© 2006 Emergency Care Documentation Systems. All Rights Reserved

The EmpowER SystemPartnership for St. AnyTown Hospital

A Comprehensive & Successful Approachto getting ED Physicians and Nurses on computers.

Improving Throughput, Satisfaction, Compliance, Risk Management & Financial Performance.

Meet our Team…Meet our Team…• EmpowER Management TeamEmpowER Management Team

– Rich Murray, COO & CFORich Murray, COO & CFO– Dr. Seth Guterman, President & FounderDr. Seth Guterman, President & Founder– Dr. Rob Carpenter, MIS, Chief Technology OfficerDr. Rob Carpenter, MIS, Chief Technology Officer– Dr. Steven Rube, VP Clinical SolutionsDr. Steven Rube, VP Clinical Solutions– Dr. Suneel Chaudhry, PM Clinical Peripherals (Voice Dr. Suneel Chaudhry, PM Clinical Peripherals (Voice

Dragon) Dragon) – Dr. Jeffrey Finkelstein, Head of Client MD-User Group & Dr. Jeffrey Finkelstein, Head of Client MD-User Group &

“Best Practices” Consultant“Best Practices” Consultant– Sally Forsman, RN, Chief Nursing ExecutiveSally Forsman, RN, Chief Nursing Executive– William Yager RN, Lead Project ManagerWilliam Yager RN, Lead Project Manager– Scott Makinson, Regional DirectorScott Makinson, Regional Director– Dina Cucuz, Regional DirectorDina Cucuz, Regional Director– Sang Hwang, Regional DirectorSang Hwang, Regional Director

Agenda For the Day…Agenda For the Day…

1.1. Front-line user clinical documentation Front-line user clinical documentation for RN & MDfor RN & MD

2.2. Chart ReviewChart Review3.3. Integration Smart Technology Integration Smart Technology 4.4. Data Mining (Robust Clinical Data Data Mining (Robust Clinical Data

Warehouse)Warehouse)5.5. Computer Hardware and Support Computer Hardware and Support

SoftwareSoftware6.6. Due Diligence NeedsDue Diligence Needs

EmpowER Company EmpowER Company OverviewOverview

• First comprehensive site live in 1999First comprehensive site live in 1999• Built in live ED environment by docs Built in live ED environment by docs

& RNs& RNs• Experts in Emergency Medicine that Experts in Emergency Medicine that

specialize in merging the IT & specialize in merging the IT & clinical realmsclinical realms

• Largest number of Largest number of comprehensive comprehensive EDIS installations in the countryEDIS installations in the country

• 100% Rule = 100% Success Rate100% Rule = 100% Success Rate 100% functionality live on day one100% functionality live on day one 100% of doctors & nurses using EmpowER ED™ 24 X 7100% of doctors & nurses using EmpowER ED™ 24 X 7 100% sites fully functional = zero partial installations100% sites fully functional = zero partial installations

• Most user-friendly EDIS on the marketMost user-friendly EDIS on the market Less than one hour of trainingLess than one hour of training 6 buttons for the Physician to learn6 buttons for the Physician to learn 4 buttons for the Nurse to learn4 buttons for the Nurse to learn IntuitiveIntuitive

• Only EDIS recognized in a JCAHO publicationOnly EDIS recognized in a JCAHO publication ““Success story & role model” Success story & role model”

((Accreditation Issues for Emergency DepartmentsAccreditation Issues for Emergency Departments, 2002), 2002)

3 KEY DIFFERENCES3 KEY DIFFERENCES

• EmpowER recognized by JCAHO as a “Success EmpowER recognized by JCAHO as a “Success Story and Role Model” of EDISStory and Role Model” of EDIS

• EmpowER sites get rave reviews on EmpowER sites get rave reviews on documentationdocumentationand complianceand compliance

• Guaranteed government complianceGuaranteed government compliance

– Lawrence Tanner, CEO of The Hospital of Central Connecticut, after their recent JCAHO evaluation: “Not surprisingly, the surveyor had many good things to say about The Hospital of Central Connecticut. He was clearly impressed by the ED’s EmpowER System.”

• Experience countsExperience counts EMPOWER is a unique company with a targeted customer baseEMPOWER is a unique company with a targeted customer base 42 hospitals throughout the United States and Puerto Rico 42 hospitals throughout the United States and Puerto Rico 10 years of successful EDIS deployment10 years of successful EDIS deployment

• This is a partnership!This is a partnership! Established during business development processEstablished during business development process Delivered upon with integrity throughout the implementation Delivered upon with integrity throughout the implementation

processprocess Continues post-implementation for years to comeContinues post-implementation for years to come

• Software is only part of itSoftware is only part of it EMPOWEMPOWERER EDED™ is only part of what you purchase™ is only part of what you purchase Our commitment to success of this partnership is the most Our commitment to success of this partnership is the most

important deliverableimportant deliverable

THE THE EMPOWEMPOWERER PARTNERSHIPPARTNERSHIP

EmpowER Success StoriesEmpowER Success Stories

• Recouped 5-year TCO in 8 months with 64% self-pay Recouped 5-year TCO in 8 months with 64% self-pay patientspatients

• LWOBS from 6% to 0.5%LWOBS from 6% to 0.5%• Door to Doc time from 90 mins to 10 minsDoor to Doc time from 90 mins to 10 mins

• Decreased LOS from 3.5 to 1.7 hoursDecreased LOS from 3.5 to 1.7 hours• Replaced existing EMR & brought system live in 21 daysReplaced existing EMR & brought system live in 21 days• Currently Deploying EmpowER IDS hospital-wideCurrently Deploying EmpowER IDS hospital-wide• Reduced malpractice premiums by 2/3rds Reduced malpractice premiums by 2/3rds

The CEO ViewpointThe CEO Viewpoint““EmpowER was the perfect choice for our very busy EmpowER was the perfect choice for our very busy two-hospital system. Our doctors and nurses love it, two-hospital system. Our doctors and nurses love it, and we recovered our costs very quickly with the and we recovered our costs very quickly with the strong financial performance that EmpowER strong financial performance that EmpowER delivered. We recovered our 5 year costs within the delivered. We recovered our 5 year costs within the first 4 months after go live. EmpowER’s financial first 4 months after go live. EmpowER’s financial performance has exceeded even ECDS’ predictions.”performance has exceeded even ECDS’ predictions.”

- Larry Tanner, CEO, The Hospital of Central Connecticut – New Britain, CTLarry Tanner, CEO, The Hospital of Central Connecticut – New Britain, CT

~~~

“In 2006, we enjoyed a tremendous financial improvement. My administrative team attributes this directly to EmpowER.”

- Jody Jenner, CEO, Broadlawns Medical Center – Des Moines, IA

Technology NeedsTechnology Needs• Executive IT team represents a merger of Executive IT team represents a merger of

Clinical & IT leadershipClinical & IT leadership• In-house interfacesIn-house interfaces• Minimal upkeep by hospital IT department; Minimal upkeep by hospital IT department;

no additional FTEs requiredno additional FTEs required• Stable Microsoft SQL Server platformStable Microsoft SQL Server platform• Fully integrated, open architecture solutionFully integrated, open architecture solution• Enterprise capabilitiesEnterprise capabilities• Interface to Interface to anyany hospital EMR/core HIS hospital EMR/core HIS

Safer, More Efficient Patient Safer, More Efficient Patient CareCare

• Proactive & Mandatory Risk Proactive & Mandatory Risk Management at the point-of- careManagement at the point-of- care

• Detailed Medication Reconciliation Detailed Medication Reconciliation with Drug-Drug Interaction and with Drug-Drug Interaction and Allergy DetectionAllergy Detection

• Enhanced Patient Enhanced Patient Experience/Satisfaction & Clinical Experience/Satisfaction & Clinical Team Satisfaction leads to overall Team Satisfaction leads to overall better patient care…better patient care…

Administrative BenefitsAdministrative Benefits• Comprehensive ED clinical data warehouseComprehensive ED clinical data warehouse• Multi-dimensional data miningMulti-dimensional data mining• Structured fields mean robust reports for Structured fields mean robust reports for

administratorsadministrators• OPI reportsOPI reports• QA studiesQA studies• Compliant with JCAHO core measures and Compliant with JCAHO core measures and

performance reportingperformance reporting

““If you can’t describe what you’re doing as a process, If you can’t describe what you’re doing as a process, you don’t know what you’re doing.”you don’t know what you’re doing.”

-W. Edwards Deming -W. Edwards Deming

Your Due Diligence Needs?Your Due Diligence Needs?A.A. Don’t Waste Time on “Partial Solutions”Don’t Waste Time on “Partial Solutions”B.B. Select an “Open Architecture” SystemSelect an “Open Architecture” System to ensure flexibility to ensure flexibility

and low-cost implementation & supportand low-cost implementation & supportC.C. User-Friendly, User-Friendly, User-FriendlyUser-Friendly, User-Friendly, User-Friendly (i.e., training (i.e., training

times & adaptability for RNs & doctors “off-the-street”)times & adaptability for RNs & doctors “off-the-street”)D.D. This is a Clinical SolutionThis is a Clinical Solution…Demand Clinical Leadership …Demand Clinical Leadership

Buy-In and UtilizationBuy-In and UtilizationE.E. Don’t get caught up in the “Myth” of the Integrated Don’t get caught up in the “Myth” of the Integrated

Solution. Solution. Define your Clinical Success Variables & Define your Clinical Success Variables & Demand…Demand…

F.F. Vendor Accountability for Success!!!Vendor Accountability for Success!!! Partnerships are the Partnerships are the only healthy path to success. only healthy path to success.

““If you can’t describe what you’re doing as a process, you If you can’t describe what you’re doing as a process, you don’t know what you’re doing.”don’t know what you’re doing.”

-W. Edwards Deming -W. Edwards Deming

Registration Workflow/Flow of Patient Demographic & Insurance Registration Workflow/Flow of Patient Demographic & Insurance Information Hospital and EmpowER SoftwareInformation Hospital and EmpowER Software

Hospital Registration and EmpowER software Synchronized with the Patient Account Number Hospital Registration Software

EmpowER ED™ Clinical Software

Ancillary Workflow/Flow of Patient Ancillary Workflow/Flow of Patient Information to ALL Ancillary Information to ALL Ancillary

DepartmentsDepartments

Laboratory

Radiology

Pharmacy

Quality Assuranc

e

Charge Capture Coding/Billing

Hospital softwar

e system

s•In-Patient Clinical Info•CPOE/CNOE•Past Medical Hx•Home Medications•Allergies•Pharmacy - Last Dose •Vitals Signs - Latest

Heterogeneous

Integration Engine

© 2006 Emergency Care Documentation Systems. All Rights Reserved

INTEGRATION / INTERFACE INTEGRATION / INTERFACE MONITORINGMONITORING

INTEGRATION / INTERFACE INTEGRATION / INTERFACE MONITORINGMONITORING