New Pharmaceutical and Medical Devices Opportunities Peter T. van der Grinten General Manager US/Canada, dbMotion

1. © 2004-2010 dbMotion© 2004-2010 dbMotion
Connected Healthcare
Toronto October 28, 2010
dbMotion Overview

2. © 2004-2010 dbMotion© 2004-2010 dbMotion
dbMotion – Company Overview
• Originally established in 1996, integrated into Ness Technologies
(NASDAQ: NSTC) in 1999
– Spun-off from Ness Technologies in 2004 after successful implementation
of the product at Clalit Health Services (Israel)
• Venture capital funded: Vertex, Pitango, Gemini, UPMC - 3
rounds
• Revenue stage
• 130+ Employees
• Strong infrastructure, ISO 9001 certified

3. © 2004-2010 dbMotion© 2004-2010 dbMotion
Go to Market
• dbMotion works with local/global partners and system integrators
to reach customers and provide professional services, implementation and
support.
• Priorities:
– North America (IDN & Provincial Initiatives)
– Asia Pacific – early stage market entry
• US - Ramped up direct and indirect sales activities targeting key customers
(local and relocated personnel), first deals closed, developed pipeline
• Establishing partnerships with strong local/global channels and SIs
(Allscripts, IBM, Accenture, Orange Healthcare, etc.), Telecoms and HIT
vendors

4. © 2004-2010 dbMotion© 2004-2010 dbMotion
UPMC Case Study #1
• Saturday night-Presby ED
• 29 year old drunk man seen after bar fight

5. © 2004-2010 dbMotion© 2004-2010 dbMotion
There were no problems listed in this patient’s problem list
Bar Fighter
Launch dbMotion directly from chart

6. © 2004-2010 dbMotion© 2004-2010 dbMotion
Bar Fighter
HIV positive

7. © 2004-2010 dbMotion© 2004-2010 dbMotion
•64 year old man seen by his PCP for follow up
•Patient has a history of Prostate Cancer
•Allergy to Codeine noted in EpicCare
UPMC Case Study #2

8. © 2004-2010 dbMotion© 2004-2010 dbMotion
Patient has a codeine allergy

9. © 2004-2010 dbMotion© 2004-2010 dbMotion
Example Patient

10. © 2004-2010 dbMotion© 2004-2010 dbMotion
Example Patient

11. © 2004-2010 dbMotion© 2004-2010 dbMotion
Early Clinical/Operation Impact – Pre-op procedures
11
Time Measured Before dbMotion [Min-Max] After dbMotion [Min-Max]
Time spent looking for information 1-41 Minutes 1-5 minutes
Time spent waiting for information 5 minutes - 20 hours 5 seconds - 12 hours
Percentage of patients not ready at
the morning of operation 30% 15%
Bottom line impact
• 82% reduction in wasted time
• 50% increase in number of patients ready on-time for operations

12. Israel HIN
© 2006 dbMotion Ltd. Proprietary and Confidential.
Clalit Health Services/Rambam/Sheba MC

13. © 2004-2010 dbMotion© 2004-2010 dbMotion 13
About Clalit Health Services
• The largest Health Maintenance Organization (HMO)
in Israel and one of the largest in the world
• 3.8 million customers
• 32,000 employees, 9000 physicians
• 14 hospitals, 600 admitting departments
• 1300 clinics
• 500 pharmacies

14. © 2004-2010 dbMotion© 2004-2010 dbMotion 14
2004-2007 dbMotion Ltd.
14
Israel’s HIN - Hospitalsk
Rambam
Sheba
Golda
360 beds
Schneider
260 beds
Levinshtein
240 beds
Harzfeld
310 beds
Beit Rivka
300 beds
Carmel
520 beds
Beilinson
900 beds
Kaplan
HaEmek
520 beds
Meir
800 beds
Yoseftal
70 beds
Shalvata
114 beds
16 Hospitals
166 beds
Geha
1,100 beds
Soroka
640 beds
ClalitHealthServicesHospitals
1,700 beds
900 beds
Government Hospitals
Hadassah E.C.
Hadassah H.Z
660 beds
290 beds
Private Hospitals
Clalit HS Hospitals
(By the end of 2008)
(By the end of 2008)
Israel’s HIN - Hospitals

15. © 2004-2010 dbMotion© 2004-2010 dbMotion
Then... The Clinics
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1,300 clinics

16. © 2004-2010 dbMotion© 2004-2010 dbMotion
dbMotion SmartWatch™
A new application that will be available
with the dbMotion Connected
Healthcare Solution.
Designed as a population-based data
analysis and monitoring solution that
leverages the semantic platform,
enabling monitoring of populations for
a variety of conditions or events.
Primary focus includes:
– Condition Monitoring
– Event Alerting
– Action Management
– Clinical Dashboarding
Chronic Conditions - Bio Surveillance - Epidemic Outbreaks - Social Services

17. © 2004-2010 dbMotion© 2004-2010 dbMotion
Virtual Patient available to multiple applications & uses
Agility : Using the Interoperable Patient Record
NHIN
Hospitals - ClinicsRegistries
Untethered
PHR
IBM-Cognos
Analytics
Other Uses
& Apps…
Wireless
Application

18. © 2004-2010 dbMotion© 2004-2010 dbMotion
Ten years delivering connected healthcare solutions
65 Hospitals and Growing with World Class Partners

19. © 2004-2010 dbMotion© 2004-2010 dbMotion
IRIS Group – Brussels, Belgium
Group of 5 hospitals and clinics spread across 11 sites in the
Brussels region. Delivering public healthcare services to over
1.5 million residents.
• Initial Implementation
– Integrating data from: AGFA QDOC, AGFA PACS, GLIMS labs, DIAMIC Pathology labs,
Siemens and IBM ADT as well as other ancillary systems
– Clinical Domains: demographics, procedures, diagnoses, labs, documents, imaging
– Documents include: PDFs, large “blobs”/text, notes and documents
• Goals:
– Establish a unified information platform that enables the sharing of patients’ clinical
information across the enterprise
– Enable IRIS physicians to explore medical data of a given patient within the IRIS system using
dbMotion Clinical Views
– Provide IRIS with a web based portal as the main entry point for all clinical information
– Unique Patient ID
– Provide a solution for exchanging structured data & documents
– Provide a clinical viewer to help healthcare professionals
navigate complex medical records

20. © 2004-2010 dbMotion© 2004-2010 dbMotion
Winnipeg Regional Health Authority
• HIAL Project for INFOWAY
• 5 major hospitals
• 1,0000 clinics and Doctor Practices
• Go Live 2010
• Primed by IBM
– MS
– dbMotion
– Novell
– Others