Waste Defect Next Gen SNT Data Entry Process

Waste / Defect Next. Gen SNT Data Entry Process (Current State) Sub Step: 1 SNT Nurses Role 1 Strategic START: Nursing Team Document vaccination on form Nurse Name stamps document Forms checked for errors & counted Sub Step: 2 Prep Turn forms into manager Role 2 Billing/Fiscal Sub Step: 4 Entering Forms checked for errors & counted Get forms from SNT manager Verify & Separate forms by insurance company Prep forms for next day Role 3 Contractors Info/ Deliverables/ Job Aids/ Templates Sub Step: 3 Training 7/15/15 • Vaccination Forms Orient Contractors - Logistics (jointly performed) Prep for & Train Contractors (jointly performed) Contractor logistics (jointly performed) Demograph ics Trained (jointly performed) • Vaccination Forms Prep for & Train Contractors (jointly performed) Count & Prep forms for next day Administrati on Trained (jointly performed) Count & Prep forms for next day Contractor Enters Demograph ics or Vaccines • Vaccination Forms • Training List Collect & Count Forms End Contractor Enters Demograph ics or Vaccines • Vaccination Forms Systems Insurance Eligibility Website/ Next. Gen IMPACT SIIS? Work content Time Elapsed Time © Continual Impact LLC Time WT= 30 min ET = 1 -2 days Wait Time = Time WT= 1 Hour ET = 1 -2 days Next. Gen Time Total time WT = 10 minutes ET = 3 days Next. Gen Time WT = 10 minutes ET = 3 days Time Page 1

Next. Gen Sub Step 1 School Nurse & SNT Process (Current State) Sub Step: 1 Preparation Sub Step: 2 On Site Role 1 School Nurse Complete Form Attempts No (*=CCS or SNT) START: School Dates Selected* Preliminary Count Shared w/ CPH Week Before. . # Doses Shared w/ CPH Some school nurses check forms for completeness Complete Y/N Pull kids from class in batches approx. 10 Yes Role 2 Strategic Nursing Team Manager 7/15/15 No Resolved Y/N Yes Do not vaccinate Confirm Identity of child Schedules nurses for clinic – assigns lead Role 3 SNT Team Lead Gets supplies for clinic Determines clinic flow Role 4 SNT Nurses (includes lead) No Confirm Identity of child Arrive at school Screen Form Complete Form Attempts No Resolved Y/N Do not vaccinate Yes Complete Y/N Yes Vaccinate (see next page) Work content Time Elapsed Time © Continual Impact LLC WT= _____ ET = _______ Wait Time = Time WT= _____ ET = _______ Time Total time Page 1

Next. Gen Sub Step 1 School Nurse & SNT Process (Current State) Sub Step: 3 CPH Sub Step: 2 On Site (Continued) Role 1 School Nurse Copy forms & keep copy No More clients Y/N Send child back to class (*=CCS or SNT) 7/15/15 Get next batch (repeat process) Yes Role 2 Strategic Nursing Team Manager Collect forms from team leads Forms checked for errors & counted No Errors? Y/N Submit to billing Yes Role 3 SNT Team Lead Collect forms from team No Forms checked for errors & counted Errors? Y/N Yes Role 4 SNT Nurses (includes lead) Vaccinate (previous) Document vaccination on form Nurse Name stamps document Put in Pile – move to next child No More clients Y/N Collect Forms Close clinic & return to CPH Forms checked for errors & completed Errors fixed Yes Work content Time Elapsed Time © Continual Impact LLC WT= _____ ET = _______ Wait Time = Time Total time WT= _____ ET = _______ Time Page 1

Next. Gen Sub Step 2: Prep Through Step 4: Entering Process (Current State) Sub Step: 1 Prepare Forms Role 1 Strategic Nursing Team Manager 7/15/15 Sub Step: 3 Entering Sub Step: 2 Training Submit to billing (previous pg. ) Role 2 Billing No Get forms from SNT manager Verify & Separate forms by insurance company Prep forms for entry Orient Contractors - Logistics (jointly performed) Prep for & Train Contractors (jointly performed) Yes Contracto r Return **? Y/N Prep for & Train Contractors (jointly performed) Count & Prep forms for next day Submit to billing department Collect & Count Forms Yes End No More Forms? Y/N Role 3 Contractors Contractor logistics (jointly performed) Demographics Trained (jointly performed) Yes Contracto r Return **? Y/N Administration Trained (jointly performed) Contractor Enters Demographics or Vaccines Daily Return Completed Forms No Role 4 ** = This step may occur at any time during rest of process. Work content Time Elapsed Time © Continual Impact LLC WT= _____ ET = _______ Wait Time = Time WT= _____ ET = _______ Time Total time WT= _____ ET = _______ Time Page 1