WE SIMPLIFY COLLABORATION YOU FOCUS ON CARE

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1 WE SIMPLIFY COLLABORATION YOU FOCUS ON CARE

2 Our Promise. As practicing physicians and nurses, we experienced firsthand the technological and cultural barriers preventing clinicians from collaborating effectively, and the impact those barriers had on patient outcomes. The Joint Commission shed further light on the problem with a recent report confirming poor communication as a leading cause of sentinel events in healthcare. Because of this experience, we ve directed our focus and passion on helping others care for patients more effectively through improved clinical collaboration. In 2010, we founded Halo Communications and developed the model for the Clinical Collaboration Platform. Since then we have helped more than 200 healthcare organizations achieve better patient care and collaboration by breaking down communication silos and modernizing their technology. The Halo platform is the antidote to the pain healthcare systems feel after years of employing antiquated technology such as pagers, on-premise communication systems, paper on-call schedules, dumb devices, and fragmented department-specific deployments that ultimately drive convoluted clinical workflows. The Halo platform makes it possible for your organization to employ a unified collaboration platform across the entire enterprise, which leads to improved patient care. Join us on a journey that begins by uncovering your collaboration technology gaps, clinical workflow deficiencies, and care coordination challenges. We promise to put patients first, simplify the complex, and deliver the best experience available. Jose G. Barreau, MD CEO and Co-Founder Halo Communications Advisory Council 02

3 Our Story. Clinical DNA Founded in 2010 by two clinicians who recognized the need for a better solution for clinical collaboration. Integrated clinical workflows built through firsthand experience. Industry- Leading Technology Secure cloud hosting through Amazon Web Services allows platform functionality to extend across the entire hospital system. Employ unified product development to ensure products function equally effectively individually or as a platform. Customer Journey Implementing a Clinical Collaboration Platform can be a complex and challenging endeavor. Halo Communications Customer Journey process guides your team through this process by focusing on needs assessment, integration and implementation blueprinting, go live, and beyond to ensure your requirements are met. Proven Deployed across variety of healthcare systems ranging from PCP offices to large enterprise systems (15,000+ users/system) KLAS Category Leader for Secure Messaging KLAS Report: 100% of customers would buy again.

4 Unified Clinical Collaboration Isn t Easy. Why? Communication was cited as a root cause in 70% of sentinel events according to a Joint Commission survey. 1 Outdated technology and infrastructure lack analytics, security, reliability, speed, and accuracy preventing transmission of critical information. Individual Areas of Service often deploy department-specific collaboration solutions creating isolated silos of communication within hospitals that hinder interdepartmental transfers of information. Communication is typically limited to within facility walls, preventing secure and timely transmission of clinical information across the continuum of care. Halo is a really well designed, responsive, and highquality product. Halo met the needs of our hospital, and it brought us functionality that we didn t know we needed. It also improved communication throughout our hospital. - VP, KLAS, October 2017 Halo Communications partners with you to help solve your hospital system s clinical collaboration challenges by: Working with your team to uncover your system s specific collaboration needs Recommending the right mix of Halo products to address those needs across the entire enterprise, and Guiding your team through and beyond implementation to ensure high user adoption. Our partnership doesn t end after go live.

5 The Halo Platform. Affiliated Organizations HEALTH SYSTEM COMMUNICATION ALL ROLES ALL DEVICES KEY INTEGRATIONS Secure Messaging Clinical Teams BYOD Smartphones EHR Calling Critical Teams Shared Smartphones PBX Alerts On-call Physicians Shared VoIP Phones Medical Devices Nurses Desktop Web Browsers Nurse Call Systems Unify Clinical Collaboration with One Platform The Halo Clinical Collaboration Platform is the operational foundation for mission critical collaboration for some of the largest health systems in the country. We partner with both academic and non-academic health systems to unite them and improve efficiency and the effectiveness of patient care across the system. It was the first Clinical Collaboration Platform and is still the only one with the essential communication functions of secure messaging, VoiP calling and alert processing powered by a scheduling and teams management system that ensure accurate and timely delivery of all real-time information across a health system. The platform was developed with years of clinical and technical collaboration to ensure the essential clinical workflows and technical capabilities are present.

6 Halo Messaging 90% of healthcare employees admitted they use text messaging at least a few times a week for work 2 What s the #1 reason physicians text on the job? Patient-related care. Ensuring clinicians use HIPAA-compliant messaging is an ongoing battle for hospital system administrators. Not only is the clinical use of SMS text messages non-compliant with HIPAA regulations, it also: Relies on senders to have accurate recipient contact information May experience delays in delivery due to inconsistent network connectivity Provides no ability to audit receipt of messages, leading to unconfirmed transfer of accountability Halo helps us comply with HIPAA regulations. We don t have to worry about monitoring people and making sure they aren t using their personal devices. - Analyst/Coordinator, KLAS, November 2017 Halo Messaging simplifies your secure messaging challenges so your team can focus on care. Provides secure messaging that keeps your system in compliance with HIPAA regulations. Allows instant and up-to-date access to any user in your system with Halo Smart Scheduling and Teams, reducing time wasted paging providers and clinical and care teams. Automatically confirms message status (Sent/Delivered/Read), ensuring transfer of accountability. Employs an intuitive user interface that builds off native ios and Android messaging applications, increasing user adoption and communication effectiveness, which ultimately leads to better patient care.

7 Halo Voice Collaboration inefficiencies are driven by many factors, including the need for clinicians to carry multiple communication devices, and an aging telephony infrastructure. A fragmented department-by-department approach to the execution of a hospital system s clinical collaboration strategy further drives gaps in communications. Ultimately, this may directly impact the organization s quality of care, driving up your overall operational cost. $4M Annual financial loss due to communication inefficiencies for the average US hospital 3 Halo Voice simplifies your system s voice communication challenges so your team can focus on care. Leverages the cloud to enable VoIP features inside and outside healthcare systems, regardless of a user s location. Adapts to your system s existing VoIP-enabled telephony infrastructure. Decreasing implementation costs, time, and complexity. Simplifying the onboarding of additional users within existing and new hospital system locations and reducing the need for ongoing technology refreshes. Provides instant access to voice communication on the same device used for secure messaging, alerts, and schedule management to reduce device overload and increase platform adoption.

8 Halo Alerts 150+ Number of alarms generated per patient per day at a typical critical-care unit 4 That s one alarm per patient every 4-10 minutes. How long on average does it take your staff to respond to and resolve just one alarm? By the time they ve handled the alarm, there s a good chance they ll already have received another alarm. Even more shocking: 70-99% of clinical alarms are false and do not require any action. 5 What could this mean to your health system? Alert fatigue (decreased cognitive abilities and desensitization to alerts), which may ultimately result in lower levels of staff satisfaction, increased staff turnover, and lower HCAHPS scores, or in a worst-case scenario, patient harm. Halo Alerts simplify your alert management challenges so your team can focus on care. Partners with your system s alarms committee to mobilize only the most critical alarms into alerts. By reducing the quantity of mobilized alerts, clinicians will see a reduction in alert desensitization and an increase in patient and staff satisfaction. Engages with Halo Smart Scheduling and Teams to mobilize the right alerts to the proper role or team, increasing accountability and response time to critical situations. Utilizes advanced integrations with ACM systems to provide instant access to mobilized alerts on the same device used for secure messaging, schedules, and even voice communication to reduce device-overload and interruption fatigue.

9 Halo SMART SCHEDULING & TEAMS How many scheduling methods do you use today? How accurate are these scheduling methods? How much time does your staff spend paging on-call providers and waiting for a response? Can you ensure your team s messages, alerts, and calls get to the right recipients at the right time, every time? How much impact does that wasted time and inefficiency have on patients? Employee burnout and turnover? Your system s financial bottom line? 40% Total communication time in a recent nurse survey described as problematic time 6 We create care teams based on who is on call. The process is easy because we use the scheduling system to identify who is taking care of patients. We can send messages to an Area of Service, such as Cardiology, and the messages will be sent to the people that are on call. -Physician, KLAS, October 2017 Halo Smart Scheduling & Teams simplifies your on-call scheduling challenges so your team can focus on care. Nurse Katie Reaching an On-Call Provider Dr. Jones Acts as the source of truth for your entire system s on-call schedules. A robust schedule management tool and integration with existing schedule management systems helps you eliminate schedule redundancy and inaccuracy. Facilitates role-based communication, giving users confidence that their message, call, or alert gets to the recipients on call right now who are available to assist. Allows users to manually adjust on-call status on the fly, providing flexibility in critical situations. Typical Scenario 3-5 Calls Several minutes Nurse Katie With Halo 1 Message Seconds Cardiology On-Call Team Dr. Smith Dr. Adams Dr. Jones Dr. Brown Dr. Davies

10 Industry-Leading Technology Foundation Cloud Based Hosted on Amazon Web Services (AWS). Facilitates consistent user experience regardless of user s physical location. Multi-tenant cloud structure allows non-affiliated community organizations to link to one another. Scales quicker and more efficiently than on-premise options. Integrations Ensure interoperability with existing clinical IT systems. Drive collaboration and clinical efficiencies (and ultimately adoption) by integrating with: EHR PACS/Labs Others Alarms/Alerts Scheduling Systems Unified Development Products designed from the ground up to work together holistically as a platform. This provides the best possible clinical user experience which ultimately increases end user adoption. Security As a Business Associate of covered entities, Halo Communications has strict security features to protect PHI: PHI encrypted at all levels SOC II HITRUST Additional security layers and product features to ensure security of your data.

11 Our Journey. The foundation of our relationship with our partners. The Halo Communications Customer Journey is a formal process developed to establish and strengthen the relationship between your healthcare system and Halo while also providing a clearly defined structure for implementing a Clinical Collaboration Platform. Through this process, we ll: 1. Jointly define your system s clinical collaboration challenges 2. Develop and execute a mutually agreed upon plan to address these challenges through implementation of the Halo platform 3. Provide ongoing support during and after go-live to ensure adoption goals are being met. ASSESSING YOUR NEEDS We introduce you to the Clinical Collaboration Platform and then we do a full assessment on your health system s CCP readiness. 1 4 IMPLEMENTATION & PLANNING Our combined teams plan the implementation appropriately and complete required pre-work for project management. DEMONSTRATING THE VALUE We take what we learned and deliver you a detailed statement of work with implementation plan based on our best practices. 2 5 EXECUTING TOGETHER We jointly execute on strategy to implement Halo across your health system. 3 6 OUR PARTNERSHIP PROPOSAL When ready we deliver our official proposal and completely align on starting the project. POST-GO-LIVE SUPPORT We permanently stay with you and continue to optimize and innovate.

12 ABOUT HALO COMMUNICATIONS Halo Communications Clinical Collaboration Platform Halo is transforming patient care by streamlining real-time communication among physicians, nurses, and staff. The mobile and online app provide secure, HIPAAcompliant texting. Robust care coordination tools integrate with hospital systems to allow instant access to EHRs, critical and clinical teams, oncall schedules, call centers, labs, and directories. Exclusively designed for healthcare, the Halo Communications Clinical Collaboration Platform is used by several of the most prestigious healthcare organizations in the country. ENDNOTES Sentinel Event Data Root Causes by Event Type Joint Commission Office of Quality and Patent Safety. com/2016/02/ se-root-causes-by-event-type pdf Miliard, Mike. Courting HIPAA risk with messaging apps. Healthcare IT News July-August. Quantifying the economic impact of communication inefficiencies in U.S. hospitals. Ritu Agarwal, Daniel Z. Sands, and Jorge Diaz Schneider. Journal of Healthcare Management. 55(4), , May 1. Perspectives on Clinical Alarm Safety, ECRI Institute and The Joint Commission Webinar. Institute_Perspectives Alarm_Safety.pdf 5. Lippincott NursingCenter , August. Improving Patient Safety Through Provider Communication Strategy Enhancements. Catherine Dingley, Kay Daugherty, Mary K. Derieg, and Rebecca Persing. Advances in Patient Safety: New Directions and Alternative Approaches. AHRQ and Denver Health. Bookshelf_NBK43663.pdf ONE West 4th Street Cincinnati, OH