2. “SmartSurg is an application built to increase the profitability of ambulatory surgery centers.”

3. 3 Product Summary Intelligent system that recommends to your staff where to go and what to do next Uses features such as: –Resource tracking –Electronic message boards –Artificial intelligence –Simulation modeling Why consider it? –Increase your capacity –Lower your cost of operations –Increase patient safety

4. 4 In a Nut-Shell… Product built on “just-in-time” manufacturing concepts Changes the production ceiling from the scheduler or “boardman” to the number of procedure rooms or surgeons Efficiently alerts surgeons where to go next Built to maximize throughput and revenue

5. 5 SmartSurg Benefits Increased procedure capacity Increased patient safety –Ability to track and measure Joint Commission and accreditation goals –For example, goals 1A, 2B, 2C, & 2E can be met and documented –Record “near misses” Reduction in operational costs due to efficiency gains

6. 6 Product Specifications Real-time communications system Interfaces with existing scheduling and EMR systems –Provides “dynamic scheduling” Wireless patient and resource tracking –Communicates patient and resource status Proactive system decision-making –Artificial intelligence based on gaming theory Proactive monitoring of patient flow to minimize bottlenecks

7. 7 Surgery Center Throughput

8. 8 Client Net Revenue Projections

9. 9 Net Results & Financial Impact Work the numbers yourself with the worksheet included.

10. 10 Communication in Today’s Outpatient Surgery Centers White boards used to communicate/track: –Patient location (i.e. exam room, phlebotomy, pre-op, surgery, recovery) –Procedure to be performed –Physician assigned to patient –Patient drug allergies –Any other important step in the process Simple electronic message boards –Display location status –Offer no decision making or increase in capacity

11. 11 Today’s Communication is Inefficient Communication Patient status (i.e. IV needed, patient ready for surgery, etc.) Room status (i.e. room needs cleaning, room cleaned, etc.) Physician/staff direction (i.e. physician should go to which room next, staff should bring which patient to which surgery room next)

12. 12 Common Issues Inaccurate/slow white board updating causes poor communication which lead to lost capacity and process delays High patient volumes and higher cost per case force us to look for more efficient ways to do business

13. 13 Other Solutions in the Marketplace Wireless tracking systems Various output devices to deliver information (i.e. flat screens, PDAs, pagers, etc.) Ability to integrate with existing scheduling systems Ability to direct resources based on: –Schedule provided –RULES-BASED SYSTEMS

14. 14 Limitations of These Systems Only as good as the “RULES” Cannot implement a rule for every situation Rules may not reflect the “best decision” Inflexible to handle changes on the fly Still requires administrator to analyze data for basic decision making and bottleneck intervention

15. 15 Comparison of Systems SmartSurg is Not RULE BASED! –Other systems Collect and display information Decisions are left to a human to make Busy days and out of the ordinary occurrences are not accounted for –SmartSurg Makes recommended action decisions and priority lists Collects and displays information Uses planned schedule and adjusts constantly Built for the days that go “unplanned” Uses RF and/or IR technologies

16. 16 System Comparison Chart IssueSmartSurgRules-based Real-time UpdatesXX ADOPS (Adaptive, Dynamic, Optimized Predictive Scheduling) X PrioritizationXX Ability to LearnX Adaptive Decision-making AbilityX Artificial IntelligenceX 100% Accurate Data – AlwaysX On the Fly AdaptabilityX System can proactively avert bottlenecks X

17. 17 Product Design RF/IR (Radio Frequency/Infrared) badges track patient location. RF/IR receivers transmit signals from badges to network servers Flat screens are located throughout the surgery center to display real- time status info. Touch screens are located in all procedure rooms and post-op rooms. Network servers analyze information.

18. 18 Technology Components Data Model Path Management Engine Simulation Engine Gaming Engine Fuzzy Logic Engine

19. 19 System Artificial Intelligence Q: Two doctors leave procedure rooms at the same time with next patients ready for each, but only one procedure room available; which doc goes next? A: The answer here depends on the situation; i.e. what if Dr. “X” is behind because of a difficult stick on an earlier patient or Dr “Y” has three patients in post-op that are waiting to be released...

20. 20 Predictive Decision-Making Q: Why does it matter if we choose patient A or patient B to go next at 9:00 a.m. when both are ready at the same time? A: Decisions that are made in the morning may have a ripple effect on the afternoon schedule. SmartSurg constantly analyzes all potential outcomes of each decision and its potential impact on the rest of the day.

21. 21 Additional SmartSurg Features All times are logged for reference and reporting Web reporting available Real time operations management package in development You can be on the beach and watch your patient flow (and resources) in real time!

22. 22 The Intersection of Finance and Operations Situation #1 – Demand > Capacity –SmartSurg increases capacity –SmartSurg increases net profitability –Fixed costs remain constant –SmartSurg decreases cost per case even after the charge for the system Situation #2 – Capacity > Demand –SmartSurg increases capacity but no increase in volume –SmartSurg decreases cost of operations –SmartSurg decreases cost per case even after the charge for the system

23. 23 Next Steps Fill out estimate data sheet to find out how much SmartSurg could help you Fill out the economic value model worksheet Schedule a conference call to discuss the results If you feel SmartSurg is right for you, take advantage of our no risk guarantee

24. 24 Demo and Discussion For a demonstration, please call Healthcare Enterprise Solutions 866-319-8288