1. A time management tool for hardworking nurses NurseMind

2. Market 3.2 million nurses ask: –How much time do I have? –What must I do next? –Have I forgotten anything? …dozens of times on every shift. Nursing surveys reveal: –Mental burden –Compromised safety, quality –A real problem!

3. What’s Hard About Nursing? Remembering everything –Several patients, varying acuity, lots of details Knowing what to do next –Prioritizing in your head in a hurry Many tasks are time-sensitive –E.g. must give meds within a narrow time window Frequent interruptions –Stressful, error-prone Huge implications –Outcomes, safety, on-the-job stress Example: bed sores* –Remember to turn the patient every two hours

4. Automate the Paper “Brain” NurseMind is a cognitive tool –Does the remembering, reduces stress –Replaces paper “brain”

5. Shift-at-a-Glance The heart of the app How much time do I have? What must I do next? Have I forgotten anything? Times at bottom: Elapsed + remaining = 8.5 hrs = 1 shift If time remaining < time needed, background turns red.

6. What We Do That’s Special A smart to-do list With timing info –Deadlines for tasks –Durations (enable prediction, planning) Unique graphical user interface –Shift-at-a-Glance Build the to-do list with minimal effort Share the data –Social networking –New info for mgmt, research

7. Reduced stress staff nurses Improved safety patients Less overtime hospital bottom line Bottlenecks anticipated charge nurses New data managers, researchers The NurseMind Value Proposition value 5 value 1 value 2 value 3 value 4

8. Technology SmartPhone 1 app Data storage on server and cached Works with and without wifi/3G Quick and fun –Graphical/touch-driven user interface 1.Whip it out of pocket 2.A few taps and a glance Proprietary –Intellectual property

9. If it’s slower than paper, forget it! No nurse will use it. NurseMind is better than paper: –Well-tuned GUI At a glance: what is due, overdue, soon due, ok to take a break? Menus: common/recent choices at the top User actions: a tap or two –NurseMind reminds; paper does not Can alarm or vibrate Forget nothing (safety) Efficiencies, e.g. trips to fetch supplies Automatic timestamps A new way to organize nursing work: –Paper brain: units of data are facts about the patient. –NurseMind: units of data are tasks -- Action-oriented. Better Than Paper?

10. Data and Security No protected health info (PHI 1 ) collected –No HIPAA concerns A task list for each type of nursing unit –Med-surg, rehab, maternity, periop, ortho, SNF, … Aggregated shift summaries –Analysis of nursing work content

11. Revenue Model Unit price: free Who buys it: –Tier 1: nurses Buy through the iTunes store and in-app payment –Tier 2: hospitals Packages include app licenses, backend software, support, training Database runs on our servers or their own The real cashflow is from subscriptions –$3.99/mo, $39.99/yr, $79.99 lifetime subscription (crowdsourcing)

12. Checklists in Medicine Precedent: aviation* In health care, Gawande is the man Funded, we can appeal to him

13. Product Demo (features to observe in a demo) Shift-at-a-glance Task list by deadline Data model Note-taking –Vital signs

14. Task List Sort by deadline –Or by patient –Or by room Add tasks on the fly

15. Data Model Shift definition –Generic task list for each type of nursing unit E.g. med-surg, rehab, OR, SNF –Users customize for their hospital Interventions/conditions –Additional nursing care for a patient –E.g. diabetes, allergies, risk for pressure ulcers, risk for falls, droplet precautions, wound care, Foley catheter, central IV line, NPO, 1 many more –Hospital-specific “protocols 2

16. Note-Taking Problem-oriented information as needed Vital signs (a “notepad on steroids”) Pain Assessment Scale

17. Our Vision Our solution –Task tracking –Time management –Modern tools for nurses –Improved clinical decision-making hence outcomes Changing nursing! Thanks for listening The old way –Nurses aren’t taught time management –Their only tool: “brains” –Stress, omissions, safety!

18. Contact Dan Keller, Founder/CEO dan@nursemind.com (415) 861-4500