1. MetaVision® Suite: Value on Investment
July 2014

2. Value on Investment with MetaVision
Improve
care quality
Enhance
financial performance
Increase
operational efficiency

3. Improve Care Quality Timely, actionable information
Advanced decision support tools
Automation of routine tasks
Improve documentation quality while reducing documentation time
Automate calculations
Implement barcoding of meds & blood products
Access accurate patient data at any time
Eliminate handwriting & transcription errors
Ensure that the patient record is complete
Anticipate health deterioration prospectively
Plan care based on smart notifications about changes in patient status
Enforce hospital policies, best practices, & regulations

4. Improve Care Quality Measurable care improvements reported by our users
Reduced errors
Reduced mortality
Reduced length of stay
Improved compliance with protocols & best practices
Improve
care quality

5. Improve Care Quality - Reduced Errors
100% correctly prescribed drugs
100% elimination of all dose errors in handwritten prescriptions
100% traceability of prescribers
Papworth Hospital, UK
Anesthesia, January 2010
72% reduction in adverse drug events
Medication prescription errors reduced to 0.7%
Schneider Children’s Medical Center, Israel
Pediatrics, September 2009
Reduced Errors and ADVERSE DRUG EVENTS

6. Improve Care Quality – Reduced Mortality
31.3% reduction in ICU mortality rate , from 21.4% to 14.7% , after implementing MetaVision & other technologies
Less ventilator use in critically ill patients
Lehigh Valley Hospital, USA
Archives of Internal Medicine, April 2010
24.00%
21.00%
18.00%
15.00%
12.00%
9.00%
6.00%
3.00%
0.00%
Significant Fall in Mortality Rates

7. Improve Care Quality – Reduced LOS
20% reduction in length of stay
Paul Brousse Hospital, France
Journal of Clinical Monitoring and Computing, June 2014 “
We believe that the clinically relevant differences concerning the length of stay in our ICU resulted from an improved quality of care following the implementation of ICIS [sic].”
Reduced Length
of Stay

8. Improve Care Quality – Improved Nutrition
Facilitated glucose control, improved nutritional monitoring & quality of nutrition
University Hospital of Lausanne (CHUV), Switzerland
Current Opinion in Clinical Nutrition & Metabolism, May 2010
Improved Nutritional Support

9. Improve Care Quality – Improved Nutrition
26.3 % increase in patients with adequate nutrients delivered by day 4 in the ICU
VU University Medical Centre, the Netherlands
The Netherlands Journal of Medicine, December 2009
Provided accurate information on energy balance in critically ill patients
Rabin Medical Center, Israel
Clinical Nutrition, February 2006
Improved Nutritional Support

10. Improve Care Quality – Improved Nutrition
13% increase in adherence to insulin dose recommendations
4.7% increase in compliance with glucose measurement timing recommendations
Onze Lieve Vrouwe Gasthuis, the Netherlands
JAMIA, March-April 2005
Increased Glucose Control
40.1%
35.5%
34.3%
33.3%
31.0%
25.5%
Paper control
With MetaVision
Too early
On time
Too late

11. Improved Compliance with ANESTHESIA Guidelines
Improve Care Quality – Increased Compliance
PONV prophylaxis guidelines
40% increase in timely delivery of PONV drugs
Onze Lieve Vrouwe Gasthuis, the Netherlands
European Journal of Anaesthesiology, February 2010
37% increase in high risk patients prescribed PONV prophylaxis
Anesthesia & Analgesia, 2008
Anesthesia best practices
23% increase in reactivation rate of CPB monitor
Lady Davis Medical Center, Israel
Anesthesia & Analgesia, April 2009
Improved Compliance with ANESTHESIA Guidelines

12. Enhance Financial Performance
Increase reimbursements
Control and reduce costs
Supports ever-changing country-specific billing and activity-based-funding programs
Captures billing opportunities
with complete, high resolution,
structured data collection and export
Ensures incentive payments
Avoids penalties associated with non-compliance
Shorten revenue cycle
Improves adherence to protocols
Reduces length of stay
Reduces clinical complications & corresponding costs
Improves operational efficiency
Reduced administrative overhead
Saved documentation time
Fewer errors
Enforced use of hospital preferred products such as lower cost generic drugs
Accurate documentation of scores and procedures such as ventilation & drugs
Measurable ROI reported by our users

13. Enhance Financial Performance – Increased Reimbursement
$300,000 increase in ICU revenue capture
3.6 minute reduction per patient for physician coding
72% reduction in number of coding errors
Paul Brousse Hospital, France
100% billable anesthesia procedures
$400,000 a year in billing efficiencies
Massachusetts General Hospital, USA
$1.2 million increase in annual revenue capture
> $120,000 in CMS reimbursements
$200,000 per year in reduced billing services fee
Lehigh Valley Hospital, USA
Complete capture of reimbursement fees

14. Enhance Financial Performance – Reduced drug costs
$700,000 saved via drug optimization program in the OR
Massachusetts General Hospital, USA
Pre-MetaVision $197/patient
With MetaVision $149/patient
Reduced Drug Costs

15. Enhance Financial Performance – Reduced drug costs
~20% reduction in antibiotics-related expenses
L’Institut Paoli-Calmettes, France
Reduced drug costs by increasing use of generic prescriptions in ICU from 61% to 81%
Papworth Hospital, UK
Reduced Drug Costs

16. Increase Operational Efficiency
Template generated notes
Automated calculations
Predefined optimal data views
MetaVISION helps streamline documentation
Streamlined, branching forms
Add this to previo
Order reminders

17. Increase Operational Efficiency – Reduced documentation time
30 minutes saved per shift on clerical reporting
University Hospital of Lausanne (CHUV), Switzerland
95 minutes saved per 12-hour shift on nursing documentation
Lehigh Valley Health Network, USA
AtlantiCare 8th Annual Trauma Symposium, May 2006
29 minutes saved per 8-hour shift in post-cardiothoracic surgery documentation time
Onze Lieve Vrouwe Gasthuis, the Netherlands
Intensive Care Medicine, January 2003
Reduced Nursing Documentation Time