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RWJF: Games to Generate Data Challenge

The GameMetrix Solutions Team (GameMetrix) proposes to develop an online Trivia Game Platform. The trivia game platform will engage patients to become activated in the self-management of their health or chronic condition and generate rich health profile information for personal and physician feedback. The game will engage the patient by using familiar trivia play and game mechanics such as personal dashboards, community challenges, leaderboards and recognitions to track and reward progress. Game play data will provide continuous engagement outside of clinical care visits with insights into patient knowledge and preferences while giving physicians access to this information.

The Trivia Game Platform will have broad scalability for the health and wellness industry and the Aligning Forces geographies in particular. The platform’s design envisions its potential to extend the development costs of a flexible, simple, and secure platform across many client-defined instances. The platform will be designed for ease of configuration to meet client-defined needs. Configuration of health content, data gathered, and branding are examples. The platform reduces the cost and risk of game implementation while speeding the time to market.

GameMetrix (www.gamemetrixsolutions.com) is a business to business, software as a service (SAAS) technology company offering a game-based, data gathering platform for consumer health companies. We offer games and game mechanic solutions to create engagement, drive community participation, educate and reinforce brand messaging. To deliver this solution, GameMetrix has assembled a world class team of system and data engineers, game designers, copywriters, game developers, visualization and social community experts.

TRIVIA GAME PLATFORM OVERVIEW

GameMetrix offers a flexible, simple, secure platform to provide embedded games and game mechanics for the health and wellness markets. Our patent allows for customizable health content for customer-driven goals, integrated data gathering and analytics, and full integration with social and community features across PC and mobile devices.

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GameMetrix is developing a versatile online trivia game platform that we can use with a variety of health and wellness clients. This “plug and play” integration solution makes it easy for clients to add different types of trivia games based on the client and patient requirements. We combine medical information with proven game play design to offer fun, engaging trivia games. Trivia games will be playable across PC browser and mobile devices (mobile app or web based depending on client requirements). Key features of the trivia Game platform:

Engagement and Education - We combine medical information with proven game mechanics designed to offer fun, engaging and educational trivia games – and offer achievement and rewards system to compel engagement, retention and program completing.

Customization - Trivia games can be customized to the specific patient focus. Content can be refreshed often as well as personalized to allow for performance based knowledge improvement. The trivia game will also allow for visual skinning to be seamlessly integrated into clients brands and communications messaging.

Platform Approach - Our trivia game platform gives us the ability to leverage this experience across a broad spectrum of clients and patients. It also allows the game to be playable across PC and mobile devices.

Data and Analytics - GameMetrix is a data gathering company that uses games and game mechanics to create ongoing and a deep engagement. GameMetrix games will collect and report consumer answers and habits providing focused feedback to clients and providing opportunity for brand knowledge improvement. It is all about the analytics.

“WHY TRIVIA GAMES”

Trivia Games are lots of fun. They can be educational in game play and content, are highly competitive and the games produce a clear game result which is good for the player/patient and for data gathering. The trivia game format offers a wide variety of game play experiences and allows for the use of multimedia for a heightened play experience.

Trivia Games embody a powerful set of human motivators: achievement, competition, collaboration, learning and improvement, communication and self-expression. They require time set aside for pleasure rather than labor. Trivia Games provide a unique sense of fun – a delight in our exploration and experience of the world and the constant small surprises. Trivia Games, different than any other medium, provide experiential learning. TRIVIA GAME MECHANICS AND HEALTH CONTENT

Trivia game content will go beyond text into multi-media experiences by using audio, video and animation trivia. Games will combine medical information with creative game design and development to build ongoing and meaningful patient engagements. Games will address a a core challenge of reducing medical jargon into everyday language and experiences.

The GameMetrix trivia game platform can play the following trivia game patterns

− Questions and Answers − Answers and Questions − Multiple Choice

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− True/False − Survey (Survey Says!)

It is all about the “fun!” We create exciting ways to deliver very high level medical information

that can be converted into creative, unique experiences in game play. We want the GameMetrix trivia game engine to be known for its ability to deeply engage the patient/user, offer solid analytics to our clients, and springboard player experiences into gamification programs for ongoing community activity.

GameMetrix health and wellness content is developed by a collaboration of client information, game design mechanics and copywriting. We partner with known consumer brands that have a trivia positioning (like Jeopardy/Trivial Pursuit). GameMetrix will deliver a fun and engaging trivia game experience and will pay attention to how content copy is delivered. We fully expect that GameMetrix clients will want specific health content to be incorporated into the GameMetrix trivia game platform system. This will allow for a personalized experience for our clients and their end users. GAMIFICATION

Gamification is the use of game-thinking and game mechanics in a non-game context in order to engage users and solve problems.

The GameMetrix Trivia Game Platform includes gamification techniques offering achievements and incentives to encourage deep engagement through recognition and behavioral modification. This leads to higher levels of measured success and patients who complete the program.

Gamification programs can be customized to provide specific information to client patients as it pertains to status in the specific health and/or wellness program.

DIGITAL PLATFORMS

GameMetrix will offer the health and wellness trivia game on the following hardware platforms: − Online (Website) − Mobile (iOS, Android and possibly Microsoft Mobile and Blackberry) − Social (Facebook) − Interactive TV (Apple TV / Google TV)

PATENT

GameMetrix has patented the ability to utilize games and game mechanics to customize game content to specific market verticals, “A GAMING PLATFORM FOR CUSTOMIZATION OF GAMEPLAY AND GAME CONTENT”. Measurable data can then be collected and reported to both the client and consumer. This allows GameMetrix the opportunity to show data and analytics to brand owners, and also, to offer gamification techniques (such as achievements and leader boards), to the end user community. The trivia game engine is built on the GameMetrix patent.

SOFTWARE DESCRIPTION – TRIVIA GAME PLATFORM

The GameMetrix platform back end provides authentication and the user database. It is built using Ruby on Rails and hosted on the EngineYard Cloud. The trivia game engine will present a login/password dialog to the user, obtain a session key from the platform, and use that session key to identify the user in all subsequent interactions with the platform.

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The trivia game engine will use the platform back end to request trivia questions, answers, and related media (e.g. audio) for the logged-in user. This platform approach allows us to provide content that is fresh, user-customized, categorized, etc. Due to the need to support mobile web (iOS, Android, and other platforms), and the unavailability of Flash on the iOS platform, the trivia game engine will be implemented in HTML5-based technologies are preferred. Technologies like Sencha Touch which would allow code reuse between desktop web, mobile web, and native app are preferred.

IMPLEMENTATION EXAMPLES AND CONCEPTS

DIABETESGAME.COM GameMetrix already has experience with key features of the Trivia Game Engine through its development site – www.diabetesgame.com. This site has had over 300 unique users and has been used to test several key value propositions that have led to the Trivia Game Engine concept. These included: appeal of trivia games for frequent play and long-term engagement; use of trivia games to define health content around a clinical care model and collect individual and population data; the ability to integrate with existing client recognition and reward systems; the value of leaderboards to increase gameplay; and simple low cost client integration. The following collection of webpages provides an overview of the key trivia game and gamification feature sets engaged its users.

ALIGNING FORCES GEOGRAPHIES – POSSIBLE DIABETES APPLICATION Many of the Aligning Forces geographies have developed health measures around diabetes care, lab tests and hospital and ER utilization. While the platform can engage around any health or chronic condition content, we have provided an example of an integrated game system design that would link the diabetes patient with their physician. Game content would be diabetes self-management specific. We can use a widely published set of content such as the AADE7 Self-Help Behaviors (already developed for www.diabetesgame.com) or input content around another medical care model such as the ADA. Additional information will be asked in game regarding personal preferences, commitments to take action, and barriers to success.

Here is a diagram of how game and data would flow:

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DATA GENERATION AND INTEGRATION CONCEPT The Trivia Game Engine has significant potential for generating data depending on the specific health application and the health goals of the client. This data can be utilized for the individual patient, a community group or broader population segments. This data can be integrated with health measures and performance goals at any of these levels, including much of the data and scorecards generated by the Aligning Forces geographies.

The game play example described above shows the knowledge profile of a patient about the AADE7 Self-Management behaviors for diabetes. These individual profiles can be used for personal self-direction and motivation as well as by healthcare providers and caregivers to provide coaching and medical interventions. GameMetrix has envisioned the possibility to develop a series of increasingly integrated data sets reported out as dashboards for all vested groups: patients, doctors, physician practices, and MHQP.

Physician Dashboard Data – the physician report could integrate patient game profile data and medical record data. It would also have the potential to integrate Aligning Forces data metrics such as scores

Patient’s Personal Dashboard Data - The patient will have a personal page that will be similar in design to the one shown here and could include the following:

• Knowledge about the AADE7 • Collection of personal preferences as suggestions for

future action • Specific commitments agreed to and level of

completion • Listing of personal barriers and opportunity to

comment further • Community leaderboards showing performance in the

group

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and or rankings of physician practices regarding diabetes performance or other utilization data averages such as emergency visits and lab tests.

In this example below, the Patient AADE7 Performance Data is tracked over time. The physicians would get a scorecard (leaderboard) that shows their entire patient population’s AADE7 knowledge scores which could be benchmarked across a physician practice or even all physician groups in the Aligning Forces database. Individual profiles are provided to suggest clinical or coaching interventions for individual patient care.

Physicians practices could analyze population results to understand patient segments in order to target programs to reduce unnecessary emergency department visits, to increase compliance rates with treatment plans, to generate higher clinical quality measures, and to improve health outcomes.

The game data will be integrated with Massachusetts Health Quality Partners’ (MHQP) Clinical Quality and Patient Experience data as well as Alliance for Appropriate and Affordable Healthcare (Triple A-H) demographic data. The combined data set will provide information to develop meaningful population segments in order to design uniquely targeted community solutions to reach these goals. Aligning Forces Dashboard Data – GameMetrix has also envisioned the ability to provide a scorecard for all of the above data for the broader geography or even across all geographies. The data would provide rich insight into patient knowledge, patient level of activation, patient reported barriers, physician actions, physician knowledge, clinical quality measures, emergency visits, and health outcomes. This would create a basis for awards and recognition. The data could also be used to develop success profiles for patients and physicians and to develop a cluster of segment attributes and more specific programs for those segments

COMMUNITY DEPLOYMENT APPROACH

The Trivia Game Engine could be implemented across any or all of the Aligning Forces

geographies and targeted to any of the community health priorities they are targeting, tracking and measuring. GameMetrix would work with RJWF to determine the early adopter to focus development efforts. As referenced above, it may be most practical to continue to focus on diabetes patients and their physicians because many geographies are tracking this problem and have developed measures for primary care physicians working with these patients. It would also build on GameMetrix’s prior work. Community deployment in this case could target a physician practice or an entire geography. The deployment team would involve AF Leadership groups as well as physicians to determine the care model and health content to be targeted and to define the key measures to focus on. Physicians would be

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asked to recommend the game to their patients. Patients would be supported with materials to provide them with an introduction to the game such as flyers, videos, or similar marketing materials. Players would be allowed a trial period where they could play the first level of the game (Initial Patient Assessment) without having to register. Once they have completed the level and want to keep their score and continue, then they would need to register. This will greatly increase participation.

Once we get a player in the game, there will be levels with a rewards system to encourage engagement and retention. Depending on the adopting geography and particular partners, we can also include real world prizes at the completion of a certain number of levels. Leaderboards and badges will be attractive to certain players too.

SCALING THE SOLUTION

The GameMetrix Trivia Game Engine has broad scaling potential both with respect to individual health content, the target patient population, and the client brand positioning. We can scale both with additional clients and by growing current clients’ installed base of users. Our games can adapt to different health and wellness needs depending on the specific needs and requirements of our clients. GameMetrix can also grow with the client and offer new and exciting games and content to retain ongoing patients. The platform also offers wide-ranging potential to develop and deploy other game formats to further engage patients and integrate data captured across these games. GameMetrix believes that the Trivia Game Engine could be developed and ready for deployment in the 3 to 4 month time frame depending on the feature set required by the adopting geography or client.

The GameMetrix Solutions Team

Tom Dusenberry, Chief Games Officer / Game Industry Veteran Tom Dusenberry is and the CHIEF GAME OFFICER of GameMetrix and the Founder of Dusenberry

Entertainment. He is a creative, strategic thinker who has been involved in the games industry for the past 30 years and Games for Health over the past 6 years. A former CEO of Hasbro Interactive, Games.com and Atari, Tom is closely associated with great games such as Monopoly, Trivial Pursuit, Frogger, Star Wars, NASCAR, Roller Coaster Tycoon and hundreds of other well know game brands. His career focus is in digital entertainment and media content applications. Tom is currently active in the internet games market, mobile entertainment, social networking, and interactive app toy areas. He is also the owner of patented, In-Theater Interactive Entertainment/Movie Games, a breakthrough game platform that brings interaction to the movie theater screen by utilizing smart phones/tablets as controller devices.

Bob Welch, Game Designer / Gamification Bob is an interactive entertainment and game industry veteran who combines design, production

management and business development skills to create successful, sustainable and profitable products. Bob works across multiple platforms having launched mobile, online, PC and video games as well as traditional toys &

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games. Bob has worked with small development teams and international brands/publishers including Hasbro, Atari, Infogrames, Fisher-Price, Mattel, Sony, Parker Brothers, Super-Ego Games, WeeWorld, HappyGiant and Viximo. Bob also works with ecommerce and B2B companies like FashionPlaytes.com and GameMetrix.com on gamification initiatives.

Brent Nordquist, Technology Specialist Brent Nordquist has over 25 years' experience in software development, systems administration, and

technical project management. For the last 7 years his focus has been the development of scalable web-based applications using Ruby on Rails, Java and web services, LAMP stack, and other frameworks. This has included implementation of web designs using HTML/CSS/JS/Ajax/jQuery with care to produce a faithful rendering. Brent has successfully implemented several agile development practices for his teams to increase software quality and reduce time to market.

Bob Conte, Copywriter Bob Conte is a business writer, editor, and communications consultant based in southern New Hampshire.

He works with a broad range of local, national and global organizations, and has received many industry awards for his work across the communications spectrum. He has extensive health and wellness industry experience, and recently co-authored an e-book about transforming the harmful financial incentives within U.S. health care. Previously, Bob was creative director for one of New England’s leading advertising and marketing firms. Bob is also the author of a textbook on American music.

Bonnie Henry, CEO / Health and Wellness Industry Veteran

Bonnie is the CEO of GameMetrix and has 28 years of proven entrepreneurial and leadership experience

across multiple industries; 13 of those years with P&L responsibility. Her success in launching new ventures both

internally and externally is supported by her unique blend of experience as a successful entrepreneur, general

manager, and strategy consultant. She has worked with both large and early stage companies including: Frito-Lay,

Pillsbury, Estée Lauder, Ross Stores, Blue Cross & Blue Shield of Massachusetts, and Scottish Rite Children’s

Hospital. Bonnie is the inventor of GameMetrix’s pending patent – “A Gaming Platform for Customization of

Gameplay and Game Content.