1. COST For the cost of any current paper charting system, we can replace it with an electronic charting AND tracking solution! You provide us with the current cost of using a paper system, we will meet or beat that price replacing it with an electronic system- period. It’s that simple. Show us the proof, and we’ll provide you with an electronic solution.

2. How? 1.On average, a 34,000 ED visit hospital spends approximately $2,000 per month on NCR Carbon Copy Forms. 2.They spend another $1,000 per month on copy machine related expenses. 3.They lose approximately 1% in lost revenue due to lost or incomplete charts. 4.At least 1 FTE is used to copy and stock templates,, to assemble charts, to copy completed charts, for data input to generate reports, and untold time is spent looking for charts in the ED or in Medical Records. 5.There are template licensing fee and/or dictation/transcription costs. 6.Handwritten charts result in lost revenue due to down- coding because they usually don’t meet the documentation guidelines for reimbursement.

3. Real Example – E-mail From Potential Client cost analysis Hi Bill. I received the information regarding the cost of the NCR forms. It is as follows: 1) Nursing Assessment ("A1") Form: $0.269 each. (One form is used on each of the ED's 33,000 annual visits) 2) Nursing E.R.Flowsheet ("continuation form): $0.12 each (One form is used on each of the ED's 33,000 annual visits) 3) ED Order Sheet: $0.12 each (One form is used on each of the ED's 33,000 annual visits) 4) ED Discharge Instructions (contains prescription blanks): $0.255 each (One form is used on each of the approximately 26,400 ED patients who are discharged) Other costs would be the cost of copying the original templates. I don't know how much 32 pound copying paper is (I can find out), but each patient has (at least) one template. Plus, there is the time of the person who makes the copies, checks to see if we need more copies, and re-supplies the folders in which we store the templates. Also, the hospital will be saving the time of the person who is manually entering data into a computer so that we can run statistics and reports which your system will do automatically. I'm sure that at least 50% of his time is dedicated to data entry....I can find out for sure, and also find out what his salary is. Plus, there will be huge time saving for other personnel who have to try to locate charts. In addition, there will be a time savings for people who have to count how many unfinished charts the docs have, and then make a report every week (your system is able to do that at the touch of a button).

4. COSTS OF ED PAPER TEMPLATE CHARTING NCR Paper Equipment, Personnel, etc. ItemCost#VisitsTotal RN Assessment $0.26934,000$9,146 RN Flow Sheet $0.1234,000$4,080 Order Sheet$0.1234,000$4,080 Discharge Instructions $0.25527,200$6,936 Total NCR Paper Cost $24,242 ItemAnnual Cost Copy machine maintenance$ 6,000 Copier paper (for templates)$ 6,000 0.25 FTE @ $10/hr (copy, stack templates, assemble charts, copy charts for PMD’s) $ 5,200 0.6 FTE (data entry/generate reports)$ 12,480 MD, RN, ED secretary, Medical Records clerk (locating charts for return visits, X-ray discrepancies, complaints, QA, etc.) $ 6,000 0.25 FTE (scan charts-make an EMR)$ 5,200 Lost charges (lost charts/late charges) 1% of total @ $100/chart $ 34,000 Shipping charts to billing company$ 3,600 Template licensing fee$ 17,000 Total Annual Costs$ 95,480 Grand total cost of paper documentation: $ 119,722 $ 3.52 per patient

5. COSTS OF ED PAPER TEMPLATE CHARTING NCR Paper Equipment, Personnel, etc. ItemCost#VisitsTotal RN Assessment $0.26934,000$9,146 RN Flow Sheet $0.1234,000$4,080 Order Sheet$0.1234,000$4,080 Discharge Instructions $0.25527,200$6,936 Total NCR Paper Cost $24,242 ItemAnnual Cost Copy machine maintenance$ 6,000 Copier paper (for templates)$ 6,000 0.25 FTE @ $10/hr (copy, stack templates, assemble charts, copy charts for PMD’s) $ 5,200 0.6 FTE (data entry/generate reports)$ 12,480 MD, RN, ED secretary, Medical Records clerk (locating charts for return visits, X-ray discrepancies, complaints, QA, etc.) $ 6,000 0.25 FTE (scan charts-make an EMR)$ 5,200 Lost charges (lost charts/late charges) 1% of total @ $100/chart $ 34,000 Shipping charts to billing company$ 3,600 Template licensing fee$ 17,000 Total Annual Costs$ 95,480 Grand total cost of paper documentation: $ 119,722 $ 3.52 per patient

6. Our Cost for Charting AND Tracking: $2 Per Patient That’s a cost SAVINGS of $50,000 PER YEAR! (or a LOT MORE if you also pay for transcription) And if your documented paper charting costs are less, WE WILL MATCH IT!

7. HOW CAN YOU NOT AFFORD THIS SYSTEM? The system is not an additional expense—at worst it replaces the current cost of paper documentation, and will probably cost LESS than the cost of paper, thereby SAVING you money. YOU CAN’T AFFORD NOT TO USE THIS SOLUTION

8. Pricing Exclusions EXITCARE RX and Discharge Instructions software is sold separately. The cost varies depending on the size of the ED and the number of languages requested. Implementation, training, hardware, interface, and maintenance fees are not included in the price. For more information regarding the CHECKCHART electronic charting and tracking system, Call us toll free at:888-313-1493 E-mail us at:info@checkchart.cominfo@checkchart.com Visit us on the web at:www.checkchart.comwww.checkchart.com