An Introduction to eHealthCare Initiatives

1. An Introduction to eHealthCare Initiatives

2. Background Started in 2000 Argusoft is now a mature platform based software technology company in its 10th year of business Key operational focus as a turnkey Enterprise Software Development, Integration and Maintenance house Specializing in SOA integration, Java & Web technologies Leveraging core platforms to develop web2.0 based product services in the healthcare and education arenas Small but experienced team (personalized engagement) US Corporation with Development Center in India

3. Collaboration Platform Communicate@Work provides professionals in an enterprise with a highly integrated, real-world functionality for online collaboration using VoIP Audio, Video, Desktop Sharing, Enhanced Whiteboard, and Chat, with the point of presence capability made popular by Instant Messengers, while leveraging Peer-to-Peer technology for all media transactions to maximize performance and scalability.

4. eHealthCare Platforms • TeleConsultation Platform • Telemedicine using desktop conferencing solution c@w that dovetails into a OpenMRS patient case management • Connects multiple hospitals with multiple remote patient care centers and mobile health care units across the state. • Remote HealthCare Management Platform • Financial and Case Management, tracking and reports • Uses Mobile phone platform for field data collection • Information Medicine Platform • Empowering consumers thru medical information

5. TeleOpthalmology - Tripura Vision Center Eye care provided to remote villages in Tripura as part of the National program for Blindness control Doctor can view patients ‘eye’ using slit lamp camera device from hospital base in metros, remotely examine and suggest appropriate next steps for care Service caters to over 4M rural populace thru 41 Community TVCs in 4 districts of the Tripura state and is fully operational currently http://www.youtube.com/watch?v=dqVCnd8PPCU

6. How it Works … • Patient visits with the remote/local Vision Centre to undergo eye exam • Ophthalmic Assistant (OA) based at the centre conducts patient eye screening • OA user Communciate@Work to work with the remote doctor based at IGM hospital in Agartala for assessment. • OA then either prepares glasses or advises patient to go to Agartala for further treatment ( Cataract, Glaucoma etc) • C@W TeleConsultation platform presently connects 41 centers with IGM Hospital in Agartala over a 2 Mbps network (Tulip) • Currently being explored by other parties • in India and in different countries

7. Janani – RHCM Platform • Janani is a platform to achieve efficiency in Remote/Field Health Care Management • Innovative use of a mobile phone to capture and distribute data at the point of generation • Janani’s mother and child programs • Reproductive Child Health Program for pregnant mother/child in Gujarat, India • Prevention of aids transmission from mother to child program in India

8. How does it help? • Manual system lacked enough checks for ensuring funds and service delivery and consumption • Field Health workers were spending a significant amount of time in data capture and manual aggregation for reporting purposes • Thereby neglecting medical services delivery • Innovative data capture through mobile phones in local language removed all manual aggregation, so FHWs could spend more time providing services and minimize wastage of funds for logistics

9. Janani Key Features … Redundant interfaces – Mobile / web UID Based system tracks individual mother and child health throughout their lifetime. System tracks migration and service alerts ‘follow’ beneficiary Reports and Performance Indicators per Client Programs Provides for GPS functionality to detect service delivery location. Photo capture during service delivery also available Janani system generates work items for FHWs on a daily basis and ‘pushes’ work list for better tractability thereby ensuring service delivery

10. InfoDocRx • An information medicine portal to enrich patients in the USA for better management of their healthcare through their medical professionals • Complete patient-doctor experience including session transcription and PHR • iDoctor network from outside the USA • Full Audio/Video session with white board, desktop sharing, recording and collaboration for a live, interactive doctor visit experience

11. Case for Information Medicine • Severe shortage of GP (General Practice) doctors • Many subjective areas in medicine that need substantial informational interactions/support • Endocrinology, General Practice, OBGYN, Pediatrics, Orthopedics, Plastic Surgery, Oncology • Increasing patient interest in being better informed of their own healthcare scenarios/decisions • Not intended to replace local Physician provider but supplement between visits for better efficiencies • Reduces frivolous visits to ER, hence saves cost

12. InfoDocRx Model Select and schedule appointments with iDocs Develop HMO-PCP type ongoing relationship model Cost of InfoDoc session less then the cost of a copay and hence no insurance involvement (<$15) Business Model is to leverage corporate partners to provide this as a service to the employees/members Market Direct to customers at a future date Scalability will require a dedicated core team of doctors and nurses besides a network of specialists All medical decisions remain with the US Doctors

13. In Summary … • TeleDoc: Leverage C@W to provide a turnkey Teleconsultation solution for developing countries • Leverage local doctor network in Metros • Supplement with overseas (India) doctor network • Janani: Leverage platform for monitoring funds, documenting, reporting and management of ‘rural’ HealthCare delivery – mother/child programs • InfoDocRx: An Information Medicine Portal to educate and increase patient awareness to better manage their healthcare with their Physicians

14. Argusoft Contacts www.argusoft.com Argusoft America Inc 35463 Dumbarton Court, Newark, CA 94560 Contact: Ram Gopalan 510-435-0567 ramgopalan@argusoft.com Argusoft India Ltd A66, Sector 25, GIDC Gandhinagar - 382016, Gujarat, India Contact: Ravi Gopalan 011 91 9974666600 rgopalan@argusoft.com