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Copyright 2011 Portico Software Inc., All Rights Reserved MedPort 101: An Introduction to the Use of MedPort in Healthcare Communications TABLE OF CONTENTS Introduction Section I: MedPort Healthcare Defined - A brief overview of terms, concepts, and history Section II: The Healthcare Communication Challenges - What must first be addressed before true expansion is possible Section III: Mobile is Changing the Landscape of Communications - How and what is effecting how we all communicate Section IV :The Building Blocks of MedPort - The elements involved in creating bridges of communication Section V: Summary and Next Steps - Where to go from here? Section VI: About Portico Software and MedPort - A brief look at the company and its offerings September 2011

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Copyright 2011 Portico Software Inc., All Rights Reserved

MedPort 101: An Introduction to the Use of MedPort in Healthcare CommunicationsTABLE OF CONTENTS

Introduction

Section I: MedPort Healthcare Defined

- A brief overview of terms, concepts, and history

Section II: The Healthcare Communication Challenges

- What must first be addressed before true expansion is possible

Section III: Mobile is Changing the Landscape of Communications

- How and what is effecting how we all communicate

Section IV :The Building Blocks of MedPort

- The elements involved in creating bridges of communication

Section V: Summary and Next Steps

- Where to go from here?

Section VI: About Portico Software and MedPort

- A brief look at the company and its offerings

September 2011

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MedPort [med-port]...an integrated system that creates secure bridges of communication based on existing infrastructure that dramatically reduces complexity and cost, while promoting the exchange of information.

INTRODUCTION

Can Healthcare Cost Really Be Reduced?

MedPort - Simplifying communications exchange

between healthcare systems while at the same time radically reducing cost - is an important and powerful tool for

reducing the overall cost in healthcare which in 2010 was $2 trillion dollars. The healthcare community is being stressed to improve overall cost dynamics, reduce departmental overlaps and incentivize the further

deployment of cost effective technologies.

MedPort can assist the Healthcare industry to simplify the exchange of information between disparate systems

by creating bridges of communication based on existing infrastructures.

Unlike most new, and existing technologies,

technologies that are difficult to understand, deploy, and support—which in the end only compound the Healthcare cost—the MedPort Solution is simple, easy-to-install and

operate with mobile interoperability, a critical key in

solving many of the challenges we face.

The MedPort solution can be easily deployed by non-

technical personnel, to include current staff as an extension of their daily job of assisting in the improvement of patient care. The simplicity of implementation, and operation,

allows us to quickly solve current problems in

communication of Healthcare information that professionals face every day.

This concept of “bridges of communications” has solved a variety of problems outside of the domain of healthcare information exchange as well, in areas such as:

• Security: Removing the the inherent risk of networks, TCP/IP

and VPN technology, and eliminating all risk from network

intrusion.

• Organizations: Automated identification, monitoring and

reporting on both equipment and infrastructure resources,

from printers to communication circuits, in a manner that

allow for full life cycle management of your resources.

• Resource Management: Creating central points to manage,

allocate, and approve certain kinds of resources and the

consumables and accessories they need to operate.

• Control: Multiplying the effectiveness of people by putting the

command and control of resources and information in their

hands on mobile devices with security that is enhanced beyond

simple desktop access.

This report will provide a definition and basic

foundation of how and why MedPort works, in what context it builds bridges of communication, and the advantages of this approach. This document ultimately

strives to serve in helping you to understand the concept of, bridges of communication that we at MedPort apply to real world problems, and why we plan to build and extend

on this foundation as we move MedPort from it’s current operational roles in Healthcare, business, and carrier infrastructures to other business types, homes, and government.

I. MedPort Defined

Definition of Terms

We will expand each of the following definitions in greater detail throughout the whitepaper. As an introduction, let’s give a brief overview of a few key terms that are central to this paper.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 2

MedPort: An Introduction to the Use of MedPort in Healthcare Communications

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Portable Object Discovery (POD)

At its root, POD provides the basis for all communications inside MedPort and eliminates the need for conventional networking technologies and the inherit dangers of security breaches using IP based systems and the increased costs of the

associated virtual private networks (VPN’s) or dedicated networks.

Agent

A light weight application written in Java for portability, low processor and memory usage, Agents are used primarily as an App, or small Linux appliances that require no keyboard,

mouse, monitor, or configuration. Agents are plugged into networks, or wireless, then configured from a central MedPort

web interface. They are, in fact, “dumb robots” waiting for commands and do nothing until they are told what to do.

Agents only need access to the Internet to communicate with the Central System and provide communication with printers, shared folders, servers, and Electronic Medical Records (EMR) systems. Agents “talk” standard protocols and HL7. The simplicity of Agents

make for easy deployment, management, and replacement. Different kinds of Agents provide both the movement of information and management via industry standard protocols.

Connector

Interfacing with Healthcare Information Systems or servers that provide information, results, or receive orders from remote locations, a Connector is a small .NET application that provides a simple gateway option to

connecting various systems to MedPort. Agents have some of the same properties and can be used in some instances in place of a .NET Connector.

Central System

The core of the Central System is it’s ability to execute on

a single-server appliance or multi-server array that scales to millions of Users, Agents, and Connectors communicating information. It is built on Java, MySQL, and runs on the

Linux, Unix OS, or Apple OSX Server.

The Central System is more like a router then what most people think of as a server. It can be made both redundant itself and redundant from a network outages by simply

adding an appliance server on a different network or location. Added to facilities like RackSpace or the Cloud, MedPort simplifies disaster recovery planning.

Security

The entire MedPort system exceeds current and future HIPAA requirements and is based on standard excepted

security protocols used by the military. The whole system enforces secure protocols and leaves nothing open to attack. Mobile clients, while in many eyes seem less secure, are in

fact more secure because they add important information to the equation, without making important user location and device information available to third parties.

Discovery and Management

A process invented and enforced throughout the system to discover, collect, correlate, and monitor both equipment,

information, and processes, resulting in an overall reduction of management of systems and processes.

Notification

A key function of Event Management, built first for nationwide data/voice carriers, notifications are layered

processes delivered in open source formats to users, consisting of both critical and informational updates. The notification process provides proactive management and is

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 3

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designed to interoperate with current systems and applications.

MedPort Resource1

A unique patent pending process that allows for the secure

and automated procurement of both products, and their associated accessories, that are being monitored by the MedPort Solution. The secure procurement process can be accomplished with near perfect accuracy, accountability, and

automated approvals, resulting in significant cost reduction in the procurement process and expedited fulfillment of product orders.

Printing

The MedPort Solution handles printing in a very different

way then conventional printing. A look at current methods will better help define this operation.

As an example; when a report is printed to a remote

printer (doctor’s office ) from the hospital or lab it goes across a VPN or LAN which, when addressing the remote printer takes a typical 300k document and turns it into a

20to 100 meg print file. In most cases this requires an additional Windows Print Server in the main location.

In contrast, MedPort’s remote printing catalogs and logs

according to HIPAA requirements for reprinting, then encrypts in 37k bytes and communicates the 300k document to the remote Agent, which then prints and deletes the original file from memory in a few seconds. This process both simplifies

operations and allows the use of existing office Internet (or wireless) access, instead of specialized equipment, to be used without interruption. This process makes setup, add, moves,

changes very simple, and inexpensive.

Customer

The customer is the doctor, millions of caregivers, support staff, the patient, and their families.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 4

The art of

building bridges

of communications to

bring different systems,

locations, and operations

together is to make it so

simple that which is

difficult, so anyone can

use it as a part of their

normal daily activity.

Page 5: MedPort White Paper

Mobile

Mobile technologies are quickly becoming an essential tool for many organizations. MedPort is at the forefront of integrating multiple mobile platforms into their larger systems and networks. One way we do this is by incorporating our

Agent technology into a native app available on the iPhone, iPad, and Android platform with a secondary platform offered for Blackberry and Windows. An example of this is the iPhone

iMonitorPLUS app that transforms your smart phone into a handheld Network Operation Center (NOC).

Mobile Apps in MedPort are developed to be “Open Portals”

that allow for the delivery of reports via the MedPort Agent technology as well as for marketing and informational delivery. The term “mobile” means that these apps can be used for marketing, courier pickup-and-delivery, scanning freight,

training, or many other needs inside the Healthcare domain.

Standard Records

A Standard Record is a technique and underlying technology used to assist in the delivery of information throughout the MedPort System in forms and formats dictated by the user or

operator needs. Based on Open Source standards and formats, it saves time, resources, and promotes the rapid flow of information between dissimilar systems without changing the basic system.

II. Communication Challenges in Healthcare

What must first be addressed before true expansion is possible

Communications built with scalable building blocks can create lasting value and positively impact fundamental

business objectives. Secure “bridges of communication” based on existing infrastructures will facilitate advantages such as:

• cost savings

• interoperability of systems

• increased awareness of operations

• mobility

• better resource management

• reduction of paper

• increased user participation

• inclusion of legacy systems

• reduction in network requirements

• redundant services

• better user responsiveness

To put it simply, greater intelligence in communications allows for simpler operations for users and overall

organizational success.

Simplicity Creates Opportunities for Better Services

The legacy of data and video communications over the last 20 years have become so complicated that we are dependent upon highly trained technical personnel to implement and support them. However, this needs to

change if rapid progress is to be made. Moving forward, we need to be able to balance the increase in technology with the ability to use everyday personnel to implement and

maintain that technology.

At the core, communication is connecting people and services together. We have seen phenomenally fast growth recently with services that use two forms of communications,

social and viral. Social communications include services like Facebook, LinkedIn, and Twitter. Viral services include services like EverNote, TED, and Strava, where users are

offered a particular set of services online via the cloud and mobile App.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 5

MedPortValue

Proposition

SimpleOperation

Technically Superior

LowerCost

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All forms of successful communication today have two things in common with social and viral services.

a) easy to setup by the userb) simple to use, requiring no formal training

Sustainable communication infrastructures must combine these two features in an environment where automation, mobility, and a multiplicity of user services are needed.

To be successful the support and operations of new Healthcare infrastructures cannot place complexity and costs on our existing work environments that are struggling with increasing challenges and shrinking budgets.

This is the reality that we must address today.

Using Current Infrastructures to Drive Down Cost

At the core of today’s worldwide infrastructure is the Internet and mobile communications—forces that are reshaping how everything we know works, much like Eisenhower’s nationwide Interstate highway in the late 50’s

and early 60’s did. The Healthcare industry must find ways to use this inexpensive and plentiful superhighway for all

communications.

In light of this, there is a vitally important question that the Healthcare must address before embracing the Internet and

mobile communications: are they secure enough?

Security is a Priority That Must Be Addressed

To ask the question, “Is it secure?” is to admit that it may,

in fact, not be, or there is at least, a warranted concern. Every child, when their mom or dad tells them that there are no monsters in the closet, has silently asked themselves, “When

did they leave?

This question must be asked when it comes to patient records and the the interactive flow of Healthcare information between different domains and communities of caregivers.

Addressing the security question is critical before the use of this ubiquitous and plentiful communications super highway is possible on a scale that will truly affect, and help

drive down, the cost of Healthcare.

Integration of Current Staff and Caregivers is a Must

One of the greatest challenges that Healthcare faces today is providing assistance to overtaxed and understaffed service providers and their management as they move towards system expansion or replacement. No changes can be made to current

systems unless we first take this into consideration.

A Healthcare user said it best, “How can I be expected to put something new in or change anything I am using if I don’t have the

time to manage what I have today?” This is perhaps the biggest road block to Healthcare expansion and savings today, and costs users billions of dollars every year in added Healthcare expenses.

This challenge has left Healthcare outdated and operating on a cobblestone road, while the rest of the world moves along on the superhighway.

Addressing this, and the interoperability with current systems,

will be the challenge before any new systems, automation, or real savings can be realized. Similarly, affordable and plentiful produce wasn’t available to the East Coast of the U.S. until the

Interstate superhighway allowed for the cheap, fast, and convenient movement of freight.

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Interoperability with Current Systems

Healthcare has, because of tremendous growth, and outdated systems, strained resources. Today, different systems and interfaces have created it’s very own jungle of

sorts. Because of this, special interfaces for these systems have been created with their own set of challenges that must be addressed.

They include an alphabet soup of names and terms like, EMR, EHS, FTP, SFTP,SMB, and HL7 to mention just a few. For any system

expansion or meaningful change to take place in these healthcare islands and communities, user implemented systems must be created.

III. Mobile is Changing the Landscape of Communications

How and what is effecting how we all interact

Mobile Growth in the US and World

In 2010 in the US there were 68 million2 users overthe age of 25 using smartphones. Around the globe 77 percent of the world population, or 5.3 billion people3 are mobile subscribers. Caregivers are in the fastest growing groups of users.

The customer, the patient, family members, caregivers and the support staff that make up healthcare that use the mobile device as their primary communication device is growing. There are

595,800 establishments that make up the healthcare industry”4, and 14 million people in direct caregiving, with a number much larger servicing the healthcare segment itself and mobile will be their primary means of communications.

Mobile Interaction and Efficiencies

Before we approach interaction with mobile users

to create maximum efficiencies, we must first recognize three important changes that have occurred in just the last four years:

a) The majority of our interaction has changed from the desk web browser and phone to the handheld communicator we call the smartphone.

b) Social and viral communications are the fastest and preferred method of communication for the growing population. It’s

effect on other forms of communication will have a lasting effect on society.

c) An industry-creating tsunami, the Apple iPad now accounts for an impressive 1 percent of web browsing worldwide and 2.1 percent in the U.S. alone. And this is only after 14 months. Its effect, and copycats is one that will change our basic interface ideas to many industries including Healthcare.

To be efficient and interact with with “the customer” how they want to be connected and communicated too,

Healthcare must find ways to interface with today’s mobile services and devices in ways that are open and do not limit the customer’s choices.

These changes, in concert with a number of aspects of mobile communication, must be taken into consideration....the movement of information, notification methods, message updates, changes, basic engagement, customer interaction,

marketing information, and pure education content via the mobile platform. To be successful and cost effective, these aspects must be addressed.

These trees in the forest stand alongside perhaps the most important contribution to mobility, “the App”. How, and when Healthcare adopts to these game changers will determine in large part its ability to control one-fifth of the 2 trillion dollars in

healthcare cost spent each year.

IV. The Building Blocks of MedPort

The elements involved in creating bridges of communication

Paradigm Shifts

With MedPort, a paradigm shift has been created that makes secure bridges of communication within the confines of existing

infrastructures (Internet and mobile communication) possible. Perhaps an greater

shift is the possibility to exploit the full potential of newer mobile technologies with a

promise of even more secure communications within the confines of current caregiver systems, without straining current staff.

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A close look at these claims should be examined in light of conventional network technologies in use today in the Healthcare

industry, and the cost infrastructure model required to support current systems.

What impact will these bridges of communication have?

How these systemscan address the cost of Healthcare, it’s expansion, full inclusion of the Internet, and even social and viral services used by the masses today and there impact should be looked

at.

Interoperability in System Design

For any system to be effective in todays world it must be able to do four things very well or it will go the way of the dinosaurs of the information age. Systems must:

a) Scale maximin efficiency with adoption of mobile devices and technologies that include the App.

b) Use Open Standards for easy adoption and lower cost.

c) Contain self-healing properties for maximum reliability.

d) Maintain simplicity of operation throughout the whole of the systems.

In designing MedPort these four things were at the forefront of the design to make the setup, operation, and support so simple it could be learned within the confines of

users current job responsibilities with little or no training.

In the MedPort architecture three open technologies were used, Linux/Unix, Java and MySQL throughout the system

while several Windows desktop and server interfaces were built on .NET for maximum user experience. The overall design was to limit the “moving parts” and consolidate the administration interface into one place.

Simplified Operation for User Acceptance"Simplicity is the ultimate form of sophistication" Leonardo da Vinci

A challenge of technology is explaining what something is, what it does, and how it operates. Being simple to use is key

to user acceptance and interaction through the testing, setup and operation stages.

A good example of this is the introduction of the iPad.

When the iPad was first introduced, analysts and critics scoffed at it being nothing but a “big iPhone or iPod Touch with the same button at the bottom.” What these people failed to

realize was that there were over 75 million users that immediately knew how to use the iPad.

MedPort’s interface to the Healthcare user is the Agent. Made to be simple, requiring no formal training, deployable in Linux appliance, mobile App, or desktop system tray utility,

the Agent creates a paradigm shift in communications. Like the iPads competitors have found out, simple is better in todays busy world where users can’t absorb new technologies.

Integration with Current Systems

In the forefront of the news has been the automation of Healthcare and the rapidly growing need of Healthcare providers

(doctors, clinics, etc.) to move from paper to Electronic Healthcare Systems (EHS), or Electronic Medical Records (EMR).

The process of automation, away from paper and it’s

burdensome cost, has been slowed and in many cases stopped because of the lack of simple ways to integrate the many connections needed to link each doctor’s office to different labs, hospitals, insurance, and other Healthcare providers. Chief among

the problem is figuring out who is going to pay for it, when the average cost today is in the thousands of dollars. Other factors include the time it takes to implement connection between

systems and locations, which is an average of six weeks, and the involvement of numerous IT departments who are stressed and overburdened.

MedPort’s approach has eliminated these problems by

providing bridges of communication with Agent technology using Agents and mobile devices that eliminate all together the need to use complicated and outdated types of

communication. With Agent technology, IT involvement, complicated equipment, multi-department engagements that take weeks and months to coordinate, are no longer needed.

Agents, when placed on a doctor’s office network, use standard protocols and methods used in Healthcare to talk to printers, shared folders, and Electronic Healthcare Systems (EHR, EMR), regardless of manufacture type. They do not use

conventional networks or require security changes.

A side benefit of building bridges of communication with MedPort is that the need for HIPAA audits, virus programs,

security controls, threat analysis, outside resources, and multi-equipment and IP tracking that each has their own support cost is eliminated. When these cost savings are realized,

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further expansion and savings can be found through additional communication possible with scaling options available with

MedPort and our Agent technology.

Integrating the Physical Health Information Systems

One of the great challenges in the Healthcare industry is how to integrate dissimilar health information systems made by different software companies, operated on different platforms, and located in different locations. Strides have

been made with interface standards like HL7 (hl7.org), but these address only part of the problem.

With the requirement to include 589,000 potential

locations, millions of potential mobile connections, and notifications to even more users comes several issues that must be answered:

a) Interoperability with disparate systems in different locations.

b) Scalability with adequate resources to offer everyone support.

c) Redundancy in light of the increased use and thus

dependency of new services.

d) Additional mobile interfaces and the stress that the inclusions create on resources.

In addressing this dilemma first for the nations carriers and business infrastructures MedPort addressed theses issues that are each by themselves roadblocks to system

automation, expansion, change, and most importance...cost reduction. A careful examination of these central issues are key to addressing MedPort’s operation and more important the needs that face healthcare.

In addressing the scalability and redundancy issues, MedPort’s predecessor systems integrated what was invented and today is called Portable Object Discovery (POD). POD

has two goals. First, to remove the dependency on then conventional network technologies, lease lines, Frame-Relay, VPN and their offshoot hardware technologies that create a

technical jungle. Second, to eliminate the security risk and complication from the transport of information via TCP/IP as the underlying connector. The prospect of monitoring and managing thousands of carriers’ remote locations from a central

location, the compound problems inherent to this, and the duplication of IP addresses drove the first invention, both simplifying and radically reducing cost.

Physical evidence of this success was in our own facilities with the elimination of 800 pounds of router, firewall and communications

equipment, associated maintenance contracts, and 80 amps of power, replaced with a device that operated on a 150 watt lightbulb.

Interoperability and mobile interfaces are also a benefit of

this operation using POD and General Records running on services that are easy to scale by simply adding more lightweight Linux/Unix appliance servers on the same network. Redundancy

can be further enhanced, as Agents can be told in mass to talk to different systems or locations, making network redundancy and disaster recovery a non-issue. MedPort appliance servers can

support hundreds of thousands of connections with cost dynamics and possibilities that open new ways to communicate.

Connecting with Centralized Healthcare Systems

One thing that MedPort’s technology had to address for Healthcare to be effective was the interface into lab, hospital, and provider systems in order to transmit orders, reports, and

other information.

The resulting invention is Connectors that can be installed and work with current interface systems to move information

to and from MedPort communications services. A second implementation is HL7, which is a growing standard when communicating between Healthcare Systems.

In operation HL7 and Connectors are toll booths on the

Golden Gate Bridge5 and MedPort is the bridge itself.

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Mobile Services

During the last few evolutions of mobility offerings carrier networks and vendor hardware MedPort and it’s parent company, Portico Software learned three valuable lessons:

a) The networks were to slow for most practicable applications and not very reliable.

b) The hardware cost way to much for any real deployment.c) The loading of software was to cumbersome and could not

be done by the user.

To address the needs in Healthcare, we have added one other lesson based on years of experience and user polls:

d) the same application needs to be used for various operations, as time, money, training, and user rolls are varied.

MedPort has invented several technologies, to address this

critical requirement, that work together to provide one platform that can be adopted by different user domains and customized for any organization. This addresses not just the

problems of the Healthcare industry, but business in general.

Mobile deployment today is made possible by the standard App and the App Store that Apple pioneered and is provided by the major players that include Apple, Android, Blackberry,

and Microsoft. The impact on cost can not be stressed enough in conjunction with MedPort Agent technology.

MedPort’s first iterations were tested in the summer of

2008 and an open framework App will be published that provides for the Healthcare industry what could be best thought of areas in a department store rom which to offer

different merchandize. The areas are:

a) Information exchange allowing the secure viewing of reports and information.

b) marketing and awareness to encage the user from.

c) Management of resources like printers and networking equipment with utilization so IT and suppliers can interact leading to greater cost and support matrixes.

d) Notifications or “Shout Outs” as they are called in the new systems that use Apple, Android, Blackberry, notifications services, SMS, and e-mail to shout out to users when communication or updates are needed.

✴Shout Outs as an example could be used by Emergency room staff to

alert someone to make their way to the front desk with no cost to the

hospital and while being completely secure.

e) Secure notes or the beginning of asset tracking so users and administrators can securely with above HIPAA and today’s security standards share little bits of information like passwords, door codes, etc. Mobile Bluetooth devices like Cipher Labs tiny pocket barcode scanner6 makes tracking assets and supplies possible from any mobile device.

f) Resource Button7 a patent pending feature that helps users of all kinds by giving them their own personal technical assistant.

The sharing of secure information on mobile devices is made possible by a variation of POD that on mobile devices.

Security is achieved by “mixing” the unique phone number, device EMI8 number, pin, time, date and GPS coordinates with a unique exchange protocol to confirm or delete devices so that mobile devices are in fact in most instances more secure

than dedicated resources. At the same time it is user intuitive, taking the hardest part of security away from users.

In conjunction with the major App stores, MedPort’s

solution for Healthcare offers development resources that can be used by both technical and marketing departments. It is simple, easy to use, and deploy, while being secure and free.

This is our contribution to solving one of the biggest problems we all face...the cost of healthcare.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

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Mobile

SecurityVerification

InformationExchange

NotificationInteraction

OrganizationResources

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Integrated Blue Tooth and Scanning Technology

One of the more dramatic changes to communications is in barcode, QR Code, and RFI technology that are powering everything from the handheld scanner, heart monitor, weight,

and blood gas tools as an example that work with the mobile devices we talked about. These devices are today islands and need to be integrated into current systems for healthcare provider cost savings to be realized. MedPort offers bridges to

help integrate these tools, making rapid integration and deployment to end users possible.

User Interfaces Built Around Support Resources

One of the common reason for not coming out with anything new in healthcare mirrors businesses reasons today,

and is summoned up in one question, “Who is going to support anything new”?

In the rush to care for the patient and support current systems this must be addressed first before any expansion or

cost savings can be attempted in healthcare. MedPort’s answer was to build the support infrastructure first, learn those important lessons making possible the creation of

services that are intuitive. Then, when the “customer” has a question we have the resources to help.

That’s what we did that starting in 2001 with the first Event Management system built on Microsoft .NET Beta

software and supporting CDP mobile devices; learn how to build scalable support services that support the customer.

Special Printing Options to Increase Efficiency

One of the big problems we all face is paper. While printing will never go away, and in many healthcare and

other environments increase, MedPort is bringing three tools together to offer one service across multiple platforms:

• UltraThin Remote printing tools similar to what is now available to healthcare and used to print reports to remote printers.

• Printer consumable management that notifies and facilitate better remote printer support regardless of where it is located.

• Awareness tools that help users manage, and replace supplies with perfect accuracy via both the help desk and mobile clients using our “Resource” button tools9 .

The big win is that these new features brings users, remote offices, vendors together to measure, react, control, and support

printing needs across the healthcare and business domain while helping to reduce overall cost.

Multiple Services Integrated to Increase Savings

MedPort’s general business side is bringing new and important tools that help healthcare professionals across the board from user to management, organize everything, with

access from anywhere, allowing individuals to take control, thus striping away the complexity of almost anything technical with capabilities that allow us to share our knowledge with others.

These new features are being offered in a format that will allow groups to add their own features and enhancements based on several specific user needs that will be introduced in the three areas; organization, access and control.

Organizing Everything Features

One could argue that building a system that can scale to massive

sizes and includes all kinds of users and services is a bad thing in that is creates a massive technological organizational problem in and of itself - we have built enough systems to ask, and answer that question.

We built MedPort to be your technical brain. MedPort helps eliminate the technical complexity in everyone’s life. You use MedPort to simplify your life, taking control of almost anything that has a battery or power cord, regardless of where it's located. You get less stress and

more done.

a) Discovery - With MedPort and you can find out all sorts of information and have an easy way to store and access it. There

are four kinds of discovery: 1) Agent Discovery, 2) Social Discovery, and 3) CompareIT, and (4 Manual Entry. All are central to the system operation and essential to simplifying complicated systems

with little or no interaction needed by the user.

b) Organize - Get rid of complexity with a feature called Places and Things! Take the complex and make it simple by keeping track of, managing all the technical stuff that we

cannot live without in our personal and business lives.

c) Notes - Use notes so you don’t have to keep track of all those little pieces of paper you keep passwords and phone numbers on.

Think of it as a sticky note with an added camera lens, and voice recorder folded onto you desktop and mobile device. Technical guys, you won’t forget anymore. Notes can be securely shared.

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d) Assets - With asset tracking you can keep track of both technical and non-technical assets. Assets is an extension of

Notes and provides users with a simple, powerful way to automate the addition, and retention of equipment asset information. Use MedPort to find, move and certify that all

your assets are where they should be. And that’s just the start.

e) Security - Keep secure all your server, web, equipment passwords, serial numbers, notes, and support phone numbers in one place and secure. Then share information with selected

people or groups as needed securely so you can concentrate on what’s important.

Access From Anywhere Features

You use MedPort from any device with a web browser, smartphone, iPad, tablet, or mobile device, so it’s always at hand. With the help of our partners we are designing universal apps that

work on all the major providers that include Apple, Android, Blackberry, and Microsoft and are to be used by every area of healthcare.

Take Control Features

MedPort goes one step farther by also letting you share,

contribute, and combine your knowledge and “Resources” with others in very unique ways

a) Management - Monitor and manage almost everything that has a power cord or battery from your desk or mobile device.

b)Connection Helper - Take the guessing game out of, “is it up, or is it down” with Connection Helper. Does your IP phone or Skype…NOT quite right? Is the Agent not reporting in? Connection Helper

makes even a novice a network expert whether you’re working from home, the doctors office across town, in the office or on-the-road.

c) Resource Button - Did you ever order the wrong thing, open

it then try and return it? With MedPort never order the wrong printer cartridge, cable, or widget again. Neat thing about the handy Resource button is it works in the background like your own personal technical brain and when

you need the right answer, correct part or know how to do something, it’s there. Better still take your medical supplies and use the Resource feature to track, dispense and deploy

them. We think it will be the next best thing to aspirin for a headache.

d)Group Up - Need to bring more then two people together to share information across the Healthcare domain. Yep, we

have the same problem so we invented Group Up tools.

e) Document Sharing (DS) - Move documents across the healthcare domain securely in all sorts of ways. Next time

you need to send a healthcare or any document across the healthcare domain we hope you say DS it!

f) Integration Tools - For that Wiz kid wanting to add a feature that will save the Healthcare provider zillions but has no way to do it

we invented IT Tools. Use MedPort to build your own special applications and publish it on MedPort10 or an App or Web store near you and it can use MedPort to bridge communications. It’s

about sharing, so that’s why we built the “road”.

These new features are how we plan to improve patient care and lower cost, while not decreasing services. We believe that these

features, addressing these three areas—organizing everything, access from anywhere, and taking control—will enable Healthcare providers, users, and vendors extend bridges of communication.

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V. Summary and Next StepsWhere to go from here for us

We’ve laid out a basic framework for building bridges of communication today and the direction for tomorrow: what it is, why it’s powerful, and what the challenges we

face are. So what’s next? Here are some brief starter questions to get clarity on before embarking on building bridges of communications.

Questions to Ask

As with any significant undertaking, there are many specific

questions to answer as you think about building bridges of communications to link healthcare organizations together.

Is it working? If we keep doing what we are doing today what will be the

outcome and can it bring the various Healthcare industry domains together while at the same time bring the mobile equations power in play.

Are you Sharing Information? Do your current systems allow a free flow of information sharing and what will it take to make this happen.

Time to Market? How responsive is are your current systems and can they change to adopt to the requirements of how users operate

What are your security initiatives?

How can this and other technologies be used to reduce exposure to increasing threats while simplifying operations, audits and concerns about offering new services that can reduce cost.

Do you have a mobile strategy? What are the steps to embrace to fully utilize mobile and social technologies to share and communicate.

Asset and Resource Management Strategy? Is their a strategy in place that can bring resources, partners and vendors together to bring about new strategies for supporting infrastructures that will improve cost savings

What is Success? Can we define a short list of things if we do in building bridges of communication with both new, social and mobile

tools will define success across the domains of Healthcare?

VI. About Portico Software and MedPortA brief look at the company and its offerings

Portico Software specializes in building communication-centric software solutions. Based in Texas, we have offices in

Phoenix Arizona, Austin, and Arlington Texas.

Portico Software is comprised of professionals that have over 200 years of experience in the communications business combined, and have been developing software for help desks,

portals, communications, mobile, communications carriers, and Healthcare since 1995.

Portico has been in the business of building software for the

communications carrier market, Healthcare, general business market space with it first products built around its own help desk portal software and Portico Monitoring, a help-desk and monitoring system built into software as a service application available on the web. This

was the first of its kind and is in use today.

Portico also makes software that increase the accuracy and efficiency in labs with an integrated scanning solution that

saves time, and by using it reduces malpractice insurance cost.

Web Site Contact Information

For more information about MedPort or to request a copy of the White Paper contact us on the web at medport.com or save time and scan the QR Code from your mobile device and you will be prompted depending on your device to download

or be sent a contact vCard.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 13

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Document Information

Version S3V7.1-1228 produced by the MedPort Group creative team on a MAC with the following tools; Apple Pages, Adobe Fireworks, Illustrator, Bridge, Photoshop, and

QR Code Generator. Document sharing made possible via DropBox, Starbucks Coffee and Whole Foods community table.

Reference and Resources

All features, trade names and quotes are copyright Portico

Software, Inc. unless noted below. MedPort Resource is a trademark and Patent Pending . Secure Bridges of Communication and Secure Bridges of Communication based

on Existing Infrastructures, Portable Object Discovery, are trademarks of Portico Software Inc.

Apple, iPhone, iPad, iPod Touch are trademarks of Apple Corporation. BlackBerry is a trademark of Rim, Inc., Android is

copyright Google, Inc. Microsoft, .NET and SQL are copyright Microsoft Corporation.

White PaperMedPort Healthcare: An introduction to the Use of MedPort in Healthcare Communications

Copyright 2011 Portico Software Inc., All Rights Reserved 14

1 MedPort Resource; Patent Pending and a Trademark of Portico Software, Inc.

2 Source http://tinyurl.com/y9ztr34 - US to add 80 million new smartphone users by 2011

3 Source http://tinyurl.com/2wukeo9.3 - 5.3 billion mobile users based on mobiThinking statistics 2011

4 Source http://www.bls.gov/oco/cg/cgs035.htm - U.S. Bureau of

Labor Statistics 2010 - 2011 Edition

5 Golden Gate bridge by Lauren, one great artist who in a child like eye shows off the great wonder better then any picture I ever took..., http://tinyurl.com/3dtzh2b

6 Cipher Lab’s Bluetooth Pocket Size Scanner used with MedPort was so accurate and the perfect size to use with the iPhone, iPad and Androids we had to mention this one device http://www.cipherlab.com/catalog.asp?ProdID=255

7 Resource Button operation and features released today under NDA to its clients,vendors and partners and includes two US patents one of which is pending

8 Source http://tinyurl.com/4ev58a - The International Mobile Equipment Identity or IMEI is a number, usually unique, to identify

GSM, WCDMA, and iDEN mobile phones, as well as some satellite phones. It is usually found printed inside the battery compartment of

the phone. It can also be displayed on the screen of the phone by entering into the keypad on most phones.

9 These tools are being offered to suppliers to facilitate better interaction, more timely, and accurate replacement of supplies.

10 Our first partner is building a QR Code application that speeds pickup and delivery of specimens and will be free on iTunes.