Présentation de Pascal Durdu, Business Development Manager de Zetes, sur les opportunités eHealth.

1. Zetes Group Solutions for hospitals« Think Smart »Pascal.durdu@zetes.com

2. e-Health e-Health is the combined use of electronic communication and information technology in the health sector. Quality (information, patient oriented…) Efficiency (costreduction, flexibility,…) Safety (avoidhigh impact mistakes) 06/12/2010 2

3. Major e-healthtopics Clinical information system Non-Clinical system Telemedecine Integratedhealth network 06/12/2010 3

4. Innovation in e-health Sharing experience and get to learn real business need !!!! Avoidtechnology push Re-use of what’sexistingsomewhereelse, getinspired …. Adaptexisting technologies in a smart way 06/12/2010 4

5. Technologies are there … weneed the glue 06/12/2010 5

6. Let’sbe open minded 06/12/2010 6 To solve business issues ….

7. Mobility … information aggregator 06/12/2010 7 DB GPS Mobile data The mobile devicebecomes an identification/information aggregator

8. Mobility …. e-recipe … en Mobilité …. Attestation …. Paiement Recommendation Générix Pre-commande pour les pharmacies Findnearestpharmacy Campagne de vaccination Serialisation 06/12/2010 8

10. RFID (active/passive)

11. Vision

12. Voice

13. Sensors

14. Medicaldevices

16. Build on new regulation: serialisation 06/12/2010 11 Manufacturer Product Code 14 digits [GTIN or pseudo-GTIN] Unique Serial Number (randomized) 20 digits Expiry Date 6 digits (yymmdd) Batch Number up to 20 alpha-numeric characters GTIN Serial nr Expiry Batch nr

17. Thanks 06/12/2010 12

18. Exchange best practice and business issue. 06/12/2010 13

19. Learnfromothersectors Medicine identification & serialisation Cold chain Efficiency of distribution & supplychain 06/12/2010 14

21. Physical flow

23. 06/12/2010 17

24. eHealth services can play an important role for the current and current and future delivery challenges to be faced by healthcare services in Europe. They can provide responses to the socio-economic challenges faced by European healthcare systems in the near and long term. Industry is expected to continue to be involved in the development of these services, as eHealth represents a considerable market for European and international industry players. However, in order to tap into this potential, it is necessary for eHealth services to be devised in such a way as to respond directly to the specific operational needs of the healthcare delivery stakeholders towards whom they are targeted. Essentially, eHealth services have to create value for all stakeholders by devising appropriate supporting business models. Failing to do so will just create a situation where healthcare professionals and institutions would lose trust in these solutions and, as a consequence, refrain from exploiting the positive externalities brought about by these eHealth systems and solutions. 06/12/2010 18

25. What does it mean? 06/12/2010 19 Information flow Physical flow Supplier Manuf. Retailer Consumer

26. Introduction 06/12/2010 20 Report Asset Mgt Safety Patient Tracking Productivity

27. Objectives Improve patient safety Make medication administration safer Trackspecific patient (elderly,…) Improve productivity Maximize bed turnover times Increase throughput across the operating room Improve staff productivity Improve asset management Handle point-of-care materials across the hospital Help hospitals more efficiently comply with regulatory reporting requirements Traceability 06/12/2010 21

28. Hospitals solution by Zetes Voice nursing Assettracking Patient Tracking GoodstransferbetweenHosptals building 06/12/2010 22

29. Voice nursing 06/12/2010 23

30. Introduction Nurses are and willbemissing. Nurses are getingcompany car in Vilvoorde Hospital (Belgium) Increaseefficiency Removepainfulladministativetask 06/12/2010 24

31. Voice nursing In a nursing program, voice technology was shown to reduce documentation time by 75%, improve communication, and improve point of care documenting. The researchers also felt that infection may be reduced because nurses who used this voice technology were not touching as many items that may contaminate the patient. Voice assisted care technology provides hands and eyes free accurate documentation for nursing staff while enabling easy verbal access to patient information, effective communication and real time task management. 06/12/2010 25

32. Concept Withvoice nursing , the purposeis to use voicecommandsinstead of existingpaperbased or handheld solution. Instead of printing tasks or showingthem on a screen, theywillbevoiced to the caregiver. 06/12/2010 26

33. Main use case … Point of care information management Blood sampling Guide nurse on which tube to use Vocal administration Administration Blood pressure, patient weight,… Prescription, … Catering Dialysis information recording Real time task management in patient room Check destination (patient) of medicine Real time asset management togetherwith RFID/barcode/datamatrix 06/12/2010 27

34. Identification Staff Verification Individual RFID tags Difficult to duplicate Ensuring secure automatic clinician login, speeding process Patient ID Individual RFID tags Scanned without line off sight Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections Medication Verification Individually labeled medication doses correctly matched with physician order, caregiver and patient ID 06/12/2010 28

35. Process Using a headset and optionally a ring RFID/barcode scanner, the nurse willbeassignedtasksthrough a voice command The nurse caninteractwith the system usingvoice To input information To listen to information (patient file) To listen to task 06/12/2010 29

36. Benefits Reduction in administration Real time task management Short-cuts and errorreduction Asset & patient ID using RFID Real time asset management Increaseproductivity Eye and Hands-free Faster training 06/12/2010 30

37. Assettracking 06/12/2010 31

38. Assettracking How much valuable time and resources were wasted due to low visibility of equipment, patients and staff …. “they could spend hours looking for the equipment. The only way we could resolve the problem was to buy more equipment so that it was available on each floor, which increased our operational costs.” 06/12/2010 32

39. Why Asset Management? Createaccountability for assetbeingused in Hospitals Location, maintenance history, availability Perform an efficient « assetfleet » management 5-15% of hospital inventory is written off each year since it can no longer be located or more importantly serviced Ensurehighlevel of availability and usage Equipment moving from patient to patient without going through decontamination in between could become a significant issue

40. Asset management Passive RFID tag on Asset Cheap solution vs Active « RFID gate » in the elevator area to disciminate services/floors Limited cabling Limited investment Regular identification of assetbeingused by staff usingother ID technologies RFID, Voice, datamatrix 06/12/2010 34

41. The process Staff must identifyassetevery time they use it (Voice & RFID) Patient ID isknown Durationcanbeassessed Room ID is know … sowe know about utilisation and last location and time of use … RFID preventing short-cuts and mis-use. Whenasset are moving out of services / floor, RFID antennasatelevatorwilldetect the movement and update « assetinventory » accordingly. 06/12/2010 35

42. Assetinventory Every service/department as an inventory of asset As soon as an assetistaking the elevators, inventorywillbeupdatedaccordingly. If an asset shows up somewhereelse (read by staff), inventorywillbeupdated Whenassetisbrought for maintenance, inventorywillbeupdatedaccordingly 06/12/2010 36

43. Reportingiskey An assetis not used (read) since 2 weeks Check service whereit has been used last Broken, go to repair If disappeared, itwillbewriten-off to a specificdepartment, if it shows up back afterwards, write-off willbecanceled and investigation willtake place. Working, sothisassetmightbe in excess The utilisation of a type of assetistoolow,… thenassetmightbe in excess 06/12/2010 37

44. People tracking 06/12/2010 38

45. People tracking Based on the same infrastructure as assettracking, whenalzheimer / elderly people isleaving the « service ». The service manager isalerted The service manager receives a message telling in which service/department/zone he has been seen last time 06/12/2010 39

46. RFID wristbands Scanned without line off sight, thereis no need to manipulate the patient to read the information Placing the tag on the foot wouldallow a betterreading Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections 06/12/2010 40

47. Gates Extra « gates » willbeinstalledat Entrance/exit of hospitals In critical zones Someproductscouldbetagged as well to getalertedwhenthey enter a specific room. 06/12/2010 41

48. Point of care solution usingvoicetogetherwith Passive UHF tags and readersatelevetorsgenerate an affordable and flexible solution thatshould help hospitals in the day to day job 06/12/2010 42

49. Goodstransfer 43

50. Delivered? When? … progress … Where? … wrong destination … Claims? transport, receipt, tracking ? 44

51. 45

52. Business need/objective Lowcost solution Reducing claims whendeliveringgoods in a healthcardpremises (proof of delivery) Preventingunloadmistakes Providing real time information about deliveryprogress Registering actions (return of asset) Easy to use, install Stand alone and independent No integration to local network 46

53. e-PoD 47 GSM Antenna Industrial terminal RFID Reader Smart Card Reader 06/12/2010

54. e-PoDprocess Load route information on smart card …. Put card in e-PoD & Check delivery (RFID) Loaddelivery confirmation on card and send message (GSM) 06/12/2010 48

55. Main features Check goods destination The screenwill tell if the wrongproductisdelivered Proof that the goods have been physicallyunloaded e-PoDat destination and the use of RFID limitsrisk of fraud Real time confirmation of deliveryprogress Record quantity of assetreturned 06/12/2010 49

56. E-Recipe solution overview 06/12/2010 50