mx 2009 be there! ivisit mx remote care & assistance solutions/ services mx confidential 1

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2009

Be There!

iVisitMx Remote Care & Assistance Solutions/ Services

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http://www.iVisit.com/ CONFIDENTIAL 1

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04/18/23

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

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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04/18/23 http://www.iVisit.com CONFIDENTIAL

iVisitiVisitMxMx enables healthcare organizations to deploy scalable enables healthcare organizations to deploy scalable

telehealth and assisted living solutionstelehealth 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

Billions


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What are the Major Healthcare Cost Drivers?Aging of the Population and Major Chronic Disease States

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Chronic Disease Prevalence in 2007

http://www.iVisit.com/ CONFIDENTIAL

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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 Americans—nearly 1 in 2 adults—live 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

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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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Laptops and DesktopsLaptops and Desktops

Mobile & Desktop Unified Communication Solutions Enable a New Generation of Accessible Audio-Video-Text and Data Communications on Any Device and Network

Mobile DevicesMobile Devices

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.

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Live, Face-to-Face Medical Encounters

Anywhere

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

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iVisitDisease ManagementiVisit Wellness

Vitanet Vital Sign Monitoring


Metabolic Syndrome

Diabetic

Vascular Neuropathy

Chronic Wounds Amputations

Diabetic Retinopathy

CHF, CVA

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04/18/23

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.

http://www.iVisit.com CONFIDENTIAL

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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 team’s prior projects including a large-scale (516 Patients) , randomized prospective video-based Tele-monitoring trial.

Medicare savings 29% for Part A7% for Part B

Medicare savings 29% for Part A7% 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 LevelsClinical Outcomes show 20% reduction of blood glucose levels; blood glucose stabilization is a major indicator for improved health and co-morbid complications.

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

Clinical Outcomes show 25% reduction of catastrophic events. Readings in the danger zone increases damage to other organs in the body.

Clinical Outcomes show 25% reduction of catastrophic events. Readings in the danger zone increases damage to other organs in the body.

Sample Patient ReportSample Patient Report

Percentage of Monthly tests in danger zone


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Proven Clinical Outcomes for some Telecare ApplicationsWound Technology Network (WTN)

Improved Patient Outcomes WTN patients experience many benefits from the company’s mobile treatment program, including

at-home care and improved continuity of care. – Based on a case study from one of WTN’s 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 NetworkVideo (next slide)

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Wound Technology Network Video


MxNIH Sponsored SeeStar & SeeScan Technologies

Accessibility and assistance solutions for visually impaired and aging population 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 user’s 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?v=lUUxGvDqok4 (next slide)National Institute of Health Sponsored:

NEI-1R43EY016953-01, NIA-2R44EY016953-02


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LookingAide – Demo Video


Mx Mobile Healthcare Services

iVisitDM, iVisitPsychiatry, iVisitMD, iVisitRx, iVisitLookingAid

Health Services & Solutions Product Development

Phase 1 Trials & Protocol Development

Phase 2 Trials Pilot Roll Out

Diabetes and Metabolic Syndrome (proven by CelluCare)

Large NIH Grant Pending ($3.0mil 500 + patients)

Wound Management (Chronic or post operative)

deployed Deployed by WTN Accessibility & Assistance Solutions for Elderly and users with disabilities

NIA Phase 2 Grant in progress

Pilot trials pending

Automated Vision Aid Looking Aid

Phase 2 NIH Grant Pending

Service Launch is planned in 2009

Chronic Obstructive Pulmonary Disease (COPD)

Under development

NIH Grant Pending

Congestive Heart Failure

Under development

NIH Grant Pending

Obesity, Depression, TelePsychiatry, Stress Management, Smoking Cessation

Seeking trial partners



Shortening length o f hospital Stays

NIH Grant Spet 2009

NIH Grant Spet 2009

NIH Grant Spet 2009

Noninvasive Heart Rate, Respiration Rate Sensor, Wireless vital sign R&D

NIH Grant Sept 2009 Seeking partners

Home Assisted Living Solutions

NIH Grant Sept 2009 Seeking partners


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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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04/18/23

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)


Management

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04/18/23

Contact Information:2043 Colorado Ave - Suite 4

Santa Monica, California 90404Tel: 310-857-6547x2

Fax:[email protected]

iVisitMx


mx 2009 be there! ivisit mx remote care & assistance solutions/ services mx confidential 1

Documents

confidential slide

confidential ivisit

chronic conditions

chronic illness

chronic disease prevalence

major chronic disease

chronic health condition

forthcoming slide