HD Nursing The Science Behind Falls Management Innovating

HD Nursing The Science Behind Falls Management Innovating in Healthcare: Idea Formation to Revenue Generation and Everything in Between Amy L. Hester Ph. D, RN, BC Confidential & Proprietary HD Nursing

Overview: HD Nursing Clinical Decision Support System to predict and prevent falls and injuries across the continuum of care. ü Improve patient outcomes ü Reduce hospital costs ü Reduce hospital re-admissions and institutionalized care ü Automate work flow for care providers Confidential & Proprietary HD Nursing

Who We Are Proven leaders in Falls Management with demonstrated results Gary Platzman: President & CEO • Transformed 63 year old company into the market leader in Falls Management products • Tripled company’s revenue over 10 years Amy Hester, Ph. D, RN, BC: Chief Scientific Officer • Nationally recognized and published falls subject matter expert • Director of Nursing Research and Innovation - University of Arkansas for Medical Services (UAMS) Patricia Quigley, Ph. D, MPH, ARNP, FAANP • Advisor & Chairperson of HD Clinical Advisory Committee • Nationally recognized and published falls subject matter expert Erin Bush, MA, BSN, RNC-MNN • Director of Clinical Operations • Experienced clinician, educator, and change agent devoted to implementation success and sustainability in every facility Confidential & Proprietary HD Nursing 3

The Pain Point… Total cost to the healthcare system resulting from falls and falls related injuries: $34 B in 2013, estimated at $47 B in 2020 1 • The average 200 bed hospital spends $1, 000+ per year on falls related costs 5 • CMS (Medicare) no longer reimburses providers for added costs for falls sustained while in the hospital (“hospital acquired condition”)2 • The move to “value based purchasing” means hospitals face financial penalties for readmissions (up to 3%) and patient safety metrics 2 • Falls related injuries account for up to 15% of readmissions in first 30 days 4 • For our elders, falls account for 25% of all hospital admissions from nursing homes, and 40% of all nursing home admissions; 40% of those admitted do not return to independent living; 25% die within a year Confidential & Proprietary HD Nursing

The HD Nursing Solution With a comprehensive, individualized falls management program, providers will have the tools needed to improve patient safety outcomes and address the growing costs associated with falls. Ø Predict: Hester Davis Fall Risk Assessment Scale© Ø Prevent: HD Falls Care Plan© Ø Sustain: HD Falls Tool Kit© Confidential & Proprietary HD Nursing

Results: UAMS Case Study One year after implementing (2011) the HD Falls Program™ at UAMS: • Experienced a 60% reduction in injurious falls • Improved from 98 th to 11 th percentile in falls injury ranking on NDNQI • Saved $1. 27 million on falls related costs the 1 st year 1 • Saved an additional $330 k by eliminating “patient sitters” – an ineffective and costly intervention • Saw an overall savings of $1. 6 M per year All occurring during a time when the hospital was significantly reducing staff. 2013/2016 Top Performer in Falls and Injury Prevention (University Healthsystem Consortium) 2014 Top Hospital Saving Money in Innovative Ways (Becker’s Healthcare) In 2013 & 2016, UAMS achieved the lowest falls and falls injury rates in it’s history and is a recognized national leader. Confidential & Proprietary HD Nursing 6

Additional Success Confidential & Proprietary HD Nursing

Our Clients Confidential & Proprietary HD Nursing

Integration With Key Industry Providers • Epic is the $3 B market leader in electronic medical records (EMR) (2530% share and fastest growing) • In 2014 release, HDS integrated in Epic EMR system • Agreement provides for up-sell of HD Care Plan™ directly to Epic customers for full functionality of program • Non-exclusive for HD Nursing Confidential & Proprietary HD Nursing 9

Partnership With Key Industry Providers Universal Hospital Services (UHS) • • $550 M market leader in sales/rental of patient handling/falls management equipment for acute care facilities Co- Marketing Agreement Non-exclusive for HD Nursing Posey Company • • Market leading manufacturer of falls management products Co- Marketing Agreement Non-exclusive for HD Additional strategic partners in discussion Confidential & Proprietary HD Nursing 10

Go To Market Strategy Hospital (Acute Care) Lifecycle Non-Hospital (Ambulatory) Lifecycle (over age 65) 13. 6 M (over age 65) Patient Discharges Falls and injury assessment and care plan in connection with continued medical care or evaluation of fall prevention equipment/technology Seamless falls and injury prediction & prevention for hospital patients HD In-Patient Solutions Healthcare Professionals Services Providers 298 M Visits 44. 7 M People In Office/Clinic HD Outpatient Solutions @ Home or @ Retail HD Discharge Solutions HD Outpatient Solutions In Office/Clinic @ Home HD Outpatient Solutions At Home Confidential & Proprietary HD Nursing 11

Pricing & Revenue Model • Hospital – Acute: per hospital pricing; tiered by bed size – Ambulatory: per hospital pricing; tiered by visit volume Hospital Pricing Model Price License Fee Acute: $9, 000 -28, 800/yr Ambulatory: $4, 50015, 000/yr Implementation, Customization & Training $2, 000 -10, 000 (one-time) On going Support $2, 000 -10, 000/yr • Non-Hospital – Ambulatory: tiered by patient volume/revenue share – Community: patient volume/revenue share Confidential & Proprietary HD Nursing 12

Managing Conflicts of Interest Confidential & Proprietary 13 HD Nursing

Managing Conflicts of Commitment Confidential & Proprietary 14 HD Nursing

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