INSTA Intelligence Technologies (P) Ltd.

AccessMyDoc AccessMyDoc A Telemedicine SolutionA Telemedicine Solution

WHAT IS ACCESSMYDOC?

A live video, audio and web based system that allows patients to receive medical care from a remotely located medical provider, i.e. “Telemedicine”.

General Telemedicine Process Flow

FeaturesAccessMyDoc is composed of patient and

doctor network:Connect to Medical provider

Triage Questions for Sore Throat, Diarrhea and Nausea

Patient medical historyPatient adding physician to his networkPatient Audit Trail (transaction log)Request for Appointment or Cancelling the

appointment by patient or doctorRx Request – PrescriptionsReferral Request – Patients referring other

patients

Features (contd..)

Patient health forms Patient information and insurance detailsIn case of emergency - contact information of patient

relativesBilling questions to the staff Ask nurse a questionInterfacing with Diagnostics – Lab resultsProvide consultation of a Super-specialty doctor

from a distance through videoconferencing (3rd party tool) along with exchange of medical records online

Tele-Consultation

ReportsNumber of online visits performed – by all the doctorsNumber of Registered PatientsNumber of online appointments set – by a specific

doctorNumber of referralsAmount of money paid to a physician or for a specific

period Illness Treated for the cases of Sore Throat, Diarrhea

and NauseaDemographic of registered patients

Development of satellite locationsRapidly develop an outpatient programFeed inpatient staysExtend into competitor’s geographical areas overnight

Project Power using principals of “Medical Tourism”Establish a Center of Excellence; State-wide recognition

Strengthen Relationships with Provider CommunityCreating revenue source for them

Hospital Benefits

Hospital BenefitsProvide care to patients located at:

County Health DepartmentsHospital outpatients (ex. ER Departments)Physician officesPodiatrist officesCommunity Mental Health Centers

•Two designations:oOriginating site: where the patient is located oDistant site: where the medical provider is

located

•At the originating site a licensed healthcare professional

is NOT required

Access to mental healthcare in rural and Inner-City communities is a challenge?

The challenges faced by our pilot organizations:

•Availability of providers: especially for children

•Distance/transportation problems

•Abundance of cases

Telehealth/Telepsychiatry SolutionTelepsychiatry component of telemedicine defined as

delivery of psychiatric treatment remotely, using live video-teleconferencing equipment (VTC). Telepsychiatry has been approved American Psychiatric Association

Psychiatric treatment via telemedicine can be as effective as when delivered during traditional outpatient appointments.

The growth and success of telepsychiatry traditionally limited by the high cost of expensive VTC equipment and dedicated "point-to-point" data links – no longer exists.

Increase access to mental healthcare providers for your patients

Cost efficient-no penalty for “no shows”

Provide care to patients at:Nursing homesCounty Health ClinicsHospitals (inpatient and outpatient)Hospital based renal dialysis centersPhysician or other type of practitioner officesCommunity Mental Health Centers

Mental Health Clinic Benefits

Accepts case; remote visit scheduled and performed

HOW IT WORKS WITH ACCESSMYDOC

Request for care placed in AccessMyDoc

Determination made for Mental healthcare

Remote provider evaluates case and determines if

remote care is appropriate.

HIPAA CHECKLIST USEDHIPAA Citation HIPAA Security Rule Standard Implementation

Specification

164.308(a)(1)(i) Security Management Process164.308(a)(2) Assigned Security Responsibility164.308(a)(3)(i) Workforce Security164.308(a)(4)(i) Information Access Management164.308(a)(5)(i) Security Awareness Training164.308(a)(6)(i) Security Incident Procedures164.308(a)(7)(i) Contingency Plan164.308(a)(8) Evaluation164.308(b)(1) Business Associate Contracts and Other

Arrangements164.310(a)(1) Facility Access Controls164.310(a)(2)(ii) Facility Security Plan164.310(b) Workstation Use164.310( c ) Workstation Security164.310(d)(1) Device and Media Controls164.312(a)(1) Access Control164.312(b) Audit Controls164.312( c)(1) Integrity164.312(d) Person or Entity Authentication164.312(e)(1) Transmission Security

Automatic logoff

Admin controls access/audit trails

GROWTH OF TELEMEDICINEMandated in 13 States and Counting; 35 States reimburse for

telemedicine via Medicaid program (within USA)

Covered by Medicare and numerous Medicaid plans (within USA)

Private payors are reimbursing for it: (within USA)Blue Cross Plans such as: Anthem (California), Hawaii, Western NY, North Carolina, WellPoint, many more United Healthcare AetnaCigna

Use in Emergency Rooms, especially for mental health patients

Telepsychiatric satisfaction levels measured at 80% for patients and 90% for physicians in a study funded by the National Institute of Mental Health and the Duke Endowment

“Although telemedicine has been around for years, it is gaining traction as never before.”

-New York Times, Business Day May 29, 2010

A major problem faced by hospitals are patients inappropriately going to the emergency room for illnesses that should be provided for in a primary care physician’s office

AccessMyDoc’s Emergency Room Module enables hospitals to lower their cost associated with patients who use the emergency room inappropriately by utilizing remote primary care physicians and specialist to provide care, thereby freeing up valuable emergency room staff and resources for patients with life threatening illnesses.

Emergency Room Module

ER Portal

Physician accepts case, remote care is rendered using AccessMyDoc

Physician evaluates information collected and determines if remote care is appropriate.

Information is collected about patient’s condition and sent to remote physician

Patient visits ER for non-life threatening illness (i.e Acute Respiratory Infection)

Benefits of Emergency Room Module:

Frees up hospital emergency staff to treat patients with life threatening illnesses

Links up the patient with primary care physicians in an effort to avoid future inappropriate use of the emergency room

Emergency Room: How it Works

Outpatient Portal

HOW IT WORKS FOR INPATIENT CARE

Physician accepts case, AccessMyDoc terminal is placed at patient’s bedside for rendering of medical care

Inpatient requires specialty services not currently available at hospital; Information uploaded to AccessMyDoc

Specialist evaluates information collected and determines if remote care

is appropriate.

Patient benefits

Live healthier lives because medical conditions are closely monitored

Removes constraints due to geography or work conflicts

Increases access to care; One Stop Shop for Services

A major problem faced within the population is the lack of primary care physicians and specialist within rural and underserved areas of the country

AccessMyDoc’s Rural Care enables patients in areas of the country that lack adequate access to primary care physicians and specialist to receive the critical medical care needed.

Rural Care

Patient located in rural or underserved area requires

access to a primary care physician or specialist

Rural Care Module - How it Works

Patient with a nurse logs into AccessMyDoc and completes a medical request form AccessMyDoc

notifies the remote physician of the services needed

Many physician offices are overwhelmed by the administrative functions required to successfully operate a medical practice. A major obstacle is the time consuming functions required of the staff to set appointments, answer general questions, fulfill prescription request, retrieve medical records and submit referrals

AccessMyDoc’s patient portal module enables a patient to perform many of the time consuming yet important functions themselves.

Patient Portal Module

Patients also save valuable time by using AccessMyDoc to interact with their personal physician’s office to:

Set appointments Pay medical bills Request prescription renewals Request referralsReceive appointment reminders

Patient Portal Module

Benefits to Public and Private Hospitals/ NGOs

Presence in remote areas with less investments

Creating brand valueProviding the same kind of support remotelyIncrease in patient network and bottom-lineMedical Tourism

Patients from US and other countries will be using our solution, and for final treatment and surgeries will travel to the destination Country