1. JEMS Innovation in Telemedicine Reliable Mobile Diagnosable Affordable

2. JEMS MODELS STATIC UNIT MOBILE UNIT

3. Hospital/Clinic Specialist Attending practitioner chooses camera feed and remote physician that they are needed for a “JEMS consult” Remote physician presses JEMS button on cell phone Remote physician enters password Remote physician is viewing a live surgery on their hand held cell phone HOW IT WORKS

4. CHALLENGES Securely collaborate real-time across vast distances Ability to practice securely anytime, anywhere Immediate access to proper individual Shorten the decision making time Enhance on consultations (with visual)

5. HOW TO IMPLEMENT Light Camera Security Camera Laparoscope/ Endoscope Sonogram Room 1Room 2 Room 3 Room 44 Cart Single RoomMultiple Room

6. CLINICAL BENEFITS Increases the standard of care and accuracy Reduces time in the OR – reduce the cost of breaking scrub Help adhere to “duty hours” restrictions

7. FINANCIAL BENEFITS Risk mitigation (lawsuit reduction) Minimal cost to maintain – IT involvement reduced Potential income opportunity (charge for use) Potentially falls under “Meaningful Use” Immediate replacement warranty (SLA)

8. REIMBURSEABLE JEMS IS REIMBURSEABLE ONE OF TWO WAYS (OR VIA COMBINATION): Advanced Evaluation and Management (E & M) CPT Code (unique to JEMS) Telemedicine Reimbursement *Rehmann Group Opinion Letter and Legal Opinion available upon request

9. TECHNOLOGY OVERVIEW HIPAA adherence Only “end to end” encrypted real-time video to mobile solution Plug and Play – requires minimal IT staff interaction Minimal training required Simultaneous voice and data (WIFI and AT&T)