1. CONNECTING HEALTH TO HEALTH CARE

2. Trapollo Overview
• A managed service and software company
• Focus Area is building and maintaining large scale
national remote health monitoring programs
• Headquartered in Dulles/Sterling, Virginia
• Servicing programs in all 50 states and beyond
• Markets Served - Payers, Providers, Research, Home Health, Universities,
Government and Self Insured Corporations
• National Distributor and Service Provider for the leading manufacturers of
Tele-health and Remote Health Monitoring technologies

3. Partners
Trapollo has distribution agreements setup with the following companies

4. Diverse in Experience
Client: Humana Mercy Gentiva
Program Type Insurance Hospital Home Health
Technology Care Innovations Philips Honeywell
Number of Health Kits 1,400 1,000 800
Patients Per Year (max) 2,500 4,000 2,500 to 3,000
Avg. Length of Stay 9 months 90 Days 30 Days
Organization Size National 34 Hospitals 157 Branch Locations
Geographic Coverage 45 States 4 States 20 States
Program Focus Chronic Disease
Management
Post Discharge -
Population Health
Management
Post
Discharge

5. Remote Health Monitoring …
Collecting Useful Data From the Patient Home
Vital Sign Data Collection:
• Weight
• Blood Pressure
• Pulse
• Glucose Levels
• O2 Level
• Temperature
• Respiratory Rate and Capacity
• ECG
• Other …
Other Data Collection Types:
• Medication Adherence
• Motion Sensing
• Activity Tracking
• Fall Detection
• Surveys:
• Mental
• Physical
• Nutrition
• Other …

6. Market Size

7. Why Healthcare Systems Are Doing It …
• Remote Patient Monitoring Improves Outcomes
• Remote Patient Monitoring Saves Money …
• Admission and Re-Admission Reduction
• Reduces Transportation Cost
• Creates Staff Efficiency
• Remote Patient Monitoring Generate Revenues
• Frees up Hospital Bed Space by Reducing Length of Stay
• Increase the Number of Patients that can be Managed
• It Delivers a Big ROI When Used Effectively

8. Outcome Data

9. Conditions That Can Be Effectively Monitored
• Heart Failure
• Pneumonia
• Acute Myocardial Infraction
• Diabetes
• COPD
• Hypertension
• Co-Morbidities
• Post Surgical
• Mental Condition … Depression and other
• High Risk Pregnancy
• Other …

10. Device
Transfers
Patient to Patient
Clinical
Monitoring
Data
Analytics
Field Support
and
Patient Training
Patient
and Technical
Support
Patient Outreach
&
Non-clinical
Monitoring
Program
Design
Device
Evaluation
and Acquisition
Device
Management
Elementsofasuccessfulprogram

11. How Trapollo Makes It All Work
Program Design
Services
• Develop Requirements
• Process Flows
• Procedures
• Documentation
• Patient Selection & Enrollment
• Patient Orientation Tools
• Monitoring Model
• Technology Selection
• Legal
Program Process
Validation Services
• Setup Trapollo Management
Console “TMC”
• Setup Data Transfer Interface
• Develop Project Reporting
• Develop Kit Configuration
• “GO LIVE”
• Use selected technology
• Patient on-boarding
• Installation & De-Install
• Monitor, Report, Analyze
Design Test & Learn Implement
Trapollo Supported -
Customer Run
• Trapollo Management
Console “TMC” License
• 7 Days a Week
Trapollo Technical
Support
Full Trapollo Supported
We do it all
• Project Management
• Warehousing
• Kitting & Spare Management
• Logistics
• Installation & De-Install
• Recondition, Clean, Calibrate
• Customer & Technical Support
• RMA Management
• Leasing & Consolidated Billing
People
Process
Technology

12. Program Structure
Workshops
Program Validation
Workshop
Stakeholders
Workshops
Deliver Findings and
Recommendations Report
Technology
Workshop
Deliver Final Program
Design Plan
Program Design Consulting Steps
Project Kick-off
Meeting

15. Device Setup
Kitting
Inventory Management
Warehousing
RMA Administration
Outbound Shipping
Equipment Management Services
TrapolloManagedServices
Device Sanitation
Device Calibration
Device Testing
QA Check
Re-kitting
Re-deployment
Customer and Technical Support
Dedicated Project Management
Scheduling Services
7 Day/Week Customer Support
7 Day/Week Technical Support
Help Desk and Ticket Management
Training
Monitoring & Triage Services
Patient Outreach
Non-Clinical Monitoring
Alert Validation
Triage Services
Weekend Coverage
Site Readiness Assessment
Phone Assisted Installation
On-site Installation
Patient Device Orientation
Device Removal
Equipment Pick-up
Return Shipping
Field Support and Patient Training
Device Evaluation
Equipment Acquisition Management
Consolidated Program Billing
Equipment Financing
Trapollo
Management
Console
Software
that makes it
all work
Technology
Recycling Services

16. Trapollo Management Console
Patient on-boarding
data feed
Can be integrated with
OEM monitoring software
Program
Management Scheduling
Inventory
Management
Device
Setup Shipping
Residential
Installation
Help Desk Patient
Transfers
TMC is specially designed for managing all aspects of Remote Health Monitoring Programs
Patient Database
or
EMR

17. Trapollo Distribution, Integration & Logistics Center

18. How Does The RPM Technology Work ?
Data within
acceptable range
No Action Required
Vital sign / survey data / alerts are
collected or triggered in the patients home
Fall / Motion Alerts
Through a web enabled
dashboard, Care Managers monitor
hundreds of patients remotely
Care Manager contacts patient to
validate a positive reading. Once validated,
corrective action is taken
Care Manager / Wellness CoachMedication
Adherence

19. MarketSize
Technology Sophistication
Two Way Video
Media Rich Educational Content
Natural Speech Commands
Vital Sign Measurement
Scheduled Health Sessions
Custom Surveys & Assessments
Medication Adherence Alerts
Passive
Vital Sign Administration
The Technology Spectrum For
Remote Health Monitoring
Vital Sign Administration
Scheduled Health Sessions
Custom Surveys & Assessments
Medication Adherence Alerts
$ $$$ $$$$

20. RPM Technology Options
Representative Sample of Home Monitoring Hub Devices
Connected In Home Monitored Devices
Safety & Independent
Living Devices:
Weight Scale BP Monitor Glucose Meter Pulse Ox Peak Flow Meter
Medication
Dispenser(s)
Heart Rate
& PedometerRhythm Strip Recorder
Fall / Motion Sensing

21. Sample of Diabetes Management Platforms
A&D Weight Scale BT
A&D BP Monitor BT
My Gluco Glucometer
Wireless
Weight Scale
BP Monitor
Wired
Bayer Glucometer
A&D Weight Scale BTMy Gluco Glucometer
A&D BP Monitor BT
Two Way Video
Media Rich Educational Content
Natural Speech Commands
Vital Sign Measurement
All Bluetooth Enabled
Scheduled Protocol
Custom Health Surveys
Medication Alerts via Survey
Passive Technology
All Bluetooth Enabled
Vital Sign Measurement
Custom Surveys via IVR
Medication Alerts via IVR
- Text Msg, E-mail, Auto Call
Vital Sign Measurement
Wireless and Wired Solution
Scheduled Protocol
Custom Health Surveys
Medication Alerts

23. CONNECTING HEALTH TO HEALTH CARE