WHITE PAPER CUSTOMER SNAPSHOT CUSTOMER CHALLENGE

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1 WHITE PAPER Affinity Health System Sees Multiple Gains with ReDoc Solutions: Results at 3+ Years Covering Revenue, Compliance, and Staff and Patient Satisfaction CUSTOMER SNAPSHOT Affinity Health System (AHS) is a network of three hospitals and 26 clinics in Wisconsin, a member of Ministry Health Care, which recently became a ministry of Ascension Health, the largest Catholic health care system in the country. Appleton / 206-beds Oshkosk / 172-beds Chilton / 15-beds CUSTOMER CHALLENGE The Rehab Departments of Affinity Health System s hospitals were struggling with their dated paper and pen system for clinical documentation. This process was slow and often produced errors and inconsistencies including issues with legibility, lost records, and clinical information simply not being in the right place at the right time. These departments needed an effective solution that demonstrated a number of success metrics including improved financial performance, improved information/communication among physicians, patients and payers, improved compliance (including CMS, Joint Commission, Workers Comp), enhanced reimbursement measures, reduced waste and rework, and enhanced clinical quality and patient experience. Our paper system was very unsatisfactory. Notes were often not legible, we had to fax constantly, and records were sometimes lost. The bottom line: clinical information was not in the right place at the right time. - Wayne Winistorfer, Affinity s Director of Rehabilitation Services

2 WHITE PAPER Affinity Health System Sees Multiple Gains with ReDoc Solutions: Results at 3+ Years Covering Revenue, Compliance, and Staff and Patient Satisfaction CUSTOMER CHALLENGE Winistorfer added that Affinity s Meditech system was only minimally involved in rehab workflow. Our Meditech system was used primarily for registration, scanned physician orders and authorization documents, said Winistorfer. Making the transition from paper and pen to electronic documentation via electronic health records (EHR) required considerable efforts from Affinity s therapy, IT, billing, and registration staff. REDOC SOLUTION ENTER REDOC SOFTWARE... ReDoc Software offers solutions designed specifically for PT, OT and SLP to complement every aspect of today s technology-driven therapy workflow. Following initial assessments and conversations with Affinity s rehab department leaders, ReDoc outlined goals for the transition to electronic documentation through the implementation of ReDoc Enterprise. This solution provides therapists and therapy department teams the tools they need to operate efficiently, stay compliant, and enhance patient care and outcomes. In January 2010, the rehab department at St. Elizabeth Hospital in Appleton went live with ReDoc Software and a month later the software was implemented at three other locations, including the rehab departments at Mercy Medical Center in Oshkosh and St. Elizabeth Midway Rehab in Menasha, and at Calumet Medical Center, a critical access hospital in Chilton.

3 SUCCESS METRICS Complete Project Prior to EHR Project Implement Prior to St. Elizabeth Hospital Outpatient Move Off-campus Financial Performance Physician Satisfaction* Rehab Staff Satisfaction* Patient Experience* Compliance + Reimbursement Reduce Waste Clinical Quality + Patient Safety *customer Working closely with Affinity s rehab department, ReDoc outlined Success Metrics, as well as an Implementation Timeline. IMPLEMENTATION TIMELINE 9/2009 ReDoc Software Approved 11/02/2009 Agreement Signed 11/2009-2/2010 Laptop Roll-out 11/23/ /28/2009 ReDoc University Training 1/5/2010-1/7/2010 ReDoc On-site Training 1/27/2010 Go-Live at St. Elizabeth s 2/9/2010-2/11/2010 Go-Live at Three Other Sites 2/2010-3/2010 Transition: All New Patients in ReDoc 6/1/2010 > 95% Outpatients in ReDoc 8/30/ Years of ReDoc Use

4 Revenue Gain: More Than $300,000 in the First Year, and Still Growing The charts below show that Affinity realized significant increases in procedures per visit, with financial gains that exceeded $300,000 in the first year, $87,000 in the second year and over $250,000 anticipated in the third year. Minor per visit improvements, multiplied by a high volume of outpatient visits, have produced absolutely astounding financial results, said Winistorfer. Just like other rehab providers, we ve focused on improving efficiency and productivity, but the incremental improvements in procedures per visit are directly attributed to ReDoc Red Flags and Minute Tracking. Physicians and Staff Pleased With ReDoc Since implementing ReDoc, referring physicians have reported greater satisfaction with report legibility and quality of content. The rehab staff indicates that it takes less time to complete reports and REVENUE GAINS: FY 11 - FY 13 St. Elizabeth Hospital (SEH) + Mercy Medical Center (MMC) FY 11 Gain Annualized estimate based on Q1 FY11 FY 12 Gain Annualized estimate based on Q1 FY12 FY 13 Potential Gain Annualized estimate based on Q1 FY13 $302,736 (SEH $220,604 + MMC $82,132) $87,394 (SEH $29,197 + MMC $58,197) $278,216 (SEH $218,532 + MMC $59,684) communication with physicians has improved. And patient experience has been enhanced because Affinity used some of the increased revenue from ReDoc to install a self check-in kiosk at the St. Elizabeth location.

5 MEASURING SUCCESS Financial Performance Metric: Procedures/Visits (Best Indicator of Charge Capture) Charges Not Recorded by Therapists Charges Not Entered or Error by Clerical Staff Inaccurate Charging by Therapist: Ex: Undercharging for Services Provided / (X Minutes = X Units of Service) Procedures/Visit: PT St. Elizabeth Hospital & Midway, and Mercy Medical Center Oakwood PT St. Elizabeth Hospital & Midway Mercy Medical Center Oakwood Oct - Dec Gain.10/Visit.02/Visit.12/Visit.09/Visit.05/Visit.07/Visit Visits: Q1 (FY 11- FY13) 8,162 8,766 7,796 4,074 3,891 3,711 Estimated Gain Q1* $41,626 $8,941 $47,711 $18,700 $9,922 $13,248 FY 11 - FY 13 Gain/Potential Gain** $166,464 $35,765 $190,844 $74,800 $39,689 $52,992 *Based on average reimbursement of $51/procedure **Annualized based on Q1 estimate

6 Procedures/Visit: OT St. Elizabeth Hospital & Midway, and Mercy Medical Center Oakwood OT St. Elizabeth Hospital & Midway Mercy Medical Center Oakwood Oct - Dec Gain.20/Visit -.02/Visit.09/Visit.05/Visit.14/Visit.05/Visit Visits: Q1 (FY 11- FY13) 1,327 1,610 1, Estimated Gain Q1* $13,535 -$1,642 $6,922 $1,838 $4,627 $1,673 FY 11 - FY 13 Gain/Potential Gain** $54,140 $6,568 $27,688 $7,332 $18,508 $6,692 *Based on average reimbursement of $51/procedure **Annualized based on Q1 estimate Compliance is No Longer a Problem ReDoc has helped us make improvements in compliance and reimbursement, said Winistorfer. The Red Flags feature prevents most charge errors, almost perfect compliance with the Medicare 8 minute rule, and the ReDoc alerts ensure that all documentation is timely and thorough. Moving from paper to an electronic system means the risk of misplacing a patient s chart is completely eliminated.

7 ReDoc Trainers Won Instant Trust Winistorfer has high praise for the ReDoc training team, both online at ReDoc University and on-site at Affinity. The ReDoc trainers are really trilingual : great instructors who also know how to speak the language of rehab, medical records, and IT, said Winistorfer. There was one afternoon on-site when a ReDoc trainer had to answer questions from therapists, billing staff, medical records staff, and the IT department and he answered every question superbly. Plus many of the ReDoc trainers are former therapists themselves. It makes a huge difference when a speech therapist with 15 years of experience sits down to train another experienced speech therapist. It creates automatic trust and enduring relationships. Working collaboratively with Affinity s rehab departments, ReDoc successfully implemented ReDoc Enterprise on-time at St. Elizabeth s as well as to the three other sites, and effectively met and exceeded expectations and success metrics year-over-year since installing ReDoc Software. Equally important, once all solutions were in place, adoption was swift and frustrations and inefficiencies quickly shifted to the past. The relationship between Affinity s and ReDoc s teams continue to flourish, as greater confidence and efficiency expand throughout Affinity s rehab departments. About ReDoc Software ReDoc Software has been the leader in therapy documentation and management software for nearly two decades. With clinical, technical, and management experience in the therapy industry, ReDoc understands the unique business and clinical needs of physical therapists, occupational therapists, and speech-language pathologists in hospitals and private practices. ReDoc is focused on providing solutions for therapists to efficiently document patient care to improve reimbursement, increase profitability, and most importantly, enhance patient care and satisfaction. All of the company s solutions maintain current industry standards with Microsoft and HL-7 and are interoperable with multiple office systems. SCHEDULE A DEMO TODAY. PUT REDOC TO WORK FOR YOU.