Critical Test Result Management

1. Veriphy� by Vocada Critical Test Result Management

2. Veriphy� by Vocada Vocada�s CTRM Product VERIPHY Vocada provides the industry�s leading Critical Test Result Management system Veriphy, Vocada�s flagship system, is designed for hospitals to provide their enterprise with a safer and more productive communications platform for CTRs from radiology, clinical lab and cardiology.

3. Veriphy� by Vocada Critical Test Result Communications �

4. Veriphy� by Vocada CTRs are a top priority in patient safety and with the Joint Commission "In our database of over 3,000 sentinel events (deaths and major disability resulting from care) and their root cause analyses, the most frequently cited causative factor � over two-thirds of the cases � is ineffective communication." Dr. Richard Croteau, executive director for patient safety initiatives at the Joint Commission (DMN 9/13/2005)

5. Veriphy� by Vocada Average CTR communication process takes 10 to 20 minutes Reporting clinician must manually document their communication No formal escalation processes for all Ordering Clinicians Manual phone calls are interruptive to the ordering clinician which decreases their productivity All diagnostic departments call manually but don�t follow a shared communication process

6. Veriphy� by Vocada Veriphy: An Enterprise CTRM Solution A hosted platform, Veriphy begins with a 90 day implementation (profile directory build, ROY best practices) Enables verbal and numerical CTR messages to be authored by the reporting clinician Delivers ALERTS about CTRs in real-time to common devices used by ordering clinicians Using the information from the ALERT the Ordering Clinician retrieves from Veriphy the message (and processes the read-backs) Provides an audit trail that the message was reviewed Detailed reports show enterprise Turn Around Time (TAT)

7. Veriphy� by Vocada

8. Veriphy� by Vocada Once a Critical Test Result is identified�

9. Veriphy� by Vocada The Veriphy Implementation Process Vocada creates a steering committee with the hospital stakeholders to begin the Veriphy Launch Process Who are the ordering clinicians (nurses, physicians, departments) The CTR policies are codified/written in a communications campaign What are the critical findings and desired turn-around times (TAT) The Veriphy Directory is developed Hospital sponsored letter of introduction of CTR policy Vocada back-offices this letter and the responses Vocada works with department chiefs, groups and clinics to profile their communication workflow/protocols Vocada/Sponsors meet with the stakeholders prior to launch Veriphy launch, followed by quarterly reviews of success metrics

10. Veriphy� by Vocada Examples of Veriphy Role based Profiles

11. Veriphy� by Vocada Example of Hospital Veriphy Policy

12. Veriphy� by Vocada Veriphy Lab Desktop

13. Veriphy� by Vocada Veriphy Radiology

14. Veriphy� by Vocada Outbound ALERTS Outbound alerts � Veriphy delivers real-time alerts into any device with the call back information

15. Veriphy� by Vocada Outbound Phone Calls Outbound Phone Calls � Veriphy delivers real-time phone calls to the nurses phone. Enables Nurse to accept the message, listen to the entire message and read-back correctly System escalates the message to unit if it is not picked

16. Veriphy� by Vocada

17. Veriphy� by Vocada Joint Commission Compliance Report

18. Veriphy� by Vocada Verified Results Easy Compliance with Accrediting Bodies: Joint Commission, CAP, ACR Demonstrable Improvement in Patient Safety Measurable Decrease in Turn Around Times (TAT) Greater Staff Productivity

19. Veriphy� by Vocada Veriphy complies with all standards Joint Commission � NPSG # 2 Complies with 2a - read-back requirements Complies with 2c - Track timeline of CTR communication American College of Radiology Complies with the ACR�s communication guidelines College of American Pathology Complies with CAP certification checklist Complies with CLIA statutes �Veriphy makes compliance with the National Patient Safety Goals on communicating test results a snap.� - Julia Napper, Dir. Performance Improvement and Quality, Parkland Hospital

20. Veriphy� by Vocada Verify Improves Patient Safety Alerts when messages are retrieved in the compliance goal and when they are not Enables performance improvement analysis of Turn Around Times Provides a dedicated application to this critical care issue Provides a consistent platform for all diagnostics and referring physicians to communicate "It makes sure that the results that get sent to critical care areas are acted upon," she says. "It gives you a focus on the small percentage of critical values that need to be followed up on and that can fall through the cracks. It has really illuminated the problem areas, enabling us to identify them and correct them." - Barbara Corning-Davis, at Salem Hospital in Salem, MA

21. Veriphy� by Vocada �At the Medical Center alone, we perform 375,000 a year...It takes only 30 seconds to send a message as opposed to 20 minutes to track someone down, which is a significant impact on workflow.� - Jean Plummer, Radiology Informatics Manager, Baylor UMC Veriphy eliminates 95% of the productivity hit taken by the radiologist. Conversely, Veriphy eliminates all of the productivity hit taken by the ordering clinicians.Veriphy eliminates 95% of the productivity hit taken by the radiologist. Conversely, Veriphy eliminates all of the productivity hit taken by the ordering clinicians.

22. Veriphy� by Vocada Q&A Pricing Need the number of profiles to be developed Need the number of test completed over the past 12 months for each diagnostic dept.