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“Many healthcare systems use
                    enterprise systems customized to
                    fit the needs of the particular
                    provider....[and don’t] provide an
                    open and robust platform for
                    software developers to build
                    applications to improve data entry
                    processes, provide decision
                    support, or other functionality.”
                          President's Council of Advisors on
                          Science and Technology Report



BUSINESS OVERVIEW
“...We conclude that achievement of the
      President’s goals requires significantly
      accelerated progress toward the robust
      exchange of health information.”
                      President's Council of Advisors on
                      Science and Technology Report




BUSINESS OVERVIEW
The future of HIT is
             modular.


BUSINESS OVERVIEW
We make medical
             apps.


BUSINESS OVERVIEW
How big can a single
    medical app become?

                     Epocrates
                      $500M
                    Market cap (as of 5/16/2011)




BUSINESS OVERVIEW
The HealthFinch
              Partners


THE TEAM
Lyle Berkowitz, MD
The “Change Doctor”
Practices Internal Medicine
Healthcare Informatics Expert
Director, Szollosi Innovation Program
CMIO Northwestern Memorial
Associate Professor, Northwestern
Author
Speaker
Held numerous CMO Positions
“Twenty People Who Make Healthcare Better”
“Future Health Top 100”
“Top 50 Healthcare IT Blogs”
Ash Gupta, Developer
BusinessWeek’s Top Entrepreneurs under 25
Co-founded and sold previous startup, InZum
Jonathan Baran, MS, Designer/Developer
PhD dropout (researching the design of modular Health IT technology)
$10K Recipient of the CIMIT Prize for Primary Care (for innovative
solutions to problems in primary care)
“A frequent complaint is that electronic
  health records do not make the
  physician’s job easier.”
                    President's Council of Advisors on
                    Science and Technology Report




THE PROBLEM
Many physicians are struggling
to keep up with administrative
     tasks given to them.




THE PROBLEM
Case in point, prescription
    refills requests...




THE PROBLEM
Med Refill Message
 Patient Message - Create Phone Encounter

 SOURCE: [ x ] Phone        [    ] VM      [     ] RelayHealth
 FROM:   [ ] Patient    [       ] Mother       [ ] Father        [   ] Pharmacy
 Other: daughter

 CONTACT INFO
 Patient Phone:
 Other Contact Info: daughter xxx
 [ ] Do NOT leave message in voice mail
 [ ] Only call patient during special time (please specify):
 **** Pt told to expect response within 1 business day unless otherwise noted:
 [ ] Today [ ] Other:

 PHARMACY INFO
 Name/Phone: Walgreens xxx

 APPOINTMENT INFO
 LAST Appt with Prescriber:
 NEXT Appt with Prescriber:
 Other Relevant Appointment Info:

 For OB Call Center Use Only
 [ ] Patient is pregnant, EDC :

 *********************************************************************************
 MEDICATION INFORMATION
    Name and Dosage        Quantity Other Information
 ----------------------------------------------------------
 1.     ZOCOR 20MG 1 A DAY
 2.
 3.

THE PROBLEM
You decide:
              Refill or not?


THE PROBLEM
Physicians do this
              over 50
          times...per day!

THE PROBLEM
We make the lives of
       clinicians easier


THE SOLUTION
with workflow tools.


THE SOLUTION
THE SOLUTION
RefillWizard provides smart predictions
    for refill requests based on a
    physician’s custom protocols.




THE SOLUTION
The Screenshots.



THE SOLUTION
THE SOLUTION
THE SOLUTION
These predictions can:
   1) Better prepare messages for the doc
   2) Allow for task-shifting (e.g. standing
   protocols which can be carried out by
   lower level staff instead of involving the
   physician)



THE SOLUTION
What do docs think
        about this idea?


THE SOLUTION
Early April we started
      testing RefillWizard...


THE SOLUTION
We showed them this.




THE SOLUTION
They were sold.

          50% of the
    participants wanted to
     be beta customers.

THE SOLUTION
Let’s make some money!

       Free            $19/month            $49/month
     One MD               One MD             Up to 3 MDs
   All protocols        All protocols        All protocols
 Custom protocols     Custom protocols     Custom protocols
Shared receptionists Shared receptionists Shared receptionists




BUSINESS MODEL
Why is this model going
         to work?

            Physicians love
               control.

BUSINESS MODEL
Enterprise value proposition

                 Making life easier
                 + Increasing
                 compliance with
                 existing protocols.

BUSINESS MODEL
The more interesting sales
channels...




BUSINESS MODEL
The big money...

 Enterprise pricing
 Protocol creation consulting
 EMR Integration



BUSINESS MODEL
The Competition


THE COMPETITION
Impact on Quality   The breakdown of current HIT tools



                                           (Physician workflow tools
                                             such as RefillWizard)




                                          Impact on Efficiency
THE COMPETITION
Why are we better?




          They have slower development cycles.
THE MILESTONES
    COMPETITION
Why are we better?




                  They don’t think like us.
THE MILESTONES
    COMPETITION
Why are we better?




                  We leverage the cloud.
THE MILESTONES
    COMPETITION
Why are we better?
                         There is a land rush* for the
                         EMR market.

                         *In order to take part in the
                         gov’t sponsored land rush
                         vendors must comply with over
                         250 pages of software specs
                         and customer demands.



           They are busy with “meaningful use”.
THE MILESTONES
    COMPETITION
Why are we better?
                            Physicians “liked” paper records.
                            Life was easy.

                            Legacy vendors made the
                            transition and caused lots of
                            problems along the way.

                            Will physicians buy from these
                            same vendors again?


                  Physicians don’t like them.
THE MILESTONES
    COMPETITION
Where do we go from
            here?


THE MILESTONES
The Alpha Launch
                 (Through the first of June 2011)

 Product
 Testing onsite @ Northwestern Memorial with Dr. Berkowitz
 No custom protocols (paid option)

 Team - Three founders

 Marketing
 Reach out to potential beta customers,
 Submit application to the SMART App
 Challenge

THE MILESTONES
The Beta Launch
                 (Private Beta through July)
 Product
 Testing onsite @ two Chicago-area hospitals
 Fully functioning application

 Team - Three founders + two full-time developers

Marketing
Leverage the private beta to
generate interest
High profile beta testers, AMDIS
Group, Major HIT Blogs
THE MILESTONES
Public Launch and Beyond
                    (End of summer 2011)


 Product
 Fully functioning application

 Team - Three founders + three full-time developers

 Marketing
 Leverage interest from beta, Reach out to all major blogs
 (promotions for specific blogs), Talks with potential
 partners, SBIR Funding

THE MILESTONES
Since August of 2009,
   cumulative burn of ~$10,000.
            (Dr. Berkowitz added February 2011)




FINANCING
We have survived through small grants and
 bootstrapping.

FINANCING
What if we had rocket fuel?


                RefillWizard, Refined
                Integration
                EMR, Re-imagined




FINANCING
This is just the
              beginning.


THE FUTURE
ResultsWizard                NoteWizard
  Help MDs and staff deal      A better, faster way to
  with results (lab/imaging)   complete clinical notes



  The engine built for RefillWizard
  can be used in other contexts

  CareWizard                   MessageWizard
  Find at risk patients in     Helps MDs and their staff
  populations                  deal with messages

THE FUTURE
and brought into a single,
  unified experience for the
  clinician.


THE FUTURE
Unleashing the power of the
  electronic medical record.




THE FUTURE
Help us fix healthcare.
     Join us now.

founders@healthfinch.com

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Evolving healthcare using IT.

  • 1.
  • 2. “Many healthcare systems use enterprise systems customized to fit the needs of the particular provider....[and don’t] provide an open and robust platform for software developers to build applications to improve data entry processes, provide decision support, or other functionality.” President's Council of Advisors on Science and Technology Report BUSINESS OVERVIEW
  • 3. “...We conclude that achievement of the President’s goals requires significantly accelerated progress toward the robust exchange of health information.” President's Council of Advisors on Science and Technology Report BUSINESS OVERVIEW
  • 4. The future of HIT is modular. BUSINESS OVERVIEW
  • 5. We make medical apps. BUSINESS OVERVIEW
  • 6. How big can a single medical app become? Epocrates $500M Market cap (as of 5/16/2011) BUSINESS OVERVIEW
  • 7. The HealthFinch Partners THE TEAM
  • 8. Lyle Berkowitz, MD The “Change Doctor” Practices Internal Medicine Healthcare Informatics Expert Director, Szollosi Innovation Program CMIO Northwestern Memorial Associate Professor, Northwestern Author Speaker Held numerous CMO Positions “Twenty People Who Make Healthcare Better” “Future Health Top 100” “Top 50 Healthcare IT Blogs”
  • 9. Ash Gupta, Developer BusinessWeek’s Top Entrepreneurs under 25 Co-founded and sold previous startup, InZum
  • 10. Jonathan Baran, MS, Designer/Developer PhD dropout (researching the design of modular Health IT technology) $10K Recipient of the CIMIT Prize for Primary Care (for innovative solutions to problems in primary care)
  • 11.
  • 12. “A frequent complaint is that electronic health records do not make the physician’s job easier.” President's Council of Advisors on Science and Technology Report THE PROBLEM
  • 13. Many physicians are struggling to keep up with administrative tasks given to them. THE PROBLEM
  • 14. Case in point, prescription refills requests... THE PROBLEM
  • 15. Med Refill Message Patient Message - Create Phone Encounter SOURCE: [ x ] Phone [ ] VM [ ] RelayHealth FROM: [ ] Patient [ ] Mother [ ] Father [ ] Pharmacy Other: daughter CONTACT INFO Patient Phone: Other Contact Info: daughter xxx [ ] Do NOT leave message in voice mail [ ] Only call patient during special time (please specify): **** Pt told to expect response within 1 business day unless otherwise noted: [ ] Today [ ] Other: PHARMACY INFO Name/Phone: Walgreens xxx APPOINTMENT INFO LAST Appt with Prescriber: NEXT Appt with Prescriber: Other Relevant Appointment Info: For OB Call Center Use Only [ ] Patient is pregnant, EDC : ********************************************************************************* MEDICATION INFORMATION Name and Dosage Quantity Other Information ---------------------------------------------------------- 1. ZOCOR 20MG 1 A DAY 2. 3. THE PROBLEM
  • 16. You decide: Refill or not? THE PROBLEM
  • 17. Physicians do this over 50 times...per day! THE PROBLEM
  • 18. We make the lives of clinicians easier THE SOLUTION
  • 21. RefillWizard provides smart predictions for refill requests based on a physician’s custom protocols. THE SOLUTION
  • 25. These predictions can: 1) Better prepare messages for the doc 2) Allow for task-shifting (e.g. standing protocols which can be carried out by lower level staff instead of involving the physician) THE SOLUTION
  • 26. What do docs think about this idea? THE SOLUTION
  • 27. Early April we started testing RefillWizard... THE SOLUTION
  • 28. We showed them this. THE SOLUTION
  • 29. They were sold. 50% of the participants wanted to be beta customers. THE SOLUTION
  • 30. Let’s make some money! Free $19/month $49/month One MD One MD Up to 3 MDs All protocols All protocols All protocols Custom protocols Custom protocols Custom protocols Shared receptionists Shared receptionists Shared receptionists BUSINESS MODEL
  • 31. Why is this model going to work? Physicians love control. BUSINESS MODEL
  • 32. Enterprise value proposition Making life easier + Increasing compliance with existing protocols. BUSINESS MODEL
  • 33. The more interesting sales channels... BUSINESS MODEL
  • 34. The big money... Enterprise pricing Protocol creation consulting EMR Integration BUSINESS MODEL
  • 36. Impact on Quality The breakdown of current HIT tools (Physician workflow tools such as RefillWizard) Impact on Efficiency THE COMPETITION
  • 37. Why are we better? They have slower development cycles. THE MILESTONES COMPETITION
  • 38. Why are we better? They don’t think like us. THE MILESTONES COMPETITION
  • 39. Why are we better? We leverage the cloud. THE MILESTONES COMPETITION
  • 40. Why are we better? There is a land rush* for the EMR market. *In order to take part in the gov’t sponsored land rush vendors must comply with over 250 pages of software specs and customer demands. They are busy with “meaningful use”. THE MILESTONES COMPETITION
  • 41. Why are we better? Physicians “liked” paper records. Life was easy. Legacy vendors made the transition and caused lots of problems along the way. Will physicians buy from these same vendors again? Physicians don’t like them. THE MILESTONES COMPETITION
  • 42. Where do we go from here? THE MILESTONES
  • 43. The Alpha Launch (Through the first of June 2011) Product Testing onsite @ Northwestern Memorial with Dr. Berkowitz No custom protocols (paid option) Team - Three founders Marketing Reach out to potential beta customers, Submit application to the SMART App Challenge THE MILESTONES
  • 44. The Beta Launch (Private Beta through July) Product Testing onsite @ two Chicago-area hospitals Fully functioning application Team - Three founders + two full-time developers Marketing Leverage the private beta to generate interest High profile beta testers, AMDIS Group, Major HIT Blogs THE MILESTONES
  • 45. Public Launch and Beyond (End of summer 2011) Product Fully functioning application Team - Three founders + three full-time developers Marketing Leverage interest from beta, Reach out to all major blogs (promotions for specific blogs), Talks with potential partners, SBIR Funding THE MILESTONES
  • 46. Since August of 2009, cumulative burn of ~$10,000. (Dr. Berkowitz added February 2011) FINANCING
  • 47. We have survived through small grants and bootstrapping. FINANCING
  • 48. What if we had rocket fuel? RefillWizard, Refined Integration EMR, Re-imagined FINANCING
  • 49. This is just the beginning. THE FUTURE
  • 50. ResultsWizard NoteWizard Help MDs and staff deal A better, faster way to with results (lab/imaging) complete clinical notes The engine built for RefillWizard can be used in other contexts CareWizard MessageWizard Find at risk patients in Helps MDs and their staff populations deal with messages THE FUTURE
  • 51. and brought into a single, unified experience for the clinician. THE FUTURE
  • 52. Unleashing the power of the electronic medical record. THE FUTURE
  • 53. Help us fix healthcare. Join us now. founders@healthfinch.com