Case Study on how social media provides alternative methods of communication and collaboration during a public health crisis. During the H1N1 Influenza outbreak, physicians utilized the new Ozmosis / Veratect Health Alerts solution to access real-time reports, discuss treatment options and submit suspected cases. The presentation also highlights examples of how organizations such as the CDC utilized Twitter and YouTube during the crisis. This Case Study was presented at the HIMSS National Capital Area Meeting on Thursday, May 21st in Roslyn, Virginia.

1. Ozmosis, Inc. The Trusted Physician’s Network Health Alerts & Lessons Learned From H1N1

2. Physicians And Healthcare Institutions Are Embracing Social Networking 60% of doctors are interested in physician social networks 255 Hospitals have an active presence on Facebook, Twitter or YouTube

6. The H1N1 Influenza Outbreak Is The First Test Of A New Partnership Tracks disease outbreaks globally First to alert CDC of Swine Flu outbreak in Mexico Combines real and virtual intelligence-gathering 24x7 operation centers, analysts fluent in 40+ languages Trusted network of licensed and verified physicians Secure, web platform - accessible at point of care Enables rapid dissemination of information and facilitates collaboration among providers

7. Real-time Alerts From Veratect Are Delivered To The Point Of Care Through Ozmosis "Any doctor will tell you, reassurance is a huge part of medicine and the Ozmosis Health Alerts gave that to my patients when they needed it most.” - Robert Saunders, M.D.

8. On Ozmosis, Physicians Can Interact Securely, Discuss Treatment Options, & See Recommended Content

9. Physicians Can Report Suspected Cases Through Ozmosis Current reporting limited to ER/Labs/sentinel physicians Majority of cases present to Primary Care Physicians (PCP) and Urgent Care Clinics (UCC) No universal system of reporting beyond sentinel surveillance for PCP and UCC Submit Health Alerts

10. Learning Lessons From The Use Of Social Media During H1N1 Outbreak Is Critical Alerts need to be filtered at the local level CDC & WHO announcements / policy updates need to be disseminated more effectively and to the appropriate targets Alerts need to come from verified sources Provider reporting at the local level needs to be more effectively linked to Health Departments

12. Thank You! Joel Selzer Jason Bhan, M.D. Chief Executive Officer Chief Medical Officer (703) 879-6043 (703) 879-6043 [email_address] [email_address] www.ozmosis.com