inverse printing of Medical Record number increase visibility • 2D bar coding of lab Order # enables scanning directly into IS-eliminates typos (For Accessioning of sample) • Better organized with test information grouped together • Urgency (ROUT or STAT) rotated and boxed for added “visual attention” to status

25. Script Printing... Are You In Compliance? • Provides compliance with Medicaid regulations to have security features preventing copies, alterations and counterfeit • The word “Void” appears when photocopied or faxed • Essential for current implementation of e-RX systems to provide contingency for non-working transmissions • Facilitates custom script formatting and specifications

26. Tell me - Where is that printed again?

27. Questions?