1. 1 About MedicAlert ® MedicAlert is: The leading provider of Canadian emergency medical information services. The largest member-based charity in Canada (over 1 million members) o Over ½ million members in Ontario One of the best recognized trademarks and service marks in Canada. o Protecting the lives of Canadians since 1961 Endorsed by the Canadian Association of Emergency Physicians and the National Emergency Nurses Affiliation. Mission: MedicAlert protects and enhances the lives of its members by meeting their health information needs.

2. About MedicAlert The Canadian MedicAlert® Foundation is Canada's largest member- based, charitable organization dedicated to providing services to our members that protect and save lives. MedicAlert maintains a state-of-the-art database that protects the member's information and ensures confidentiality and privacy. As a trusted healthcare partner, our members rely on us to provide critical medical information to first responders in an emergency. Over one million Canadians have chosen MedicAlert to provide them with the protection and peace of mind in case of a medical emergency. Whenever you see the MedicAlert emblem, you know you can count on us to help emergency medical personnel to respond with appropriate and timely treatment. 2

3. Students First Program Description Program Description The StudentsFIRST program is a new program developed to ensure children and teenagers across Canada, with medical conditions, allergies or special needs are protected by the Canadian MedicAlert® Foundation. With the rise in childhood asthma, diabetes and allergies, it is estimated that one in five children has a medical condition, allergy or special need that should be communicated in an emergency. The StudentsFIRST program has been created to provide kids ages 4- 18 with the 24-hour protection of the MedicAlert® emergency medical information service. 3

4. 4 Throughout the day your child or teenager will interact with many children and may be under the care and supervision of several different adults. This could be during recess, at lunch, in the classroom or even after school at a friend's house or at a summer camp. Parents want to ensure their child or teenager is safe and protected at all times, especially if they have a medical condition. The initial enrollment fee is $52.00 plus provincial taxes. The fee includes a MedicAlert bracelet or necklet custom engraved with your child's medical condition, wallet card, electronic health record and a one-year membership. This amounts to a savings of $30 or more and also includes Extended Emergency Services. There is an annual fee of $30 per year to maintain your child or teenager's membership in the StudentsFIRST program. This is a savings of $19 for each year your child is enrolled in the program. The program is offered to individual students. Students First Program Description

5. 5 The Demand for Students First The Landscape Approximately 300,000 Canadian students have medical conditions that warrant MedicAlert protection. Health Care Challenges in Children Increase in childhood Asthma (750,000 to 1 million Canadian children have asthma) Increase in Diabetes (Estimated 25,000 to 50,000 children have diabetes;) Increase in Allergies (Allergies to peanuts have doubled in past 5 years; food allergies alone affect up to 7.5% of children)

6. 6 Benefits for the School Identifies children with medical conditions to all school administrators –Teachers, Substitute Teachers, Staff as well as parent volunteers Enhances the School’s safety plan Saves precious minutes in a medical emergency Creates a greater awareness of the children with medical conditions to all staff Serves as a catalyst for school administrators to initiate discussion about medical issues Creates a culture of acceptance of medical issues in school and later as children grow Makes child safety an issue in and out of the school setting Benefits for Children and Parents Reassures parents that the school will be available to identify their child’s medical emergency quickly Speaks for the child when the child/parent cannot Educates the parent about medical conditions warranting identification (allergies, asthma, diabetes and other medical conditions) Provides the parent with an opportunity to talk to the school about their child’s health Gives peace of mind to the parent -- their child’s medical history will be available even though they are not present. MedicAlert coverage is more than a child and a bracelet NCW Benefits Families and Schools

7. 7 Core Membership Services MedicAlert bracelet, wallet card Unique patient identifier Key emergency data Summarized record Electronic Membership record Detailed data Historical view My MedicAlert Secure Web access Members has ability to update View / Update record Transparent data processing (information verification) 24-hour hotline Emergency call Family notification

8. 8 Core Services: MedicAlert bracelet, identifier, wallet card Electronic health record for each member 24-hour hotline My MedicAlert (interactive health record, Downloadable and update- able) Additional Services: EMS education Reminders, alerts, recalls on medications Advance directives Links to other major disease organizations Affiliate Programs (CARP, Lifeline, CMA) Corporate Group Programs (GM, Dofasco) Print and e-newsletters About MedicAlert Continued..

9. 9 Studies on the Value of Electronic Health Records and the Availability of Information Surveys and StudiesCitation Source A pan-Canadian Health Record (EHR) would produce the following cost savings: $3.6B CAN over 20 years from reduction in duplicate radiologic tests $10.4B CAN over 20 years from reduction in duplicate lab tests $48.3B over 20 years from reduction of 29M ambulatory, hospital & Long Term (LT) adverse drug events (ADEs) Canada Health Infoway (CHI) and Booz Allen, “Pan- Canadian EHR,” March 2005 A policy conference hosted by CHI and the Health Council of Canada reported the following: Implementation of an EHR in the US could reduce ADEs by 2M/year and prevent 190,000 hospitalizations EHR in the ICU reduces ICU mortality by 46%-48%, complications by 44%-50%, hospital mortality by 30%-33% Ontario Telehealth Network saved $5.2M in travel grants alone in 2005-2006 Telehealth home care and chronic disease management produce 34%-40% fewer ER visits, 47% reduction in LT care admissions, >32% fewer hospitalizations and up to 60% fewer hospital days “Beyond Good Intentions— Accelerating the EHR in Canada,” CHI and the Health Council of Canada, June 11, 2006 Value of Electronic Health Records

10. Surveys and StudiesCitation Source Australian study claims saving of $300M/year by reducing medical errors and duplication of effort if a national EHR can be implemented. Gunter, Tracy D. and Nicholas, Terry P., The Emergence of National EHR Architectures in the US and Australia, Journal of Medical Internet Research 1 (2005) European Journal of Health Economics: Identified 16,766 multi-day cardiac disease cases with 36.85% having at least 1 ADE Patients with an ADE stay in hospital 7 days longer than those without ADEs. Ehsani, J.P., Duckett, S.J., and Jackson, T., “The Incidence and Cost of Cardiac Surgery Adverse Events in Austalian Hospitals 2003 – 2004,” European Journal of Health Economics (2007) 10 Value of Electronic Health Records

11. 11 Value of Electronic Health Records Surveys and StudiesCitation Source Research In Action study on ADEs in US Hospitals: More than 770,000 die each year from ADEs in hospitals (cost of $5.6M/hospital) and computerized systems could save between 28% to 95% of these errors “Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs,” Research in Action, Issue 1, March 2002 The Canadian Patient Safety Institute (CPSI) study of adverse events (AEs) in Canadian hospitals in 2000: Incidence rate of 7.5% 70,000 preventable AEs 9,000 – 24,000 preventable AE deaths (2000) Canadian Patient Safety Institute (CPSI), December 15, 2005 The Canadian Institute of Health Information (CIHI) in 2004: 1/9 patients receive wrong medication or wrong dose More deaths from AEs in hospitals than from breast cancer, motor vehicle accidents and HIV combined Approximately $15B in annual drug purchase are hand-written on slips of paper (Canadian Prescription Drug Industry) Canadian Institute of Health Information (CIHI), 2004

12. 12 At least 10 per cent of children in Canadian schools have a condition that warrants MedicAlert® protection. The following information relates to common children illnesses: Asthma The Canadian Lung Association reports that 750,000 to one million Canadian children have asthma or about 12 per cent of Canadian children[1] Asthma is the number one cause of emergency room visits for children, and accounts for 25 per cent of absences from school[2] Cold viruses are one of the most common triggers for asthma symptoms[3] Child Health Incidence Rates References*

13. Diabetes More than two million Canadians have diabetes and it is estimated that 25,000 to 50,000 of these are children[4] Children are most commonly diagnosed with Type 1 diabetes Type 2 diabetes usually develops in adulthood, although increasing numbers of children in high-risk populations are being diagnosed[5] The number of Canadians with diabetes is expected to rise to three million by the end of the decade[6] 13 Child Health Incidence Rates References*

14. Allergies Allergies to peanuts have doubled in the past five years; food allergies alone affect up to six per cent of all Canadian children[7] The Journal of Allergy and Clinical Immunology reports that children with extreme food allergies can experience anaphylaxis requiring a visit to the emergency room and a shot of epinephrine Some allergic food reactions in children are fatal [1] Statistics Canada 2001 Census; Canadian Lung Association - http://www.lung.ca/diseases-maladies/asthma- asthme/children-enfants/index_e.php; Canadian Diabetes Association, http://www.diabetes.ca/Section_About/thefacts.asp; The Prevalence and costs of Diabetes http://www.diabetes.ca/Section_About/prevalence.asp. Food Allergy Review, Journal of Allergy and Clinical Immunology, 2004 [2] Ibid. [3] Ibid. [4] http://www.diabetes.ca/Section_About/thefacts.asp. [5] Ibid. [6] Canadian Diabetes Association. The Prevalence and costs of Diabetes. Available at: http://www.diabetes.ca/Section_About/prevalence.asp. [7] Food Allergy Review, Journal of Allergy and Clinical Immunology, 2004. 14 Child Health Incidence Rates References*

15. Questions & Answers What is the enrollment fee to participate in the StudentsFIRST program? o The enrollment fee for the first year is $52.00 plus provincial taxes. Each subsequent year the annual membership fee is $30.00 until the member reaches their 18th birthday. What happens when my child goes to another school in another city or province? o The StudentsFIRST membership follows your child to their new school. Please ensure you make the necessary changes to your child's or teenager's MedicAlert file by contacting us and updating their record. 15

16. 16 What do I do if my child's MedicAlert identification is lost or the student outgrows the bracelet? o The participant in the StudentsFIRST program receives one MedicAlert identifier as part of their enrolment fee. A replacement is available for a nominal cost. I have a child who should join MedicAlert but who is not in an elementary or high school, what can I do? o MedicAlert offers a membership package for new members that may meet your needs. Call our toll- free number at 1 866 734-9423 or visit us at www.medicalert.ca to learn more. www.medicalert.ca

17. 17 If you have any questions please contact: Deborah Legrove Clifford Leigh-Mossley Director of AdvancementManager, Student Programs dlegrove@medicalert.cadlegrove@medicalert.ca clmossley@medicalert.caclmossley@medicalert.ca 416-490-3524 416-696-0142 X 1128 Laura King Hahn, Manager of Education Programs lkinghahn@medicalert.ca 416-696-0142 x1114 www.medicalert.ca/studentsfirst