Despite years of technology investments in healthcare, patient on-boarding remains an antiquated, manual data capture process that frustrates both the patient and the healthcare provider. Until now! DocuSign and Kryptiq have joined forces to deliver a wholly electronic patient onboarding solution that simplifies the patient intake process, saving time and money while delighting both patients and providers. Learn how to: Enable patients to fill out and sign forms from anywhere, anytime on any internet-enabled device Easily capture eSignatures for patient intake, consent, or HIPPA forms Eliminate errors and ensure perfect order

1. DOCUSIGN CONFIDENTIAL
No More Clipboards:
eSignature for Patient Onboarding
6/5/13

2. ©2007 DocuSign, Inc. Confidential.
Agenda
§ Introduction to DocuSign
§ DocuSign for Patients Overview
§ Customer Perspective: GreenField Health

3. More than 37M users growing to 60M
More than 63,000 users a day
Up to 5M pages a day
More than 65,000 customers
189 countries
DocuSign Network Taking Off

4. Global Standard: Achieving Market Leadership
#1
eSignature
Takes Off
#1
eSignature
Wave
#6
Out of
5,900
“50 Next Big Things”

5. DocuSign Community Growing Rapidly

6. LEADING
SECURITY
RICHEST PARTNER
ECOSYSTEM
WORLD CLASS
CUSTOMER
PROGRAMS
GLOBAL STANDARD
Leading
Security
Richest Partner
Ecosystem
World Class
Customer Programs
Easiest to
Use Product
Most Powerful
Platform
Why Customers Choose DocuSign

7. Healthcare Highlights
DOCUSIGN CONFIDENTIAL 7
Sample Successes
• Saved $18 per
document in scanning
and archiving costs for
consent forms
• Cut 9 days off
credentialing process
• Improve patient
satisfaction
Sample Customers
Health plans
member enrollment
& provider
agreements
Sample Use Cases
Patient intake
forms
Credentialing
forms

8. DocuSign Use Cases in Healthcare & Life Sciences
DOCUSIGN CONFIDENTIAL 8
Life Sciences
Commercial
Life Sciences
Clinical
Life Sciences
Medical Affairs
Hospitals
Technology
Providers to
Healthcare
• Business Associates
Agreement Process &
Renewal
• Sales Contracts
• NDAs
Health Plans
Medical
Staffing Firms
Home
Healthcare
Assisted
Living
Facilities
Practices -
Providers
• Patient Care Plans
• Employee Onboarding
• Physician Approval Forms
• Needs Assessment
Forms for Publications
• Author Agreements
• Conflict of Interest
Agreements
• Financial Disclosures
• Patient History
• New Patient
Onboarding
• HIPAA Forms
• Sampling (in-person/
remote)
• KOL Contracts
• Event Compliance
• NDAs
• Drug Study
Participation
• Physician/Contracts
• Research Consents
• Investigator
Statement
• Vendor Agreements
• HR/Onboarding
• Credentialing
• Billing and Approvals
• Provider Agreements
• Member Enrollments
• Procurement/Vendor
Agreements
• HR Onboarding
Paperwork
• Credentialing
• NDAs
• Time Sheets
• Form 485 Physician
Referral
• Face to Face Forms
• Clinician Visit Reports
• Certificates of Medical
Necessity

9. eSignature for Healthcare:
DocuSign for Patients#

10. Confidential# 7/3/13 # Slide 10#
About Kryptiq#
• 2002 -
Company
Founded#
• Secure
Messaging!
• Secure
Messaging
in the EMR!
• Patien
t Portal! • Online
Patient
Payments!
• Disease
Management ! • Secure
Messaging
in the HIE!
• IHE
Standards
Compliance!
• ePrescribing !
• Automated
Clinical
Messaging!
• Messaging
Integration
Toolkits!
• Patient
Payments
Services!
• DIRECT
Standards
Compliance!
• Provider
Directory !
• Pharmacy
Immunization
Notifications!
• State
Immunization
Reporting! • Network
Routing!
• Clinical
Interoperability!
• Patient
Engagement!
• Care
Management !
• 2004#
• 2006#
• 2008#
• 2010#
• 2012#
• 2015#

11. Confidential# 7/3/13 # Slide 11#
Tools for Clinical Care Collaboration#
Clinical
Interoperability
Care
Management
Pa4ent
Engagement

12. Confidential# 7/3/13 # Slide 12#
The Problem#

13. Confidential# 7/3/13 # Slide 13#
Where the paper appears #
1
2
3
Pre-visit Information #
HIPAA Consent & Records Release #
Procedure Consent / Point-of-Care#

14. Confidential# 7/3/13 # Slide 14#
Our Solution#
Features
• Pre-­‐visit
&
in-­‐office
workflows
• Easy
custom
form
crea4on
• Process
Automa4on
• Structured
data
integra4on
• PM
and
EHR
rou4ng
• Pediatric
and
caretaker
signing
• Built
on
the
DocuSign
plaIorm

15. Confidential# 7/3/13 # Slide 15#
Anytime, Anywhere#

16. The Practice Perspective##

17. Confidential# 7/3/13 # Slide 17#Confidential# 7/3/13 # Slide 17#
Who we are#
» Innovative and efficient patient-centered
primary care practice in Portland, OR#
» Founded in 2001#
» 13 clinicians – 11 physicians, 1 PA, 1 FNP#
» 2 locations #

18. Confidential# 7/3/13 # Slide 18#Confidential# 7/3/13 # Slide 18#
The Major Problem #
» Incongruity between clinical and administrative
processes#
» Customer dissatisfaction with onerous
onboarding process#
» Internal inefficiency processing paperwork#
› Data re-entry #
› Printing, then digitizing again#
› Indexing#

19. Confidential# 7/3/13 # Slide 19#Confidential# 7/3/13 # Slide 19#
Our Goals and Needs #
» Customer satisfaction#
› Respect their time, offer flexibility & simplicity #
» Internal efficiency#
› No data re-entry#
› No printing/scanning/indexing #
» Chart pre-load prior to appointment#
» Medical records #
› Requested and received prior to appointment#

20. Confidential# 7/3/13 # Slide 20#Confidential# 7/3/13 # Slide 20#
Solution Evolution #
Paperwork
at
.me
of
service
Mail
or
fax
Email
» Early arrival#
» Flow interruption#
» Information unavailable #
» Legibility of handwriting#
» No chart#
» Time-consuming#
» Expensive#
» Flow interruption#
» Legibility#
» No/incomplete chart#
» Lots of printing paper#
» Many of the same
problems!#
1 2 3

21. Confidential# 7/3/13 # Slide 21#Confidential# 7/3/13 # Slide 21#
Pa.ent
Portal
Adobe
eSignature
Other
eSignature
Solu.ons…
» Unable to sign#
» Customer confusion#
» Internal inefficiency#
» Not all customers were
able to use it#
» Required data re-entry#
» Too complex#
» Required data re-entry#
4 5 6
Solution Evolution #

22. Confidential# 7/3/13 # Slide 22#Confidential# 7/3/13 # Slide 22#
DocuSign: Mission Accomplished! #
» Customer satisfaction#
› All age groups#
› Simple, flexible (anytime, anywhere, any device)#
» Internal efficiency #
› Saves on need for data re-entry#
› Data is legible and more complete with required fields#
› Eliminates printing, scanning and indexing#
› Charts are pre-loaded for greater clinical interaction#

23. Confidential# 7/3/13 # Slide 23#Confidential# 7/3/13 # Slide 23#
DocuSign Metrics#
» Collect 99% of
required information
before visit#
» Reduce time to load
from 8 hours to < 30
minutes!
» Data is 100% legible #

24. Confidential# 7/3/13 # Slide 24#Confidential# 7/3/13 # Slide 24#
Customer Feedback #
“I really liked being able to fill it out online. The
document signing function was awesome. It looked like
I would have signed it myself.”#
Fara
G.
“The form filling went like a breeze...so simple...”#
“The whole process of joining was great!” ##
!
“Convenient, simple, nothing to complain about. I liked
the process very much.”#
Geri
S.
Kim
C.
Don
H.

25. Q&A
Thank You!
!
DOCUSIGN
CONFIDENTIAL
25
Please
visit
kryp4q.com
or
docusign.com
Call
1.877.720.2040