1. The Science Behind Falls Management
HD Nursing
Innovating in Healthcare: Idea Formation to Revenue Generation and Everything in Between
Amy L. Hester PhD, RN, BC

2. Overview: HD Nursing
Clinical Decision Support System to predict and prevent falls and injuries across the continuum of care.
Improve patient outcomes
Reduce hospital costs
Reduce hospital re-admissions and institutionalized care
Automate work flow for care providers

3. Proven leaders in Falls Management with demonstrated results
Who We Are
Proven leaders in Falls Management with demonstrated results
Gary Platzman: President & CEO
Transformed 63 year old company into the market leader in Falls Management products
Tripled company’s revenue over 10 years
Amy Hester, PhD, RN, BC: Chief Scientific Officer
Nationally recognized and published falls subject matter expert
Director of Nursing Research and Innovation - University of Arkansas for Medical Services (UAMS)
Patricia Quigley, PhD, MPH, ARNP, FAAN, FAANP
Advisor & Chairperson of HD Clinical Advisory Committee
Erin Bush, MA, BSN, RNC-MNN
Director of Clinical Operations
Experienced clinician, educator, and change agent devoted to implementation success and sustainability in every facility

4. The Pain Point…
Total cost to the healthcare system resulting from falls and falls related injuries: $34B in 2013, estimated at $47B in
The average 200 bed hospital spends $1,000,000+ per year on falls related costs5
CMS (Medicare) no longer reimburses providers for added costs for falls sustained while in the hospital (“hospital acquired condition”)2
The move to “value based purchasing” means hospitals face financial penalties for readmissions (up to 3%) and patient safety metrics2
Falls related injuries account for up to 15% of readmissions in first 30 days4
For our elders, falls account for 25% of all hospital admissions from nursing homes, and 40% of all nursing home admissions; 40% of those admitted do not return to independent living; 25% die within a year

5. The HD Nursing Solution
With a comprehensive, individualized falls management program, providers will have the tools needed to improve patient safety outcomes and address the growing costs associated with falls.
Predict: Hester Davis Fall Risk Assessment Scale©
Prevent: HD Falls Care Plan©
Sustain: HD Falls Tool Kit©

6. Results: UAMS Case Study
One year after implementing (2011) the HD Falls Program™ at UAMS:
Experienced a 60% reduction in injurious falls
Improved from 98th to 11th percentile in falls injury ranking on NDNQI
Saved $1.27 million on falls related costs the 1st year 1
Saved an additional $330k by eliminating “patient sitters” – an ineffective and costly intervention
Saw an overall savings of $1.6M per year
All occurring during a time when the hospital was significantly reducing staff.
2013/2016 Top Performer in Falls and Injury Prevention (University Healthsystem Consortium)
2014 Top Hospital Saving Money in Innovative Ways (Becker’s Healthcare)
In 2013 & 2016, UAMS achieved the lowest falls and falls injury rates in it’s history and is a recognized national leader. 6

7. Additional Success

8. Our Clients

9. Integration With Key Industry Providers
Epic is the $3B market leader in electronic medical records (EMR) (25-30% share and fastest growing)
In 2014 release, HDS integrated in Epic EMR system
Agreement provides for up-sell of HD Care Plan™ directly to Epic customers for full functionality of program
Non-exclusive for HD Nursing 9

10. Partnership With Key Industry Providers
Universal Hospital Services (UHS)
$550M market leader in sales/rental of patient handling/falls management equipment for acute care facilities
Co- Marketing Agreement Non-exclusive for HD Nursing
Posey Company
Market leading manufacturer of falls management products
Co- Marketing Agreement Non-exclusive for HD
Additional strategic partners in discussion 10

11. Go To Market Strategy
Non-Hospital (Ambulatory) Lifecycle (over age 65)
Hospital (Acute Care) Lifecycle
13.6M (over age 65) Patient Discharges
Falls and injury assessment and care plan in connection with continued medical care or evaluation of fall prevention equipment/technology
Seamless falls and injury prediction & prevention for hospital patients
At Home
In Office/Clinic HD
Outpatient
Solutions
In-Patient
Discharge
In Office/Clinic
@ Home
@ Home Retail HD
Outpatient
Solutions
Healthcare
Professionals
298M Visits
Services
Providers
44.7M People 11

12. Pricing & Revenue Model
Hospital Pricing Model
Price
License Fee
Acute: $9,000-28,800/yr
Ambulatory: $4,500-15,000/yr
Implementation, Customization & Training
$2,000-10,000 (one-time)
On going Support
$2,000-10,000/yr
Hospital
Acute: per hospital pricing; tiered by bed size
Ambulatory: per hospital pricing; tiered by visit volume
Non-Hospital
Ambulatory: tiered by patient volume/revenue share
Community: patient volume/revenue share 12

13. Managing Conflicts of Interest

14. Managing Conflicts of Commitment

15. QUESTIONS?
Thank you for your time!