1. Tables presmedic.com jordan@presmedic.com (917) 856-0582

2. Characteristics of Patients with Non-ST-Elevation Acute Coronary Syndrome According to Heparin Treatment During Hospitalization CharacteristicsLMWHUHCrossoverNo HP Value Age (median)67.366.065.567.3<.001 Age > 7528.125.523.528.6<.001 Male (%)64.663.268.261.6<.001 Body Mass Index >3024.630.127.826.1 Medical History % MI33.840.033.336.7<.001 CABG13.819.114.816.6<.001 PCI18.923.522.823.2<.001 Diabetes24.428.324.924.4<.001 Stroke6.87.76.87.9.05 CHF8.412.89.012.3<.001 Pos. Cardiac Enzymes %35.132.034.821.9<.001 ST Segment depression32.024.830.222.2<.001 T-wave inversion33.632.932.827.7<.001Before presmedic.com jordan@presmedic.com (917) 856-0582

3. Characteristics of Patients With Non-ST- Elevation Acute Coronary Syndrome According to Heparin Treatment During Hospitalization CharacteristicsLMWHUHCrossover No H P Age (median) 67.366.065.567.3 < 0.001 Age > 75 28.125.523.528.6 < 0.001 Male (%) 64.663.268.261.6 < 0.001 Body mass index > 30 > 3024.630.127.826.1 Medical history (%) MI MI33.840.033.336.7 < 0.001 CABG CABG13.819.114.816.6 < 0.001 PCI PCI18.923.522.823.2 < 0.001 Diabetes Diabetes24.428.324.924.4 < 0.001 Stroke Stroke6.87.76.87.90.05 CHF CHF8.412.89.012.3 < 0.001 Pos. cardiac enzymes (%) 35.132.034.821.9 < 0.001 ST segment depression 32.024.830.222.2 < 0.001 T-wave inversion 33.632.932.827.7 < 0.001 After presmedic.com jordan@presmedic.com (917) 856-0582

4. Before – Data supplied in Excel by client presmedic.com jordan@presmedic.com (917) 856-0582

5. Example of carboplatin rapid desensitization Conc. in mg/mlStep # Flow rate for 15 min interval (mL/hr) Cumulative Dose 0.0271213.5 mcg 0.02725 310 0.0274200.24 mg 0.27255 610 0.272720 0.2728404.8 mg 2.632910 2.6321020 2.6321140 2.6321275675 mg (total dose) Castells, et al. J Allergy Clin Immunol 2008;122:574-80.After presmedic.com jordan@presmedic.com (917) 856-0582

6. Eclipsys Experience maxIT/RHC has 30 Eclipsys Clients Eclipsys CorporationSt. Vincent HealthWest Penn Allegheny Health System Health FirstOrlando HealthSentara Healthcare University Health SystemHoag Memorial Hospital PresbyterianClark Memorial Hospital New York Hospital QueensUniversity HospitalsMaineHealth Georgia Cancer CoalitionUniversity of Kentucky HealthCareCancer Treatment Centers of America Childrens Health SystemNew York-PresbyterianTrinitas Regional Medical Center Lenox Hill HospitalCatholic Medical CenterJefferson Regional Medical Center University of Arkansas for Medical Sciences The Methodist Hospital SystemUniversity of California, Irvine – Healthcare Bayshore Community Health Services University of Michigan Health SystemGenesys Health System BJC HealthCareCity of HopeCalgary Health Region Includes deep MLM, Testing and Pharmacy Experience (5 Pharmacists + Former Lead SMM Product Manager in contingency status)Before presmedic.com jordan@presmedic.com (917) 856-0582

7. 7 Eclipsys Experience Eclipsys CorporationSt. Vincent HealthWest Penn Allegheny Health System Health FirstOrlando HealthSentara Healthcare University Health SystemHoag Memorial Hospital PresbyterianClark Memorial Hospital New York Hospital QueensUniversity HospitalsMaineHealth Georgia Cancer CoalitionUniversity of Kentucky HealthCareCancer Treatment Centers of America Childrens Health SystemNew York-PresbyterianTrinitas Regional Medical Center Lenox Hill HospitalCatholic Medical CenterJefferson Regional Medical Center University of Arkansas for Medical SciencesThe Methodist Hospital SystemUniversity of California, Irvine – Healthcare Bayshore Community Health ServicesUniversity of Michigan Health SystemGenesys Health System BJC HealthCareCity of HopeCalgary Health Region Includes deep MLM, Testing and Pharmacy Experience (5 Pharmacists + Former Lead SMM Product Manager in contingency status) maxIT/RHC has 30 Eclipsys ClientsAfter presmedic.com jordan@presmedic.com (917) 856-0582

8. 8 CPOE Effort Hours - SampleBefore presmedic.com jordan@presmedic.com (917) 856-0582

9. 9 CPOE Effort Hours – Sample Key Deliverables (not including end-user training or interfaces) Duration (mos) Effort Units Unit Effort (Low) Unit Effort (High) Total (Low) Total (High) Assistance Possible % Assistance Possible (Low) Assistance Possible (High) Risk Assessment0.2524080 46050%4080 Report Needs Analysis (including Meaningful Use)3120040020040075%150300 Order Set Facilitation/Building (outlines/iforms)12350608021,00028,00060%12,60016,800 Rules/Alerts123040801,2002,40050%6001,200 CPOE Workflow (Future State Input to Training/Build)12140080040080070%280560 Policy and Procedures12120040020040050%100200 Training Materials12130045030045050%150225 Test Plan (includes scripts for each specialty roll-out)12120040020040080%160320 Unit Test12130040030040050%150200 Integrated Test12140060040060050%200300 Stress/Volume Test12116024016024050%80120 Clinical Liaisons122140808401,68010%84168 Activation Plan1214080408050%2040 Activation Readiness Assessment121801208012050%4060 Activation Support (1 nurse/unit/shift – 2 weeks)1221336 7,056 50%3,528 Total Core Team Hours32,45643,18618,18224,101 Total Core Team FTEs (1800 hours/FTE)182410.113.4 Project Management Hours (15% of core team effort)1,8686,4782,4343,239 Project Management FTEs2.73.61.41.8 Total37,32449,66420,61627,340After presmedic.com jordan@presmedic.com (917) 856-0582

10. Thank you! Please contact us with questions or to discuss your project presmedic.com jordan@presmedic.com (917) 856-0582