Michael Boroch- SmartRoom: The Naked Truth About Quality and Errors on the Front Line Presented at Naked Hospital, August 26, 2010

1. SmartRoomTM The Naked Truth about Quality and Errors on the Front Line Michael Boroch, CEO SmartRoom August 26, 2010

2. Agenda Challenges of Caregivers at the Bedside SmartRoomTM Overview and Value Questions / Answers 2

3. Policy vs. Reality What should be done and what “does” get done are often two (or more) different things. Example: Observed nurses using bar code medication administration and recorded all of the different steps (both actions and sequence of actions) 3

4. Bar Code Medication Admin Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment 4 Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007

5. Bar Code Medication Admin There are 4 unsafe pathways and 6 most frequent workarounds 5

6. Healthcare’s Major Problem Many new innovations, projects, safety devices, computer systems and improvements require more time and effort on the part of the front line. We have to stop adding work….we must to find a way to take hard work away and make success easy for the front line. 6

7. Mind Clutter & Distractions With all the advantages of EMRs, the last mile to improve productivity, reduce errors and improve quality has not been reached. SmartRoom helps leverage the large EMR investments. 7

8. 36 Hospital Med/Surg Nursing Time and Motion 8 Source: A 36-Hospital Time & Motion Study: How Do Medical-Surgical Nurses Spent Their Time? – Hendrich/Chow-The Permanente Journal/ Summer 2008

9. What is SmartRoom A “smart” patient room that… Organizes and simplifies the workflow of front-line staff Makes retrieving the right patient information at the right time as simple as walking into the room Pushes information to direct and indirect healthcare workers in context of situation - who, what, where Solves problems at the point of care 9

10. SmartRoom Video 10

11. Subtraction Study – 30 tasks in 10 rooms… Batch at end of day Chart between rooms using mobile COW Chart using Smart Room real time 57% reduction in time spent charting + real-time documentation 57% Reduction in Tasks 69% Reduction in ADLs 82% Reduction in Vital Signs Batching Mobile Cart SmartRoom 11

12. SmartRoom Value

13. Perfection is achieved, not when there is nothing left to add, but when there is nothing left to take away. -Antoine de Saint-Exupery 13

14. Thank you! 14