1. Who we are - and what we do.

2. Vitagroup - a multinational network Austria Switzerland Netherlands Italy Greece Turkey Slovenia Lithuania Egypt India China USA United Arab Emirates Germany South Africa Belgium

3. Vitagroup - Germany Home of Telemedicine Vitagroup Telemedical Service Centre Marketing, Sales & Project Management Research & Development Information & Training platform

9. The use of communications and information technologies for the delivery of clinical care Telemedicine?

10. From cardiological diagnostics… ECG recording Data transfer via mobile or landline telephone Data transfer to Data processing system; data recording & ECG visualisation via REMOS software Evaluation & Therapy definition Data forwarding to physician via Email and/or Fax

13. … to modern Therapy Management Telemedicine as information and service platform Telemedicine as Information & Service Platform in an Integrated Care Concept Vitaphone Telemedical Service Centre (TSC) Electronic Patient File Medical care network for the chronically ill Clinic Rehabilitation General Practitioner/Specialist Patient ECG Blood pressure Weight Blood sugar TeleCare Monitor Patient management - input of medical data into the Electronic Patient File @ Telemedical Service Centre Direct communication Wireless short-range biodata transmission Data transfer to Electronic Patient File @ Telemedical Service Centre Data forwarding after primary analysis Initiation of emergency procedures, forwarding of patient data to rescue team VitaView Transparent reporting for patient and physician with illness-specific & event-specific data formats

15. Better quality of healthcare, better quality of life, better cost management Reduced Increased Unproductive medical visits Emergencies Unnecessary hospitalisation Length of hospital stay Costs; Intensive care Long-term health damage Mortality - CHF, Stroke etc. Quality of life Life expectancy Coping with anxiety Therapy management Emergency management Patient self-responsibility Personal safety

16. Better quality of healthcare, better quality of life, better cost management

17. Better quality of healthcare, better quality of life, better cost management Cost parameter Cost per event per cohort (€) Standard Tele- medicine Gen. Practicioner visit 15,12 15,12 Specialist visit 17,57 17,57 Diagnostics 7,70 7,70 Medicaments 243,09 247,83 Stationary treatment incl. rehabilitation 5.873,50 2.738,61 Emergency 385,00 385,00 Unfitness for work 479,12 215,83 Monitoring (over 180 days 0,00 687,21 Cohort Success rate (%) Effectiveness-adjusted costs (€) Standard 58,6 6.397,00 Telemedicine 74,8 3.065,00 Fewer hospitalisations Shorter hospital stays

18. Service portfolio The handicapped/ endangered The health-conscious The patient The chronic patient Risk analysis Prevention Diagnostics Therapy & emergency management Monitoring medication intake compliance Vitaphone provides telemedical solutions for: Cardiovascular diseases Diabetes Asthma/COPD (in preparation) Psychiatric illness (in preparation)

19. Medication Errors and Compliance Telemedicine

30. Telemedical Service Center Electronic Patient File Medicine compliance GSM/GPRS Recipe Specialist / MD Medication subscriber Recipe Recipe Recipe Filling factory Pharmacist Patient

31. Recipe Barcode on pouches with patient data; intake moments pharmacist, etc. Monitoring medication intake compliance Vitaphone Telemedical Service Center Electronic Patient File Acces Patient file Pharmacist Data; Intake moments Pharmacist Length of roll 60 min. too late Alert Patient First alert Family or homecare etc. 2 nd alert Control of data Physicians monitor chronic diseases Hospital Rehabilitation centre GPs 2 nd alert

32. Medicine Compliance Pi ll co mpliance Pi co Monitoring medication intake compliance by Telemedicine

33. Every journey starts with a first step…

34. Networked thinking - concerted action.

35. Vitaphone Nederland Ellen Pankhurststraat 15a 5032 MD Tilburg T 013 462 5630 F 013 467 0493 info @vitaphone.nl www.vitaphone.nl