1. SmartRoom ® BUILDING HIGH RELIABLE HEALTH CARE Enabling Quality and Efficiency on the Front Line of Health Care

2. SmartRoom Overview Introductions What is SmartRoom? Value / Benefits / ROI Questions / Answers 2

3. The History of UPMC SmartRoom Latex allergy patient IV Team nurse Executive management team review all serious events How can we avoid this from happening again? 3

4. Many new innovations, projects, safety devices, computer systems and improvements require more time and effort on the part of the front line. We have to stop adding work….we must to find a way to take hard work away and make success easy for the front line. SmartRoom helps leverage the large EMR investments. 4 Mind Clutter & Distractions SmartRoom Confidential

5. 5 …and we are still asking this nurse to keep track of, write down and remember a lot of information that is needed to keep her patient’s safe

6. Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007 6 Bar Code Medication Admin SmartRoom Confidential

7. There are 4 unsafe pathways and 6 most frequent workarounds 7 Bar Code Medication Admin SmartRoom Confidential

8. 36 Hospital Med/Surg Nursing Time and Motion 8 Hendrich A, Chow M, Skierczynski B, Lu Z. A 36-Hospital Time in Motion Study: How Do Medical Surgical Nurses Spend Their Time? The Permanente Journal 2008 Summer: 12 (3): 25-34

9. The Platform SmartRoom Confidential 9

10. SmartRoom In Patient Room 10 A “smart” patient room that… –Organizes the workflow of front-line staff to simplify and improve the quality and safety of care giving –Makes retrieving the right patient information at the right time as simple as walking into the room –Enhances the documentation of patient information in the patient’s room and the nurse’s station –Engages the patient and their family through improved communication, education and entertainment

11. CareGiver View 11

12. Patient at a Glance

13. SmartBoard at Nursing Unit

14. SmartBoard 14

15. 15 Patient Experience

16. Messaging Architecture 16 SmartRoom Confidential

17. ROI Model Productivity –Access to information –Simple user interface Patient Satisfaction Turnover reductions Patient safety / error reduction 17

18. Productivity 18

19. Productivity 19 Our experience – 90% Nursing Assistant Documentation on 129 Beds TAKEAWAY MESSAGES Utilization maintained Our experience: RNs saying – “we want more” What is the value of this time? What happens to this time?

20. Overtime Reduction 20 13.2% Reduction in OT as a percent of total worked hours

21. “The more functionality that is added the more I like the technology” “The first night with SmartRoom, I looked at my coworker and 9:30 pm and said, what do we do now? We don’t have to sit down and document our vital signs for the nurses. They are already documented!” “I was able to go into a room of a patient who was not assigned to me to assist and empty a full drain and was able to document the information right in the room and not have to log into a computer or pass along the information to the nurse assigned to document” Staff Satisfaction 21 CONFIDENTIAL – DO NOT DISTRIBUTE OR COPY

22. Subtracting Steps 22

23. Patient Satisfaction 23

24. 24 Patient Satisfaction

25. 25 Patient Satisfaction

26. Patient Safety 26 COST OF FALL w/ INJURY Hill Rom $19,440 GE $15,373 I have seen this as low as $1,600 and as high as $37,000.

27. Infection Prevention 27 InfectionCost (LOW)Cost (HIGH) VAP$19,633$28,508 MRSA$7,481$92,363 SSI$11,874$34,670 CAUTI$862$1,007 CLABS$7,288$29,156 67 6767 6767 HAND HYGIENE SOLUTION  1 minute update  Last 25 chances  Team goal / OURS  Feedback at nurses station  Feedback in room  Patient guide message 67 Caregiver Announcement Screen

28. LOS & Discharge Time New feature being designed Has significant ROI potential Modeled after “Surgical Flight Plan” –Checklist –Managing Expectations –Everyone on same page – same message 28

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30. SmartRoom Value Propositions 30 SmartRoom Platform Bedside charting Workflow – GPS Bedside access Clinical rules/safety Email / Photos Entertainment Education Transparency Clinical info access Safety net Easy to use Early Discharge Device Integration TeleRounding Readmission Comfort rounds Hand hygiene Core measures Never events Video visits Patient guide/person Education link Auto educate Device integration Launch EMR / room Future Apps SmartRoom anticipates 50% of future apps will be EMR independent 

31. The Platform SmartRoom Confidential 31

32. 32 Thank you! CONFIDENTIAL – DO NOT DISTRIBUTE OR COPY