1.  2014 Diagnotes, Inc. – Confidential & Proprietary Beyond HIPAA Compliance: How Efficient Care Team Collaboration Improves Patient Care November 17, 2015 2015 Arizona Health-e Connection Western States Summit & Trade Show

2.  2014 Diagnotes, Inc. – Confidential & Proprietary 2 Welcome Dave Wortman Chairman, CEO and Co-founder dwortman@diagnotes.com

3.  2014 Diagnotes, Inc. – Confidential & Proprietary 3 Communication gaps affect everyone Lack of documentation leads to prescription duplication, putting a child in danger Caregiver with incorrect patient medical history risks serious allergic reaction Nurses lose critical time in delivering patient care due to delay in communication with physicians

4.  2014 Diagnotes, Inc. – Confidential & Proprietary 4 Communication impacts cost & quality Healthcare providers waste 91 minutes per day with inefficient communication and workflows, costing hospitals $1,750,000 annually. $900,000 could be saved with secure texting. Ponemon Institute, The Economic Impact of Inefficient Communications in Healthcare, 2014 The primary root cause of over 70% of treatment delays and sentinel events was a breakdown in communications. Joint Commission, Sentinel Event Data Root Causes by Event Type, 2004-2013 49% of discharged patients experienced a medical error from a breakdown in communications and were 6.2 times more likely to be rehospitalized. Kripalani, et all. Journal of Hospital Medicine, 2007 Only 5% of charts with calls had telephone notes, which leads to medical errors. Killip, et all. Family Medicine, 2007

5.  2014 Diagnotes, Inc. – Confidential & Proprietary 5 Diagnotes is a HIPAA-compliant platform that advances care team communication & collaboration Providers and staff can communicate with individuals or groups via secure text messages and phone calls Alerts and messages can be routed to providers based on specialty, care location and availability by schedule Activity can be documented, reviewed and archived for care continuity, billing and chronic care management Patients can be engaged directly via bi-directional secure text messages and phone calls, with flow controlled by providers Key patient data from medical records can be automatically retrieved and delivered to message participants

6.  2014 Diagnotes, Inc. – Confidential & Proprietary 6 Case Study 1: Care Team Collaboration Acute care hospital with a multi-specialty physician group and affiliated physicians Teams coordinate care across multiple locations using a multitude of devices Situation Need to send and receive messages that include PHI Must ensure positive patient identification and continuity of care Photos and other documents required for completeness Problem Alerts clinicians immediately to a patient call/encounter Enables real-time care team communication and collaboration Remote documentation, ensuring patient care and revenue cycle management Solution

7.  2014 Diagnotes, Inc. – Confidential & Proprietary 7 HIPAA-compliant, BYOD communication

8.  2014 Diagnotes, Inc. – Confidential & Proprietary 8 Case Study 2: Patient Engagement Large, multi-hospital system Working to fully engage patients in their own care and drive increased patient satisfaction Situation Patients and physicians need to easily communicate with each other at any time Multiple channels of communication required to fully engage patients PCP not always on-call when patients need them Problem Physicians engage with patients in real-time via secure texting and telephony Patients able connect with physician on-call using their preferred device without downloading an app Solution

9.  2014 Diagnotes, Inc. – Confidential & Proprietary 9 Providers control patient communications

10.  2014 Diagnotes, Inc. – Confidential & Proprietary 10 Case Study 3: Chronic Care Management Physician practice with numerous Medicare patients having 2+ chronic conditions See significant revenue opportunity in pursuing Medicare CCM reimbursement Situation Monitoring CCM activities across the practice is labor-intensive and time-consuming Special monthly reports need to be prepared to support reimbursement requests Problem Mobile clinical communication solution that identifies CCM patients, tracks activities and delivers required documentation Solution

11.  2014 Diagnotes, Inc. – Confidential & Proprietary 11 Automated tracking & reporting allows Medicare CCM reimbursement to be cost-effective

12.  2014 Diagnotes, Inc. – Confidential & Proprietary 12 Our customers are driving revenue, reducing costs and improving provider & patient satisfaction

13.  2014 Diagnotes, Inc. – Confidential & Proprietary visit us in the Innovations Hall or at www.diagnotes.comwww.diagnotes.com