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Welcome to eWave MD




                                                         Jan 2010
   Talor Sax                 talor@ewavemd.com
   VP Business Development   +972-54-222-3575 (Israel)
   www.ewavemd.com           +1(419) 825-6771 (USA)
Agenda

• Profile
• Products
  – MD Platform – Medical SaaS Accelerator
  – Telemaster – Telemedicine Turn Key Solution Platform
• Case Studies
  –   Outpatient EMR – National HMO
  –   Outpatient EMR – USA market
  –   Patient Portal and PHR
  –   Quality Management
  –   Disease Management
  –   Remote Diagnostics
EWAVE MD PROFILE
eWave MD – Profile


  •   International software company
  •   Healthcare oriented since 2000
  •   Secure Web-based solutions and products specialists
  •   ISO 9001:2000 compliant
  •   Over 250 professionals
  •   Active in US, Europe, Brazil
  •   ~ 10, 000 physicians worldwide
  •   ~ 3,000,000 patients
eWave MD – Profile
• This video was produced by Maccabi Health Services
• The clip shows the reality of a Maccabi patient
• Most of the applications were developed by eWave MD




     * To view this video online please visit:
               http://www.youtube.com/watch?v=tbOlQ7e7LX8
PRODUCTS
Products
   “MD Platform”
Medical SaaS accelerator
EMR         eSchedulling


 Electronic
Prescriptions      PHR
   (eRx)
MD Platform – Medical SaaS accelerator

• Software As A Service Platform to enable accelerated
  implementation of Electronic medical record
  solutions
• Fully web-based
• Generator driven for maximum flexibility and
  content delivery
• Rule Based Engine at the user level for maximum
  customization.
Sinergy of Assets


   Clinical                Large
                           Scale                       SaaS
  Software
                          Hosted                        MD
  Expertis                Solution                   Platform
      e                      s

  Software components                Architecture
  Standards                          Backup
  Protocols                          Failover
  Terminology                        Security
  Process know-how                   Scalability
  Markets understanding              Maintenance &
  Privacy & Security                   Support
                                     Monitoring
SaaS MDPlatform

• Based on our Flexible Software Platform and unique
  Suite Of Services we offer:
  – Rapid deployment of clinical information systems
  – Secured, Standard based, interoperability and highly
    Customizable clinical solutions
  – Taking complete responsibility on all of the operational
    aspects; Servers, Maintenance, Support, Training etc.
Services Suite

          System analysis    QA & Stability


           Architecture
            planning
                            Interoperability


           Standards &
            Protocols
                             User Support


          Localization &
          Customization      Maintenance


             Security       Business Model
          implementation     Consultancy
Sample of Shared Software accelerators



                            Master Patient       User
Scheduling      Billing                                    Clinical Chart
                               Index          Management


 Document    Diagnoses       Procedure
                                                Alerts      Reminders
Management     Codes           Codes


                                                            Disease
 Imaging        CCR           Reporting          Rota      management
                                                            protocols

                              Clinical File    Patient       Secured
 Template     Business
                                Transfer       Access      Clinical data
  Editor     Rules Engine
                            (telemedicine)     Control        sharing
Products
           “TeleMaster”
Turn Key Telemedicine Solution Platform
Telemaster - Turn Key Telemedicine Solution Platform

• eWave MD's Telemaster is a Proven, Robust and
  Flexible Telemedicine Turn Key solution platform.
• Enabling wide range of Telemedicine
  implementation such as (or combination of):


      • Remote Diagnostic Services
         • Home Care Monitoring
          • Telemedicine Kiosks
           • Virtual Encounters
Telemedicine Process
   • Collect Data from                        • Transfer files to
     Medical devices                            diagnostic call
   • Open API –                                 center
     connect any
     device



                         Collect   Transfer




                         Publish   Diagnose

   • Store and publish                        • Diagnosis
     result                                     Workflow
   • initiate medical                         • Physical or Virtual
     inteference                                Diagnosis Center
Use ANY medical device
CASE STUDIES
Solutions Case Studies




  Out Patient   Inpatient     Patients      Tele
    EMR           EMR         Portal &   Diagnostics
  HMO/SaaS                    Disease
                            Management
Case Studies
Outpatient EMR
  National HMO

Leumit Health Fund
Solutions and Products – Israeli HMOs


 •   HMOs are both the insurer and the provider
 •   4 HMOs, ~ 7 M population
 •   We have developed systems for 2 HMOs
 •   HMOs provide full service for the patient
 •   Services are provided by a network of physicians:
     – Physicians employed by the HMO
     – Contracted physicians
Solutions and Products – HMOs Solution Benefits

 • Centralized Medical Record
 • Customizable by each HMO:
     – Size
     – Special requirements
 •   Fully integrated with other systems
 •   Multiple discipline support
 •   Control and manage workflows
 •   Any required data – one click away
 •   Reduce errors
 •   Reduce costs
Case Studies
   Outpatient EMR
SaaS Implementation - USA

 eHealth Made Easy LLC.
Solutions and Products – EMR Product Benefits

• Simple to setup and use:
    – Internet based
    – Requires zero installations
• Reliable and secure:
    – HIPAA compliant
    – Monitored
    – All data is backed-up
•   Support various workflows
•   One stop shop: EMR, PM, Report generator & more
•   Reduce errors and improve treatment quality
•   Reduce cost
Solutions and Products – US Market
• Healthcare as a part of the Federal agenda
• Encourages electronic solutions integration
   – Integration bonuses
   – Penalty fees
• Different quality improvement programs:
   – Performance based bonuses
   – Penalty fees
• Standards establishments:
   – HEDIS
   – HL7
   – CCR
Case Studies
Patient Portal and PHR
   National Level HMO


       Maccabi HMO
Solutions and Products – Patient Portal and PHR
  • Patient can manage his own health activities:
     – Web site
     – Information kiosks
  • Various online actions:
     –   View and track lab and other results
     –   Schedule appointments
     –   Update personal information
     –   Check Balances
     –   Receive emails as an alternative to phone calls
     –   Get automated health recommendations
     –   Lifestyle advice
     –   Many Others
Solutions and Products – Lab Results
Solutions and Products – Meeting Scheduler
Your Health Recomendations
Solutions and Products – Account Information
Solutions and Products – Nutrition
Solutions and Products – Information Kiosks
Solutions and Products – Diabetes
Case Studies
 Quality Management
SaaS Implementation - USA

 eHealth Made Easy LLC.
Solutions and Products – QM Benifits

•   Improved treatment quality
•   Quality control and management assistance
•   Adaptable to support various quality programs
•   Health Care rule base engine
•   From stand alone to complete integration
•   Reduce errors
•   Bonuses
•   Avoid penalties / reduce costs
Solutions and Products Quality Reporting

 • Online compliance reports
 • Real-time compliance feedback
 • Potential appointments
Case Studies
Disease Management
  National Level HMO


      Maccabi HMO
Solutions and Products – Disease Management

• Improve the quality of health care services provided
• Improve and maintain quality of life
• Reduce unnecessary hospital admissions (e.g. due
  to patient anxiety)
• Reduce administrative Primary Care Physician (PCP)
  visits
• Decrease mortality
• Reduce costs
• Establish central database for patients as a
  supporting tool for DM (Disease Management)
Solutions and Products – Disease Management
Tele-monitoring

                   Regional
                    center              HUB

   PCP



                                         RF
             Information Systems


     Call
    center                              Devices:
                                             •BP
                                         • pulse
                                         •Weight


                         Maccabi     Patient house
Case Studies
“TeleMaster” - Remote Diagnostics
      National Level Center

  Procardia (Israel); Raytel (USA)
Case Study – Remote Healthcare


 • Tele-diagnostic service for cardiac exams
 • Used by Leumit & Maccabi (Israel) & Philips
   Healthcare (USA)
 • Cost reduction – profitable for both provider and
   patient
 • Improves waiting period for tests and results
 • Supports a virtual and physical interpretation center
Solutions and Products – Telemedicine Applications


         Tele EKG




                             Tele Holter
Holter Activity

• 18,000 Holter readings performed during 2009.
• 1,200 Holter readings during December 2009;
• Human resources required (2009):
            »   5 technicians per day;
            »   5 days a week
            »   22 days a month
            »   12 months/year.
            »   2 cardiologists performing evaluations and referrals
                during idle time in the ECG call centre.
• Average time per technician/per Holter reading
  (including idle time):
       26.4 minutes
Holter Diagnosis Technician
ECG

• 140,000, 12 Lead ECG readings during 2009.
• 11,775, 12 Lead ECG readings during December
  2009;
• Human resources required (2009):
   – During morning hours: 3 to 4 doctors
   – To Technicians
   – Afternoon1 to 2 cardiologists
• Working hours: 0800-1900
   Actual Average time required for each diagnosis:
                1 minute 39 seconds
Thanks




   Talor Sax                 talor@ewavemd.com
   VP Business Development   +972-54-222-3575 (Israel)
   www.ewavemd.com           +1(419) 825-6771 (USA)

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eWave Md 2010 Company Profile

  • 1. Welcome to eWave MD Jan 2010 Talor Sax talor@ewavemd.com VP Business Development +972-54-222-3575 (Israel) www.ewavemd.com +1(419) 825-6771 (USA)
  • 2. Agenda • Profile • Products – MD Platform – Medical SaaS Accelerator – Telemaster – Telemedicine Turn Key Solution Platform • Case Studies – Outpatient EMR – National HMO – Outpatient EMR – USA market – Patient Portal and PHR – Quality Management – Disease Management – Remote Diagnostics
  • 4. eWave MD – Profile • International software company • Healthcare oriented since 2000 • Secure Web-based solutions and products specialists • ISO 9001:2000 compliant • Over 250 professionals • Active in US, Europe, Brazil • ~ 10, 000 physicians worldwide • ~ 3,000,000 patients
  • 5. eWave MD – Profile • This video was produced by Maccabi Health Services • The clip shows the reality of a Maccabi patient • Most of the applications were developed by eWave MD * To view this video online please visit: http://www.youtube.com/watch?v=tbOlQ7e7LX8
  • 7. Products “MD Platform” Medical SaaS accelerator
  • 8. EMR eSchedulling Electronic Prescriptions PHR (eRx)
  • 9. MD Platform – Medical SaaS accelerator • Software As A Service Platform to enable accelerated implementation of Electronic medical record solutions • Fully web-based • Generator driven for maximum flexibility and content delivery • Rule Based Engine at the user level for maximum customization.
  • 10. Sinergy of Assets Clinical Large Scale SaaS Software Hosted MD Expertis Solution Platform e s Software components Architecture Standards Backup Protocols Failover Terminology Security Process know-how Scalability Markets understanding Maintenance & Privacy & Security Support Monitoring
  • 11. SaaS MDPlatform • Based on our Flexible Software Platform and unique Suite Of Services we offer: – Rapid deployment of clinical information systems – Secured, Standard based, interoperability and highly Customizable clinical solutions – Taking complete responsibility on all of the operational aspects; Servers, Maintenance, Support, Training etc.
  • 12. Services Suite System analysis QA & Stability Architecture planning Interoperability Standards & Protocols User Support Localization & Customization Maintenance Security Business Model implementation Consultancy
  • 13. Sample of Shared Software accelerators Master Patient User Scheduling Billing Clinical Chart Index Management Document Diagnoses Procedure Alerts Reminders Management Codes Codes Disease Imaging CCR Reporting Rota management protocols Clinical File Patient Secured Template Business Transfer Access Clinical data Editor Rules Engine (telemedicine) Control sharing
  • 14. Products “TeleMaster” Turn Key Telemedicine Solution Platform
  • 15. Telemaster - Turn Key Telemedicine Solution Platform • eWave MD's Telemaster is a Proven, Robust and Flexible Telemedicine Turn Key solution platform. • Enabling wide range of Telemedicine implementation such as (or combination of): • Remote Diagnostic Services • Home Care Monitoring • Telemedicine Kiosks • Virtual Encounters
  • 16. Telemedicine Process • Collect Data from • Transfer files to Medical devices diagnostic call • Open API – center connect any device Collect Transfer Publish Diagnose • Store and publish • Diagnosis result Workflow • initiate medical • Physical or Virtual inteference Diagnosis Center
  • 17. Use ANY medical device
  • 19. Solutions Case Studies Out Patient Inpatient Patients Tele EMR EMR Portal & Diagnostics HMO/SaaS Disease Management
  • 20. Case Studies Outpatient EMR National HMO Leumit Health Fund
  • 21. Solutions and Products – Israeli HMOs • HMOs are both the insurer and the provider • 4 HMOs, ~ 7 M population • We have developed systems for 2 HMOs • HMOs provide full service for the patient • Services are provided by a network of physicians: – Physicians employed by the HMO – Contracted physicians
  • 22. Solutions and Products – HMOs Solution Benefits • Centralized Medical Record • Customizable by each HMO: – Size – Special requirements • Fully integrated with other systems • Multiple discipline support • Control and manage workflows • Any required data – one click away • Reduce errors • Reduce costs
  • 23.
  • 24. Case Studies Outpatient EMR SaaS Implementation - USA eHealth Made Easy LLC.
  • 25. Solutions and Products – EMR Product Benefits • Simple to setup and use: – Internet based – Requires zero installations • Reliable and secure: – HIPAA compliant – Monitored – All data is backed-up • Support various workflows • One stop shop: EMR, PM, Report generator & more • Reduce errors and improve treatment quality • Reduce cost
  • 26. Solutions and Products – US Market • Healthcare as a part of the Federal agenda • Encourages electronic solutions integration – Integration bonuses – Penalty fees • Different quality improvement programs: – Performance based bonuses – Penalty fees • Standards establishments: – HEDIS – HL7 – CCR
  • 27.
  • 28.
  • 29. Case Studies Patient Portal and PHR National Level HMO Maccabi HMO
  • 30. Solutions and Products – Patient Portal and PHR • Patient can manage his own health activities: – Web site – Information kiosks • Various online actions: – View and track lab and other results – Schedule appointments – Update personal information – Check Balances – Receive emails as an alternative to phone calls – Get automated health recommendations – Lifestyle advice – Many Others
  • 31. Solutions and Products – Lab Results
  • 32. Solutions and Products – Meeting Scheduler
  • 34. Solutions and Products – Account Information
  • 35. Solutions and Products – Nutrition
  • 36. Solutions and Products – Information Kiosks
  • 37. Solutions and Products – Diabetes
  • 38. Case Studies Quality Management SaaS Implementation - USA eHealth Made Easy LLC.
  • 39. Solutions and Products – QM Benifits • Improved treatment quality • Quality control and management assistance • Adaptable to support various quality programs • Health Care rule base engine • From stand alone to complete integration • Reduce errors • Bonuses • Avoid penalties / reduce costs
  • 40.
  • 41. Solutions and Products Quality Reporting • Online compliance reports • Real-time compliance feedback • Potential appointments
  • 42. Case Studies Disease Management National Level HMO Maccabi HMO
  • 43. Solutions and Products – Disease Management • Improve the quality of health care services provided • Improve and maintain quality of life • Reduce unnecessary hospital admissions (e.g. due to patient anxiety) • Reduce administrative Primary Care Physician (PCP) visits • Decrease mortality • Reduce costs • Establish central database for patients as a supporting tool for DM (Disease Management)
  • 44. Solutions and Products – Disease Management Tele-monitoring Regional center HUB PCP RF Information Systems Call center Devices: •BP • pulse •Weight Maccabi Patient house
  • 45. Case Studies “TeleMaster” - Remote Diagnostics National Level Center Procardia (Israel); Raytel (USA)
  • 46. Case Study – Remote Healthcare • Tele-diagnostic service for cardiac exams • Used by Leumit & Maccabi (Israel) & Philips Healthcare (USA) • Cost reduction – profitable for both provider and patient • Improves waiting period for tests and results • Supports a virtual and physical interpretation center
  • 47. Solutions and Products – Telemedicine Applications Tele EKG Tele Holter
  • 48. Holter Activity • 18,000 Holter readings performed during 2009. • 1,200 Holter readings during December 2009; • Human resources required (2009): » 5 technicians per day; » 5 days a week » 22 days a month » 12 months/year. » 2 cardiologists performing evaluations and referrals during idle time in the ECG call centre. • Average time per technician/per Holter reading (including idle time): 26.4 minutes
  • 50. ECG • 140,000, 12 Lead ECG readings during 2009. • 11,775, 12 Lead ECG readings during December 2009; • Human resources required (2009): – During morning hours: 3 to 4 doctors – To Technicians – Afternoon1 to 2 cardiologists • Working hours: 0800-1900 Actual Average time required for each diagnosis: 1 minute 39 seconds
  • 51.
  • 52.
  • 53. Thanks Talor Sax talor@ewavemd.com VP Business Development +972-54-222-3575 (Israel) www.ewavemd.com +1(419) 825-6771 (USA)