Getting to Know Avreo

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1 Getting to Know Avreo Avreo develops complete Radiology Workflow Solutions (RWS) that manage every aspect of your workflow from order entry to report distribution within a single application/single database system. This innovative approach provides radiologists, administrators, referring physicians, and healthcare staff with user-friendly access to the information they need without juggling separate RIS, PACS, dictation, transcription, and report distribution systems. Administrators benefit from the ease of workflow management including at-a glance procedure status and statistical reports to effectively manage your healthcare enterprise and marketing efforts. Radiologists gain the freedom to review study images using our robust Diagnostic and Mammography viewer and dictate final interpretations from any computer per ACR guidelines. Your healthcare enterprise benefits from streamlined activity, which results in cost savings and improved service to both patients and referring physicians. Commitment to Excellence As a healthcare facility, you make a commitment to your patients to provide high quality medical care in a safe and welcoming environment. We would like the opportunity to demonstrate this same level of excellence and commitment to your healthcare facility. Based on evaluations and comments submitted by our customers, Avreo received #1 KLAS Category Ratings for both RIS and PACS. interworks/ interflow was ranked #1 in the Ambulatory RIS category of the 2009 The Revival of RIS report, and interworks/interview was ranked #1 in the 2008 Community Hospital PACS report. These achievements are a testament to the quality, performance, and functionality of our solutions and further proof of our commitment to our customers. For complete information about Avreo s KLAS ratings, visit Earning Your Trust In any relationship, trust develops over time by honoring commitments and responsibilities. At Avreo, we want to build a long term relationship with your healthcare facility that fulfills your needs both today and in the future. As a privately-held company, we focus on the singular goal to provide the best Radiology Workflow Solutions and service to our healthcare customers at affordable pricing options, rather than selling products to simply meet internal, arbitrary benchmarks. We value the trust you place in us as your radiology partner, and we commit to building our relationship over the long term.

2 Why Choose Avreo? Avreo s innovative Radiology Workflow Solutions (RWS) combine efficient healthcare processes, breakthrough technological achievements, and secure web-based architecture to deliver seamless radiology workflow while minimizing the support requirements associated with traditional RIS, PACS, and Dictation systems. One Database Manages All Data Starting in 2000, Avreo designed its revolutionary Radiology Workflow Solutions from the ground up to use one database. This results in a simple, singular system that naturally encompasses all aspects of your radiology workflow. While other RIS/PACS providers rely on interfaces to synchronize data flow between separate RIS and PACS applications, Avreo provides a unified RIS/PACS solution by design. RIS information flows seamlessly into the PACS because all information resides in one organized database. Access images and information via the Masterfolder, which emulates a traditional radiology jacket. One Application Supports Entire Workflow A single Avreo software application supports all phases of your radiology workflow including patient scheduling, front desk registration, technologist QA, diagnostic and clinical viewing, dictation, transcription, and automated report distribution. By providing this workflow in one comprehensive application, healthcare professionals can efficiently perform daily responsibilities and access the patient information, studies, and administrative statistics they need from any location without concern for interfaces or juggling multiple, limited applications. Intuitive Masterfolder Study Management All radiology workflow solutions include Avreo s intuitive patient Masterfolder concept. A Patient Masterfolder emulates a traditional radiology jacket and provides access to patient information as well as new and historical studies from one or multiple facilities and DICOM archives. Color-coded subjackets further organize study information by modality. Because a Masterfolder represents a traditional radiology jacket, healthcare professionals learn to use the system quickly with minimal training. Easily review the status of your entire appointment schedule using the color-coded DayPlanner. Excellent Training and Customer Support Avreo understands the importance of excellent service throughout the sales and implementation process, and continuing to each customer s day to day operations. We provide a range of support and training options to meet your needs and ensure your success. Review images from any location via Avreo s advanced diagnostic and mammography viewer.

3 Avreo Workflow Solutions interview Advanced PACS & Image Management For healthcare facilities who have already invested in complimentary healthcare software systems, Avreo s interview PACS seamlessly blends into your current environment using non -proprietary, standards-based communication while providing an easy avenue for growth when needed. Its built-in dictation, transcription, electronic signature, and report distribution capabilities provide the tools you need to produce and deliver diagnostic reports all within a single software application. interworks Complete Radiology Workflow Avreo s interworks Complete Radiology Workflow Solution transforms how healthcare facilities operate by incorporating every step in the radiology workflow from order scheduling to automated report distribution in a single application with a single database. Using interworks, hospitals, imaging centers, and radiology providers alike benefit significantly from an increase in efficiency and productivity, while reducing costs at many points in the workflow.

4 Avreo Workflow Solutions interprise Enterprise-Wide Radiology Workflow interprise advanced multi-site Radiology Workflow Solution helps you intelligently manage all aspects of your healthcare enterprise within a single application, single database solution. In addition to its advanced RIS, PACS, Dictation, and Transcription capabilities, interprise features advanced nuclear medicine sequencing and scheduling capabilities as well as unlimited sophisticated scheduling rules to manage repeat appointments, scheduling conflicts, and multisite scheduling resources. interortho Orthopedics PACS and Image Management interortho PACS supports the unique workflow requirements of orthopedic practices, while optimizing your imaging workflow. Its robust diagnostic viewer offers extensive image review and comparison tools at your fingertips, while the Tech QA capabilities provide opportunities to review image positioning and record the procedures and charges required for each patient.

5 Avreo Workflow Solutions interdayhawk Hosted Virtual Radiology Workflow interdayhawk supports the unique needs of virtual radiology practices who provide reading services to hospitals, imaging centers, and other healthcare partners regardless of the local PACS system in use by each healthcare partner. This hosted solution incorporates robust diagnostic and mammography viewing, dictation, transcription, and automated report distribution in a single application, single database system. This, combined with low upfront costs, fee -per-study pricing, and unlimited storage with unlimited bandwidth controls your costs while encouraging the growth of your business. Customer Comments About Complete Radiology Workflow The RIS/PACS combination is awesome. Having everything together gives us a lot of flexibility. We can make this system work how the radiologists want it to work. Excerpt from the 2009 Revival of RIS report KLAS Enterprises, LLC. All rights reserved. About Working from Anywhere Our radiologists do a majority of their reading from home. They love this functionality. It is very easy for them. Even our radiologists that are not super technically savvy have been able to easily adopt it and use it effectively. Excerpt from the 2008 Community Hospital PACS report KLAS Enterprises, LLC. All rights reserved. About Color-Coded Workflow Status I really like how this system is color coded. With a glance, we can follow the patients around and know where we need to take them next. We can see every modality in the PACS, so we don't have to click on multiple things to find out where the patients are. Seeing everything there is really convenient. Excerpt from the 2009 Revival of RIS report KLAS Enterprises, LLC. All rights reserved. About System Implementation This was one of the smoothest implementations we have had. It took about three months, although we were originally scheduled six to nine months for implementation. The whole process just went off very smoothly and Avreo was here to support us during the go live. Excerpt from the 2008 Community Hospital PACS report KLAS Enterprises, LLC. All rights reserved.

6 Solution Comparison Scheduling, Registration & Records Management Included Optional Scheduling and front desk registration via color-coded DayPlanner provides at-a-glance status of each modality or scheduling resource. Centralized scheduling capability for multi-site healthcare enterprises. Next available appointment search optimizes scheduling and provides patients with timely appointments. Sophisticated scheduling rules manage repeating appointments, scheduling conflicts, and scheduling resources. Nuclear medicine sequencing and scheduling capabilities help schedulers manage injections and subsequent procedures with ease. Advanced RIS capabilities including patient and visit management, face sheets, procedure preps, and patient screening and education forms, streamline workflow by providing all materials in one complete system. Patient and order-level document scanning provide healthcare professionals access to all relevant information and patient history regardless of their location. Insurance verification and precertification management ensures proper reimbursement for procedures. Diagnosis coding, custom CPT codes, billing reconciliation, and exploding procedures at scheduling, billing, and completion ensure proper payment and reimbursement for imaging services. Intuitive Masterfolder emulates a traditional radiology jacket technologists, radiologists, and other healthcare personal learn to use the system quickly with minimal training. Bar code and jacket label printing manage any remaining non-digital materials, such as film and paper. Medical records management such as pull lists as well as CD, film, and report distribution worklists. Interface to other healthcare systems to receive patient information and orders via HL7. Five Rules Per Resource Unlimited Rules Per Resource 2009, Avreo, Inc. Document SM Rev. A

7 Solution Comparison Technologist Quality Assurance (TechQA) Included Optional Quality assurance review for image quality, sequencing, and positioning. Technologists can correct any errors before submitting studies to interpreting physicians. Order-level document scanning provides forms and reference materials to the interpreting physician. Opportunity to change or record additional procedures and ancillary charges required for the patient. Many healthcare facilities lose revenue by failing to record additional procedures and ancillary equipment. Status notifications alert technologists when patients complete front desk registration. Group Login capabilities make it easy for technologists to share a computer while completing studies. Image Review and Management DICOM modality worklists with information received from Avreo Scheduling or optional HL7 interfaces. Web-based worklists provide access to studies based on the needs of each healthcare professional s activities. Robust Diagnostic viewer offers extensive image review and comparison tools for relevant priors, including priors provided on CD using DICOMDIR. Mammography viewer displays DICOM compliant mammography images and prior comparisons properly regardless of the originating PACS system. In addition, compare breast imaging from other modalities, such as ultrasound, CT, MRI & PET. Interface to Mammography Tracking systems. Orthopedic Templating module extends your surgical planning capabilities by incorporating OrthoView digital planning software into your workflow. MIP/MPR tools for enhanced image visualization via partner software. 3D Volume and PET Fusion module for enhanced image visualization via partner software.

8 Solution Comparison Report Production & Distribution Included Optional Digital dictation offers traditional report production workflow in one software application. Template dictation reduces report-turnaround time through the use of voice recognition dictation and configurable report templates. (Requires Dragon NaturallySpeaking Voice Engine) Template-based transcription from any location with web-based transcription system and medical spell checker. Worklist-managed electronic report signature capabilities support a true paperless reporting workflow. Automated report distribution to referring physicians via fax, , and network printers based on each referring physician s preferences. Referring Physicians Referring physicians automatically receive reports via fax, , or network printer based on their preferences. Authorized referring physicians can access reports and images via the web. Images Only Authorized referring physicians can access preliminary dictations before the interpreting physician electronically signs the report. Referring physician groups and consult rules provide appropriate patient information to affiliated physicians.

9 Solution Comparison Administration & Management Included Optional Extensive management and system reports provide real-time feedback of enterprise activity. Complete audit management coverage tracks every interaction in your radiology workflow. Security portals control the activity each user can perform within the application. Storage and Interfaces Primary and secondary data storage. Interface with DICOM complaint systems for image exchange. Interface with HL7 compliant systems for ADT, ORM, and ORU message data exchange. Simple URL integration to your healthcare facility s Enterprise Health Record.

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