1. Site Management Organization (SMO)
Making Clinical Trials More Efficient
Site Management Organization (SMO)

2. Core Strategic Offerings
med fusion provides successful recruiting strategies by
Increasing research and operational efficiencies
Committing to communication and coordination
We make clinical trials more efficient by
Evaluating patients for rapid study startup and gathering data
Maintaining a dedicated network of healthcare providers
Denise – this is the critical slide in my opinion. It shows by Pharma should partner with med fusion for clinical trials. You might want to consider leading with this slide and then going into some of the background about med fusion followed by examples to support the statements regarding the value med fusion brings to clinical trials which are on this slide.
As a result, we enhance the health, quality of life, and clinical value of patient care while increasing turn-around times and revenues.

3. med fusion Provides Solutions
We promote timely and accurate payment by delivering
Fully integrated Clinical Trial Management Systems (CTMS)
Efficient accounts payable/receivable support
We find appropriate studies by using
Extensive portfolios of active clinical trials
Strong relationships with sponsors
We reduce costs by utilizing
Professional budget analysts to identify hidden costs in clinical trials
Field service specialists to identify and resolve front end issues
Patient Service Center (PSC) networks to optimize operations

4. med fusion Provides Solutions
We make recruiting patients easy with our
Ability to evaluate patient populations for rapid study start-up
Dedicated full-time call center
We streamline the negotiation of contracts with
Centralized contract review and negotiation for rapid turn-around
Established Master Service Agreements with study sponsors
We ensure you stay ahead of the competition by providing
Ease of Use Model provides a platform to accelerate and drive execution at study site level
Rewarding and dynamic work environments associated with research

5. Clinical Trials with SMO Support
Industry Sponsors
Requests
Results
med fusion
Rapid study startup
Contract and budget negotiation
Patient service centers
Site management personnel
Field service specialists
Study kit inventory and distribution
Affiliations with central IRBs
Subcontracts and payments
Clinical trials and patient data
Sites
Oncology
GI/GU
CNS
Immunology CV ID 5

6. Clinical Trial Site Management Support
Connecting Sponsors and Physicians
Clinical Trials Site Management and Recruitment Data
Industry Sponsors
Manages trials and testing
Field service support
Clinical Trial Site Management Support
Test results
Physician Offices

7. Clinical Trial Site Management Support
Connecting Sponsors and Physicians
Clinical Trials Site Management and Recruitment Data
Industry Sponsors
Manages trials and testing
Field service support
Reference testing
Clinical Trial Site Management Support
Testing
Physician Office Labs and Patient Service Centers
Test results
Community Pathology
Health System Laboratories
Consultations
Test results
Populates database
Electronic Medical Records
Physician Offices

8. North Texas Market
med fusion provides professional, high-quality clinical research through a dedicated network of geographically distinct clinical investigative sites with large, readily available patient populations.
We deliver the following resources through our unique partnerships with Baylor Healthcare System (BHCS), U.S. Oncology, and Texas Oncology.
Medical resources
Patient resources
624,514 outpatient registrations
235 patient access points
388,951 ER visits
41 satellite outpatient clinics
127,415 admissions
26 hospitals
6,300 medical staff members
21 ambulatory surgery centers
3,532 licensed beds
7 short-stay surgical hospitals

9. The med fusion Advantage
To deliver effective clinical trial programs, med fusion will
Implement ongoing site relationship training
Reduce patient drop-out rates
Increase patient enrollment rates
Enable the expansion of projects to a large pool of potential patients
Build robust databases for future research and outcomes projects

10. The med fusion Advantage
To deliver effective clinical trial programs, med fusion will
Increase physician participation in clinical trials
Provide an extensive IT system to access clinical trial information
Integrate systems and services to eliminate clinical trial delay
Support and enhance central and local IRB interactions
Distribute study kits on an as-needed basis through advanced logistics courier, tracking, and monitoring systems

11. Field and Patient Service Centers
med fusion provides a fully integrated network of field and patient service centers that
Lower operation costs
Consolidate the processing of accounts payable/receivable
Integrate information about clinical trial availability into test results
Optimize supply storage, management, and delivery
Reduce patient attrition through dedicated field service support
Denise – I think it is Field Service

12. Field and Patient Service Centers
Skilled phlebotomists who are patient friendly and service oriented
Advanced scheduling of appointments and appointment reminders
med fusion service centers ease the burden of clinical trials via
Study kit distribution on an as-needed basis
Denise – I think it is Field Service

13. Enhancing Patient-Site Relationships
The patient-site relationship is key to retention.
med fusion builds and maintains strong relationships by
Identifying key factors that draw patients to clinical trials
Integrating field service specialists with sites
Ensuring adequate resources for patient recruitment
Developing patient recruitment and referral centers
Automating systems to vastly increase efficiency
Minimizing interference with other physician activities

14. The Bottom Line Potential Revenue $565,714 $1,414,285 $2,828,571
Amount of
10%
Market Share
25%
50%
Investigator Sites 6 15 30
Studies 5 13 26
Study Subjects Enrolled
113
283
566
Study Subject Visits
170
424
849
Potential Revenue
$565,714
$1,414,285
$2,828,571
Assumptions
300 bed hospital service area (180 MDs to support)
22 patients per study
20 visits per patient per study per year
Average reimbursement per patient is $5,000
Average of 3 MDs per site
Average of 18 months per clinical trial

15. Making Clinical Trials More Efficient
When you rely on med fusion for Site Management Organization, we will
Provide you with successful recruiting strategies.
Connect you with physicians to successfully initiate and operate patient studies.
Deliver professional, high-quality clinical research through a dedicated network of geographically distinct clinical investigative sites with large, readily available patient populations.
Implement a fully integrated network of field and patient service centers that benefit your organization.

16. References
Acurian Whitepaper Series: Scott H. Connor, VP Marketing,An Integrated Approach for Clinical Trial Patient Retention. Elvidge S. Importance of Patient-Retention Strategies. Life Science Leader. April Kaitin KI. Growing Protocol Design Complexity Stresses Investigators, Volunteers. Impact Report. Tufts Center for the Study of Drug Development Wipke-Tevis, D. Impact of the Health Insurance Portability and Accountability Act of participant recruiting and retention. Western Journal of Nursing. 2008;30: th Annual Patient Recruitment & Retention Conference; September 24-25, 2007; Washington, DC; data presented by John Benbrook and Malcolm Bohm of MMG & Trialytics, Inc. Volunteer Demographics Center for Information & Study on Clinical Research, Clinical Trial Facts and Figures, 2006.