A b o u t C e r e b r o s ™

7 MILLION stroke survivors in the US over the age of 20

795,000 strokes occur annually

EVERY 45 SECONDSsomeone has a stroke in the US

133,000deaths caused by stroke annually

LEADING CAUSE of adult disability

As a leading cause of death in the United States and across the world, stroke is an important service to consider for healthcare leaders. With states passing new legislation for stroke care, an efficient and effective approach is more important than ever for this population.

After completing a survey in partnership with the National Stroke Association (NSA) on the usage trends of the National Institutes of Health Stroke Scale (NIHSS), Corazon found that significant opportunities exist to improve stroke care in hospitals across the country. The need for the industry’s first stroke patient managment solution was clear.

CEREBROS™ was developed to assist clinicians with delivering the highest quality of care to an already large and growing acute patient base. Since then, CEREBROS™ has grown into a true Neurovascular Information System (NVIS). System users are already changing practice to better manage stroke patients by providing seamless care through their entire hospital experience. The benefits - clinically, functionally, and operationally - will quickly balance the investment to implement a new and better delivery model... Consider this:

Nationally, the average administration rate of t-PA to eligible patients is only 10%. “Best-in-class” providers reach rates of only 40%.

Through a focused effort to increase institutional capabilities relative to stroke patient care, these rates and other critical measures of best practice care can improve when using CEREBROS™.

Along with improved patient outcomes, the administration of t-PA yields a higher reimbursement rate than strokes that do not receive t-PA.

On average, the reimbursement for a stroke patient increases by

up to $6,000 when t-PA is used.

Increasing t-PA treatment rates and reaching other clinical or operational program goals has the potential to improve the stroke program’s overall performance, allowing for increased growth of the entire neuroscience

service line. Additionally, the efficiencies afforded by the system will translate into real cost savings to further impact the bottom line and

better quality outcomes for each patient.

A b o u t C e r e b r o s ™

CEREBROS™ allows hospitals to manage stroke patients from arrival through discharge efficiently, effectively, and with ‘best practice’ quality care as a guide. The system and its built-in interface capabilities support caregivers to optimize care for this complex population. The CEREBROS 2.0™ update extends these capabilities to the interventional and intra-operative suite and beyond discharge.

HOW IS YOUR ORGANIZATION MANAGING CARE DURING CRITICAL TIMEFRAMES?

SAVE TIME. SAVE LIVES.CEREBROS™ facilitates the application of the NIHSS, considered THE standard for stroke evaluation, along with other clinical tools for ‘best practice’ stroke care delivery.

• Guides care processes within critical timeframes for optimal outcomes

• Allows for real-time internal benchmarking for process and quality improvement

• Provides valuable educational resources for front-line providers

• Facilitates collaborative care processes and promotes effective communication to support transitions of care

• And MORE…

Using CEREBROS™ for data collection requires less time from the Stroke Coordinator and those abstracting this data from disparate systems, minimizing double entry. Stroke Coordinators can now devote more time to management of the program and the patients, using the system as a clinical decision-making tool. Information is available real-time, allowing necessary changes and performance improvements to be made in a timely fashion.

CEREBROS™ prioritizes the necessary tasks in patient care. The value of this system is clear when considering the benefits related to clinical and operational processes:

• Drives standardization of care through ‘best practice’ processes – care becomes consistent 24/7/365

• Provides the opportunity to affect care, in real-time, and to increase compliance with key clinical outcome metrics

• Eliminates the largely retrospective manual process of extracting data for accrediting bodies, saving time and resources

Time is of the essence for stroke patients. The first 60 minutes are the most critical for assessing the patient and determining proper treatment. Doing so saves lives.

C e r e b r o s ™ s o f t wA r e

Improve Patient Care with CEREBROSTM

CEREBROSTM uses best-practice quality care standards to save time by automating patient data management. This system acts as a driver to ensure the RIGHT care is delivered at the RIGHT time to EVERY patient. Learn the difference CEREBROSTM makes in the Story of the Stroke Patient Care by reading from Patient Arrival to Report Writer in the image below. CEREBROS 2.0™ includes modules to record patient data during the interventional or neurosurgical procedure and also provides additional tools to follow up with patients post-discharge.

Notification automatically sent to pre-hospital provider and PCP

System interfaces with:• ADT• EMR• Labs• PACS

Visual indicators in place to insure education is delivered to the patient daily

C o M M o N C H A L L e N G e s A D D r e s s e DAll hospitals treat emergency stroke patients, but what makes an organization stand out is HOW… Integration of CEREBROS™ into a hospital stroke program facilitates stroke patient

care and provides functionality to address many common challenges:

The implementation of CEREBROS™ creates solutions to enhance even the highest quality stroke programs. CEREBROS™ will streamline and organize care processes for greater

efficiency, patient satisfaction, and quality outcomes.

Obtaining an Accurate Daily

Census

Complying with Metrics Post Hyper-Acute

Phase

Complying with Patient Education

Requirements

Maintaining Inter-Rater Reliability in Neurologic

Exams

Prioritizing Daily Program

Tasks

Collecting Timely Data

Efficiently

Communicating Among Team

Members

Data is Collected and

Reported in Real-Time

Access Reference,

Training, and Assessment

Tools

Visual Cues Alert to

Compliance

Clocks Identify Patient Phases and Needs to

Guide Best Practice

Create Task Lists and Agendas in

the System

Access Patient Care Across the

Hospital

Built-In Reporting Tool

Provides Access to Program

Statistics

f r e q u e N t Ly A s k e D q u e s t i o N s

Will the CEREBROS™ Application interface with our existing IT system/s?

Yes. The application is HL-7 compliant and uses a back-end, middleware platform to integrate CEREBROS™ with Admit/Discharge/Transfer (ADT) systems and other internal systems, such as Electronic Health Record (EHR), with minimum effort.

Will using CEREBROS™ require clinicians enter information into multiple systems?

No. Information is pushed or pulled between CEREBROS™ and hospital systems as patients move through the standard course of care. Data entry fields are mapped to fields within hospital systems, and CEREBROS™ tabs can be embedded within the current EHR for seamless availability, if supported.

What resources are available to our staff once CEREBROS™ is installed?

The CEREBROS™ Team is available for questions and troubleshooting remotely. Additionally, the implementation process creates a hospital-based group of “super-users” to answer basic staff questions that emerge during patient care. Other documentation and resources are provided within the application, such as a detailed user guide.

Our organization already reports to other certifying organizations or entities (e.g. TJC, AHA, HFAP, DNV, State agency). Will using CEREBROS™ be duplicative?

No. CEREBROS™ data elements are matched to nationally recognized data definitions. Once the certifying body’s file structure is defined, standard reports are created to efficiently export the necessary information.

Can we use CEREBROS™ across multiple system hospitals?

Yes. Additional licenses may be purchased for muliple stroke programs within a system. This will lend to standardization of care across the system.

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Technical Specifications:• Requires web browser (Chrome 22, Internet Explorer 8, or Firefox 16 or better; or Apple Safari)• Requires internet connection (Cable/DSL or better recommended)• Allows access over a Secure Sockets Layer (SSL) or Virtual Private Network (VPN)• Interfaces with HL-7 compliant systems• Maps data to other systems (i.e. ADT, EMR, Interface Engine) through software installation • Hosts data storage “in the cloud” with a failover environment as backup

C L i e N t C A s e s t u D y

In November of 2012, Corazon was engaged to assist with the implementation of a Primary Stroke Center at Memorial Hospital in York PA. As in many communities, recently passed legislation mandated that patients suspected of having a stroke, be transferred only to certified stroke centers. This change meant that patients within the community served were potentially bypassing Memorial, and receiving care many miles from home. As a recent study outlined in the American Heart Association’s journal Stroke, outcomes can be vastly improved for certain types of stroke if treated as soon as possible - something hampered by the need to transfer away from the local hospital. Given an above national average incidence of stroke in the community, development of a stroke center was a strategic imperative. Corazon was engaged to implement a plan that would incorporate best practice, evidence-based protocols, as well as to develop the infrastructure necessary to achieve certification through the Healthcare Facilities Accreditation Program (HFAP). As part of the implementation plan, Corazon incorporated CEREBROS™, a technology solution to assist in the proactive management of the stroke patient population. In addition to the system’s reporting and program management value, Cerebros was a resource to Memorial’s Stroke Program Coordinator to access additional neurology expertise as they grew their program.

Additional benefits of the CEREBROS™ software include reference materials and reminders for several key care factors that often prove to be “pain points” as hospitals pursue certification – such as consistent provision of patient education, performance of swallow screens, and determination of t-PA eligibility. A major benefit of the system is removing the need for retrospective data collection, as data is collected real-time through the course of patient care, additionally saving time and effort that may otherwise be spent specifically on data abstraction separate from the patient care process. The Memorial team integrated CEREBROS™ into the entire episode of care for stroke patients, making it a valuable tool as they continue to provide successful outcomes for their stroke population.

The marriage of pro-active technology, with standard performance metrics and best practice care delivery, within this implementation model means success for both Memorial and the patients that they serve. Memorial was successful in achieving certification through HFAP during the summer of 2013. The Stroke Program Coordinator and front-line clinical providers continue to utilize CEREBROS™ every day, for every patient, to ensure a high standard of care is met. The data collection is now real-time, and course corrections with respect to the care of an individual patient are effected when they are the most beneficial - during the acute hospital stay.

P r e PA r e f o r s u C C e s s

Any clinical program is more than an IT system. There are key clinical considerations that must be determined and prepared for prior to go live: order sets, processes and procedures, coverage schedules, staff education, staff buy-in, and many more. Through the implementation of Cerebros, many clients have found additional opportunities or needs within their organization.

Cerebros is not just another IT system. It was created based on Corazon’s national experience implementing stroke program

excellence and best practice.

Often, recruitment, interim leadership, or locum tenens

physicians are needed to launch a program.

When internal talent or expertise is lacking,

Corazon’s national pool of candidates can help fill the gap and set the stage for programmatic success.

For additional online resources to launch a stroke program, Corazon developed the Corazon Essentials Online (or CEO) toolkit. The online module for stroke includes all necessary processes, procedures, order sets, and other clinical documents that must be created to begin offering stroke care services.

Additionally, CEO includes interaction with a Corazon consultant to address any challenges, along with education sessions that can be used with staff, physicians, leadership, and patients.

Coupled with the Cerebros Application and talented leadership, CEO could be the perfect “in-house” solution to an efficient stroke program implementation process.

We can help place permanent or temporary talent for the following positions:• Service Line Administrators• Stroke Program Coordinators• Neuro-Interventionalists • Neurologists• Neurosurgeons• Physician

Extenders

Awards & Recognition

• Named one of Modern Healthcare’s 2009, 2010, 2011, 2012, & 2013 “Best Places to Work in Healthcare”

• AppearedonInc. Magazine’s “Inc. 5000” list, a ranking of the top 5000 companies nationwide

• Namedoneof2009’s“BestPlacestoWorkin Western Pennsylvania” by the Pittsburgh Business Times

• Recognizedasa2008&2009“PeopleDoMatter” finalist by the Pittsburgh Human Resources Association

• Includedonthe2006,2007,and2009listsofthe “Best Places to Work in Pennsylvania,” a ranking of the top 100 companies throughout the State

• Rankedonthe“Pittsburgh100”listofthefastest-growing businesses from 2004-2009 & 2012

• Namedoneof2007’s“Top50PlacestoWorkin Pittsburgh” by the Pittsburgh Post-Gazette

• Nameda2003Ernst&Young‘EntrepreneuroftheYear’Company

• Boardappointments&involvementwith:• American College of Healthcare

Executives (ACHE)• American Association of Neuroscience

Nurses (AANN)• American Heart Association (AHA)• North American Spine Society (NASS)

Corazon is poised to bring you the necessary tool to master market challenges and achieve sustainable success at your organization. We present insightful and on-trend

perspectives and analysis for every client project, promptly respond to client needs, and make recommendations based on years of successful engagements. Corazon’s Team of experienced healthcare professionals assists hospital leaders and physicians across the country and in Canada with unparalleled expertise, impartial advice, and progressive thinking for specialty service lines to help clients reach their highest growth potential.

Corazon is your total program solution.Our scope of services include strategic planning, market and financial analyses, clinical operations and new technology evaluations, physician-hospital partnering strategies, best practice benchmarks, executive and physician recruitment, interim management, customized staffing models and staff education for newly-developed or established programs.

A b o u t C o r A Z o N

CARDIAC

VASCULAR

NEURO

SPINE

ORTHO

STROKE

o u r C L i e N t s

We’veworkedwithmorethan500Hospitals,HealthCenters,andPhysicianPractices in 44 States across the country and throughout Canada.

“Corazon, Inc. provided consistent support to our hospital during a critical time with a great deal of success and enhanced our ability to provide exceptional patient care. They constantly provide quality services to Northside Hospital allowing us to meet the needs of our community.”

“Our leadership team immediately recognized Corazon’s clinical and

organizational expertise. Without their involvement, we would not have had the same level of trust

and support to move the new program forward...Especially

after this project, Corazon has us as partners for life.”

Some of our nationally-ranked “Top Hospital”clients include:

---Robin McGuinness, Chief Nursing Officer Florida Hospital Carrollwood

---Steve Hudson, Chief Finance OfficerNorthside Hospital-Cherokee

• Aspirus Wausau Hospital, Wausau, WI• Baylor Healthcare System, Dallas, TX• Beaumont Hospital, Royal Oak, MI• BonSecoursSt.Mary’sHospital,Richmond,VA• Carolinas Medical Center, Charlotte, NC• Geisinger Medical Center, Danville, PA• Hackensack University Medical Center, Hackensack, NJ• Hamilton Medical Center, Dalton, GA• Kendall Regional Medical Center, Miami, FL• MedStar Washington Hospital Center, Washington, D.C.• Mission Hospital, Asheville, NC

• Morristown Medical Center, Morristown, NJ• Munson Medical Center, Traverse City, MI• Ohio State University, Columbus, OH• Riverside Medical Center, Kankakee, IL• Robert Wood Johnson University Hospital, New Brunswick, NJ• St. John Medical Center, Westlake, OH• St.Luke’sEpiscopalHospital,Houston,TX• St.Luke’sHospital,CedarRapids,IA• St.Luke’sUniversityHospital,Bethlehem,PA• Tanner Medical Center, Villa Rica, GA• Union Memorial Hospital, Baltimore, MD

Pittsburgh, PA Ft. Laurderdale, FL p 412.364.8200 f 412.364.8201

www.corazoninc.com

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