iVisitMx Remote Care

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iVisitMx Remote Care Assistance Solutions/
Services
Mx
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Mission Statement

• Create a national and state of the art
  Telemedicine and Mobile Healthcare Practice
  offering personalized end-to-end solutions for
  chronic disease and acute care  
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• Offer non-invasive vital sign monitoring devices
  and data collection on a monthly subscription
  basis
• Deliver technology and media to interact, remind
  and support behaviors critical to patient health
  and treatment efficacy
• Launch services leveraging the benefit of 8
  years of telemedicine practice, and validated
  with objective and quantifiable outcomes  

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iVisitMx enables healthcare organizations to
deploy scalable telehealth and assisted living
solutions
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Less the Inclusion of Universal Access to
Healthcare (which will add 47M Uninsured
Americans), U.S. Healthcare Spending Levels and
Annual Growth Rate are Unsustainable to the
National Economy
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What are the Major Healthcare Cost Drivers?Aging
of the Population and Major Chronic Disease States
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Sources of Excess Cost Growth

• Chronic diseases are non-communicable illnesses
  prolonged in duration, do not resolve
  spontaneously, and are rarely cured completely
  (e.g., diabetes, heart disease, stroke, cancer,
  and arthritis).
• Cause 7 in 10 deaths each year in the United
  States
• About 133 million Americansnearly 1 in 2
  adultslive with at least one chronic illness
• More than 75 of health care costs are due to
  chronic conditions
• Approximately one-fourth of persons living with a
  chronic illness experience significant
  limitations in daily activities
• The percentage of U.S. children and adolescents
  with a chronic health condition has increased
  from 1.8 in the 1960s to more than 7 in 2004

Source CDC
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NIH Summary and Conclusions Lifestyle Change Can
Bring Diabetes and Other Chronic Diseases Under
Control

• The Metabolic Syndrome and Type 2 Diabetes
• The Metabolic Syndrome is upon us
• The Metabolic Syndrome predicts a higher risk of
  CHD, CVA and type 2 diabetes
• Lifestyle should be the initial and sustained
  therapy
• Some drug therapies appear to work
• Metformin, TZDs, ACE inhibitors, ARBs
• A variety of therapeutic options appear
  forthcoming

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Healthcare Problems Addressed with Mobile
Healthcare Solutions and Services

• Hospitals and physician practices do not have
  enough resources to provide face-to-face
  treatment and management for everyone with
  chronic diseases
• Effective disease management requires more
  frequent intervention, coaching, and patient
  monitoring and this is only affordable and
  feasible utilizing a virtual medical practice
• Prevention and management of such conditions also
  requires new disruptive ways for
  caregiver-patient interactions, and the
  implementation of the most advanced and current
  protocols
• Reducing the length of hospital stays, the rate
  of readmissions or emergency room visits can save
  the healthcare system significant costs.
• Remotely managed assisted living for elderly and
  patients with disabilities requires solutions
  that increase functional independence, empower
  friends/family and other care givers to
  collaborate.

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Solutions Services
Accessible Desktop-Mobile Communications

• Nurse and NP Telecare
• Diabetes and Metabolic Syndrome
• Chronic Obstructive Pulmonary Disease (COPD)
• Congestive Heart Failure
• Asthma
• Aids, TB, and Hepatitis
• Wound Management (Chronic or post operative)
• Remote Medication intake monitoring and
  compliance
• Behavioral Therapy
• Stress Management
• Depression
• Tele-Psychiatry
• Wellness Care
• Obesity
• Smoking Cessation
• Pregnancy and Prenatal Care
• iVisit Vitanet Remote Vital Signs Monitoring

• Integrated Remote Patient Monitoring
• Blood Glucose
• Weight Scale
• Blood Pressure
• Heart Rate
• Pulse Oximetry
• Respiration Rate

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Mobile Desktop Unified Communication Solutions
Enable a New Generation of Accessible
Audio-Video-Text and Data Communications on Any
Device and Network
HIPAA Compliant, Scalable Platform for Multiparty
Audio/Video Conferencing, Collaboration,
Location-Based Services, Push-to-Talk,
Messaging, and WEB Conferencing Across IP and 3G
Networks and Devices.
Laptops and Desktops
Mobile Devices
Live, Face-to-Face Medical Encounters Anywhere
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Vitanet Connected or Store and Forward Remote
Patient Monitoring National Institute of Aging
SBIR Extension to Include Vital Sign Monitoring

• Connected remote healthcare with practitioner in
  the loop for vital sign monitoring, disease
  management, medication intake and compliance
• Blood Pressure
• Pulse Ox
• Glucose-Meter
• Weight and Temperature
• FDA approved requires home hub
• Portable version using PDA as the data network
  under development
• Hosted SAAS
• Partnering with SoC experts developing the next
  generation of low power wireless sensors

Supplied by Carematix,Off-the-Shelf FDA approved

• Integrated Remote Patient Monitoring
• Blood Glucose
• Weight Scale
• Blood Pressure
• Heart Rate
• Pulse Oximetry
• Respiration Rate

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Lifecycle of Diabetes and Co-morbid Conditions
11/14/2009
iVisit Wellness
iVisitDisease Management
Metabolic Syndrome
Diabetic
Vascular Neuropathy
Chronic Wounds Amputations
Diabetic Retinopathy
CHF, CVA
Vitanet Vital Sign Monitoring
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Proven Outcomes of iVisit Mx for Managing
Diabetes and Co-morbid Conditions

• Remote intervention and coaching by a Nurse
  Practitioners has been provided by iVisitMx team
  using video conferencing. A randomized outcome
  study based on CMS data will outline the results.
  
• Wound Technology Network (WTN) an iVisit MX
  partner specializing in treatment of chronic
  wounds remotely is using iVisit Mx solutions. A
  Microsoft sponsored case study summarizes the
  outcomes.
• Diabetic retinopathy causes significant number of
  visual impairments. A significant percentage of
  the 11 mil visually impairments in the U.S. is
  caused by Diabetic retinopathy. Visual assistance
  solutions developed under NIH (NEI and NIA)
  provide us with a strong set of assistance
  solutions for users with communication disorders.
  
• CHF, CVA, High blood pressure are other co-morbid
  conditions of diabetes.

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Proven Diabetes Cost Savings Clinical
Improvements

• Proved that the use of home-based
  Tele-monitoring
• Using 2-way video, reduced the number of hospital
  days by 26
• Led to an overall cost savings of 20 (compared
  to nurse telephone support)
• Increased both patient survival and patient
  satisfaction

iVisitMx has outcome data from the teams prior
projects including a large-scale (516 Patients) ,
randomized prospective video-based
Tele-monitoring trial.
Medicare savings 29 for Part A 7 for Part B
CUCI
Cost data supplied by Medicare 2002-2004,
including costs of Telemedicine sessions
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Reduction in Emergency Room Visits

• iVisitMx case study showed 50 reduction in
  Emergency Room visits

Reduction of Blood Glucose Levels
Clinical Outcomes show 20 reduction of blood
glucose levels blood glucose stabilization is a
major indicator for improved health and
co-morbid complications.
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Reduction of Catastrophic Events
Percentage of Monthly tests in danger zone
Clinical Outcomes show 25 reduction of
catastrophic events. Readings in the danger zone
increases damage to other organs in the body.
Sample Patient Report
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Proven Clinical Outcomes for some Telecare
ApplicationsWound Technology Network (WTN)
11/14/2009

• Improved Patient Outcomes
• WTN patients experience many benefits from the
  companys mobile treatment program, including
  at-home care and improved continuity of care.
• Based on a case study from one of WTNs health
  plan partners, WTN cites a wound-healing rate of
  90 percent without surgical intervention, and
  estimates that time-to-heal is reduced by 50
  percent or more compared with traditional
  in-hospital care.
• Reduced Healthcare Costs
• WTN is using its mobile wound management solution
  to help reduce the number of expensive hospital
  stays. We are able to decrease hospitalizations
  by 90 percent, says Galitz.
• Other benefits for payers include
• Hospitalization readmissions reduced by up to 90
  percent.
• Extensive data and report generation.
• Risk reduction compared with hospital treatment.
• Continuity of care and complete case management.
• 2-page Partner Case Study Wound Technology
  Network
• Video (next slide)

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Wound Technology Network Video
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NIH Sponsored SeeStar SeeScan Technologies
Accessibility and assistance solutions for
visually impaired and aging population
11/14/2009

• 11 million visually impaired users in the US
• SeeStar Remote Assistance for improved quality
  of life and telehealth services
• Virtual "pair of eyes" via the use of a cell
  phone camera and data link to a remote assistant
• Assistant views the live images and then
  describes the person's surroundings including the
  location of landmarks, and finds pathways to
  destinations using the mobile users GPS position
  and Google Maps
• Facilitates mobile healthcare for visually
  impaired and elderly using accessible PDA mobile
  devices
• SeeScan Mobile Object Recognition Real Time
  Augmented Reality
• Mobile system that can quickly and easily detect
  and recognize specific objects including consumer
  goods, currency, compact discs, etc.
• Users can easily add new items to private and
  public online databases
• Development and testing through
  NEI-1R43EY016953-01, NIA-2R44EY016953-02 and
  collaboration with the VA Atlanta Research
  Education Foundation (AREF)

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LookingAid - Healthcare Services Integrator and
Reseller The First Automated Visual Recognition
System for Visually Impaired

• Demo video http//www.youtube.com/watch?vlUUxGvD
  qok4 (next slide)
• National Institute of Health Sponsored
• NEI-1R43EY016953-01, NIA-2R44EY016953-02

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LookingAide Demo Video
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Mobile Healthcare ServicesiVisitDM,
iVisitPsychiatry, iVisitMD, iVisitRx,
iVisitLookingAid
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Management

• Orang Dialameh, Founder and CEO (25 years of
  advance technology development and
  commercialization)
• Currently founder and CEO of iVisit and IPPlex,
  past CEO and co-founder of Eyematic Interfaces,
  Inc., a leader in face recognition and rich-media
  communications
• An Eyematic spinoff in machine vision, (i.e.,
  NevenVision) was acquired by Google in 2006
• Carolyn Kerouac, President (30 Years in
  healthcare/technology)
• CEO and founder of cellUcare, early innovator in
  the use of videophone technology and the
  management of Diabetes with 80,000 encounters
• Recognized leader in using camera phone
  technology for the treatment of patients with
  chronic illness
• Experience includes physician office, insurance
  billing, PACS and telemedicine technology sales,
  training and support 
• Tim Dorcey, CTO (20 years of innovation in
  video communications)
• Created CU-SeeMe, the first video conferencing
  solution for PCs and Macs
• Innovative work received worldwide recognition,
  including a 1996 profile in the Wall Street
  Journal, a "Best of What's New" award from
  Popular Science, and several appearances in the
  Wired/Tired column of Wired Magazine (on the
  Wired side)
• Joel A. Balbien, CFA, Ph.D., Chief Strategy
  Officer (25 Years in Strategic and Business
  Planning)
• Accomplished and visionary executive with a
  proven success in managing the commercialization
  of CleanTech and Life Sciences Technologies in
  both Fortune 500 and Hi-Tech startup companies
• Senior advisor to the Larta Institute
• Served on the board of directors of several
  successful startups including Transilica, Sonics,
  Clean Energy Systems, and was a Board Advisor for
  Continuous Computing Corporation and Clinical
  Microsensors

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Management

• Steve Anderson, Vice President  (30 Years in
  healthcare sales)
• Broadly experienced in all elements of high
  technology and consultative sales to every
  organizational level within a hospital and
  healthcare system
• Conceptualized and marketed nationally picture
  phone-based healthcare applications for My Food
  Phone
• Held a successful position in sales for a bedside
  platform at Cardinal Health.
• Shelley Hawkins, Clinical  Director, DSN, CFNP,
  CGNP, FAANP (25 Years in nursing)
• Post Doctoral Fellow at the University of South
  Carolina at Chapel Hill, Shelley is engaged in
  the study of Preventing and Managing Chronic
  Illness  
• As part of her nursing leadership, Shelley has 3
  years experience using videophones to positively
  affect the lives of hundreds of diabetic patients
  under her care.  She also was a nursing
  instructor at University of Virginia (UVA) and
  University of Alabama Birmingham (UAB)
• Cy Evans, Chief Information Officer (25 Years
  in hospital telemedicine networks)
• Involved in selection of technology partners and
  system design and integration leading to
  oversight of implementation
• Actively produced large scale broadcast-grade
  two-way interactive teleconference events for
  healthcare and telemedicine networks at a large
  East coast hospital system
• Mike Kerouac, Managing Director  (30 Years in
  health/technology, and sales) 

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Contact Information2043 Colorado Ave - Suite
4Santa Monica, California 90404Tel
310-857-6547x2Fax[phone]Orang_at_ivisit.com

• iVisitMx