Triage, Telepresence and Telemedicine Person to Feel As If They Were Present, to Give the Appearance of Being Present

11/5/2019

Telepresence, Telehealth and Telemedicine Defined

Triage, Telepresence, and Telemedicine Telepresence-Telepresence refers to a set of technologies which allow a Overview Triage, Telepresence and Telemedicine person to feel as if they were present, to give the appearance of being present.

Telehealth-Telehealth is a broader term defining the use of digital information and communication technologies, such as computers and mobile devices, to access health care services, health care information, and remotely manage health care.

Telemedicine- Remote Diagnosis and Treatment of Patients by means of telecommunications technologies

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Triage & Telepresence Primary Focus of 24/7 Nurse Triage Triage Call Volume Right care, right time, right place Associated Benefits and Risk Consulting

Traditional Nurse Triage Nurse Triage with Telepresence Nurse Triage with Telemedicine Our nurses speak on the phone with the Using a secure and HIPPA compliant Whether through traditional or employee to assess the injury and provide technology platform, our nurses can telepresence triage, when our nurses The right care skilled recommendations for medical conduct virtual video assessments of a determine an injury could benefit from treatment. The goal of nurse triage is to worker’s injury to enhance effective immediate attention from a health care provide early assessment of injured communication, promote greater provider, they’re able to seamlessly workers to ensure that they receive engagement, and assist in clinical connect the worker to a telemedicine appropriate attention, in a suitable decision making throughout our triage provider to assess and treat the injury location, with the requisite degree of assessment. quickly, allowing the injured worker to urgency. stay at work, treat at work and return to 1,649 work. At the right time At the right place 2019 YTD Triage Calls

Focus

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Triage By The Numbers 24/7 Nurse Triage Outcomes 24/7 Nurse Triage Outcomes Associated Benefits and Risk Consulting No Treatment vs Treatment Prior to Calling Care Line – Directed to PPO No Treatment vs Treatment Prior to Calling Care Line – OSHA Recordable

NO Treatment Prior to Calling Treatment Prior to Calling NO Treatment Prior to Calling Treatment Prior to Calling 24/7 Triage Line 24/7 Triage Line 24/7 Triage Line 24/7 Triage Line % Directed to PPO % Directed to PPO % of OSHA Recordable % of OSHA Recordable Average ROI on 68% Self Care Ratio 4:1 triage files 17.9% 18.2%

31.30%

41.3%

58.7% PPO Network Utilization of employees following triage 82% 82% nurse recommendations 68.7%

82.1% 81.8%

Yes No Yes No Yes No Yes No

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Triaged vs. Treatment Prior Benefits of Telepresence Triage

80.0% Telepresence and Telemedicine 70.0% 68.4% Rapid relationship/trust building 60.0%

50.0% Visualization of employee caller behavior/mannerisms as well as injury assists 40.0% 33.3% in better nursing guidance and recommendations. Communication is most effective when both communication ensues both verbally and through physically 30.0% 28.3% 23.9% ques. 20.0% 11.0% Allows for face to face interaction with supervisors and managers to debrief on 8.3% 8.0% 9.5% 10.0% 5.6% plan and collaborate on return to work

3.0%

0.0% 0.1% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0%

0.0% . Allows for seamless one point of entry to telemedicine visit without disruption to the employee caller

In some instances, telepresence triage is able to substitute an employers need for an onsite occupational health nurse

No Treatment Treatment Prior to Calling Care Line

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Telemedicine Benefits Benefits of Telemedicine Benefits of Telemedicine Advocacy & Access Cost Control and Resource Discipline

~70% of work comp cases can be resolved without a physical visit to the ER Advocacy is a growing discipline in workers’ Demonstrates employer investment in employee Cost of office visit can be twice that of Addresses staffing shortages by allowing shared or urgent care compensation health and well-being, leading to increased employee telemedicine visit resources amongst medical groups investment and a sense of value to the organization Focuses on the experience of the injured worker in Cost of ER visit is up to 20x that of telemedicine Reduces travel/wait times and loss of . Reduce workers’ compensation medical costs the process, making them part of the equation early in Primary focus of any telemedicine program is the care visit productivity/time away from work the injury management process and treatment of the worker in a convenient . Avoid unnecessary ER and Urgent Care visits Significant number of ER visits could be setting with access to appropriate resources . Improve employee productivity Telemedicine programs, included triage and other preventable by access to other, less expensive sources telehealth initiatives, provide employees immediate of care. . No delay to speak with a medical professional access to medical advice and intervention and Reduces admission and readmission rates, length . Potential for on-site diagnosis and treatment ongoing face-to-face interaction with a care team at of stay, and recurrent ER visits in patients with regular intervals . Return-to-Work complex or chronic medical conditions Reduces travel/wait time and related stressors for the patient

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Common Workplace Injuries Treated Telemedicine Solution Telepresence Platform

Most work-related injuries can be assessed by the Telehealth Offers Optimal Solution Patient schedules appointment, calls in or provided link

Akos telemedicine protocol, with a wide variety of Accessible workplace injuries managed right at the worksite  Access via smartphone or tablet Email/Text confirmation sent with link to chat ro om  No appointments, commute or waiting rooms Available . Back pain  RNs and MDs on call 24/7/365 Injured Worker enters waiting room via secure link Email: [email protected] . Contusions Address: PO Box 41638 Phoenix, AZ 85080 Copyright 2017 Akos | All Rights Reserved Phone: 1.844.AKOS(2567)

. Sprains & strains Industry Leading Platform Nurse receives alert that patient has arrived

. Abrasions 3 Ways to Connect Advanced . Carpal tunnel Patient receives notice the video will be recorde  Innovative user interface d . Chemical exposure  HIPAA-compliant platform . Ligament injuries  Calls recorded and securely stored Specialized Nurse completes triage connects Provider . Burns & rashes  RNs highly trained to triage injured Phone Smartphone/Tablet Desktop . Repetitive use injuries employees for appropriate care path Via App Via AkosConnect  Documentation completed timely Video Solution Patient receives RTW and Care Instructions

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Thank You