1. ZyloMed Transcription & Documentation Automation Services for Improved Profitability HomeTown Health Presentation April 27, 2011 “Remember that change is the fabric of the future. Preparing for change is the glue that will make it work.” Jimmy Lewis, CEO HomeTown Health

2. Company History Highly specialized, vertical focused organization with more than ten (10) years of experience in the healthcare industry. ZyloMed’s core strength has been its knowledge, experience and expertise in transcription and the medical records industry. 250+ customers, with over 3,000 providers and 8,000 users Employees over 300 part and full time employees with corporate headquarters in Bonita Springs, FL 100% US Based Recently acquired by Accentus, Canada’s largest transcription and documentation company

3. Growth & Presence 2006: 11 States 2007: 16 States 2008: 22 States 2009: 29 States 2010: 38 States

4. Medical Transcription Not a “Dirty Word” Bane of the administrator’s existence Foundation for the healthcare organization Often creates the strategy, “if it isn’t broke, don’t fix it” Creates inefficiencies, reduces productivity, resulting in increased costs

5. If it isn’t broke, BREAK IT

6. ZyloMed Road Show Outdated or non-intuitive technology used for transcription and medical records management. No or limited connectability between disparate health systems, specifically between the transcription and medical records management system. Vendor related issues such as poor quality, 2-5 day turnaround time, inability to interface with disparate health systems. Scanning transcribed documents into their EMR. No or limited auto fax and automated document routing. Digital signatures not used or available. Inefficient workflow or outdated workflow requirements.

7. System Workflow Diagram iPhone/iPad/iPod Touch ZyloMed Mobile Digital Recorder Other Audio Sources ZyloMed InSync Telephone Dictation ZyloMed InTouch File Exports Automated Printing ShadowPrint Interfacing Engine ShadowLink Streaming TCP/IP All communications secured via 128-bit SSL encryption Transcription & QA Process InScribe Workflow Management & Configuration InCommand End-User Portal InQuiry Dictation Sources Automated Fax Delivery

8. ZyloMed Can Capture it All The strategies, methods and tools used to capture, manage, store, preserve, and deliver unstructured content and documents related to key organizational processes Content Management First Responder Information Test ResultsInsurance / Care Instructions Admission Information X-rays / injury photos Lab Results Prescriptions / Dosage Patient History Confidentiality Forms Electronic Clinical Notes Physician Records Virtual Patient File Dictation

9. Document Imaging Workflow

10. Why ZyloMed? – We Save You Money Savings range from $20,000 to several hundred thousand dollars annually VIRTUALLY NO CHANGE FOR PROVIDERS Complete tracking form beginning to end of cycle Improved report TAT Real time corrections/edit capabilities with multi-location viewing capabilities Customizable structured workflow with online document storage Graphical / textual electronic signature Integration with EMR and other HIS Qualified Text Transcription

11. Qualified Text Savings Standard Report $2.99 QT Fully Implemented $2.42 Savings: $0.57 or 19%

12. ZyloMed and Meaningful Use Mr. Williams returns for follow-up. He is a 78- year-old patient who was seen three weeks ago… He is doing well. Denies fever, headaches, sore throat, chest pain, shortness of breath, cough… VITALS: Stable. HEENT: There are no oral lesions. NECK: No lymph nodes. LUNGS: Clear to auscultation… A 24-hour urine collection showed a proteinuria of 173 mg in 24 hours. He had an M-spike in the urine of 48% with free kappa light chains of 120. In the blood,… 1.Mr. Williams has three very small monoclonal proteins in the blood. The highest titer is an IgM spike, which could indicate early stage macroglobulinemia… Through the inherent power of HL/7, reports can be imported to the proper sections of the encounter within the EMR.

13. Reporting Capabilities Production Reports Transcription Listing, Associate Referral Count, Document Counts Workflow Reports Action Monitor, Workflow Monitor, Dictation Upload Summary, Appointment Comparison Report, TAT Reports User Reports Miscellaneous Reports Telephone Dictation Instructions, Transcription Comments, Associate Listing, Referring User Listing, Failed Faxes, Physician TAT Export to Excel All reports can be exported to Excel for Advanced Functions Reports can be saved and scheduled Restricted by User Reports can be limited by the user for security

14. ZyloMed Summary Transition to ZyloMed is easy – 15 minutes training for Physicians – 30 minutes training for office staff – Modular application ZyloMed MTs are all US-based Special rates offered through partnership with HTH Full integration into EMRs and other HIS, at no charge Ability to help your organization meet meaningful use requirements with discrete data interfacing and conversion

15. Complimentary Needs Assessment A brief session with executives to understand the current medical documentation workflow process Can be completed – Conference Call – Onsite – At the Spring Conference We identify areas of opportunity where: – You are losing money – You can become more profitable From there we help map out an implementation plan to help you reduce or eliminate the expenses and ultimately become more profitable We do it with little to no disruption in the workflow of the provider With no out of pocket capital expenditure

16. To Schedule a Needs Assessment Contact Bob Hapner at: bhapner@zylomed.com Or Call 770-464-9376 or 678-725-5752