EwaveMD is an international company focused on developing web-based medical applications to enhance healthcare accessibility, particularly for rural populations. Their platform provides virtual consultation services, integrates electronic health records, and aims to address gaps in healthcare infrastructure. The document outlines their business model, technological architecture, and goals related to improving healthcare delivery in underserved areas.

1. eWAVEMDVIRTUAL CONSULTATION PLATFORM Med@Tel April 2011Roberto SchliesserVP Telemedicine SolutionseWave MDschliesser@ewavemd.com

2. AGENDAAbout eWaveMDeWave MD eHealth platformMarket overviewRemote Virtual ConsultationWorkflow exampleBusiness model

3. ABOUTeWAVEMDAn international company developing web-based medical applications since 1999.Part of the eWave Group, an integrator and provider of software solutions, employing400 software professionals.Our solution serves more than 1K physicians and 3M patients.

4. ACCUMULATIVE EXPERIENCE2001 - 2,000,000 patients PHR2003 – Large Scale Healthcare SOA implementation (IHE)2003 – Patient Information Kiosk2004 – Centralized Web-Based EHR (1,500 physicians)2005 – Remote Cardiac Diagnostics2006 – eWave MD spinoff2006 – PQRI & EHR for the USA Market (eHealth Made Easy)2007 – Home Based CHF Disease Management2009 – Remote Consultation (India)2010 – Full ONC Certification (Meaningful Use)

5. Home CareRemote DiagnosticsDisease ManagementeWaveMD Unified e-Health PlatformRemote Virtual ConsultationeSchedPHRARTEC(Advanced Rural Telemedicine Clinic)EMRONE PLATFORM, MULTIPLE SOLUTIONS

6. THEeHEALTHPLATFORM – PRODUCT LINE

7. OUR PLATFORM’S ADVANTAGESFully browser-based platform to enable accelerated implementation of electronic medical record solutionsOff-the-shelf software modules and accelerators Rule-Based Engine at the user level for maximum customizationMultiple segment solutions

8. ONE PLATFORM: FROM DEVELOPING TO DEVELOPED WORLD SOLUTIONS The platform supports a wide range of solutions, from basic needs in India to more complex demands in the US.eHealth platform “Progress Note” - US vs. INDIAUS - eHealthMadeEasyIndia - OTTET virtual consultation

9. 3.4 billion people live in rural environments with minimal or no Healthcare infrastructure WORLD STATUSSource: Un World urbanization prospects 2009.

10. Public health systems fail to deliver basic health servicesLack of infrastructuresShortage of qualified medical personnelWide target area with limited accessibilityUneducated manpower RURALHEALTH STATUS

11. RURAL HEALTH STATUS - UN MDGThe Target MDG’s and general goals: Child health Reduce by two thirds – between 1990 and 2015 – the under-five mortality rateMaternal HealthReduce by three quarters the maternal mortality rateAchieve universal access to reproductive health Achieve – by 2010 – universal access to treatment for HIV/AIDSHIV \ Infectious diseases Reduce to half by 2015 and begin to reverse the incidence of malaria and other major diseasesReduce to half by 2015 and begin to reverse the spread of HIV/AIDS

12. OURGOALSProvide a new “Health Delivery Channel” for rural populations by enabling virtual medical servicesImprove availability and quality of medical care for rural populations Establish an environment for virtual medical services, which is easy and simple to implement and maintain Provide an IT infrastructure for additional medical servicesCreate the infrastructure for a National Centralized EHR“The Goal of the Mission (NRHM) is to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.”

13. India, National Rural Health Mission (NRHM)“In India in 2009-10 the Federal government has increased the support for NRHM, which aims to improve the availability and access to quality healthcare for people living in remote areas from Budget estimate of Rs.12,070 crore (US $2.7B) by Rs.2,057 crore (US $462M)”China, New Rural Cooperative Medical Scheme (NRCMS)“Funding for NRCMS is provided by central and local governments on a per capita basis (CNY20 in 2003, CNY80 in 2009) and rural residents contribute a fixed amount on a voluntary basis (CNY10 in 2003, CNY20 in 2009).”UN Millennium Development Goals The UN and WHO are implementing variety of projects for strengthening rural healthcare project around the globe in order to mean the UN MDG. THEMARKETS

14. Provide primary health care based on eWaveMD Electronic Health Record (EHR) and Medical Video Conferencing at the village levelCommunications (Cellular, VSAT)Urban healthcare Medical clinic in the rural villageTHESOLUTION

15. THEMEANSProvide primary care services in rural areas usingeWaveMD eHealth platformCentralized control Comprehensive Electronic Health Record (EHR)Single data source ARTEC – Advance Remote Telemedicine Clinic (at the point of care)Medical Video ConsultationsIntegrated Medical devicesConsultation & Treatment workflowse-Learning

16. THE VIRTUALCONSULTATION SOLUTION

17. WHAT ISTHE ARTEC ?A proprietary hardware platform designed to provide remote consultation capabilities in a simple cost effective manner.Embedded Computer

18. VideoConferencing

19. Integrated Medical Devices

20. Integrates Communications

21. Simpleto maintain

22. Low cost THE ARTEC (ADVANCED REMOTE TELEMEDICINE Clinic)Optional peripherals (Project Dependent)Electronic Stethoscope X- Ray Digitizer Pathology MicroscopeOthers* (Flexible platform)Medical measurements12 Lead ECGSingle Lead ECGNIBP (Non Invasive Blood Pressure)Blood Saturation (SpO2)Body TemperatureBreathing RateGlucose meter Precision weight scalePick flow (Spirometer)

23. THEVALUEPROPOSITION“In 2009, the Indian government spent more money on transportation of rural population to the hospitals than on the medical treatment itself” – Telemedicon, 2010

24. THE VIRTUALCONSULTATION SOLUTIONNational levelCentralized EHRProvince \ District level Rural level

25. THE VIRTUALCONSULTATION SOLUTION

26. WORKFLOWS& SCREENS

27. LOGIN PAGE

28. AGENT > HOMEPAGE

29. AGENT > PATIENTDEMOGRAPHIC

30. AGENT > INITIAL CONSULTATION

31. PROVIDER > HOMEPAGE

32. PROVIDER > INITIAL CONSULTATION

33. AGENT > INITIALCONSULTATIONCONT’

34. MEASUREMENTS WIZARD

35. PROVIDER > SECONDARYCONSULTATION

36. PROVIDER > SECONDARYCONSULTATION CONT’

37. AGENT > SECONDARY CONSULTATION

38. SUMMARY & PAYMENT

39. VIRTUALENCOUNTERWORKFLOW

40. eWaveMDRemote Virtual Consultation Business Models The NHR Mission is an articulation of the commitment of the Government to raise public spending on Health from 0.9% of GDP to 2-3% of GDP.

41. Service modelTechnology Operator \ Service providerResponsible for the solution implementation and ongoing operationsSetup and installation, training, maintenance and support Customization and feature upgrades for both the platform and ARTECNot responsible for the health servicesBased on down payment plus monthly fee per ARTEC station, regardless of the number of tests performedSales modelStandard B2B sale modelResponsible for system setup Installations, knowledge transfer (train-the-trainer), maintenance and supportBased on perpetual license, plus yearly maintenanceBUSINESSMODEL