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SweetSpot is subject to regulation by the FDA and has
                                                           received 510(k) clearance (K11509) for the submitted solution.
                                                           This submission is consistent with SweetSpot’s cleared
                                                           indication of use and is not intended to promote any use
                                                           outside of that indication.




       SweetSpot Diabetes Care, Inc.
       Allscripts Open App Challenge
       SweetSpot Diabetes App

  Tyler Blitz, Director of Product Marketing, SweetSpot
  Jeff Slabaugh, Sr. Applications Engineer, SweetSpot
	
  
	
  
  Copyright © 2011 Allscripts Healthcare Solutions, Inc.



                                                                                                                        1
Solution Overview
 Ø  High-level solution description:
        •  The SweetSpot Solution improves management of diabetes by helping care
           professionals to easily download data from patient blood glucose meters (BGMs)
           and generate reports based on collected information
        •  Patient reports can be printed, downloaded, or even stored to the patient’s record
           in support of effective diabetes treatment

 Ø  Healthcare/Business problems addressed:
        •    In-clinic downloads and analysis of BGM data is inefficient
        •    Multiple PC-only applications must be maintained to connect with different BGMs
        •    Each application generates non-standard, non-portable reports
        •    Device settings (date/time) are often incorrect and can lead to treatment errors

 Ø  The application developed addresses the following category:
        q   Applications that improve management of high-cost chronic diseases


                                                                                             Copyright © 2013 SweetSpot Diabetes Care, Inc.




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.                                             2
Usability and Design
How the SweetSpot App works with Allscripts PRO:
1.  Patient “checks-in”
2.  Connect patient BGM device to EHR upload station (via USB)
3.  In Allscripts PRO à
       •  Open patient chart and either select or create an Open Encounter
       •  Select ‘Diabetes Device Upload’ from the ‘Menu’ drop-down
       •  SweetSpot opens in the default browser, ready to upload patient data
4.  Within the SweetSpot web app à
       •  Confirm patient identity, select BGM type, and click ‘Fetch’
       •  BGM info is sent to SweetSpot to generate a patient report
       •  Click ‘View’ to open the patient report from the SweetSpot webpage
5.  Report is saved to patient record in Allscripts PRO as a chart attachment




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.   3
Design Focus and Samples
We strive to understand customer needs and deliver complete solutions that
are consistent with existing clinic workflows.
Design Focus Areas
1.  Customer experience
2.  Ease of use
3.  Reliability
4.  Patient outcomes




                       Upload	
  Webpage	
  (sample)	
                                       Pa1ent	
  Report	
  (sample)	
  




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.                                      4
Development Stage
 Ø  Development stage as of the Phase 1 submission date:
        q  SweetSpot for Allscripts PRO:
             Core Development: 100% Complete
             Still need custom SweetSpot-specific Doc Type; will perform final testing of SaveDocumentImage
        q  SweetSpot for Allscripts Enterprise:
             Core Development: 70% Complete
             Still need custom SweetSpot-specific Doc Type; will implement solution in a frame within the EHR and
             perform end-to-end testing

 Ø  Solution development details:
        •    Phase I solution delivers basic functionality to produce a viable, useful solution
        •    Phase II solution will strengthen the integration with optimal workflow
        •    Solution roadmap:
               §    Use existing Vitals functionality to store, track, and trend blood glucose measurements
                     over time
               §    Offer additional report options tailored to support specific use cases seen among
                     Allscripts users
               §    Create option to archive patient data in Chart Attachments or Procedure Results
                     alongside the standard SweetSpot patient reports
               §    Consider associating SweetSpot use with appropriate billable procedure (via CPT code)




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.                          5
Integration Description
 Ø  Integration points with Allscripts solution(s):
        •  Allscripts PRO EHR
               SweetSpot launches in an external browser
        •  Allscripts Enterprise EHR
               SweetSpot will launch in a frame within the EHR

 Ø  APIs/Web service calls used:
        •  SweetSpot Phase I submission employs the following API endpoints:
               §    GetSecurityToken
               §    Magic - GetPatient
               §    Magic - GetDocumentType
               §    Magic - SaveDocumentImage
               §    RetireSecurityToken




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.   6
Go-to-Market Plans
 Ø  SweetSpot overview:
        •    12-employee company, independently operated in Portland, Oregon
        •    Part of Dexcom, Inc. (NasdaqGS: DXCM)
        •    FDA clearance 510(k) K11509 covers the solution for use with all blood glucose meters
             “Indication for Use: The SweetSpot Diabetes Data Management Service is intended for use in clinical settings by
             both patients and healthcare professionals, to assist in the review, analysis, and evaluation of blood glucose test
             results by the clinician to support effective diabetes management. It is intended for use as an accessory to blood
             glucose meters with data interface capabilities.”
 Ø  Go-to-market approach:
        •    Client site for initial deployment already identified (Allscripts PRO)
        •    Initial sales will focus on diabetes specialists; then, we expect to expand the focus to general Allscripts users
        •    Detailed go-to-market plans TBD
 Ø  Allscripts customer segment targets:
        •    Customers of Allscripts PRO EHR and Allscripts Enterprise EHR
 Ø  Proposed pricing:
        •    Standard pricing (subscription model) is a fixed monthly fee per station where downloads are performed, and
             includes:
               §    Unlimited downloads
               §    Web access to patient reports (pdf) and device data (Excel)
        •    Special pricing for Allscripts customers will follow a similar model, and also will include:
               §    Integration with Allscripts EHR
               §    Automatic delivery of SweetSpot reports and data to Allscripts EHR, stored as part of the patient’s record

                                                                                                   Copyright © 2013 SweetSpot Diabetes Care, Inc.




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.                                                   7
Video Demonstration
 Ø  http://vimeo.com/58843207
 Ø  This SweetSpot Diabetes App Video shows a working
     solution, integrated with the Allscripts PRO EHR
 Ø  This solution supports effective care for patients with
     diabetes by allowing Allscripts users to collect information
     from nearly any patient blood glucose meter
 Ø  It generates a standard report with valuable statistics and
     visualizations and stores a copy automatically to the
     patient’s medical record




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.   8
Why This Solution Should Be Selected!
 Ø  No EHR vendor currently offers this capability
 Ø  System highlights
        •    Device uploads are supported across blood glucose meter devices from multiple vendors
             including Abbott, AgaMatrix, Bayer, LifeScan, Nipro, Omnis Health, Relion, and Roche
             (new devices are being added regularly!)
        •    Device drivers and SweetSpot software updates are installed automatically
        •    OS support: Microsoft Windows and Apple OSX
        •    Browser support: IE8+, Chrome, Firefox, Safari

 Ø  Windows 8 compatibility verification is currently underway
 Ø  Regulatory highlights
        •    Additional submissions to the FDA are planned for use with insulin pumps, continuous
             glucose monitors (CGMs), and independent use by consumers
        •    FISMA Medium Certification (in process)




A Connected Community of Health |   Copyright © 2011 Allscripts Healthcare Solutions, Inc.           9

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Allscripts Open App Challenge Phase 1 Submission (SweetSpot Diabetes Care, Inc.)

  • 1. SweetSpot is subject to regulation by the FDA and has received 510(k) clearance (K11509) for the submitted solution. This submission is consistent with SweetSpot’s cleared indication of use and is not intended to promote any use outside of that indication. SweetSpot Diabetes Care, Inc. Allscripts Open App Challenge SweetSpot Diabetes App Tyler Blitz, Director of Product Marketing, SweetSpot Jeff Slabaugh, Sr. Applications Engineer, SweetSpot     Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1
  • 2. Solution Overview Ø  High-level solution description: •  The SweetSpot Solution improves management of diabetes by helping care professionals to easily download data from patient blood glucose meters (BGMs) and generate reports based on collected information •  Patient reports can be printed, downloaded, or even stored to the patient’s record in support of effective diabetes treatment Ø  Healthcare/Business problems addressed: •  In-clinic downloads and analysis of BGM data is inefficient •  Multiple PC-only applications must be maintained to connect with different BGMs •  Each application generates non-standard, non-portable reports •  Device settings (date/time) are often incorrect and can lead to treatment errors Ø  The application developed addresses the following category: q Applications that improve management of high-cost chronic diseases Copyright © 2013 SweetSpot Diabetes Care, Inc. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2
  • 3. Usability and Design How the SweetSpot App works with Allscripts PRO: 1.  Patient “checks-in” 2.  Connect patient BGM device to EHR upload station (via USB) 3.  In Allscripts PRO à •  Open patient chart and either select or create an Open Encounter •  Select ‘Diabetes Device Upload’ from the ‘Menu’ drop-down •  SweetSpot opens in the default browser, ready to upload patient data 4.  Within the SweetSpot web app à •  Confirm patient identity, select BGM type, and click ‘Fetch’ •  BGM info is sent to SweetSpot to generate a patient report •  Click ‘View’ to open the patient report from the SweetSpot webpage 5.  Report is saved to patient record in Allscripts PRO as a chart attachment A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3
  • 4. Design Focus and Samples We strive to understand customer needs and deliver complete solutions that are consistent with existing clinic workflows. Design Focus Areas 1.  Customer experience 2.  Ease of use 3.  Reliability 4.  Patient outcomes Upload  Webpage  (sample)   Pa1ent  Report  (sample)   A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4
  • 5. Development Stage Ø  Development stage as of the Phase 1 submission date: q  SweetSpot for Allscripts PRO: Core Development: 100% Complete Still need custom SweetSpot-specific Doc Type; will perform final testing of SaveDocumentImage q  SweetSpot for Allscripts Enterprise: Core Development: 70% Complete Still need custom SweetSpot-specific Doc Type; will implement solution in a frame within the EHR and perform end-to-end testing Ø  Solution development details: •  Phase I solution delivers basic functionality to produce a viable, useful solution •  Phase II solution will strengthen the integration with optimal workflow •  Solution roadmap: §  Use existing Vitals functionality to store, track, and trend blood glucose measurements over time §  Offer additional report options tailored to support specific use cases seen among Allscripts users §  Create option to archive patient data in Chart Attachments or Procedure Results alongside the standard SweetSpot patient reports §  Consider associating SweetSpot use with appropriate billable procedure (via CPT code) A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5
  • 6. Integration Description Ø  Integration points with Allscripts solution(s): •  Allscripts PRO EHR SweetSpot launches in an external browser •  Allscripts Enterprise EHR SweetSpot will launch in a frame within the EHR Ø  APIs/Web service calls used: •  SweetSpot Phase I submission employs the following API endpoints: §  GetSecurityToken §  Magic - GetPatient §  Magic - GetDocumentType §  Magic - SaveDocumentImage §  RetireSecurityToken A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 7. Go-to-Market Plans Ø  SweetSpot overview: •  12-employee company, independently operated in Portland, Oregon •  Part of Dexcom, Inc. (NasdaqGS: DXCM) •  FDA clearance 510(k) K11509 covers the solution for use with all blood glucose meters “Indication for Use: The SweetSpot Diabetes Data Management Service is intended for use in clinical settings by both patients and healthcare professionals, to assist in the review, analysis, and evaluation of blood glucose test results by the clinician to support effective diabetes management. It is intended for use as an accessory to blood glucose meters with data interface capabilities.” Ø  Go-to-market approach: •  Client site for initial deployment already identified (Allscripts PRO) •  Initial sales will focus on diabetes specialists; then, we expect to expand the focus to general Allscripts users •  Detailed go-to-market plans TBD Ø  Allscripts customer segment targets: •  Customers of Allscripts PRO EHR and Allscripts Enterprise EHR Ø  Proposed pricing: •  Standard pricing (subscription model) is a fixed monthly fee per station where downloads are performed, and includes: §  Unlimited downloads §  Web access to patient reports (pdf) and device data (Excel) •  Special pricing for Allscripts customers will follow a similar model, and also will include: §  Integration with Allscripts EHR §  Automatic delivery of SweetSpot reports and data to Allscripts EHR, stored as part of the patient’s record Copyright © 2013 SweetSpot Diabetes Care, Inc. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7
  • 8. Video Demonstration Ø  http://vimeo.com/58843207 Ø  This SweetSpot Diabetes App Video shows a working solution, integrated with the Allscripts PRO EHR Ø  This solution supports effective care for patients with diabetes by allowing Allscripts users to collect information from nearly any patient blood glucose meter Ø  It generates a standard report with valuable statistics and visualizations and stores a copy automatically to the patient’s medical record A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8
  • 9. Why This Solution Should Be Selected! Ø  No EHR vendor currently offers this capability Ø  System highlights •  Device uploads are supported across blood glucose meter devices from multiple vendors including Abbott, AgaMatrix, Bayer, LifeScan, Nipro, Omnis Health, Relion, and Roche (new devices are being added regularly!) •  Device drivers and SweetSpot software updates are installed automatically •  OS support: Microsoft Windows and Apple OSX •  Browser support: IE8+, Chrome, Firefox, Safari Ø  Windows 8 compatibility verification is currently underway Ø  Regulatory highlights •  Additional submissions to the FDA are planned for use with insulin pumps, continuous glucose monitors (CGMs), and independent use by consumers •  FISMA Medium Certification (in process) A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9