Health insurance payers and providers—both private for-profit companies and publicly funded government entities—are under pressure to control costs, improve medical expense ratios, and slow the growth of insurance premiums so consumers and employers can afford care. To transform how care is delivered, physicians, hospitals, and health systems are increasingly measured and rewarded for quality outcomes. They must have processes and technologies in place to put more attention on patients and be more efficient with resources. Healthcare companies must supply innovative, high-quality medicines, devices, and diagnostic capabilities that improve health at a reasonable cost.

1. Avaya Healthcare SolutionsDelivering Communications Solutions to Improve Healthcare PacketBase, Inc. www.packetbase.com

2. Agenda Addressing Healthcare Needs Healthcare Challenges Avaya’s Answer Delivering Efficient and Effective Solutions Pre-Admission Preparedness Optimized Patient Flow Improved Patient Care Post Discharge Follow-up Why Avaya? Innovative Solutions Market Leadership 2 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

4. Delivering quality patient care

5. Effective utilization of hospital resources

7. Staff mobility and accessibility

8. Complex communications environments and systems integration

9. Hospital security and patient privacy3 Healthcare providers are facing numerous challenges that must be addressed in order to provide optimum patient care For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

10. 4 Enabling the Patient Care Process Improving patient care with communications-enabled processes and workflows Pre-Admission Preparedness Automate pre-admission communications to help improve patient preparedness and hospital efficiency For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

11. 5 Enabling the Patient Care Process Improving patient care with communications-enabled processes and workflows Pre-Admission Preparedness Optimized Patient Flow Reduce the complex manual process of admitting and discharging patients to improve patient and staff satisfaction For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

12. 6 Enabling the Patient Care Process Improving patient care with communications-enabled processes and workflows Pre-Admission Preparedness Optimized Patient Flow Improve clinical communications processes and staff mobility to reduce response times and improve patient care Improved Patient Care For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

13. 7 Enabling the Patient Care Process Improving patient care with communications-enabled processes and workflows Pre-Admission Preparedness Optimized Patient Flow Streamline patient follow-up care to improve patient progress and reduce readmissions Post Discharge Follow-up Improved Patient Care For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

14. 8 Enabling the Patient Care Process Improving patient care with communications-enabled processes and workflows Pre-Admission Preparedness Optimized Patient Flow Avaya automates processes and communications delivering numerous benefits to your entire organization Post Discharge Follow-up Improved Patient Care For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

17. Reduce stress and frustrations of clinical staff

18. Enable clinical staff to care for patients better and faster

19. Provide real-time access to the right resources at the right timeAvaya Delivering Value  Improve Patient Care  Sustain Financial Viability  Improve Operational Efficiencies For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

21. Avaya Patient Appointment Reminder

22. High cost of manual calling vs. intelligent automation systems

23. $1.2M for typical U.S. hospital

24. Up to $1B in the U.K. for the NHS

25. Inefficient use of clinical staff and hospital resources

26. Delivering consistent quality patient care throughout process 10 Improved Patient Care Post Discharge Follow-up Pre-Admission Preparedness For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

28. Save on manual calling costs with automated appointment reminders – approximately $1.2M for typical U.S. hospital

29. Optimize resources through active management of hospital staff, equipment and facilities

30. Increase staff productivity with proactive appointment rescheduling Improve Revenue Reduce Costs Direct Benefits Improve Efficiencies 11 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

32. Reduce no-shows by 20%, improving patient flow and minimizing lost service revenue

33. Increase new revenue by 20% through proactive calling and rescheduling

34. Improve patient satisfaction with automated appointment reminders, avoiding unnecessary frustrationROI: Patient Appointment Reminder Day-of-surgery no-show recovery Net Benefit Year 1 Benefit Proactive rescheduling revenue recovery 20% Reduction ROI under 12 months Non-surgery outpatient no-show recovery 20%Improvement Initial Investment 0 Avaya Patient Appointment Reminder 20% Reduction Example Note: Calculations are based on a 500 reminder calls/day Sources: Analyst reports, Published Studies and Market Analysis 12 Contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

36. Avaya Patient Admit Coordinator

37. Avaya Patient Discharge Coordinator

38. Decreasing patient satisfaction due to long wait times

39. Patients admitted or diverted to other facility due to delayed admittance

40. Decreasing bed turnover and hospital revenue

41. Clinical staff spends significant time on the phone coordinating a patient discharge 13 Solution Your Challenges Optimized Patient Flow Improved Patient Care Post Discharge Follow-up Pre-Admission Preparedness For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

43. Increase Emergency Department bed turnover with accelerated patient admissions

44. Optimize Emergency Department staff time by 120 minutes per admission

45. Reduce training and hiring costs by optimizing staff time and capabilitiesIncrease Patient Flow Improve Patient Satisfaction Direct Benefits Utilize Resources 14 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

47. Reduce patient walk-outs (LWBS) by 75%

48. Reduce likelihood of ambulance diversions by 100%

49. Improve facility throughput and hospital revenue by efficiently admitting and discharging patientsROI: Patient Admit Coordinator 75% Improvement Increased revenue due to LWBS improvement Avaya Patient Admit Coordinator Initial Investment 0 Example 15 © 2010 Avaya Inc. All rights reserved. NOTE: Revenue recovery model does not take into account additional costs required to provide services for additional patients

51. High cost of medical equipment

52. Ensuring quality patient care with dispersed staff and equipment

54. Mobile Device Checkout

55. Asset Tracking & Management

56. Avaya Healthcare Notification Solutions

57. Nurse-call Response

58. Incident ResponseImproved Patient Care Post Discharge Follow-up Pre-Admission Preparedness For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

60. Nurses are able to save time each shift with a simple phone login mechanism

61. Improve nurse accessibility and mobility, nurses are always contactable at their pre-determined number(s)

62. Improve staff and patient satisfaction with improved responsivenessImprove Hospital Efficiency Improve Staff Accessibility Direct Benefits Improve Patient Care 17 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

64. Decrease the amount of time spent hunting down the right phone number

65. Reduce time lost contacting the wrong person

66. Improve staff satisfaction and productivity with increased mobilityROI: Mobile Device Checkout Net Benefit 63% Savings CAPEX savings up front on phones Year 1 Benefit ROI under 6 months 100% Savings Approximate OPEX savings on integration with clinical alarms 66% Savings Initial Investment 0 Avaya Mobile Device Checkout Approximate OPEX savings on manually sharing phones (Includes handsets) Example Example 1MDC vs. shared phones, based on time savings of signing out phones & registering with clinical alarms (120 nurses on shift, 150 phones & 8 kiosks)2Year 0 CAPEX: MDC vs. dedicated phones (150 shared phones & 8 kiosks vs. 400 dedicated phones) 18 © 2010 Avaya Inc. All rights reserved.

68. Decrease staff turnover rates by increasing nurse mobility and reducing stress

69. Alleviate long patient wait times, increasing satisfaction and referral rates

70. Improved staff mobility and communications increases patient flowReduce Nurse Response Times Increase Patient & Staff Satisfaction Direct Benefits Improve Quality of Patient Care 19 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

72. Reduce nursing turnover, by 5% per year

73. Increase hospital revenue with patient referrals by 1%

74. Improve patient care by increasing nurse availability with efficient communications anywhere, anytimeROI: Nurse-Call Response 1% Improvement Net Benefit Year 1 Benefit 5% Improvement Increased Patient Referrals ROI under 12 months 4% Time Savings Increased Nurse Retention Initial Investment Increased Nurse Availability 0 Avaya Nurse-call Response Example Note: Calculations are based on a 400-bed hospital Sources: American Hospital Association, Analyst reports, Bureau of Labor Statistics 20 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

76. Medicare/Medicaid readmissions within 30 days of discharge are not reimbursable to the hospital

77. Increasing small balances and bad-debt write-offs

78. High cost of manual collections calling

79. Avaya Patient Contact Solutions

80. Avaya Patient Follow-up21 Solution Your Challenges Optimized Patient Flow Improved Patient Care Post Discharge Follow-up Pre-Admission Preparedness For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

82. Expand patient interaction outside of the hospital through preemptive outbound contact

83. Intelligent automation reduces time spent placing manual patient calls

84. Improve patient compliance with discharge instructions and careReduce Readmissions Improve Patient Satisfaction Direct Benefits Improve Profitability 22 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved. 1Center for Medicaid & Medicare Services (CMS)

86. Increased patient satisfaction via streamlined discharge communications

87. Reduce preventable readmissions through follow-up by 30% - 50%

88. Improve profitability with reimbursable Medicaid and Medicare patients ROI: Patient Follow-up 30% Reduction Net Benefit Reduced patient readmission ROI under 6 months 100% Reduction Initial Investment Reduced Manual Calling Expenses 0 Avaya Patient Follow-up Example Note: Calculations are based on a 400-bed hospital, Sources: American Hospital Association Fast Facts on US Hospitals – 2010 edition, CMS report , US National Institute of Health - Prevention of Early Readmission in Elderly Congestive Heart Failure Patients 23 © 2010 Avaya Inc. All rights reserved.

90. Reduce scheduling conflicts between staff and equipment

91. Reduce lost andstolen equipmentcosts by up to40% and overallequipment purchasesby10%

92. Improve hospital efficiency up to2%, quickly locating staff and equipmentReduce Equipment Costs Improve Staff Communications Direct Benefits Improve Patient Care 24 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

94. Reduce time nursing spends “looking” for equipment by 2%

95. Reduce lost and misplaced equipment costs

96. Improve facility throughput and hospital revenue by quickly locating equipment and staffROI: Asset Tracking & Management Solution Net Benefit 15% Improved Patient Workflow ROI under 12 months Revenue increase from facility efficiencies 10% Purchasing reduction 2% Productivity Improvement Reduced equipment losses 25% Rental reduction Nursing staff efficiency increases 0 Example 25 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved. Note: Calculations are based on a 400-bed hospital

97. 26 Avaya Healthcare Solutions Avaya Agile Communication Environment (ACE) Presence Services Voice/Video Services Avaya Unified Communications for Healthcare Leverage your existing infrastructure and clinical systems Provide real-time access to the right resources at the right time Quickly retrieve and act on key patient data Access knowledgeable and available personnel Improve collaboration and scheduling capabilities with staff and equipment Session Manager Application & Services Integration System Manager Hospital Communications Infrastructure Support Services Consult & Assist Clinical Devices Specialists Nursing Staff HIS Systems Connecting people, processes and systems with the goal of improving patient care For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

98. Avaya Delivering Value ReduceOperating Costs Improve Patient Care IncreaseStaff Efficiency 4 25% 120 hours reduced decrease minutes discharge time medical equipment spend save per ED admission 60 40% 20% minutes recovered decrease increase lost and stolen equipment in patient flow per shift locating equipment 20% 2 10% hour savings per shift with reduction reduction no show appointments Nurse-Call Response overall equipment overbuy 27 For more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

103. #1 worldwide:

104. Unified Communications &Telephony Systems

105. Contact Center

106. Maintenance ServicesFor more information contact us at www.packetbase.com or 866.405.3992 - © 2010 Avaya Inc. All rights reserved.

107. Thank You PacketBase, Inc. www.packetbase.com