Healthcare delivery continues to evolve and change as new technology and regulations come to light. Telehealth has come to the forefront as the new paradigm for healthcare in many clinical situations. In this session, IVCi and Avizia reveal the: Best practices for adoption of telemedicine. Expansion of telemedicine into new service lines & trends of innovation. Many uses of telemedicine for prevention based applications.​

1. The Expanding World of Telehealth
Greater Access to Greater Care

2. Who is IVCi
• 18 years providing collaboration solutions
• Video Conferencing
• Audio Visual Integration
• Cloud Video Services
• One of the first Avizia partners
• Deploy large scale telehealth solutions
across the United States
(University of California System)
• Based in New York with offices throughout
the United States
• Visit our website at http://www.ivci.com

3. Agenda
• Avizia Introduction
• Telemedicine Best Practices
• Market demands/opportunity
• Innovation
• Use Cases
• Resources
• MC600 Room Control demo (optional)

4. Who is Avizia
• Avizia was founded in April 2013, started as a
spin out of Cisco’s TelePresence Vertical Products
team, a highly successful business unit that created
products focused on the unique requirements of the
rapidly growing healthcare and education industries.
• Avizia maintains a strong relationship with Cisco
and is proud to exclusively feature Cisco
TelePresence Technology in our products.
• The Avizia team has been creating telemedicine
and distance learning products for over 15 years
• Avizia headquarters and demonstration center is
based in Reston, Virginia – we welcome customers
or partners for in person or virtual demonstrations
over video any time.
• Visit our website at http://www.aviziatech.com

5. What Sets Us Apart
Our products “get it”
With our deep expertise in
video and these industries,
we deliver products that
seem to just “get it” as they
deliver an exceptional
collaboration experience
Seamless integration
With strong roots in Cisco
Technology, our products
are tightly integrated
solutions which means ease
of use and consistent
performance
World-class support
We know our products are
mission critical to our
customers, and we provide
the support needed to
ensure their success
Revolutionizing Healthcare, Education, and Defense by taking video conferencing out
of the boardroom and into industry applications

6. Source: BusinessWeek: Telemedicine: Doctor Visits via Video Calls
Some Telemedicine Humor…

7. Source: BusinessWeek: Telemedicine: Doctor Visits via Video Calls
Some Telemedicine Humor…

8. Demand for Telemedicine is Rapidly Growing!
The ACA is adding
30M patients into
a system…
…That by 2020 is
estimated to have
a shortage of
91,500 doctors
Source: Associate of America Medical Colleges
Thankfully, Telemedicine
is becoming widespread
with over 20 states now
requiring private insurers
to reimburse
The industry is growing because clinicians and patients are demanding it, and
telemedicine is providing solutions for these challenges.

9. Barriers to Telemedicine
• State-by-state regulations (licensure of professionals and malpractice liability
variations)
• Slow adoption born out of lack of information, fear and cost
• Fragmented financing
• Lack of aligned incentives between patients, providers and payors (where
clinicians might be responsible for implementing health IT and remote
monitoring tech's, but payors reap the financial benefits)
• Clinical workflow challenges that prevent doctors and nurses from adopting
and deeply implementing innovations due to (1) organizational inertia and (2)
very real day-to-day work patterns that get ingrained in daily processes.

10. Highly Adopted Service Lines - Telemedicine
• Primary care
• Telepsychiatry/mental health
• Telestroke/neurology
• Tele-emergency
• Post-op follow-up
• Interpreter services
• Tele-ICU
• Teledermatology
• High risk OB
• Operating room
• Prison health
Focus on rural outreach, connecting urban clinicians to remote areas

11.  Primary care physicians
 Cardiologists
 Neurologists
 Psychiatrists
 Dermatologists
 Rehab therapists
 Pediatricians
 Hepatologists
 Oncologists
 Diabetes educators
Avizia Clinical Assistant = Gateway to an Ecosystem
It isn’t about the cart – but what it enables!
Medical devices
•AMD
•GlobalMed
•Firefly
•JEDMED
•Cardionics
•3M Littman
Patients and Medical Professional Remote Specialists and Telemedicine Providers

12. Avizia Clinical Assistant
Demo

16. The Avizia Clinical Assistant can be equipped with a
number of optional accessory modules
Scope hooks (CA-ACC-SH)
Scope hooks (CA-ACC-SH)
Laptop tray (CA-ACC-LT)
Storage pod (CA-ACC-SP)
Storage pod (CA-ACC-SP)
Retractable cord caddy
-AC power option (CA-ACC-RPC)
-Network cable option (CA-ACC-RNC)
Splash cover (CA-ACC-SC)
-Locking drawer (CA-ACC-DM)
-Locking PC cabinet (CA-ACC-CM)
PC shelf (CA-ACC-SM)
Wireless mount (CA-ACC-WM)
Not Pictured:
Dual Display arm (CA-ACC-DDA)

17. Lockable Drawer
Shelf Module
Clinical Assistant Accessories

18. Clinical Assistant Accessories
Laptop Tray Scope Hooks

19. Clinical Assistant Accessories
Wireless Module
Lockable PC Cabinet
Storage Pods

20. Clinical Assistant Overview
Mobile Safe Adaptable
• Battery powered for
over 3 hours of use
without needing to
plugin
• Wireless Internet
options available
Bringing video collaboration to the patient bed-side or wherever it’s
needed
• FDA Class I
registered device
• 5 wheel base is
easier and safer to
move
• Fits your needs with
over a dozen
accessories
• Compatible with
nearly any input
device with 3 S-
video, 3 composite, 3
HDMI and, 2 DVI
inputs

21. JedMed HorusScope Overview
User Friendly Scope Attachments Adaptable
• Still image capture &
videos
• 3.5” full color LCD
display
• Rechargeable
battery
Easy-to-use hand-held video system used for capturing images of the
body
• General viewing
• Otoscope
• Dermascope
• Fundus
Ophthalmoscope
• Anterior Chamber
Ophthalmoscope
• High definition stills
(1080p)

22. Avizia Exam Camera Lenses and Sample Pictures
Fundus
Ophthalmoscope
Anterior
Chamber Lens
Dermascope
Otoscope
General
Exam
Endoscopes

23. Cardionics Clinical E-Scope Overview
User Friendly Details Adaptable
• Intuitive set-up
• 1 AAA battery
• 2 digital filters
• Remote participant
can hear ‘real-time’
sounds
Electronic Stethoscope that can amplify sounds up to 30 times louder
than an acoustic scope.
• Standards based
• Connects directly to
the CA
• Analog audio
connection
• 64 possible volume
positions
• Control filter for
sound frequencies
• Control buttons on
stethoscope head

24. Best Practices for Implementation & Adoption
• Develop service delivery model
• Find and grow your champions
• Clinical workflow/scheduling/billing
• Begin with a small scope…master…expand
• Policies, procedures, contingency plans
• Regularly monitor, measure and evaluate
• Communicate; sites, staff, patients, administration
• Report
• Celebrate your successes!

25. • Flexible platform of video endpoint solutions
• Network of 175+ specialists and healthcare providers
• On-call neurologists
• 50,000 + telemedicine consults annually
• Reduced wait time for patients and drive time for physicians
• Goal to provide specialty care to Georgians within 30 miles of their homes
Situation
Solutions
Results
• Lack of access to specialists in rural areas
• Long drive times for patients & doctors
• High emergency room usage for untreated conditions
We have doctors who used
to drive 2 hours each way
to see patients in rural
communities. Now
physicians can spend that
same amount of time to
see more patients in more
places.
Marty Nall,
Director of Training & Education
Georgia Partnership for Telehealth
Comprehensive Network Delivers Care to Underserved Communities

26. Trends for Increase in Adoption & ‘Innovative’ Service Lines
• Teledental
• Long-term care/assisted living
• Teleautism
• School based healthcare
• Telehepatology (various sub-specialty focus)
• Ambulatory care
• Telepharmacology
• PICU/NICU (population focus)
*Increase in urban areas adopting telemedicine, focus on specific
populations & sub-specialities

27. • Investment in equipment, infrastructure, and training
• E-consults at local clinics with Clinical Assistant telemedicine cart
• Mental health
• Dermatology
• Cardiology
• TeleEmergency
• TeleHospitalist
• Teledietician
Situation
Solutions
Results
Essentia Health
Connected Care
• 51% of their 50,990 miles is rural
• 5 of their 14 hospitals and 27 of their 67 clinics are in Health Professional Shortage
areas
• 42.5% of population lives in these shortage areas
Our vision is to improve
healthcare delivery in
rural areas by helping
patients overcome the
barriers that stand
between them and their
optimal health and
wellness.

28. Prevention-Based Telemedicine
• Chronic disease prevention
• Transition care clinics
• Patient education
• Health ‘coaching’
• Pharmacology – medical management

29. Telemedicine Resources
• ATA
• Telehealth Resource Centers
• Hands on Telehealth Newsletter
• MedCity publication

30. Our Products – inspired by Industry, applicable everywhere
Clinical Assistant Tactical Extended Height Cart Educator Synch
Healthcare providers can
scale resources, increase
patient access, and work
more productively through
remote face-to-face
collaboration with our
mobile video medical cart.
A rugged mobile
telepresence product
designed for military,
emergency response, and
other field-based
industries
A mobile solution for the
Cisco TelePresence
MX200 and MX300 with
height control for better
viewing in larger
audiences
Take control of your
conferencing rooms with
the Educator iPad app and
manage video, multiple
room displays and input
devices with ease from a
single device.
Merge the power of
interactive whiteboards
and video conferencing
simultaneously on a single
touch display.

31. Adam Kaiser
631-707-7428
akaiser@ivci.com