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CoreySurg™Mobile Coordination Solution
for
Perioperative Services
A & Backed Company
Chandra Tekwani
CEO, Core Mobile
David Sherman
VP Sales, Core Mobile
Naunihal Virdi, MD
VP Products, Core Mobile
Debra Cupp
VP Healthcare Sales, SAP
Devin Virta
Account Executive, SAP
David Delaney, MD
Chief Medical Officer, SAP
Lack of Coordination Leads to
2
Frustrated staff in perioperative servicesPre-op Nurses, Circulating Nurses, PACU Nurses
AnesthesiologistsSurgeons
Inefficiencies
Dissatisfied Patients & Families
Requirements of Perioperative Services Include:
3
Mobile solution for coordination in perioperative services
Reduce frustration amongst staff and patients families
Continue to improve efficiency in perioperative services
How Does CoreySurg™ solve the coordination
problem?
1All Users can publish from their device that their task
is completed in real time with comments
2
Work Flow real time status
Pre-op Consent ANES Nurses OR Surgeon
4Notification for families of patients via push to
smartphones or text messages to basic phones
3 Obstacles for patient care tasks
4
How Does CoreySurg™ solve problems of
metrics/analytics and access to info on the go?
5Analytics and measurements of improved efficiency
* Time spent at each stage * points of optimization
6Only relevant info from EMR, Radiology, Lab Results info
for task completion for specific location and procedure
7 Secure access to records and related info from
outside sources
5
Corey™ Patent Portfolio
7
(Granted Patent) Instant access to just the relevant information from multiple clinical
systems made available on mobile devices based on user’s context like patient on surgery
schedule, task completed in perioperative services workflow, phone call from patient for
care provider when provider is not in office, location of care provider or explicit request by
care provider. This patent has been granted per US Patent Number: 8,606,923. This
patent covers 5 verticals - healthcare, field sales, field
service, trucking/transportation, airlines. More details
at, http://www.google.com/patents/WO2012037228A1.
(Patent Pending) Update of just the relevant information in enterprise systems from
mobile devices based on user’s context right at the point of use and application leveraging
big data analytics in real time using in-memory databases. This patent is pending per
USPTO Serial No. 61/780,999.
(Patent Pending) Communication, Coordination and collaboration of activities within the
healthcare provider team optimizing the existing workflow without changing it. This patent
is pending with USPTO Serial No. 61/921,946
Corey™ OfferingsContext Based Coordination Solutions
8
CoreySurg™ CoreyMD™
Pediatrics
Cardiology
CoreyER™ CoreyRehab™
Summary
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Advanced mobile solution for healthcare providers to:• “Untether” the staff from fixed workstations• Optimize coordination
Metrics & analytics customized for your efficiency initiatives
Leverage existing IT systemsRisk free, low cost trial: $2500 with snap shot agreement
Contact: [email protected]
What is needed for CoreySurg™ pilot?
10
1. VM on Citrix infrastructure at Banner
2. Access to test system for Cerner EMR & Surginet
Backup Slidesfor
Q&A
11
Introductions (1)1. Why founder started Core Mobile?
2. Management Team
a. Founder & CEO – Chandra Tekwani• Bachelor’s in Computer Engineering, IIT on merit scholarship
• Master’s in Computer Science, Warwick, UK, Commonwealth Fellowship
• Business Management, University of California – paid for by Nokia
• 23+ years industry experience. 15+ in mobility systems
• Past experience at Citrix Systems, Juniper, Nokia, Motorola, AT&T, HP.
• Formerly,
• Head of engineering for Nokia-CheckPoint Security Solutions
• Head of Mobile Carrier Business at Juniper Networks
• $100Million annual profit & loss center
• Mobile security and strategy consultant to Citrix Systems
b. Head of Healthcare Products – Naunihal Virdi, MD• BS, Microbiology, University of Florida
• MD, University of Miami
• MBA, University of Notre Dame
• Director of Medical Affairs at LifeScan / Johnson & Johnson
• 15+ Years Experience
• Past experience at St. Elizabeth Medical Center MA, North Suburban Hospital MA
c. Head of Sales – David Sherman• BS Marketing. Northeastern University
• 27 years experience in high tech industry. 10+ years selling enterprise mobility solutions
• Past experience at, AirWatch, Transpara, 3i Solutions Mobile Workplace, Vaultus Mobile
Technologies, Movero Technology, GTE Internetworking, IBM
12
Introductions (2)
3. About Core Mobile, Inc.
• Founded 2008
• Profitable till 2011. Cash flow positive again in 2013
• Citrix Systems is an INVESTOR since 2011
• Citrix Investment came after founder was mobile strategy consultant to Citrix
• Core Mobile is next generation in the evolution of mobility strategy at Citrix
• Citrix is investor and partner of Core Mobile
• SAP is technology provider and sales partner for Core Mobile
• SAP HANA enables real time correlation and push of information
• Other Investors are Keiretsu Forum, Harvard Business School and Venture-Med
13
What is used for coordination today?
14
1. White boards might reduce frustration a bit, but will not reduce patient
turnover time in any measurable manner.
2. Providers do have to walk to beds to check the status on patients. The
spaghetti diagram does not change with the boards.
3. White boards will not give other providers notes on the patient
4. White boards will not give relevant info from EMRs, Radiology etc. related
to patients medication etc.
5. White boards do not enable 2-way communication
6. White boards do not give info when results of tests as soon as they
become available.
7. White boards do NOT solve the coordination problem
White boards at patient beds!!
LEAN Management – Spaghetti Diagram
Today With CoreySurg™
OR
Control
Desk
Pre-op
Desk
Pre-op
Tracking
Board
OR
Control
Desk
Pre-op
Desk
Pre-op
Tracking
Board
CoreySurg™
CoreySurg™
15
How does CoreySurg™ fit into workflow?
16
Stage Patient & Team Actions Updates Via Corey Notifications via Corey
1 Patient comes into pre-op,
checked in by front office into
Cerner
RN manager updates nurse list
for that patient
Corey sends message to
surgeon and team. Patient is in
pre-op bed #5
2 Patient consent is received Corey send message to team.
3 Pre-op nursing check-in process
completed.
Nurse enters info into Cerner or
in Corey and Corey updates
Cerner.
Surgeon and team notified of pre-
op check-in completed including
info and comments
4 Anesthesiologist / CRNA
complete tasks.
Enter info in Corey. Corey
updates Cerner.
Surgeon and team notified by
Corey
5 Surgery and operating room
nurse completes tasks.
Enters info in Corey. Corey
updates Cerner.
Surgeon and team notified by
Corey
6 Patient reaches OR. OR control
desk updates status in Cerner.
Surgeon and team notified by
Corey
7 Operating room nurse publishes
that team is ready for surgeon
Updated via Corey Surgeon and team notified by
Corey
8 Surgeon arrives in OR
9 Surgery is completed. Surgeon or nurse updates in
Corey or in Cerner.
Patient’s family notified by Corey
by push notification or text
message.
How does CoreySurg™ work?
Determine
information
needs based
on
Schedule, locat
ion, messages,
tasks
completed
Push data to
mobile
device
Determine
what
information
is relevant
Acquire data
from various
data sources
(EMRs, other
clinical
information
systems, insura
nce…etc.)
17
Surginet
Tracemeter ECG Vue
Surginet
How does CoreySurg™ integrate?EMRs
In-memory
Database
For
Correlations
In
Real Time
HL7
Just the relevant info
Right when you need it!
Labs from
Cerner
Other physicians are alerted to updates
on their patients in real time allowing
for faster handoffs18
Push
Notifications
Text
Messages
with
status
updates
Tracemeter ECG Vue
Context Based
Relevant Info
In
Real Time
Corey™ Architecture
Enterprise Applications
Clinical Applications
.netconnector
HL-7connector
PushEngine
.net
19
Workflow – Corey™ optimizes existing work flow combining the technologies above with existing IT systems
Cloud – Corey™ utilizes the Cloud to reduce costs while maintaining HIPAA compliance & enterprise class security
What is unique about Core Mobile?
20
CoreyTM aligns today’s top technology strategies and brings them together in one innovative, powerful solution
Big Data Analytics – Corey™ allows for integration of many systems and leverages SAP HANA for correlation and analytics in real time
Mobile – Corey™ is designed for mobile, customized to provide just the relevant information in real time based on the needs of the user, practice & department
How does CoreySurg™ meet needs of Perioperative Services?
21
Untether the healthcare provider through the use of mobile devices
• Instantly see the relevant info in Cerner EMR, Surginet, labs, radiology,
and other information systems
• Ability to enter information into Cerner EMR and Surginet using text (via
one-touch screen input) and/or voice
• Receive notifications that tasks are completed via push messages
Surgeons and other providers will know the status & location of patients
at all times
Data retention and analysis to
• Monitor performance
• Improve efficiency
• Decrease costs
Customizable per department and personalized per user
Leverages existing IT Systems
Low cost trial
RoI in 2 to 3 months of deployment
Reduction in turnover time:
5 minutes per patient
Reduction in turnover time:
10 minutes per patient
Reduction in turnover time:
15 minutes per patient
Savings for Hospital:
$1 Million per year
Savings for Hospital:
$5 Million per year
Savings for Hospital:
$10 Million per year
Increase in Operating Room
Utilization: 15%
Increase in Operating Room
Utilization: 22%
Increase in Operating Room
Utilization: 30%
Increased revenues for Hospital:
5% to 15%
Increased revenues for Hospital:
10% to 20%
Increased revenues for Hospital:
20% to 30%
• Reduction in Patient turnover times - 5 to 15 minutes per patient
• Operational Savings – Between $1M and $10M per year
• Improvement in Operating Room Utilization - Between 5% and 30%
• Hospital recovers investment in 2 to 3 months of deployment*
Value Proposition for Banner
* Results calculated at major hospital group
Other Differentiators
23
Integration with advanced authentication technologies• Biometrics – Finger print scanner
• Usage & Behavior Based Authentication Systems (www.delfigo.com)
Backed by established enterprise solution providers - Citrix and SAP
Cross-functional and cross-platform solution integrated with,
• EMRs
• Inventory Management Systems
• Telephone Systems
• Text Messaging Systems
• Scheduling systems
• Citrix products
• SAP products
• Location based systems and services
Secure and HIPPA compliant next generation solution for BYOD
Real Time Performance & analytics using SAP HANA
The role of SAP HANA in Corey™
Corey™ supports the following contextsCalendar Phone calls Location Trackers Coreyfy To Do List
24
• Corey™ leverages SAP HANA for instant availability of just the relevant contextbased information correlated in real time
• Corey™ leverages high compression rates of SAP HANA• Corey™ provides customized analytics using column based searches across
correlated content
Corey™ correlates across Enterprise, Cloud & Social Media
Dropped
Phone callsInternet
Banking
Credit Card
TransactionsSurgery
SchedulesPatient
Communications
Patient
Trackers
Core Mobile Citrix Joint Solutions
XenServer & XenApp
Virtualization
XenMobile & Cloud Gateway
Mobile Platforms
NetScaler ADC
SDX
Extend application
virtualization by providng
just the relevant
actionable info from
Cerner and other
applications running as
XenApp Applications in
real time on Mobile
devices
Extend Mobile Device
Management offerings to
provide just the relevant
actionable info from enterprise
applications
No need to develop mobile
versions of enterprise apps
Worx certified
Extend application
acceleration by providing
just the relevant
actionable info from
Cerner and other
applications accelerated
by Citrix NetScaler
Competitive Comparison with Care Transition Systems
26
Corey™ uniquely brings
together technologies
like EMRs, notification
systems and mobile
applications to provide
next generation mobility
platform to un-tether the
healthcare providers
Corey™ is leap ahead in
technology over existing
technology providers in
mobile applications
Corey™ is common
platform for coordination
across outpatient, pre-
op, peri-op, post-op, and
rehab situations
1. No new IT systems to be deployed, No new workflows, No new processes
a. Integrates with multiple EMR/EHRs at Primary Care, Emergency,
Surgery, Rehabilitation. Integrates with Radiology, Lab Systems, EKG
systems
b. Leverages existing care transitions intervention with risk stratification
2. Customized per department, Personalized per user
a. ER needs different info, Rehab needs different info
b. Personalized for Urologist, Neurosurgeon, Oncologist, Hospitalist,
Anesthesiologist.
c. Discharging HCP as well as receiving HCP do not need to do anything,
Corey™ runs on its own.
d. Evidence Based Medicine (EBM) is customized per provider
3. Instant availability of just the relevant info, correlated in real time from,
Multiple enterprise applications, Multiple sources on the internet, Social
media (if needed)
4. Instant availability based on multiple contexts,
a. Patient on surgery schedule, admission schedule, HCP schedule
b. Patient calling HCPs office
c. Patient location in hospital or rehabilitation center
d. Patient on HCPs To Do or Task List
e. HCPs explicit request with patient name
f. HCP defined Trackers like results of clinical tests, radiology reports, EBM
library updates, new risk stratification inputs
5. Customized analytics available in real time using column based search
capabilities of SAP HANA. Used by administrators to view accurate metrics
and optimize operations
Sample of Corey Endorsements
“On a weekly basis, it saves me in
terms of hours”
Rusty Cone
SVP & Head of Worldwide Sales
Watch Video
“There aren’t any other apps
like this for Sales people”
Jason Ford
Director of Enterprise Sales
Watch Video
27
Watch Video
“This is fabulous”.“This is first screen iPad App”
Tom McKinleyPresident
“Corey is real time meeting prep for me in one
spot in the cloud on my mobile device”
Matt Plooster
Managing Principal
Watch Video
