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Road to kiosk solution Gerard White, CEO Clearwave Corp.

Road to kiosk solution Gerard White, CEO Clearwave Corp. Discussion Points. Piedmont Heart Institute (PHI) overview Why we chose Clearwave Corporation To kiosk or not to kiosk Current and future kiosk workflow Kiosk results Outcomes Lessons learned. PHI Structure .

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Road to kiosk solution Gerard White, CEO Clearwave Corp.

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  1. Road to kiosk solution Gerard White, CEO Clearwave Corp.

  2. Discussion Points • Piedmont Heart Institute (PHI) overview • Why we chose Clearwave Corporation • To kiosk or not to kiosk • Current and future kiosk workflow • Kiosk results • Outcomes • Lessons learned

  3. PHI Structure Piedmont Heart Institute • Integrated three competing cardiology practices • Part of Piedmont Healthcare • 102 physicians • Now - 33 locations in Georgia (Atlanta & surrounding area) • Outsourced CBO • NextGen Practice Management System • Piedmont has goal to be Top 10 in 2020!

  4. Why Clearwave? • Direct access to most payers (96%) • Real time eligibility checks from Kiosk • Bi-directional integration to NextGen (HL7) • Partnership with innovation/technology company • Competitive pricing

  5. To kiosk or not kiosk • To kiosk or not kiosk – solution must: • Provide a significant & timely ROI • Improve patient check-in process • Create standard check-in process for all of PHI • Ability to provide more than just a kiosk

  6. Clearwave Provides: • An eligibility & kiosk solution • Connected to all payers – go live we were connected to 96% of our patient’s insurance companies • Kiosk ensure all patients have eligibility checked without staff involvement • All transactions are completed within 5 to 10 seconds • Patient is available to resolve insurance issues at the time of service • Improved patient check-in process • Reduces paperwork for patient and staff • Reduces patient wait time and length of visit • Kiosk workflow and process that doesn’t overwhelm the patient • 86% of patients had a positive response to kiosk process within 2 months

  7. The numbers – July 1 Thru August 16 • Total Number of Checkins at kiosk 21,171 • Average Patient Age 65 • Overall Average Checkin Time (min:sec) 1:22 • Average Checkin Time For Returned Patients (min:sec) 1:19  • Average Checkin Time For New Patients (min:sec) 3:41 • Return (existing) Patients Checked In 20,720  • New Patients Checked In (walk-ins) 451 •  Driver's Licenses Scanned 20,333 • Completed Checkins 20,832 •  Incomplete Checkins 339 • integration messages between NextGen and Clearwave 150,000 + • Patients that had give inactive insurance information 1,300

  8. Clearwave also: Creates standard check-in process for all of PHI • Ability to quickly and cost effectively roll-out a solution to all locations • All locations were active on the Clearwave solution within 4 months Has the ability to provide more than just a kiosk • Clearwave does more than just extend NextGen to a kiosk • We wanted more today and in the future Gives the opportunity to customize and expand • Self pay identification and collection • Charity evaluation and referral processing • Marketing data • E-prescribe pharmacy information collection

  9. PHI’s Future Workflow • Full integration to NextGen scheduled in 4th quarter 2010 • Demographic validation • Eligibility verification at time of schedule • Payment processing • Payment processing at kiosk 4th quarter 2010 • Copays • Remaining balance • Additional optional information can be added to Kiosk • Privacy questions • Pharmacy information • Marketing data • Clearwave’s future functionality • Referral processing – April 2011 • Master Patient Index – February 2011 • Duplicate Record solution – December 2010 • Demographic validation & database cleanup – December 2010

  10. RESULTS - IMPROVED ELIGIBILITY HELPED THE ENTIRE ORGANIZATION Today: • 92% of patient’s eligibility is validated as active or uninsured • Clearwave provides 96% connectivity to insurance info • Every patient that checks-in at the kiosk has eligibility run • Over 92% of patients use the kiosk • CBO has the data immediately upon check-in April 2010: • 68% of patient’s eligibility was correct via current processes • No visibility for patients that were uninsured or had inactive coverage • No process to verify every patients eligibility • CBO chasing data & money

  11. ROI – majority not based on FTE savings • Measurements: • Improved insurance validation from 68% to 92% - 35% gain • Reduced errors on patient insurance data from 22% to 5% – 77% reduction • Number of PHI patients per year is approximately 300,000: • Validating insurance on 72,000 more patients per year • Reduced the number of patient insurance errors by 51,000 per year What is the impact to the FTE’s required in the CBO? What is the impact to cash-flow, yearend write-offs? “We estimate that this solution will save us between $2.5 to $3 million per year.” Bill Hannah, CFO

  12. Lessons Learned • Change is difficult – be prepared • Patients need time to adjust to this concept • Educate staff, doctors and patients on application • ALL staff and physicians must have the same answer • Plan for assistance with Kiosk • Greeter/Kiosk assistance is key to acceptance

  13. Questions? Comments?

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