©2016, Cognizant An Internet of Things (IoT) solution to improve patient safety Patient Caring Service

| ©2016, Cognizant Challenges 2 Patient is required to be monitor closely especially those critical care patient or admitted to ICU Patient may fall down, injure, and suicide anytime especially when nobody around Patient family members always need to apply leave to take care patient in long hour and long duration affect work performance and quality of life Patient family members always need to rotate duty roster affecting family relationship Patient family members in oversea are unable to monitor patient status Medical staff (doctors, nurses, and etc) require to visit many patients physically

| ©2016, Cognizant Serious Reported Events in Nova Scotia Nova Scotia patients have died or been seriously disabled while under the care of the province's medical system. 61 patients experienced severe pressure ulcers (bedsores), including deep wounds that exposed fat, tendons and bone. 58 people either killed themselves or were left seriously disabled as a result of suicide attempts while receiving in-patient or outpatient psychiatric care. 21 patients died from falls. 14 surgical patients had foreign objects left inside them. 13 patients suffered death or disability due to a misdiagnosis. 13 patients suffered death or disability due to unspecified "care management" problems. Source:

| ©2016, Cognizant Proposed Solution 4 Patient family subscribe to the Patient Caring Service and made payment to Billing system Hospital administrator received the subscription notification and authorized the patient family to use the service The service video streaming the patient status to subscriber within subscription time Patient family is able to access video streaming of patient via mobile devices anywhere Patient family is able to receive patient status notification via mobile devices

| ©2016, Cognizant Patient Caring Service IoT Overview 5 ICU Patient falls Suicide Patient Family Billing Reminder Medical Staff Baby Hospital Cloud Camera

| ©2016, Cognizant IoT Solution Overview 6 Camera/CCTV video streaming patient status with the approval of hospital and patient family Critical care patient video streaming can be enhanced with motion detection and zoom in and out All video and data will be sent to Hospital Cloud securely Authorized Patient family member and medical staff able to access the live patient recording/information via mobile devices The Hospital Cloud also integrate with Billing system to charge for this caring service The Hospital Cloud will send reminder to family and patient in the following formats:- SMS, , IM

| ©2016, Cognizant What we need to develop? 7 Camera/CCTV video streaming programmatically – After payment received and authorized, the video streaming will be started and ended within the authorized time. Interfacing to important medical devices (Optional) Blood pressure, body temperature and etc Hospital Cloud Store all patients data and video recording Mobile App Allow subscriber to access live video streaming for patient via mobile devices Billing system Reminder system – SMS, , and IM

| ©2016, Cognizant Users 8 Patient Medical Staff Doctors Nurses Medical Officers Patient Family Members

| ©2016, Cognizant Benefits to Patient 9 Improve patient safety Reduce patient fall down Avoid patient suicide Intensive monitoring for ICU patient with motion detection, any movement will notify medical staff/family members Improve baby caring Better monitoring of patient taking medicine Reminder to patient for medical check up appointment and taking medicine

| ©2016, Cognizant Benefits to Medical Staff/Hospital 10 Improve medical staff performance Able to analyze patient status via video streaming without physically visit patient Better quality of diagnosis Better management of patient medicine consuming time Better management of patient napkin changing Big Data analysis for all patient

| ©2016, Cognizant Benefits to Patient Family Members 11 Family members do not need to monitor patient in hospital Family members able to monitor patient externally via mobile devices without sacrificing their daily work/activity Family members have better life quality while caring for patient Family members in oversea are able to monitor patient status Improve family members satisfaction

| ©2016, Cognizant Privacy 12 The caring system is only accessed by authorized medical staff and family All patient data are encrypted included video recording Camera data to Hospital Cloud is transmitted in secure network No permanent video streaming, the video streaming is activated after approved by both authorized medical staff and patient family member. Hospital Cloud Camera

©2016, Cognizant Thank You