Presentation given in Med-eTel 2011 - providing case study of remote diagnostics of cardiology exams.

1. Innovative Web-based Solutions for Healthcare Med@Tel April 2011 Roberto Schliesser VP Telemedicine Solutions eWave MD schliesser@ewavemd.com

2. About eWaveMD An international company developing web-based medical applications since 1999. A subsidiary of eWave, an integrator and provider of software solutions, made up of 450 software professionals. Our solution serves more than 10,000 physicians and 3,000,000 patients. Software as a service approach (SaaS)

3. Israel vis-a-vis the World in Healthcare IT One of the most efficient systems in the world (7.7% of GDP) Leader in adoption of HIT 100% penetration of centralized EMR since 1990 99% nation wide electronic prescriptions since 1995 (eRX) Complete web access to Personal Healthcare Records (PHR) since 2000 Source: OECD Health Data 2009, November 2009.

4. eWaveMD’s Highly Developed HIT Systems in Israel

5. Maccabi PHR – Home page

6. Maccabi PHR - Lab Results

7. Maccabi PHR - Meeting Scheduler

8. Maccabi PHR – Diabetes tracking

9. Maccabi PHR - Nutrition

10. Solutions and Products – Maccabi Information Kiosks

11. Maccabi - Physician portal

12. Maccabi - Physician portal

13. Leumit - EMR

14. Leumit – EMR appointment log

15. Leumit – EMR – patient summary

16. Leumit – EMR progress note

17. Leumit – EMR Chart

18. Leumit – EMR eRX

19. Leumit – EMR Lab results

20. Home Care Remote Diagnostics Disease Management eWaveMD Unified e-Health Platform Virtual Consultation eSched PHR ARTEC (Advanced Rural Telemedicine Clinic) EMR One platform, multiple solutions

21. Our Platform: e-Health advantages Fully browser based platform to enable accelerated implementation of Electronic medical record solutions Off the shelf software modules and accelerators Rule Based Engine at the user level for maximum customization

22. Our Solutions “TeleMaster” - Remote Diagnostics Assuta-Lev (Israel); Raytel (USA)

23. Maccabi – Nationwide remote cardiac services Tele-diagnostic service for cardiac exams Used by Leumit & Maccabi (Israel) & Philips Healthcare (USA) Cost reduction – profitable for both provider and patient Improves waiting period for tests and results Supports a virtual and physical interpretation center

24. NHS - Cardiac telemedicine study

25. Tele EKG The devices Broomwell Healthwatch (UK) Assuta- Lev - Israel Aerotel Medical Systems HeartView 12L Tele Holter

26. eWaveMD automated workflow Vs. manual workflow

27. Maccabi Healthcare (2009) 18,000 Holter readings performed during 2009. 1,200 Holter readings during December 2009; Human resources required (2009): 5 technicians per day; 5 days a week 22 days a month 12 months/year. 2 cardiologists performing evaluations and referrals during idle time in the ECG call centre. Average time per technician/per Holter reading (including idle time): 26.4 minutes

28. Maccabi Healthcare (2009) 140,000, 12 Lead ECG readings during 2009. 11,775, 12 Lead ECG readings during December 2009; Human resources required (2009): During morning hours: 3 to 4 doctors 2 Technicians Afternoon1 to 2 cardiologists Working hours: 0800-1900 Actual Average time required for each diagnosis: 1 minute 39 seconds

29. Telemaster

30. Telemaster

31. Thank You! Roberto Schliesser schliesser@ewavemd.com+972-505-659-763 (Israel) www.ewavemd.com