Studies have shown that successful use of videoconferencing and real-time communications can profoundly benefit patients and doctors alike. Health care outcomes improve when truly collaborative communication takes place among doctors, specialists. Until recently, the specialized equipment, complexity and expensive network infrastructure required by video, as well as poor Medicare/Medicaid reimbursement policies made it impractical to utilize televideo technologies for care delivery unless the patient was a great distance from the doctor. Now, changing reimbursement models and low-cost desktop PC-based televideo technologies are making it easy and cost effective to use televideo in a wider array of patient and inter-clinician interactions. Today, low cost and ubiquitous technologies exist that can facilitate a world in which videoconferencing has a place on the desk of every doctor, nurse and clinician. However, what is needed at the clinician level are applications designed specifically for the health care industry with televideo as a communications modality. These need to be extremely simple, highly secure, low cost and fully customizable. With these types of applications, health care professionals would have simple efficient communications tools to increase access to specialists, raise the overall levels of patient care, and improve delivery of treatment. After interacting with a variety of forward-thinking healthcare professionals, SBR Health has learned that simply reducing the cost and complexity of televideo technologies itself does not solve the larger problem of how to utilize new and existing televideo technologies seamlessly in existing IT and clinical processes. Despite decreasing equipment costs and low-cost ubiquitous PC-based televideo, it remains difficult to integrate videoconferencing into health care workflows. In effect, we discovered something that proved to be true throughout health care--the success of any technology depends only 10% on the technology and 90% on how that technology is integrated with the organization’s workflow and protocols. It isn’t that the healthcare community is crying out for more, cheaper technology, but that it needs solutions to facilitate the delivery of care in a more efficient and effective manner. SBR Health will talk about the shortcomings of utilizing video as a means of communication in delivering care to patients at multiple places within the healthcare system, spanning from pre-encounter triages, to in-hospital settings to post-discharge locations such as rehab facilities, nursing homes, assisted living facilities, or even in their own homes. We will then address how applications and user interfaces can be developed tightly couple the use of televideo with existing clinical and IT workflows to improve patient and clinician use experiences and to minimize change management issues. SBR Health will also describe how they are working closely with many leading healthcare providers

1. SBR Health, Inc.
Healthcare Experience Design Conference
26 March 2012
Christopher Herot, CEO
1 © 2012 SBR Health.

2. Connection is the Best Medicine
In Clinic In Hospital
Initial •Navigator •Interpretation
•Admission Discharge• Follow-Up
Contact •Consultation Post-Acute•
•Triage Line Disease Mgt •
2 © 2012 SBR Health.

3. Medical Terminology
(paragraphs from a BMT consent - 2 hour interpretation session)
BMT CONSENT: Stem Cell Transplantation From Partially Matched Related
Donors Using a Preparatory Regimen Consisting of Fractionated Total Body
Irradiation (FTBI) and Cyclophosphamide (CY)
• The administration of a growth hormone called G-CSF (Granulocyte Colony
Stimulating Factor), also known as Neupogen, will increase the number of
immature hematopoietic cells in your blood
• Potential side effects of G-CSF include: allergic reaction, weight gain, enlarged
spleen, fever, muscle and joint aches, chills, bone pain and headache, or other
unknown side effects
• You will receive a subcutaneous injection (just under the skin) of G-CSF once a
day for five days to stimulate the production and release of hematopoietic cells
into the peripheral blood
• On the fourth and fifth day, apheresis will be done to collect the hematopoietic
cells from your blood. Through one arm, about 8 ounces of blood will be removed
and spun through the apheresis machine, which will separate some of the
hematopoietic cells from the red blood cells, platelets and plasma (the clear fluid
part of the blood). Through the other arm the red blood cells, platelets and
plasma will be returned to your body
© 2012 SBR Health.

4. How to work with interpreters
Do you SPEC?
 Speak directly to the patient
 Pause to allow for interpretation
 Everything you or the patient says
will be interpreted
 Confidentiality will be maintained

5. Stanford Hospital Interpreter Services
• 23,000 requests/year
• 35 staff interpreters
• Problem: Getting
interpreters to the
right place at the
right time
5 © 2012 SBR Health.

6. Version 1
6 © 2012 SBR Health.

7. Requirements
• Requirements
• Need to function in extreme
conditions
• Laptop package
• 3G wireless network
• One-button calling
• Skills-based routing
7 © 2012 SBR Health.

8. Solution
• Remote access to language
interpretation services
• Automated routing of
requests
• N-Way session support
• Match skills with real-time
availability
• Disaster proof platform
• Efficient use of time and
resources
8 © 2012 SBR Health.

9. Virtual Consult – Interpreter Interface
9 © 2012 SBR Health.

10. Video Consult
10 © 2012 SBR Health.

11. Contact
Christopher Herot
Chief Executive Officer
SBR Health, Inc.
One Broadway, 14th Floor
Cambridge MA 02142
617-475-1662
cherot@sbrhealth.com
www.sbrhealth.com
11 © 2012 SBR Health.