This document discusses the impact and costs of pressure ulcers in healthcare settings and promotes WoundRounds as a solution. Some key points: - Pressure ulcers result in 60,000 deaths per year in the US and cost $11 billion to treat. The average cost per pressure ulcer is $43,180. - Nursing homes and hospitals face fines and lawsuits for pressure ulcers that develop in their facilities. Staff time spent on wound care is also significant. - WoundRounds is a mobile wound care application that allows nurses to perform assessments, documentation and tracking at the bedside. Users report significant time savings. - A nursing home that implemented WoundRounds saw a reduction in

1. SHINE THE LIGHT! emPower Tools for Wound Care Professionals patient safety @woundrounds

2. Pressure Ulcers Take a Massive Toll ” “ Long-Term Care Hospitals Face Little Scrutiny New York Times | February, 2010 Study Finds No Progress in Safety at Hospitals New York Times | November, 2010 60,000deathsper year in the US are due to pressure ulcer complications New England Journal of Medicine The average treatment cost per pressure ulcer is $43,180, costing the US $11 Billion per year Centers for Medicare and Medicaid Services (CMS) ” “

3. Pressure Ulcers Waste Lives and Resources Everett, WA Nursing Home Owner Settles Case For $3.5M January 20, 2011 Christus St. Vincent Regional Medical Center (NM) Slapped With $10.3MPenalty in Bed Sore Lawsuit February 11, 2011 25%Turnover Among Christus St. Vincent Nurses, LowerThan Prior Year February 27, 2011 RN turnover at nursing homes is 50%

4. A Hospital Stay of Just a Couple Days can Have Dire Consequences… Case A: active 78 yr-old Care Setting: hospital Pressure Ulcer Location: both heels Stock photo Got PrU NINE months to heal 4

6. 60,000 people die every year in the US from pressure ulcer complications5

7. A Perfect Storm Rages Within Healthcare Providers HIGH RISK: 60,000 deaths / year #2 reason for lawsuits fines up to $10,000 / day HIGH COST: pressure ulcers cost $38-63k to treat w/ capped or NO reimbursement INEFFICIENT OPERATIONS: difficult to prevent & manage wounds with paper charts LABOR SHORTAGE: turnover of 50% for LTC RN’s HIGH PREVALENCE: 2.5M pressure ulcers / year 6

8. Healthcare Climate is a Perfect Storm for WoundRounds™ Adoption 70% of nursing homes rank “reducing PrUs“ as #1 goal NO reimbursement for “never events” like pressure ulcers, which cost $25B per year Accountable Care Organization (ACO) model drives providers together to improve quality, reduce costs “Partnership for Patients” $500M government initiative to reduce hospital readmissions Graying… …boomers 7

9. The Solution: WoundRoundsTM WoundRoundsTM mobile solution drives wound prevention and wound management RNs use PDAs bedside SaaS-based Decision-support tools

10. What Users are Saying “What used to take me hours, days and weekends, now takes me minutes. When you use WoundRounds™ you are on-target, on top of things.” Director of Nursing “ This program is a godsend! We would be totally sunk without WoundRounds™ with the number of wounds we have.”Wound Care RN “I implemented WoundRounds™ because I found that my ‘most expensive’ nurses were spending too much time on trivial, administrative tasks.”Administrator “With WoundRounds™, we are catching wounds earlier in the patient's stay.”Administrator 9

11. WoundRounds Helps Facilities Do More With Less post-acute providers’PAIN: RN shortage, high RN turnover & re-training costs highly variable wound care RN training and competence SNF’s perception that readmission rates, wound care costs, physician services, and liability costs are beyond their control pressure from hospitals to reduce readmission rates fines, lawsuits, litigation …is our OPPORTUNITY: savings of 8-10 hrs/week per wound care RN 50-80% reduction in facility-acquired pressure ulcers lower wound care costs decreased readmissions reduced fines and litigation

13. Nofinesor penalties vs. $15,000 paid in previous year = NET gainsover$90,000 in six months COSTS 11

14. WoundRounds™Creates Raving Fans “ I wouldn’t work here without WoundRounds.” Wound Care LPN “ The system forces us to be at the bedside with the patient and family…. that equates to more quality time spent with the patient and that is always a great thing. Both the patients and family members really like us using the WoundRounds™ system.” Director of Nursing “...for our annual State Survey, there were NO questions asked regarding issues with wounds or care plans, and NO tags [fines] issued.“ Administrator “ Physician satisfaction with WoundRounds is very high, they think it is 'unbelievable!' We are able to take WoundRounds data to the physicians to help support our request for recommended treatments.“ Administrator “I took over from another RN, and was trained over the phone in five minutes. I was immediately able to begin my rounds using WoundRounds.” Wound Care RN 12

15. emPower Tools for Wound Care Professionals information@woundrounds.com www.woundrounds.com 1721 Moon Lake Blvd., Suite 201 Hoffman Estates, IL @woundrounds