Promoting Autonomy and Lasting Behavior Change

1. PromotingAutonomyand Lasting Behavior Change A Unique Health Care Empowerment Solution

2. Care Kits Drive Results! Improve Care & Drive Down Costs • Provides the curriculum, tools and devices for successful patient engagement • Dramatically reduces re-admissions rates up to 100% • Improves Patient Experience Scores • Creates standardized patient care • Increases productivity: More effective patient interactions • Produces a successful, independent patient Care Kits Provide a Key Role in Meeting the 33 ACO Quality Performance Standards for Shared Savings

3. Our Care Curriculum Based on Observational Research Wegotousers’homes,workplacesand communitiestowatch them in context We observe misunderstandings, gaps in education and barriers to success—from the patients’ point of view wecapturetheirlanguage,their values,their priorities and their perceptions: The Care Kits reflect all these insights. The consumer products industry has been doing it for 30 years! “I would never bring out a new product without doing ethnography” (Observational Research) vvvvvvvShane Wall VP New Product Development, Intel

4. Care Kits are Unique: Three Essential Pieces

5. How to Use Care Kits Points of Distribution Care Kits are used for both post acute and/or wellness and chronic conditions • Step 1: Select from one of 32 conditions • Most often used for transition of care: Heart Failure, Diabetes, COPD, Post Surgical Kits, and Multiple Condition Care Kits • Most used for population management: Blood Sugar, Weight Management, Blood Pressure, CAD care, Heart Fitness, etc • Step 2: Deliver to the Patient • Hospital: Transition from hospital to homecare • At Home: Population assessment, care manager contact and direct delivery/follow-up • Dr. Office: Primary Care office • Step 3: Integrate with your Care Coordination • Care Kits meet all “standards of care” • Care Coordinator follow up • Step 4: Watch Your Patient Improve • Care Kits promote self-care and independence • Leave patient with the tools for ongoing health management • Achieve higher patient experience scores

6. Online Access: Maintenance and Additional Content How Medicine Works Providers & patients can go online for additional content and tools to maintain the program the long term Vent Your Story The Impact Analyzer The Impact Analyzer • In Development: • 13 Animations • 2 Videos

7. Enhance Patient Connections: IVR & Web CARE KITS ACTIVE CONNECTIONS ANALYTICS OUTREACH Telephone IVR and Web Connections Improve Patient Connectivity & thePatient Experience. Scripts and Engagement are Based on Care Kit Curriculum Dashboard Analytics Improve Timely Care – Either In-Home or Via Telephone or e-mail. Automation Allows Real-Time Monitoring and Personalized, Need-Based Contacts. • Care KitsProvide the Framework: Curriculum, Tools and Devices Tracking systems, endorsed by the Juran Quality Institute, allow both patient and provider to see cause and effect at a glance: Discovery learning for long-term behavior change!

8. Does It Make a Difference? Outcomes & Results RUSH’S PAPER RUSH’S PAPER • Rush University Medical Center compared instructions approved by their Patient Education Committee, to Care Kits. For 6 months, they called each patient 1 week post discharge: • “Were you able to carry out your self care without asking for help?” • “How satisfied are you with the selfcare materials?” 4% 35% %% CARE KITS 92% 100% CARE KITS Q: Did the Care Kit help you manage your condition? ASTHMAMore than doubled medication adherence, eliminated readmissions and reduced ER use by 72% vs. American Lung Assn handouts Virtua New Jersey Medical Center YES Heart Failure97.3% Hypertension94.9% Diabetes & Pre-diabetes 93.6% Asthma92.5% Coronary Artery Disease 100% HYPERTENSION88% in target range after 6 months vs. 12% after home visits+phone coaching University of Pittsburgh FIVE-YEAR AVERAGE 34% better than national 5-year average Suburban Chicago employee wellness program HEART FAILUREReduced readmissions by 74%; increased regimen adherence by 300-500% vs. standard paper, home visit and phone coaching Multiple studies WI, IL, KY, MI, and others

9. Does It Make a Difference? Outcomes & Results BEFOREAFTER Readmission Rates 30-day Heart Failure Before After REDUCED BY 38% 54% 34% 74% 72% 73% 38% 100% 6.4% 4.0% 38% St. Joseph, Lexington KY St. Joseph, Elgin IL NWC, ArlingtonHts. ILDRG 127 ONLY NWC, Arlington Hts. IL ALL CHF-RELATED DRGs Aurora, Milwaukee WI Great Plains, ElkCity OK VA, AnnArbor MI (90 Days) Mercy Hospital, Chicago IL 16.7% 7.7% 54% 13.2% 8.7% 34% 23.4% 6.9% 74% 22.2% 6.3% 72% 8.6% 2.2% 73% 54.5% 33.3% 38% At Mercy only: N = insufficient for highest level of statistical significance, but indicative, especially given overall trend >28% 0%

10. Case Study $1.5 MM Savings in a Medical Home COMPARED TO BASELINE YEAR 712 participants 24 months 23%lower TOTAL MEDICAL COST Blood pressure Cholesterol Blood sugar Emergency Room visits In-hospital days Health Plan net savings exceeded $56 PMPM $1.5 million / 1000 members Member savings = 30% lower out-of-pocket cost than the alternate PPO plan 85% better scores J Reeves, MD Director Nevada State QIO J Ambulatory Care Management V36, No. 2, pp. 108-120 March 2013 16%fewer visits 54% fewer days Imaging services 35% lower use Prescription cost per member 18% lower cost

11. Proven Track Record It Works for Providers “I used to spend a lot of time explaining things. But my patientsalways came back with the same misunderstandings. With Care Kits they get it. We can have a real conversation–make plans and move forward.’Robert Fanning, MD, Director, Cardiovascular, Hospital in West Virginia “The first thing you notice about using the Care Kitsis that the phones go dead. The kits have anticipated all the patients’ questions.” Pat Sloman, RN CCM Oncology Department Chief Kaiser Permanente Riverside, CA • “We‘ve used the tools for five years with five chronic conditions.Satisfaction scores have been 97 to 100%.” • Dr. S. Ramalingam, Medical Director UPMC Health Plan “Our readmissions were over 28%. Sixty days into a trial with [Care Kits] we had no readmitsfor Heart Failure.” C. C., CNO, Mercy Hospital and Medical Center, Chicago SOME CURRENT CUSTOMERS • University of Pittsburgh Health Plan • Kaiser Permanente • Hotel and Restaurant Workers Union • 150+ Home Care Agencies • wellPORTAL Plan • University of Oklahoma Medical Center • Greater Baltimore Medical Center • Northwest Community Hospital • Provena Hospitals • University of Tennessee Hospital • Palmetto Health Plan ACO • INFORMed TPAdministrator

12. Summary & Next Steps • Care Kits can play a vital role in any integrated health care system. • Educated, independent patients require less care and cost less! • CSI Care Kits are proven to reduce re-admissions & increase patient satisfaction → higher patient experience scores • They are used by leading institutions: UPMC, Kaiser, etc • Proven to create an ROI • Next Steps: • Determine which conditions and Care Kits fit your organization • Determine how CSI Care Kits can be integrated into your • processes and systems • Train your staff

13. Contact Information Questions or comments about Care Kits? • Michael Weiss – President O: 847-850-7500 ext 121 M: 312-498-2603mweiss@carekit.com. • Shirley Grey RN MSN – EVP Sales & Customer Service O: 847-850-7500 ext 103 M: 847-910-3552sgrey@carekit.comJudy Farah RN – Operations Director O: 847-850-7500 ext 106 M: 708-826-4017jffarah@carekit.comSylvia Aruffo, PhD – Consumer Content Officer O: 847-850-7500 ext 101 M: 847-910-3549saruffo@carekit.comCarol Outland RN MSN - Clinical Content Director O: 847-850-7500 ext 117 M: 708-267-2646coutland@carekit.com 13

14. Appendix: Online Patient Interface

15. Appendix: Online Patient Interface