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Committed to Improving OB Patient Safety Through Clinical & Operational Improvement

Committed to Improving OB Patient Safety Through Clinical & Operational Improvement . PeriGen Company Profile. PeriGen Highlights. Founded in 1995 More than 100 Employees, Including Physicians and OB Nurses & Midwives Serving Hospitals and Physicians in the US and Canada

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Committed to Improving OB Patient Safety Through Clinical & Operational Improvement

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  1. Committed to Improving OB Patient Safety Through Clinical & Operational Improvement

  2. PeriGenCompany Profile

  3. PeriGen Highlights • Founded in 1995 • More than 100 Employees,Including Physicians and OB Nurses & Midwives • Serving Hospitals and Physicians in the US and Canada • Over 400,000 Births in Our Database • FDA Cleared & ARRA Certified

  4. PeriGen Solutions

  5. The PeriGen Solution What Makes it Unique? • OB Specific Content • Real-Time Clinical Guidance • Data & Analytics • Professional Services • Risk Reduction and ROI Experts in OB Risk Reduction

  6. The OB Continuum Solution • Fetal Surveillance & Archiving • Fetal Heart Rate Interpretation Tools • Labor Progress Assessment Tools • Complete OB Documentation • Decision Support • Reporting & Analytics • Implementation Services • On-going Support Services Demonstration

  7. Building an OB SolutionA Staged Approach Stage 5 Physician Orders & Protocols Stage 4 Nursing Protocols Stage 3 Nursing Charting Stage 2 Surveillance & Archiving Stage 1 Fetal Monitoring Begin and Grow as Appropriate

  8. Data & Analytics

  9. PeriTrack™- Performance Improvement Through MetricsStandard Aggregation Reports Available Can be set up for automatic email distribution to selected personnel Can be generated “on demand” by customer Accreditation Organizations Focused on Measuring Clinical Performance & Visibility of Data

  10. Performance Profile – Striving for 100%Hospital XX – Q3 ‘10 The colored bars for each indicator represent rolling four (4) quarters of comparative data, with the most recent quarter shown in orange. The green and red dots represent PeriGen averages: green ≥ PeriGen avg.; red: < PeriGen avg. A (-) notation indicates the event was not measured in that quarter; “nm” indicates that this indicator is not monitored at the client site.

  11. Outcome MonitorX Hospital – Q4 ‘09 Apgar 5 minutes < 7 Apgar 5 minutes < 4 Near term or term Intrapartum or neonatal death (in immediate post delivery period) Blood Transfusion 3rd or 4th degree perineal lacerations The colored bars for each indicator represent rolling four (4) quarters of comparative data, with the most recent quarter shown in orange. A (-) notation indicates the indicator was not measured during that quarter. National averages obtained from National Vital Statistics Report – Birth for 2006* and 2005** [the most recently published data available]. 11

  12. Perinatal PracticesX Hospital – Q4 ‘09 - - Excessive Uterine Activity on Oxytocin Primary Cesarean Delivery Rate Repeat Cesarean Delivery Rate Operative Vaginal Delivery Rate Cesarean Delivery Rate Induction Rate Elective Singleton Induction <39 wks Deliveries with Episiotomy The colored bars for each indicator represent rolling four (4) quarters of comparative data, with the most recent quarter shown in orange. A (-) notation indicates the event was not measured in that quarter; the notation “n/m” indicates the indicator is not monitored at the client site. National averages obtained from National Vital Statistics Report – Birth: Preliminary Data for 2007* and final data for 2006** [the most recently published data available]. 12

  13. Contraindications ReportHospital X – Q4 ‘09 Near Misses During Order Near MissesDuring Δ Condition

  14. OB Med Mal Reduction Experience

  15. Driving Down OB Claim Frequency and Severity Medstar’s Latest OB Med Mal Results Post PeriBirth® Pre PeriBirth®

  16. Documented Reduction in Med Mal CostsSignificant Reduction in All OB Claims Categories • 18-Hospital System • Avg. ~30,000 births/year *Comparing the periods 2001-2005 and 2006-2010 (YTD) *PeriBirth implementation began in 2006

  17. Improving Charge CaptureOverview

  18. Documented Increase in OB Triage Charge CaptureImmediate Revenue Increase of 10 – 15%

  19. Technology Integration

  20. Typical PeriGen IntegrationUni- and Bi-Directional • Interfaces • Fetal Monitoring • Prenatal • A/D/T • RX Order • RX Change Order • Pyxis Connect • Allergy • Bar Code Med Admin • Lab Order • Lab Result • Radiology Order • Radiology Result • EMR – Data/xml • EMR – Reports • Transcribed Reports • Charges Fetal Surveillance Pre-Natal ADT HIS Vendors Eclipsys McKesson Siemens Cerner EPIC Meditech Misys Pharmacy Lab PeriBirth Radiology EMR Transcription Billing

  21. ARRAONC CertificationPeriGen - PeriBirth 4.5.1 Certifying ATCB: CCHIT  |  CHPL Product Number: CC-1112-586750-2Classification: Modular EHR  |  Practice Setting:Inpatient http://onc-chpl.force.com/ehrcert/EHRProductDetail?id=a0X300000025FGOEA2&retURL=%2Fehrcert%2FEHRProductSearch&setting=Inpatient General Criteria (170.302) • (a) Drug-drug, drug-allergy interaction checks • (b) Drug formulary checks • (c) Maintain up-to-date problem list • (d) Maintain active medication list • (e) Maintain active medication allergy list • (f) Record and chart vital signs • (g) Smoking status • (h) Incorporate laboratory test results • (i) Generate patient lists • (j) Medication reconciliation (k) Submission to immunization registries (l) Public health surveillance (m) Patient specific education resources • (n) Automated measure calculation • (o) Access control • (p) Emergency access • (q) Automatic log-off • (r) Audit log • (s) Integrity • (t) Authentication • (u) General encryption • (v) Encryption when exchanging electronic health information • (w) Accounting of disclosures (optional) Criteria (170.306) • (a) Computerized provider order entry • (b) Record demographics • (c) Clinical decision support • (d) Electronic copy of health information • (e) Electronic copy of discharge instructions • (f) Exchange clinical information and patient summary record (g) Reportable lab results • (h) Advance directives (i) Calculate and submit clinical quality measures

  22. Services Overview

  23. PeriGen’s Consulting ServicesAligning Our Solutions to Client Needs

  24. Our OB Knowledge Driven By Leading AuthoritiesPhysician Council & Senior Consultants

  25. Comprehensive Services Support our Clients Implementation Services Through “Go Live” Governance Structure & Project Management Site Assessment Technical Configuration & Installation Clinical Configuration Testing: Integration and User Acceptance Train-the-Trainer and End User Training Communication Program Go Live Support

  26. Building an OB Service Line

  27. Growing an OB Service LineA Case Study • Community Hospital in Southern Connecticut • Competitive Market • Technology & Safety as the Centerpiece of Strategic Plan to Grow the OB Service Line • Media Campaign Planned • Goal of 20% Growth

  28. PeriGen Solutions - Clinical Scenario

  29. PeriCALM Patterns and PeriContractility Index Decelerations Accelerations Baseline Labels and Measurements Window Summary

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