1. NaviCare Systems, Inc. Dynamic Workflow Solutions for the Healthcare Enterprise R TM

2. The Problem Things we dont need to talk about –Direct labor shortage –Rising inpatient demand –Constrained revenue growth / reimbursement Client objectives –Reduce room turnover time –Increase capacity utilization / admissions

3. McKinsey Article Observations: –They are right –Domino effect described –Unfortunately, no solution is offered

4. Response Traditional response –Add more beds –Capital-intensive quick fix NaviCares response –Integrated, dynamic workflow and resource optimization tools: –Capacity (revenue) enhancement –Caregiver / direct labor productivity

5. Advisory Board Conclusions 2001 Best Practices for Managing a Full House Significant reduction in A.L.O.S. not likely Ability to simply add beds not likely Hospitals able to generate higher surgical volume will gain disproportionately 11–19% disparity depending on when census is measured Capacity Command Center needed Reducing bed turnover will yield capacity for more admissions Capacity simulation tools can play a role, when developed

6. Managing Patient Flow a National Problem

7. Productivity – The Real Story During tech boom, investment in productivity-enabling technology After bubble burst, continuing investment

8. Its Healthcares Turn

9. NaviCares Core Competence NaviCares ability to rapidly configure, deploy and extend its technology platform in unique and flexible ways to address the clients resource and work-flow optimization needs, for a wide array of beneficiaries, in any problem domain across the entire healthcare continuum. NaviCares Core Competency is enabled by: –An expansive, feature-rich and flexible technology platform (in effect, a high-level development environment and a tool set of great depth) –Knowledge Workers with a deep understanding of how NaviCares technology and tools can be creatively configured and cost-effectively deployed to address the clients needs.

10. Definitions What NaviCare is not: –Clinical Information System –Advance Case Scheduling System –Admit, Discharge, Transfer (ADT) System What is NaviCare? –Day-of-event dynamic workflow solution –Takes over where advance schedule leaves off –Leverages data collected at the point-of-care –By-product is industrial engineering-oriented database –Air Traffic Control System for the hospital

11. Airport / NaviCare Analogy Air Traffic Control Pilots Air Traffic Controllers Baggage Handlers Food Service Ticket Agents Passengers Waiting families Travel agents Freight forwarders Clean-up / turnover Airline management ….and more NaviCare System Physicians Nurses Support Staff Food Service Admitting staff Patients Waiting families Referral relationships Emergency Response Units Environmental Services Hospital management …..and more

12. The Health Enterprise Navigator System O.R.

13. The Health Enterprise Navigator System O.R. Dynamic Workflow and Resource Optimization Platform Data Model Engine FlexVue Design Studio

14. Inpatient Beds: Surgery, Critical Care, Step Down, Medicine ADT CIS O.R.C.V. LabE.D. Direct Admits Outpatient Testing Clinics Dynamic Workflow and Resource Optimization Platform Data Model Engine FlexVue Design Studio The Health Enterprise Navigator System

15. NaviCares Enabling Technology Point-of-Care Data Collection

16. NaviCare System Demonstration Overview