TeleVital. To Save Lives and Create Wealth. Telemedicine Company of the Year 2009 award by Frost & Sullivan 1

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1 TeleVital To Save Lives and Create Wealth Telemedicine Company of the Year 2009 award by Frost & Sullivan 1

2 What is Telemedicine "Telemedicine is the ability to provide interactive healthcare utilizing modern technology and telecommunications." Basically, Telemedicine allows patients to visit with physicians live over video for immediate care or capture video/still images and patient data are stored and sent to physicians for diagnosis and follow-up treatment at a later time. Whether you live in the center of Los Angeles or deep in the Brazilian Amazon, Telemedicine is an invaluable tool in Healthcare Telemedicine Company of the Year 2009 award by Frost & Sullivan

patient data are stored and sent to physicians for diagnosis and follow-up treatment at a later time.

3 Worldwide Doctor to People Ratio ,000 50, Telemedicine is needed, Period Telemedicine Company of the Year 2009 award by Frost & Sullivan 3

1500 1700 1700 1800 2500 3400 400 420 Telemedicine is needed,

4 Why Remote Patient Monitoring (RPM) Shortage of Qualified Staff 40K Doctors today and 160K by 2025 in USA 85K Nurses today and 500K by 2025 in USA 30% of Doctors in USA are Baby Boomers and are retiring; no one to one replacement India has a shortage of 600,000 doctors, 1,000,000 nurses and 200,000 dental surgeons in 2009 (Source: India s Planning Commission, 2009) Economics Costs Payers one third for RPM vs hospitalization or nursing homes Savings of $4.9B/year in travel in USA Widespread remote monitoring can cut health care costs by $197B between 2008 to 2025 (source: betterhealthcaretogether.org, 2008) Ageing Home care has become even more prominent due to an ageing population, economic pressures, and patient preference Approximately 7.6 million Americans currently receive home care because of acute illness, long-term health conditions, permanent disability, or terminal illness (Source: National Association for Home Care & Hospice, 2009) Telemedicine Company of the Year 2009 award by Frost & Sullivan 4

one third for RPM vs hospitalization or nursing homes Savings of $4.

5 Need for Telemedicine Substantiated Economics Healthcare cost $3.1 Trillion in 2012 Exorbitant Insurance costs 46M uninsured Ageing 38M people > 65 years in M people > 65 years in B worldwide by 2020 Healthcare Pain Points Staff Shortage 40,000 doctors today 30% Baby Boomers today 160,000 in ,000 nurses in 2025 Travel Traffic Jams (stressful and life threatening) Expensive($4.9B/year) transporting patients $30K per oil rig lift $2B/year Medical Tourism in India Telemedicine Company of the Year 2009 award by Frost & Sullivan 5

worldwide by 2020 Healthcare Pain Points Staff Shortage 40,000 doctors today 30% Baby Boomers today 160,000 in 2025 500,000 nurses in

6 Healthcare Roadmap Major Drivers Today (2010) 5 yrs (2015) 10 yrs (2020) 15 yrs (2025) Patient Expectations Meeting needs of older people Easy home healthcare & wellbeing Low cost access to all physicians Medical Advances Minimally Invasive Surgery Pharmacogenomics Major Pharmaceutical Innovation Stem Cell Technology Widespread Genetic Screening Information & Support Technology Complete EPR & use of IT networks Home Monitoring Intelligent Devices Bio-technology Protocol Driven/Expert Systems Demography & Society Epidemiology Labor Force Inequalities Smaller households, single parents, living alone Focus on managing risk factors Population growth in age group Chronic disease increasing Portfolio careers Labour force ageing and participation Lifelong learning rates reducing Greater differentiation of diagnosis Population growth in >75 age group Telemedicine Company of the Year 2009 award by Frost & Sullivan 6

& use of IT networks Home Monitoring Intelligent Devices Bio-technology Protocol Driven/Expert Systems Demography & Society Epidemiology Labor Force Inequalities Smaller households, single parents,

7 Telemedicine ROI Widespread remote monitoring can cut health care costs by $197B between 2008 to 2025(source: betterhealthcaretogether.org, 2008) Congestive heart failure $102.5B Diabetes $54.4B Chronic obstruction pulmonary disease $24.1B Chronic skin ulcers $16.0B Emergency Department to Emergency Department (ED) travel savings per year = $540M Correctional Facilities to ED/Hospitals travel savings per year = $300M Nursing Homes to ED/travel savings per year = $4B Avoiding Face-to-Face Physician/Specialist consultation savings per year = $4.8B Avoiding redundant and unnecessary tests savings per year = $5.3B (source: CITL, 2008) Telemedicine Company of the Year 2009 award by Frost & Sullivan 7

0B Emergency Department to Emergency Department (ED) travel savings per year = $540M Correctional Facilities to ED/Hospitals travel savings per year = $300M Nursing Homes to

8 American Recovery & Reinvestment Act for HIT $30 Billion in Healthcare Information Technology Spending Electronic Health Records (EHR) EHR Adoption Incentives $17.2B Telemedicine Initiatives $4.0B Department of Agriculture $2.5B Department of Commerce $3.5B *Through the Health Resource and Services Administration (HRSA) as grants Government Health Programs $3.0B $2.0B HHS DiscretionaryGrants/Loans Community Health Centers $1.5B* Indian Health Service $85M Department of HHS $50M Veterans Benefits Administration $50M ONCHIT $300M NIST $20M Unallocated $1.68B $34+ billion for healthcare providers such as hospitals and physicians that adopt qualified and certified electronic health record solutions $1.5 billion for qualifying health centers Telemedicine Company of the Year 2009 award by Frost & Sullivan

0B HHS DiscretionaryGrants/Loans Community Health Centers $1.5B* Indian Health Service $85M Department of HHS $50M Veterans Benefits Administration $50M ONCHIT $300M NIST $20M Unallocated $1.

9 TeleVital Overview Company started by medical and telecomm industry veterans; developed patented SMARTHealthcare Information Exchange Platform for remote patient healthcare services Headquartered in San Jose, California with regional office in Bangalore, India NASA spring-boarded TeleVitaland led it to India to provide Telemedicine solutions by partnering with the Indian Space Research Organization (ISRO) Largest installed base in India with more than 500 installations Installing VitalWare in all of 53 African countries within the next three years; Currently in 30 countries TeleVitalhas been the recipient of the Telemedicine Company of the Year-2009 award by Frost and Sullivan Telemedicine Company of the Year 2009 award by Frost & Sullivan 9

Indian Space Research Organization (ISRO) Largest installed base in India with more than 500 installations Installing VitalWare in all of 53 African countries within the next three years;

10 TVI s Installations Worldwide USA 34 Installations (pilot) Mexico 5 Installations Africa 30 Countries Installed out of 53 India 550 Installations and growing Japan 5 Installations Mauritius 1 Installation Telemedicine Company of the Year 2009 award by Frost & Sullivan

Installations and growing Japan 5 Installations Mauritius 1

11 TeleVital 10 s Healthcare Provider Space Healthcare end-to end Project Implementations utilizing On-Site & Offshore Consulting resources Healthcare domain expertise in EMR/EHR Implementation Services Successful Implementation and customization of enterprise EMR such as epic, Cerner, Meditech, All Scripts, Eclipse, McKesson,Mysis Successful Integration of ancillary systems and re-engineering of HL7 broker to the EMR systems EMR: HIPAA and ICD10 Compliant iconvert: ICD9 ICD10 conversion tool Pre and Post ICD9 ICD10 Migration Services Telemedicine Company of the Year 2009 award by Frost & Sullivan 11

Scripts, Eclipse, McKesson,Mysis Successful Integration of ancillary systems and re-engineering of HL7 broker to the EMR systems EMR: HIPAA and ICD10

12 Classic Hospital Healthcare System Telemedicine Company of the Year 2009 award by Frost & Sullivan 12

Prison System Immediate Care Facility Home Hospice Care Major City and

13 TeleVital s Target Market Designated Level 1 Trauma Center >> Small or Remote Hospital Nursing Home or Assisted Living Federal and State Prison System Immediate Care Facility Home Hospice Care Major City and County Jails Telemedicine Company of the Year 2009 award by Frost & Sullivan 13

TVI - Present & Future Product Roadmap ENT Dental Pharmacy Customized EMR/EHR ICD9-10 Migration tool BP Spiro CT-Scan MRI Intelligent Application & Network Services TVI 10 Proprietary & Open OSs

14 TVI - Present & Future Product Roadmap ENT Dental Pharmacy Customized EMR/EHR ICD9-10 Migration tool BP Spiro CT-Scan MRI Intelligent Application & Network Services TVI 10 Proprietary & Open OSs Guaranteed & Reliable Transport Internet Pulse X-Ray IP Routing Layers 1 & 2 Wireless & Satellite Internet Stethoscope Weight Dermatology TVI10-GTSN Glucose Ultrasound Note: Grayed out text are areas software and TVI 10 GTSN have to be developed ECG/EKG Telemedicine Company of the Year 2009 award by Frost & Sullivan

IP Routing Layers 1 & 2 Wireless & Satellite Internet Stethoscope Weight Dermatology TVI10-GTSN Glucose Ultrasound Note: Grayed

15 Key Customer References ISRO Veterans Administration Benemerita Universidad Autonoma de Puebla (BUAP) Departmento de Medicina Telemedicine Company of the Year 2009 award by Frost & Sullivan 15

16 Thank You Telemedicine Company of the Year 2009 award by Frost & Sullivan 16

Live Well, Heal Well and Age Well with Remote Monitoring. While you are Aging Well, a Hospital is Profiting Well, so your Care is Secure.

Live Well, Heal Well and Age Well with Remote Monitoring. While you are Aging Well, a Hospital is Profiting Well, so your Care is Secure. Patients receive only 55% of recommended chronic and preventive