Demo from the Health Hackathon 2015 at Cornell Tech April 10-12. http://healthhackathon2015.splashthat.com/ Solves the unmet needs of real-time reservations and complete coordination of patient referrals to nursing homes. HandOff is the first and only platform to address nursing home bed availability and overbooking, optinizes patient flow & care, reduces administrative time, and increases patient throughput at the hospital, Team Members Allen Wang, MIT MD, MPH '15 Tiffany Lee, Cornell MEng CS '15 Dhruva Chandramahan, Weill Cornell PhD Math '16 Avinash Murugan, Cornell BS Biology '16 Nichita Kulkarni, Cornell BA Biology '16 Will Feng, Cornell BS CS '15 Helena Wang, Cornell BA CS '15

1. Moving patients from hospitals to nursing homes
has never been easier
A huge opportunity in a $31 Billion Industry

2. Present-Day
Cycle
Hospital
Books Room
for Patient in
Nursing Home
Nursing Home
Reviews and
Accepts
Patient
Hospital
Stuck with
Patient
Nursing
Home
Overbooks
30% of
Bookings
Cancelled by
Hospitals¹
1.Eugene Litvak, PhD. http://isites.harvard.edu/fs/docs/icb.
topic1418162.files/Class%2011%20Slides%20-%20Part%201.pdf
2.Centers for Medicare & Medicaid Services 2010. http://www.cms.
gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
Reports/Reports/downloads/costdriverstask2.pdf
3. LeadingAge.org 2011. http://www.leadingage.
org/2012_Skilled_Nursing_Facility_Prospective_Payment_System_
Final_Rule.aspx
Avg cost of $1,100 per
avoidable stay2
Avg of 1,150 preventable
stays/year/hospital3

3. A Focused Issue
Unable to
consistently send
patients to nursing
homes when needed
Overbooking
due to high
volume of
cancellations
(30%)
Hospitals
NursingHomes

4. Competitor Analysis
There remains unmet needs of real-time reservations
and complete coordination of patient referrals to
nursing homes.

5. Status Quo
An Average of 130
Nursing Homes

6. Our B2B Solution:
HandOff would be the first and only platform to address
● nursing home bed availability
● overbooking

7. Demo

8. A Subscription Pricing Model
REVENUE Year 1 Year 2 Year 3 Year 4 Year 5
Subscription Model ($60k/Year) 60,000 60,000 60,000 60,000 60,000
# Hospitals 3 10 30 75 150
Subscription Revenue $180,000 $600,000 $1,800,000 $4,500,000 $9,000,000
Nursing Home (FREE) 0 0 0 0 0
Advertising on Listing Page $5,000 $5,000 $15,000 $20,000 $60,000
Net Revenue $185,000 $605,000 $1,815,000 $4,520,000 $9,060,000
COSTS
Company Expenses (2 FTEs+
Equipment)
100,000 250,000 300,000 400,000 400,000 1,000,000
PROFITS/LOSSES -100,000 -65,000 305,000 1,415,000 $4,120,000 $8,060,000

9. Solved Pain PointsHospitals
NursingHomes
Patient Throughput
Bundle Payment
Retention
Patient Care Time
Administrative Time
Overbooking
Optimizes Patient
Flow
Administrative Time

10. Deploying to Market and Future Expansion
1.http://kff.org/medicare/state-indicator/per-enrollee-spending-by-residence/
Nursing
Homes
Acute Care
Long-Term Acute
Care Hospitals
Inpatient
Rehab
Facilities
Assisted
Living
Facilities
North Texas Area
(TX has 4th
highest medicare
spending/capita¹)
Expand
geographically
across the U.S.

11. Future
Features

12. Helena Wang
Computer Science ’15
Technical
Clinical Business
Will Feng
Computer Science ‘15
Allen Wang
MD/MPH Candidate
Dhruva Chandramohan
NIH Clinical Researcher
Nichita Kulkarni
Senior consultant,
Social Business
Consulting
Avinash Murugan
Business Consulting,
Non-profit founder
Tiffany Lee
Business Consulting
Our Team

13. This is our progress in the last 24 hours.
Imagine what we can do going forward.

14. Fin

15. A Costly Problem
Medicare’s solution:
align payments across PAC
providers for select
conditions¹
→ revenue decrease for
PAC providers
Medicare’s payments to more than 29,000 PAC
providers totaled $59B in 2013, more than doubling
since 2001¹
¹Medpac March 2015 Report.
Counterbalance
decrease in revenue
by increasing
efficiency

16. Statistics
Cost to Hospitals
$3.1 Billion¹ write off annually in avoidable stay costs
Avg of 1,150 preventable stays/year/hospital²
Avg write-off cost of $1,265,000/year/hospital²
Reimbursement Trends
Medicare reimbursement to nursing homes cut by 11.1%¹ (-$6.4
Billion)
No longer fee-for-service, moving towards bundled payments
1.Eugene Litvak, PhD. http://isites.harvard.edu/fs/docs/icb.topic1418162.files/Class%2011%20Slides%20-%20Part%201.pdf
2. LeadingAge.org 2011. http://www.leadingage.org/2012_Skilled_Nursing_Facility_Prospective_Payment_System_Final_Rule.aspx

17. Single Hospital Revenue Proposition
$500 M Revenue,
$16K per patient¹
(Median among US States)
1.http://www.ahd.com/state_statistics.html
2.Cost Drivers for Dually Eligible Beneficiaries. Centers for Medicare & Medicaid Services. August 2010.
Our Potential
Value Add:
$35 Million
(7% of Revenue)
Saving of $1K per patient²
$535 Million Revenue,

18. Pricing and Relevance/Exit

19. DischargePatients

20. Moving patients from hospitals to nursing homes
has never been easier…
in this $31 billion nursing home industry

21. Profit per patient-day (Hospitals, and NH)
Efficiency (% of patient-days that are non-PAD)
% of
# of patient days
$2157 (expense per hospital patient day)¹
$17K (revenue per hospital patient day)²
1. http://www.ahd.com/state_statistics.html
2. http://kff.org/other/state-indicator/expenses-per-inpatient-day/

22. Discharge
Patients
Patients
Discharge

23. Discharge
Patients
Patients
Discharge
Our Product

24. Key Stakeholders

25. $31 billion industry.
Nursing Homes

26. Discharge
Patients
Patients
Discharge

27. Revenue Proposition
Hospital Alone
(Baseline)
Hospital +
Nursing Home
(Potential)
Hospital +
Nursing Home
(Actual)
Our Value
Contribution