12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 1 Reducing Patient Attrition Aegis Medical Systems, Inc. Change Team Members: Arron Hightower Melodie Schaefer Steve Day Kristen Kemp

Patient’s Bill of Rights and Responsibilities 12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 2 I. Aim Our goal over the next 6-months is to reduce our attrition rates among patients in the first 90-days of treatment by 10% from 19.47% to 9.47% To begin, we analyzed 17 months of admission and discharge data and discovered some interesting findings: Women were more likely to discharge than men by 5% Cash patients were more likely to discharge than DMC by a rate of 3:1 Patients 27 years-old and older were more likely to discharge than 18 to 26 year-olds Patient discharges were most likely to occur in multiples of 7 days However, we realized the single greatest predictor of attrition was a patient in their first 5 days of treatment (8.54%). So, to date, we have concentrated solely on this factor

Patient’s Bill of Rights and Responsibilities 12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 3 II. Changes Made We chose one of our sites as our “test case” and scheduled patients to have 5 clinical and/or medical interactions in their first 5 days of treatment

Patient’s Bill of Rights and Responsibilities 12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 4 III. Results: Attrition Rates Fell From 16% to 4%

Patient’s Bill of Rights and Responsibilities 12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 5 IV. Next Steps STEP 1: Add an 8-week group following the first 5 days of treatment to see if this will impact retention and lower it to 2% as well as extend the first day of attrition from day 10 to day 15 STEP 2: Following the 8-week test period, implement the 5 in 5 program design to all 24 Aegis sites

Patient’s Bill of Rights and Responsibilities 12/5/2011 © 2011 Aegis Medical Systems, Inc. All rights reserved. 6 V. Impact: The Clinical & Business Case Simply stated, patients cannot get well if they are not in treatment. Discovering the high risk factors, demographics and most crucial time frames for attrition helps patients achieve long- term results. By reducing attrition from 16% to 4% in our test site, the projected financial impact in one Aegis site is $388,000 of additional revenue per year.