1. Elevating Healthcare through Advanced Communications

2. Slide 2 Agenda CUSTOMER Requirements Meeting Today’s Healthcare Challenges  Enhancing Patient Care  Improving Safety & Security  Reducing Operating Costs DAKS Product Overview  Features & Capabilities  Deployment Questions & Answers

3. Slide 3 Challenges for Healthcare Today’s Environment and Challenges  Enhancing Patient Care  Mobility of personnel resources  Critical care collaboration  High visibility and liability associated with errors and failures  Improving Safety and Security  Heightened possibility of threats to public safety  First responders collaboration  Off-duty staff mobilization  Stress-induced human error  Multiple constituency situation updates  Reducing Operating Costs  Mobility of personnel resources  Reduce conference costs  Reduce resource requirements for routine procedures Key to Meeting these Challenges  Assume a Readiness Posture – Proactive and Reactive  Rapid and Reliable Communication and Collaboration

4. Slide 4 Key Factors  Prompt attention to patient needs  Available, informed and mobile staff  Available, accessible and operational equipment  Improved workflow and process throughput Application Scenarios  Nurse Call Mobility  Patient Monitor Alerting  Code Blue  Test Results and Orders  Critical Resource and Asset Tracking Solutions for the Collaborative, Mobile Healthcare Enterprise Meeting Healthcare Challenges Enhanced Patient Care

5. Slide 5 Enhancing Patient Care Alerting and Collaboration Workflow Point-of-CareWorkflow and Messaging Mobile and Fixed Staff and Assets Alerts issued to mobile nursing and clinical staff 1 Staff can quickly react, communicate and collaborate 2 Reliably Drive Urgent Information to Mobile Staff Members Controller-based wireless LAN solution for optimized voice communication Wireless LAN Bandwidth management to secure life critical alarming Quality of Service High reliable distribution of alarms and critical events Alerting Engine Mobile and desktop phones for managing alarms and call back to patient Phones Nurse call system for alarming and communication Nurse Call Vital sign monitor for alarming and observation Patient Monitor Communication between patient and nurse Patient Phone Providing alarms to any kind of device VoIP Server Integration platform for test results, orders and other patient care related alerts Inte- gration Staff and equipment location, tracking and alert triggers Location Tracking

6. Slide 6 Patient Call Enhancing Patient Care Nurse Call Mobility Rauland-Borg Nurse Call HiPath HiMed HiPath DAKS HiPath 4000 HiPath Wireless optiPoint WL2 CorNet-IP Patient Call Phone Rings Nurse Call ST 3 RM 11 B2 Answers Call 0 Accept Request Proceed to patient room to clear request 1 Connect to Patient Room Consult, hang up and clear request (except shower cord requests) or Reassert request based on assessment of severity: 5 STAT (emergency) 1 2 3 4 Green (high) Yellow (medium) Orange (low) Mobility and Enhanced Productivity of Nursing Staff in Responding to Patient’s Request for Assistance Integrates: Can’t Answer Alert Next Nurse

7. Slide 7 Enhancing Patient Care Patient Monitor Alerts 1 Mobility and Improved Responsiveness of Clinicians Monitoring Changes in Patients’ Vital Signs Draeger Monitor Draeger Infinity Gateway HiPath DAKS HiPath 4000 HiPath Wireless optiPoint WL2 CorNet-IP 3 If nurse does not answer, another nurse is called and/or nurse station is alerted Mobile wireless monitors and fixed wired monitors raise threshold alarms Integrates: Care staff are called on wireless phones with emergency ring tone and text display of critical values ALERT Mon 6 Bed 2: HR 68 2A 2B Notify attending physician Notify on-duty nurse ALERT Mon 6 Bed 2: HR 68

8. Slide 8 Enhancing Patient Care Code Blue Rauland-Borg Nurse Call HiPath DAKS HiPath 4000 HiPath Wireless optiPoint WL2 CorNet-IP 1A Nurse pushes Code button in patient room or unit 1B Responding to shout from attending nurse unable to reach Code button, associate nurse uses speed dial to initiate Code response Immediate Notification and Collaboration for Emergencies Integrates: 2B 2A Code Team called on wireless phones with emergency ring tone and text display of Code location Response Center alerted and connected to calling nurse CODE BLUE ICU Unit 490 CODE BLUE ICU Unit 490 CODE BLUE ICU Unit 490

9. Slide 9 Enhancing Patient Care Accelerating Communication Simultaneously Call Multiple Expert Resources The First Resource to Answer is Connected Directly to Caller and Other Phones Stop Calling I need to speak with a specialist.

10. Slide 10 Interface performs rules-based mapping of posted results to a DAKS notification request Interface performs rules-based mapping of posted orders to a DAKS notification request Enhancing Patient Care Test Results and Orders Efficient and Timely Delivery of Critical Test Results to Clinicians Siemens OPENLink HiPath DAKS HiPath 4000 HiPath Wireless optiPoint WL2 CorNet-IP Test results post for a patient of interest 1 2 3 DAKS alerts physician to availability of test results 4 Physician views results and posts orders 6 DAKS alerts duty nurse or nurse station to availability of posted orders 5 Integrates:

11. Slide 11 Enhancing Patient Care Critical Resource and Asset Tracking Improved Availability and Security of Staff, Mobile Assets and Critical Diagnostic and Treatment Equipment Ekahau RTLS Ekahau WiFi Tags HiPath DAKS HiPath 4000 HiPath Wireless optiPoint WL2 CorNet-IP Real-Time Location System Detect assets wandering away from authorized areas Locate people and mobile assets Monitor service and fault alerts on critical equipment Alert security personnel Alert service technicians and scheduling managers Integrates:

12. Slide 12 Enhancing Patient Care References Buying Motivation A clinical laboratory alerting system used at LDS Hospital to increase the likelihood that patients in life-threatening situations receive appropriate care decreased length of stay by up to 6 days for some conditions. Tate KE, Gardner RM, Weaver LK, A computerized laboratory alerting system, M.D. Computing, 1990, 7(5):296-301. Several studies investigated the impact of point-of-care alerts and reminders imbedded within an EHR system during the process of documentation or entry of orders into the system. These decision- support functions within an EHR system, when accompanied by the required changes in process and communication, altered physicians’ ordering behaviors by facilitating appropriate resource utilization and reducing unnecessary charges. Costs and Benefits of Health Information Technology AHRQ; April, 2006.

13. Slide 13 Meeting Healthcare Challenges Improving Safety & Security Key Factors  Detection and reporting of critical incidents  Immediate and effective collaboration on situation assessment and response strategy  Rapid deployment of response resources  Rapid notification and ongoing communication with affected constituents Application Scenarios  Campus Threat  Staff Call Back  Silent Alarm and Panic Button  Emergency Response Center  Personal Security Communications is the single most important component of how an organization responds to a disaster. Minimize Scale and Scope Improve Operation Continuity Minimize Duration Safer, More Secure Workplace

14. Slide 14 Integrated Emergency Collaboration and Alert Notification Simultaneously Intelligently Mobilize Response Resources and Alert Affected People Improving Safety & Security Campus Threat 2 Activate Dial-in Announcement Services to provide access to situation updates Initiate First Responder Emergency Conference 1 Send Alerts Staff Call BackRescue Services

15. Slide 15 Improving Safety & Security IT or Facilities Management Simultaneously Call Multiple Expert Resources The First Resource to Answer is Connected Directly to Caller and Other Phones Stop Calling I have a virus on my PC

16. Slide 16 Improving Safety & Security Staff Call Back Automated dial-out to home and/or mobile phones with alert announcement and instructions Track for each staff resource:  Success or failure of contact and message delivery  Positive or negative response to the call back request Automatic escalation if the call back quota is not satisfied Automatic notifications to supervisors of the result of the call back Automated Mobilization of Appropriate Resources

17. Slide 17 1 Emergency number is dialed 2 Caller and security agent are setup in two-party no-hold conference with caller location displayed on phone Local security agent can dispatch internal resources and/or join municipal 911 services to the call. Conference call remains active even if the emergency caller disconnects 3 Swift, Intelligent, Effective Mobilization Improving Safety & Security Emergency Response Center

18. Slide 18 With No Audible Sound a Distressed Person Can Request Assistance Improving Safety & Security Silent Alarm 1 Employee presses alarm button, telephone key or smart badge Alert notifications delivered to internal security and management personnel 2 3 Emergency conference established among emergency responders

19. Slide 19 Periodically Contact Staff Member to Assure Safety Monitor People in Hazardous Work Assignments Improving Safety & Security Personal Security Calls are placed to worker on a cyclical basis 2 1 Worker with mobile phone logs in to activate surveillance 3 Worker answers surveillance call and reports status If worker fails to answer, alerts are issued to monitoring and/or rescue teams with worker’s last status report 4

20. Slide 20 Improving Safety & Security Multi-Faceted Resolution Support Comprehensive Response and Resolution Workflow

21. Slide 21 Meeting Healthcare Challenges Reducing Operating Costs Efficiencies to Drive Lower Operating Costs Key Factors  Do more with less  Automate manual processes  Eliminate unpredictable usage fees Application Scenarios  Reduce conference costs  Leverage existing systems and network  Reduce resource requirements for routine procedures

22. Slide 22 Reducing Operating Costs Routine Collaboration Convene Scheduled and Ad Hoc Conferences Leveraging Premise Network Dial In Dial Out

23. Slide 23 Algorithmically Call Multiple Contact Numbers to Reach a Key Resource Caller Can Be Informed of the Status of the Dialing Reducing Operating Costs One Number Calling Phase 1 Call Dr. Brett @ 1234 Office Phone Business Cell Phone Phase 2 Home Phone Personal Cell Phone Delayed Phase 2 Dialing

24. Slide 24 Reducing Operating Costs Nurse Mobility and Alerting ROI Example Percent of on-duty time lost traveling to answer phones and waiting at nurse stations  Journal of Nursing Administration estimate: 10.1%  Siemens customer survey estimate: 5.2% Assume a Mobility and Alerting solution can save 25% of that lost time  25% of 5.2% represents 1.3% increase in available work time or reduction in required FTEs per bed For a typical facility of 266 beds, interview data indicates  5.0 FTEs per severity adjusted occupied bed  76.6% annualized occupancy  Pre-implementation requirement: 1,019 FTEs Cost savings and/or incremental FTE resource availability  13.25 FTEs based on 1.3% of 1,019 FTEs  $551,200 per year based on an average salary of $41,600  Investment in mobility and alerting solutions: $180,000  Estimated payback time based on acquisition and annualized operating costs: < 5.25 months

25. Slide 25 Reducing Operating Costs Mobile Asset ROI Example Typical mobile asset allocation  60% utilization  25% of units’ locations unknown  15% allowance for backup/spare units Typical cost scenario for mobile infusion pumps as cited in Ekahau case studies  Standard requirement for IV pumps: 600 units  Adjusted requirement for “tracked” IV pumps: 500 units  IV pump cost per unit: $5,000  Total acquisition cost savings and/or replacement cost deferral: $500,000  Investment in asset location tracking solution: $180,000  Savings after investment: $320,000

26. Product Overview

27. Slide 27 Elevating Healthcare with DAKS Mission Critical Solution Platform  Support simple notification scenarios  Support comprehensive incident response and resolution workflows  For routine as well as emergency notification and collaboration scenarios  Strong Integration – protocols and applications FlexibleIntegrated Applications  Intelligent Notifications  High Performance and Emergency Conferencing  On-Demand Information Services  One Number Calling Services  E-mail to HiPath Phones  Wi-Fi Location Services  No moving parts, magnetic storage or batteries  Low power consumption  High MTBF > 400,000 hours  Optimized Linux OS High Performance

28. Slide 28 Launch Telephone, Pager, and/or E-mail Messages to Prescribed Notification Groups Quickly and Reliably Elevating Healthcare with DAKS Intelligent Notifications Application Contact Strategy  Broadcast Priority  Parallel or Sequential dialing  Subscriber Priority Level dialing  E-mail Notifications  Leverage Enhanced CorNet-NQ features Contact Acknowledgement  Simple “any-key” acknowledgement  Positive/Negative Confirmation  PIN Required  Subscriber calls back, enters PIN and confirms Broadcast Success Criteria  Specific number of acknowledgements received  Specific number of contacts completed  Conditional Follow-up Broadcasts  Call back for Completed Message Triggers  Phone Call  Prompting dialogs  PIN protected  Direct or via Scenario  Operator Console  Launch and monitor  Direct or via Scenario  Electrical Contacts  Scheduled  Integrated Applications  External System Interfaces  E-mail services  Production control  Facilities management  Custom integrations (via API)  Personal Security Alerts

29. Slide 29 Routine Collaborative Conferences  Pre-set conferences  Meet-Me conferences  Ad-hoc and progressive conferences Emergency Conferences  Any combination of dial-out and dial-in participants  Try alternate phone number if first number is busy  Leverage enhanced CorNet-NQ features  Priority setting to arbitrate allocation of resources  Triggered with or without Operator intervention  Conferees can be automatically dialed or added via “no hold” Convening and Triggering  Internal or external telephone  Attendant at an operator console  Integrated applications  Time-scheduled High Performance and Emergency Conferencing Elevating Healthcare with DAKS Conferencing Application

30. Slide 30 Emergency Scenario Support  Provide situation updates following emergency alerts without burdening support services staff  Optionally allow subscribers to dial in and listen to the last one or two broadcast alert notifications Routine Information Announcements  Post recorded announcements accessible to staff, faculty, students, etc.  Message selection based upon:  Last digits of the dialed number, or  Digit input prompted during the call Announcements are played immediately and always from the beginning Multi-Channel Dial-In Announcement Services for Up-to-Date Status or Information Messages Elevating Healthcare with DAKS On Demand Updates (Info Telephone)

31. Slide 31 Significantly Increases the Availability of Mobile Users and Callers Do Not Wait as Long to Reach the Resource Group Calling  Dialing a published number calls all members of a group simultaneously  The first person to answer takes the call Personal Calling  An individual can be called simultaneously on several phones assigned to him/her via a single number  Global “follow-me” number management  Reach key decision maker in a crisis situation Features  Different announcements for callers before, between and during dial- up phases  Special announcement to called subscribers before connecting to caller  Call Screening with up to 20 authorized callers with up to 9 levels of authorization Reach People Quickly and Easily At One Published Telephone Number Elevating Healthcare with DAKS One Number Calling Services Application

32. Slide 32 Algorithmically Call Multiple Contact Numbers to Reach a Key Resource Caller Can Be Informed of the Status of the Dialing Elevating Healthcare with DAKS Personal Calling Services Phase 1 Call Brett @ 1234 Office Phone Business Cell Phone Phase 2 Home Phone Personal Cell Phone Delayed Phase 2 Dialing

33. Slide 33 Elevating Healthcare with DAKS Leverage CorNet-NQ Variable Ringing Signals  Alarm  Urgent  Normal Station Busy Strategies  Forced Release  Intrusion with Neutral Announcement  Emergency Disconnect  Call Waiting Trunks Busy Strategies  Emergency Intrusion with Neutral Alerting Announcement  Automatic Trunk Release Redirection Override Strategies  Ignore Call Forwarding  Ignore Pickup / Hunt Groups  Ignore Do-Not-Disturb  Direct Access to Executive in Executive/Secretary Configurations Automatic Speaker Activation Variable 1- or 2-line Text Display Output Elevate Awareness Assure Connection Extend Reach

34. Slide 34 Elevating Healthcare with DAKS Deployment & Operation TDM or SIP Interface to PBX Automatic and Ad-hoc Report Generation Up to 10 Administrators and Operators Real-Time Monitoring No Human Intervention Required to Launch a Broadcast

35. Slide 35 Tight Integration with On-site Applications and Facilities  Alarms, Sensors, Management and Support Systems  Nurse Call, Patient Monitoring, Location Services, HIS Ready When Needed Most  Eliminates risk of access to shared resource during widespread crisis  Integration into daily operations assures user familiarity during crisis response Security of Sensitive Personnel Data  Eliminate security risk of providing personnel data to third party  Only authorized personnel access confidential personnel data  Runs on internal secured servers and workstations  No data exposure to the to Internet Low Total Cost of Ownership  Eliminate unpredictable usage fees associated with hosted solutions  Buy it once, use it all you want – not usage or time sensitive  Expand feature capabilities as needs evolve Integration Availability Security Value Elevating Healthcare with DAKS Premised Based Solution Advantages

36. Slide 36 Pricing Driven by Scale and Features  Number of channels and subscribers  Application modules (Broadcast, Conferencing, InfoTelephone, Calling Services)  Additional features such as Text-to-Speech, E-mail or Integration Purchase Price includes 12 Months of Support  Hardware repair/replacement warranty  Software maintenance releases  8 x 5 technical support help desk Annual Maintenance Agreements  Extended hardware warranty, software maintenance and help desk access  Priced as a percentage of the system configuration US Suggested List Price Scaled to Customer Size and Tailored to Business Requirements Elevating Healthcare with DAKS Pricing & Warranty

37. Slide 37 Why DAKS for Healthcare? Elevated Patient Care  Reliably drive urgent information to mobile clinicians  Improve availability and productivity of medical staff Reliable Communications for Incident Response  Initiate staff call-back and track real-time staff responses by name  Certainty of alerting and conferencing capabilities during large scale disasters and public health emergencies  On-demand announcement services for situation updates without burdening staff Leverage-able Investment to Support Routine Operational Needs  Flexibility of voice announcements and e-mail message notifications  Consultative conferencing for case review, scheduled and ad-hoc  Critical systems monitoring and automatic notification Easy to Use, Highly Adaptive Secure, Internal System Low Total Cost of Ownership Simple Flexible Reliable Secure Cost-Effective

38. Slide 38 Questions? When seconds count….