MetaVision® Suite: Value on Investment July 2014

Value on Investment with MetaVision Improve care quality Enhance financial performance Increase operational efficiency

Improve Care Quality Timely, actionable information Advanced decision support tools Automation of routine tasks Improve documentation quality while reducing documentation time Automate calculations Implement barcoding of meds & blood products Access accurate patient data at any time Eliminate handwriting & transcription errors Ensure that the patient record is complete Anticipate health deterioration prospectively Plan care based on smart notifications about changes in patient status Enforce hospital policies, best practices, & regulations

Improve Care Quality Measurable care improvements reported by our users Reduced errors Reduced mortality Reduced length of stay Improved compliance with protocols & best practices Improve care quality

Improve Care Quality - Reduced Errors 100% correctly prescribed drugs 100% elimination of all dose errors in handwritten prescriptions 100% traceability of prescribers Papworth Hospital, UK Anesthesia, January 2010 72% reduction in adverse drug events Medication prescription errors reduced to 0.7% Schneider Children’s Medical Center, Israel Pediatrics, September 2009 Reduced Errors and ADVERSE DRUG EVENTS

Improve Care Quality – Reduced Mortality 31.3% reduction in ICU mortality rate , from 21.4% to 14.7% , after implementing MetaVision & other technologies Less ventilator use in critically ill patients Lehigh Valley Hospital, USA Archives of Internal Medicine, April 2010 24.00% 21.00% 18.00% 15.00% 12.00% 9.00% 6.00% 3.00% 0.00% Significant Fall in Mortality Rates

Improve Care Quality – Reduced LOS 20% reduction in length of stay Paul Brousse Hospital, France Journal of Clinical Monitoring and Computing, June 2014 “ We believe that the clinically relevant differences concerning the length of stay in our ICU resulted from an improved quality of care following the implementation of ICIS [sic].” Reduced Length of Stay

Improve Care Quality – Improved Nutrition Facilitated glucose control, improved nutritional monitoring & quality of nutrition University Hospital of Lausanne (CHUV), Switzerland Current Opinion in Clinical Nutrition & Metabolism, May 2010 Improved Nutritional Support

Improve Care Quality – Improved Nutrition 26.3 % increase in patients with adequate nutrients delivered by day 4 in the ICU VU University Medical Centre, the Netherlands The Netherlands Journal of Medicine, December 2009 Provided accurate information on energy balance in critically ill patients Rabin Medical Center, Israel Clinical Nutrition, February 2006 Improved Nutritional Support

Improve Care Quality – Improved Nutrition 13% increase in adherence to insulin dose recommendations 4.7% increase in compliance with glucose measurement timing recommendations Onze Lieve Vrouwe Gasthuis, the Netherlands JAMIA, March-April 2005 Increased Glucose Control 40.1% 35.5% 34.3% 33.3% 31.0% 25.5% Paper control With MetaVision Too early On time Too late

Improved Compliance with ANESTHESIA Guidelines Improve Care Quality – Increased Compliance PONV prophylaxis guidelines 40% increase in timely delivery of PONV drugs Onze Lieve Vrouwe Gasthuis, the Netherlands European Journal of Anaesthesiology, February 2010 37% increase in high risk patients prescribed PONV prophylaxis Anesthesia & Analgesia, 2008 Anesthesia best practices 23% increase in reactivation rate of CPB monitor Lady Davis Medical Center, Israel Anesthesia & Analgesia, April 2009   Improved Compliance with ANESTHESIA Guidelines

Enhance Financial Performance Increase reimbursements Control and reduce costs Supports ever-changing country-specific billing and activity-based-funding programs Captures billing opportunities with complete, high resolution, structured data collection and export Ensures incentive payments Avoids penalties associated with non-compliance Shorten revenue cycle Improves adherence to protocols Reduces length of stay Reduces clinical complications & corresponding costs Improves operational efficiency Reduced administrative overhead Saved documentation time Fewer errors Enforced use of hospital preferred products such as lower cost generic drugs Accurate documentation of scores and procedures such as ventilation & drugs Measurable ROI reported by our users

Enhance Financial Performance – Increased Reimbursement $300,000 increase in ICU revenue capture 3.6 minute reduction per patient for physician coding 72% reduction in number of coding errors Paul Brousse Hospital, France 100% billable anesthesia procedures $400,000 a year in billing efficiencies Massachusetts General Hospital, USA $1.2 million increase in annual revenue capture > $120,000 in CMS reimbursements $200,000 per year in reduced billing services fee Lehigh Valley Hospital, USA Complete capture of reimbursement fees

Enhance Financial Performance – Reduced drug costs $700,000 saved via drug optimization program in the OR Massachusetts General Hospital, USA Pre-MetaVision $197/patient With MetaVision $149/patient Reduced Drug Costs

Enhance Financial Performance – Reduced drug costs ~20% reduction in antibiotics-related expenses L’Institut Paoli-Calmettes, France Reduced drug costs by increasing use of generic prescriptions in ICU from 61% to 81% Papworth Hospital, UK Reduced Drug Costs

Increase Operational Efficiency Template generated notes Automated calculations Predefined optimal data views MetaVISION helps streamline documentation Streamlined, branching forms Add this to previo Order reminders

Increase Operational Efficiency – Reduced documentation time 30 minutes saved per shift on clerical reporting University Hospital of Lausanne (CHUV), Switzerland 95 minutes saved per 12-hour shift on nursing documentation Lehigh Valley Health Network, USA AtlantiCare 8th Annual Trauma Symposium, May 2006 29 minutes saved per 8-hour shift in post-cardiothoracic surgery documentation time Onze Lieve Vrouwe Gasthuis, the Netherlands Intensive Care Medicine, January 2003 Reduced Nursing Documentation Time