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1 The Next Generation EDIS

2 EXECUTIVE FEATURES AND BENEFITS Improve C-Suite decision making with comprehensive, actionable information from veedis veedis, the Emergency Department Information System for your hospital s C-suite, provides real time information for monitoring and decision making to promote the clinical and financial health of the hospital. Monitor the Emergency Department Real Time: Access status boards and dashboards to monitor census, throughput, ancillary services, resource utilization and other metric preferences. Receive real-time broadcasts and alerts to mobile devices for syndromic surveillance, high risk discharges, department capacity breaches, or other customized events. Automate Charging and Optimize Revenue: Nurse documented assessments and other activities compile client defined point-based levels to efficiently and consistently determine facility charges. Procedures documented and timed IV fluid infusions automatically determine appropriate charges. Chart finalization integrates submission of charges reducing human resource allocations, errors and turn-around-time. Rich Data Yields Rich Reports: Nearly all data capture in veedis is structured allowing for incredibly rich and detailed reporting. In fact, veedis delivers approximately 200 reports addressing all aspects of regulatory, process, quality and risk, and ad hoc reports. And if desired, generate information to CSV file output in order to expand reporting capabilities to meet any need or imagination. Manage Risk: Quickly identify patients with sufficient illness and potential risks to determine the next most appropriate level of care. Comprehensive reports list all significant quality concerns, risk areas and clinical findings to facilitate timely intervention. Prompts are provided real time and reports are available for daily use to ensure patient safety and follow-up. Quality and Incentives: veedis prompts clinicians real-time to comply with clinical Quality Measures and Meaningful Use. Detailed reports identify compliance and opportunities for improvement for the department and for individual nurses and providers.

3 Trending: Monthly reports are automatically delivered to key personnel electronically for tracking and trending purposes. Comparison with previous period data is clear and simple through color coded graphs so that actions for improvement can be identified and implemented. Consulting: We have a team of advanced users and experienced emergency clinicians that have facilitated improvement in hundreds of emergency departments. We analyze a variety of department activities including charting, risk, process and patient flow, charges, Quality Measures and Meaningful Use compliance to customize education programs for nurse and physician users, department and hospital management, as well as quality/risk personnel. Leverage Your Data: Large multi-hospital corporations will benefit from our Year End Report. Presentation of hospital outliers will help facilitate identification of processes that excel at certain hospitals in order that those processes may be exported to hospitals faltering with regard to the same metric. 5-year trending is also provided for corporations with sufficient data. No Capital Costs for Implementation. Low Monthly Operating Costs. No Barrier to Entry: Saves hundreds of thousands of dollars in hardware purchase, maintenance and replacement. Eliminates 3rd party software licensing (Microsoft and other tools) and reduces on-site IT resource needs. No on-site content development required. veedis has the richest content in the industry out-of-the box. This includes clinical content, teaching instructions, medications, protocol orders, clinical decision support, complaint-based documentation prompts, reports and more. Further, our thin-client architecture requires only a browser and a modest desk-top computer. Finally, our numerous existing interfaces allow a go live in days! Stonewall Jackson Memorial Hospital s move to veedis on April 2 is part of our commitment to continuous improvement of quality patient care. While patients might not see anything different when they walk through our doors, they should take comfort in knowing that their hospital is using the most advanced technology. - Avah Stalnaker, CEO of Stonewall Jackson 2

4 CLINICAL FEATURES AND BENEFITS Improve clinical decision making at the point of care with veedis veedis is the most advanced Emergency Department management software available. Track and Manage: Presented as a matrix or as a graphic depiction of the department, the veedis status boards provide comprehensive information at a glance. Both patient status and department processes are presented clearly and informatively. My View provides user-defined filters to render the most pertinent information and ancillary study results, alerts, and other patient information which can be accessed directly from the status board. Document with Confidence: Intuitive and easy to use, veedis delivers cognitive prompting, support and guidance to physicians and nurses concurrent with their real-time comprehensive documentation. Gathering and delivering patient data quickly and accurately via a touch screen interface, veedis improves the Emergency Department process and enhances quality of care and patient safety. See-where-you-are and go-where-you-want shortcuts combine to make the veedis interface most efficient for capturing structured medical information. Prose-like output with images helps to provide a complete and thorough document which optimizes billing and reduces risks. Ordering Made Easy: Initiate protocol orders from triage based on complaint, age and gender to standardize care and improve efficiency. Shortcuts, which are user defined, are presented for quick and easy order entry. Frequently used orders are learned by the system and presented to the provider for subsequent use. Medication orders alert for allergies and drug interactions. Required information for ancillary departments is easily captured during order entry process. Reassessment of all orders is clearly documented with only a few clicks. The status of all orders is tracked and alerts provided for a variety of process delays. veedis gives our Emergency Department high quality, legible documentation for both nurses and physicians and it s very user friendly. Compared to other inpatient systems, veedis is like driving a luxury car instead of riding a bicycle with a flat tire. - Karen Ford, Chief Nursing Officer, Sabine Medical Center operated by Allegiance Health Management, Many, LA

5 Risk and Guidance: veedis introduces Data Incongruity to the market, a robust module that alerts for inconsistent documentation by a single user, multiple users and across modalities. Care Trak utilizes Evidence-Based Medicine and Best Practice to surveil all documentation, orders, vital signs and laboratory results for decision support. Alerts and summaries are presented real-time with reference citations to ensure patient safety and facilitate case management evaluations. Prescriptions and Teaching Instructions: Generate prescriptions with a single click, or make and share shortcuts to generate batches of prescriptions with a single click! Prescriptions, too, alert for allergies and drug interactions. Over 3,000 4th-6th grade-level teaching instructions are automatically linked to clinical impressions, prescriptions, abnormal labs, social history and more to improve efficiency and standardize treatment plans. Quality Unmatched: veedis is content rich and ready which, in addition to facilitating deployment, efficiently provides users with the content they seek as well as items that they might not seek but should. veedis has the richest content in the industry to ensure users address medical scoring systems (NIHSS, Suicide Lethality, GCS, etc.), clinical documentation (Brugada, posterior wall infarctions, etc.), and Clinical Quality Measures with simple clicks or touch of a screen. veedis achieves CLINICAL ACCEPTANCE with ITS TOP 5 INTUITIVE, USER-FRIENDLY FEATURES AND BENEFITS. See and go navigation (See-Where-You-Are and Go-Where-You- Want) Simplified navigation allows instant access to any area of documentation, including touch screen for easy navigation! User-friendly CPOE Direct access to CPOE makes order entry fast and painless. ve CLINICAL SYSTEMS Data incongruity alerts Data incongruity alerts ensure consistency of documentation within a single user, among multiple users and across disciplines. Deep clinical decision support veedis CareTrak is a decision support tool that utilizes a robust set of algorithms predicated on evidence-based medicine to evaluate clinical information in real-time to help direct patients to the right care setting-an invaluable tool for revenue and risk management. Point-of-care Core Measure monitoring Real-time prompts and documentation audit ensure compliance for CMS Core Measures / PQRI before a disposition is made. 4

6 TECHNOLOGY FEATURES AND BENEFITS Streamline Technology solutions for the Emergency Department with the state-of-the-art SaaS application from veedis Minimal Local IT Overhead: veedis exemplifies the shift toward a centralized hosted solution and is the superior alternative to fat client desktop applications. Requiring little IT overhead, veedis is the skinny client application that offers everything clinicians need, while tapping minimal IT resources. As a browser-based, SaaS application, veedis requires only a desktop computer, internet connection and secure VPN tunnel to make your ED immediately productive for a fast implementation and lower total cost of ownership. veedis eliminates hardware obsolescence and requires minimal local hardware. Managed services including upgrades, backups, data integrity, and security come as a bundled solution, lowering overall costs and simplifying deployment and support. All development adheres to and exceeds industry best practices so that veedis can offer the best possible product for top-notch patient care. World Class Centralized Hosting: Powered by Terremark Worldwide Enterprise Cloud managed virtual computing platform, veedis satisfies high availability and scalability demands for all enterprises. veedis offers richer functionality, superior stability, a robust security model, and is device neutral for maximum, but appropriate access. The elastic computing infrastructure dynamically allocates computing resources to meet peak loads, while stabilizing TCO. Remote server clusters, database load balancing, and siteto-site failover fault tolerance model make veedis the most stable EDIS available. veedis is the total package: better performance and economical. Low Cost of Ownership: Eliminate hundreds of thousands of dollars in upfront capital license fees and in hardware and software licensing (Microsoft and other tools), and significant FTE time required to keep fat client systems functioning. With hosted veedis, a low monthly fee based on ED patient volume provides a complete and comprehensive EDIS solution without large capital investment and only a modest monthly operating expense. ARCHITECTURE (SOA) Service-Oriented Architecture (RIA) Rich Internet Application Rules Based Decision Support Engine (PROCORE) Web-Based Service Session-Based Stateless Design Browser-Based User Interface

7 veedis Centralized Deployment Model with Redundant Communication Links & Failover Data Center Interface Integration: veedis has significant integration experience with all Core HIS systems. Interfaces include bi-directional ADT, Order Entry and Results Reporting, and Charge Capture. veedis maintains a standard HL7 interface but can and will develop interfaces based on proprietary transaction protocols when needed. veedis Core/Advanced interfaces Order Entry Lab Results Discrete data elements to Inpatient: Past Med Hx, Home Meds, Allergies, Pharmacy (last dose), vital signs (latest) Vital sign monitors HIE (Health Information Exchange) veedis Advanced Interfaces ve CLINICAL SYSTEMS ADT/ Registration Medical Records Archiving System Requirements Internet Browser Requirements Workstation or Internet Appliance Display Requirements Operating System Requirements Data Bandwidth Requirements Google Chrome 9.x, JavaScript Enabled, Cookies Enabled, Cache Enabled Intel Dual-Core Pentium 1.8GHz Processor or performance equivalent, 2GB RAM (non-shared) Resolution: 1280 x 768, Color depth: 32-bit recommended Monitor size: 21.5 recommended JRE (Java Runtime Environment) v6.x Only used for Local Document Printer Routing veedis requires a minimum reserved bandwidth (QoS) of 256kbps for each concurrent connection 6

8 About veedis veedis is an indispensable tool for effective management and continuous process improvement. veedis is Emergency Department Information System (EDIS) software designed to streamline emergency department management. Created by a team of credentialed physicians and nurses, veedis combines real emergency department experience with advanced technology to provide software that assists in meeting quality patient care and safety goals. veedis provides hospitals with an easy way to move to a current state-of-the-art Emergency Department Information System, avoid significant IT capital costs, and position themselves quickly to meet Federal guidelines to receive incentive payments. veedis is certified by the Drummond Group as an EHR technology (CEHRT) that can qualify hospitals to receive payments under Medicare and Medicaid Electronic Health Record Incentive Programs (Meaningful Use) enabling them to seek stimulus funding under the American Reinvestment and Recovery Act (ARRA). This EHR Module is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments N. University Drive #102 Plantation, Florida Phone Fax