UHS Company Overview

UHS Overview

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• Manage underutilized capital:• Optimize assets within and across hospitals and systems• Provide greater equipment availability and quality with clinical and

technical expertise • Capture data and create metrics that drive actionable decisions

• Support clinical goals:• Right treatment, Right patient, Right time• Support protocol compliance• Prevent and reduce Hospital Acquired Conditions

• Provide access to new and leading technologies:• Reduce length-of-stay • Reduce readmissions• Improve outcomes

Executive SummaryWhat Sets UHS Apart

UHS helps health care providers lower costs, improve efficiencies and support better patient outcomes in the new health care environment


80+District Offices

2,500+Employees

8,000+ Health Care

Facilities

200+ Manufacturers

UHS Overview

NATIONWIDE FOOTPRINT

75+Years of

Experience

700,000+Medical equipment owned or managed

UHS utilizes our national footprint, equipment expertise and dedicated teammates to provide comprehensive solutions that help our customers lower costs, increase efficiencies and support better patient outcomes


Our Vision

To provide medical technology solutions for caregivers and patients

that are affordable, effective and accessible

Workflow,Data &Analytics

Service& Support

Equipment &Technology

NationalInfrastructure


Health Care Challenges

Equipment repair and down time

Reimbursement

(Medicaid and Medicare)

Decreasing

inpatient volumes

Increased costs of

staff and supplies

Reducing operating budgets

Inadequate or lack of funding for

capital improvements

OR scheduling

challenges and delays

Implementation of ICD-10

Staying current on agency

and state regulations

Redesigning nursing care processes

Pay for performance

Challenges

Underutilized assetsNursing turnover

and burnout

Managing Hospital Acquired

ConditionsStaying current on equipment

training and certifications

High technology

costs & total cost

of ownership

Driving Excess Costs:

Typical 500 bed facility (annual):

• $3M+ in costs from OR case delays

• $1M+ in equip maintenance & software costs

• $5M+ in infusion technology upgrade costs

• $3M+ in beds/therapy surface upgrades and rentals

• $2M+ in nursing turnover costs

• $4M+ in patient falls and HAPU expenses

• $20M+ in Hospital Acquired Infection expenses

• $10M+ in preventable readmissions

Challenges associated with health care technology and patient management are costing the industry $ BILLIONS in excess costs


The UHS Value

Number of Offerings Utilized

Val

ue

Vendor with focus on

price

Trusted Advisor relationship with a focus on lowering

costs and improving revenue

• Product A • Product A• Product B

• Service A• Product A• Product B

• Service A• Service B• Product A• Product B

• Solution A• Service A• Service B• Product A• Product B

• Solution A• Solution B• Service A• Service B• Product A• Product B


Hospital

Hospital

Approach to Equipment Management

Surgery Center

HospitalHospital

Main Hospital

Enterprise 360

Today’s EnvironmentFocused on the single facility. Misaligned resources to

demand driving low equipment utilization and increased costs across the system.

UHS EnvironmentSystem focused approach allowing maximum equipment

utilization and improved work-flow.

70%70%

70%

70%

70% 70%

Surgery Center

Hospital Hospital

Main Hospital

55%30%

45%

25%

80% 30%

System

Equipment Utilization

UHS enables health care systems to share underutilized moveable medical assets across facilities. We ensure that equipment is utilized to its maximum and eliminate equipment shortages and excess rentals.

Hospital

Hospital


Scope of Enterprise Management

Surgery Center

Surgery Center

Surgery Center

Hospital

Hospital Hospital

Specialty Hospital

Main Hospital

System1

1

3

2System Level• Greatest opportunity for cost savings and

efficiency• Largest pool of equipment

• Management of System-Owned equipment and rental provider

• Equipment standardization support

Regional Level• Management of Region-Owned

equipment and rental providers• Drives asset utilization, strategic

capital planning at sub Sub System• Improves work-flow and efficiency

Single Facility Level• Drives asset utilization, strategic

capital planning at Facility level• Improves work-flow and efficiency• Management of both facility-owned

and rental units


2

3

Enabled by Proven Systems

• Enabled by Proprietary Technology / Systems• Nationwide, real time equipment management & logistics• Billing & customer management• Quality & repair• Supply management• Real time analytics and reporting

• Full featured biomedical management and work order system

• Regulatory compliance• Capital planning & analysis• Real time analytics and reporting

Customer-driven tool enabling:• Equipment ordering• Utilization management• Regulatory: reporting & compliance• Clinical management• Reports & analytics

• On-site proprietary management tracking software for 360 programs

• Real time interface connects UHS to hospital, medical record, admission/discharge system, and financial systems

• Real time productivity and clinical, regulatory reports

• HIPAA Compliant


360 On-Site Managed Solutions

Results of Improper Equipment Management

360 solutions are full service technology management programs that provide:• Customer and UHS owned assets• Delivery, pick-up, cleaning and maintenance of medical technology• Data and analytics to help improve workflow and equipment utilization• On-site staff available 24x7• Clinical protocol compliance

360 Solutions

SurgicalEquipment 360

BioMed 360 NPWT 360 Beds & Therapy Surfaces 360

Fall Mgmt 360 Infusion 360


360 On-Site Managed Solutions

Note: Potential savings based on average 500-bed facility

VALUE


Comprehensive 360 SolutionIDN – 11 Facilities

Hospital Profile Hard Benefits

Beds 3,500 (11 Facilities)

Program Coverage

Infusion, NPWT, Biomed360, Patient Handling, and other Medical Equipment

QualitativeValue Creation

63% increase in nursing satisfaction

57% increase in delivery times

Virtually eliminated cross contamination violations (<0.5% system-wide)

Free up essential services for mission critical work

Increased technician net promoter score by 9.2%

Key Savings Summary

18% savings guaranteed over term of the contract

20% savings for beds 20% savings for NPWT $3m+ biomed savings (in 14

months) $30m in capital avoidance

Cumulative Program Savings (Since Sept 2011):

Capital Avoidance

$14.4m $30m

Cross Contamination Violations: Equipment moves from patient to patient without being cleaned and/or processed

20% Savings in NPWT

20% Savings in Specialty Beds


Peak Need Rental Solutions

Online Ordering & Reporting

State-of-the-Art Technology Education & Compliance

• Lost, broken and dirty equipment • Low equipment utilization • Inefficient use of capital dollars

Challenges of Peak Need Equipment Management: • Variable inpatient volumes • Managing multiple vendor relationships• Regulatory provisions and documentation

• Extensive fleet of over 700,000 pieces of state-of-the-art equipment• Patient-ready equipment delivered when and where it is needed most• Regulatory support, training and documentation

• Cost Avoidance: Avoid costs of equipment ownership related to depreciation, maintenance, repair, storage and cleaning • Risk Management: UHS is 100% responsible for all aspects of equipment management• Increased Productivity: Caregivers can access equipment when and where they need it, allowing them to focus on

providing optimal patient care

Peak Need Solutions

VALUE

Drivers of Bad Rental:


Documentation Reporting

Technology Expertise

Equipment Planning

Expense Management

Clinical Engineering Solutions

• Equipment maintenance and repair services• Centralized regulatory compliance• Strategic technology planning and sourcing• Medical Equipment Management Plans (MEMP)

Clinical Engineering Impact: • Highly regulated environment• Patient safety litigation expenses• Technology utilization & obsolescence

Challenges for Clinical Engineering: • Device risk and security management• Equipment interoperability execution• Capital equipment procurement expertise

Total $140,003,640

High Priority Items by Facility, $46,419,500

High, $46.4M,

33%Medium, $76.6M,

55%

Low, $17.0M,

12%

Campus A$625,000

1%

Campus B$3,694,000

8%

Campus C$2,050,000

5%Campus D$3,300,000

7%

Campus E$8,975,000

19%

Campus F$5,975,000

13%

Campus G$825,500

2%

Campus H$5,030,000

11%

Campus I$625,000

1%

Campus J$12,415,00

027%

Campus K$2,905,000

6%

PM Compliance Reporting

Security Risk Reporting

• Single Source Solution: Your single-source solution for equipment planning, repair, maintenance, reporting and compliance

• Decrease Clinical Engineering Expenses: 10% savings on existing spend by leveraging UHS buying power

• Optimize Capital: Utilize UHS technology scoring matrix for expert guidance on capital planning and sourcing

•Dedicated technicians•EMR integration•PHI compliance•Alarm management

•Regulatory compliance•Asset optimization•Vendor sourcing & negotiation

Clinical EngineeringSolutions

VALUE


Education & LSO Support

Scheduling

SurgicalTechnology

Analytics & Reporting

Surgical Lasers

Surgical Services

• Access to technology with certified technologists without the high cost of ownership • Pay-per-use model ensures that charges are incurred only when used on a patient • Metrics and actionable analytics

Cost of OR Inefficiencies: • HAIs cost $15,000 per incident• Total cost of ownership: $1M per year for surgical

equipment management • Trained and certified equipment operators• Litigation expense

Challenges for ORs: • Access to technology to provide desired outcomes• Cost per patient is up / reimbursements are down • Delays, lengthy procedure times and retreatment rates cost

facilities millions of dollars per year • Efficient utilization of capital equipment

• Accessibility: Access to the most advanced and comprehensive surgical equipment fleet and certified technologists in the industry• Assessments: On-site assessments to determine utilization, cost of ownership and regulatory compliance• Analytics: Review quarterly metrics, analytics and quality indicators to increase efficiencies, lower costs and improve patient

outcomes

Aloka ESWLEndocare Cryocare

Tru-DSmartUV

OmniGuide Greenlight XPS 100 Watt Holmium Lumenis Ultrapulse CO2

VALUE

Surgical Services


Wound Management Solutions

• Patient-ready equipment delivered when and where it is needed• Address patient needs from prevention to treatment• On-site programs maximize speed to therapy and clinical compliance

Assessment & Care Plan

Documentation

Prevention

Education & Compliance

Treatment

Bedside Pressure Mapping

OnCare™ Rest-Q® OnCare™ VitalGo TLB™

Therapy Surfaces NPWTOnCare™ Dolphin FIS®

Costs of Wounds: • $10.5 billion annually• $43,000 average cost to treat pressure ulcer• Litigation expenses

Challenges of Wound Management: • Inconsistent documentation and compliance to current protocols• Equipment availability negatively impacts speed to therapy and

caregiver satisfaction• Higher focus on treatment vs. prevention and compliance

• Decrease Rental Costs: 20-30% savings on specialty bed and therapy surface rentals

• Reduce HAPUs: Up to a 50% reduction in hospital acquired pressure ulcers (HAPU), which can cost over $43,000 per wound

• Clinical Support: UHS’ dedicated team of clinical experts partners with your facility to support compliance and maximize patient careVALUE

Wound ManagementSolutions



Reporting & Documentation

Fall Prevention

Education & Compliance

InjuryPrevention

Fall Management Solutions

• Scientifically validated risk tool and care plan• Actionable education and reporting to drive accountability and sustainability• Best-in-class products deliver optimal patient outcomes

Costs of Falls: • 11,000 fatal falls annually• $14,056 average cost of fall with injury• 6.3 additional days of hospital stay

Challenges of Fall Management:

Alarms Enclosure Beds

OnCare™ Harmony® Low Bed

OnCare™ LiftSeat® OnCare™ Bedside Guardian Fall Mat™

Telesitting Systems

• Assessment tool and care plan not linked• Difficulties providing education for staff, patient and family• Inconsistent use of risk prevention equipment

• Decrease Rental Costs: 20-30% savings on specialty bed and therapy surface rentals

• Reduce Fall Injuries: Reduce the risk of fall-related injuries from the industry average of 30% to less than 1%• Caregiver and Regulatory Compliance: Drive caregiver compliance and fulfill regulatory compliance responsibilities

VALUE

Fall ManagementSolutions


Early Mobility Solutions


Protocol Development

Education & Clinical Support

MobilizationEquipment

• State-of-the-art technology to safely mobilize critical patients• Patient-ready equipment delivered when and where it is needed • Clinical education and support for proper use of equipment

Costs and Complications of Bed Rest: • $4,000 average daily cost of an ICU stay• 4-13 days increase in length of stay from VAP• Increased risk of pressure ulcers (Average cost $43,000)

Challenges of Early Mobility: • Safety of caregivers and patients during mobilization • Inadequate ICU staffing levels and knowledge • Patient sleep deprivation & state of consciousness

• Reduce Length of Stay: Early mobility solutions help facilities accelerate healing time, reducing hospital stays by over two days• Reduce Readmissions: Early mobilization in the ICU plays a crucial role in helping improve patients’ physical health after critical illness• Improves Patient Outcomes: Early mobility programs have been proven to improve lung output, respiratory function, bowel function,

circulation, pressure ulcers, muscle strength, cognitive growth and optimism

OnCare™ VitalGo Total Lift Bed™

OnCare™ LiftSeat®Gait Trainers

Mobility Carts

VALUE

Early Mobility Solutions



Education & Clinical Support Specialty

Beds & Therapy Surfaces

Reporting & Documentation

Lift Products

Bariatric Solutions

• Best-in-class products deliver optimal patient outcomes• Proper use of equipment solutions promotes improved clinical outcomes• Focused on patient and caregiver safety

Bariatric Impact: • Nearly one quarter of U.S. adults are obese (22.3%)• 30% of staff injuries related to patients with BMI ≥ 35• Average workers compensation claim is $15,000

Challenges of Bariatric Management: • Equipment availability negatively impacts speed to therapy and

caregiver safety• Inconsistent use of comprehensive bariatric equipment• Equipment needs fluctuate based on census

• Decrease Rental Costs: 20-30% savings on bariatric and therapy surface rentals• Reduce Never Events: Prevent and minimize wounds and falls while facilitating healing with clinically-proven wound prevention and

treatment products• Reduce Injuries: Reduce and prevent caregiver and patient injuries through proper use of specialized bariatric equipment

OnCare™ LiftSeat®

OnCare™ VitalGo Total Lift Bed™

Specialty Beds

VALUE

Bariatric Solutions

Therapy Surfaces

Floor Lifts Standing Aids


OnCare™ Products

Comfort-X™ MattressRest-Q® Mattress

Comfort-X™ Mattress

Harmony® Low Bed

Fall Management

Wound Management

Bariatrics

Bedside Guardian™ Fall Mat

Early Mobility

Rest-Q® Mattress

Harmony® Low BedVitalGo Total Lift Bed™

Dolphin Fluid Immersion Simulation®

Dolphin Fluid Immersion Simulation®

LiftSeat™ Powered Toilet Lift

LiftSeat™ Powered Toilet Lift

VitalGo Total Lift Bed™


Business AnalyticsSample Review Metrics


HAPU Reduction with 360 Solution400-Bed Hospital Case Study

METRIC DETAILS: KEY TAKEAWAY:

The number of Hospital Acquired Pressure Ulcers (HAPUs) at the facility in comparison to Specialty Bed usage

While specialty bed and surface usage has increased by 30% since go-live it has resulted in a 50% reduction in HAPUs. Protocol compliance is being enforced and the correct product is being assigned to the correct patient.

Analysis:

12 reduction in HAPU / month

12 months in a year x 43k average cost of HAPU

$6.2M annual Savings

Missed pressure ulcers on admission screening. Additional training provided


Surgical Analytics

IDN Comparative Analytics


Assessment ServicesData Collection & Process

Define Scope & Objectives Pre-Data Collection & Planning On-Site Assessment Report &

Recommendations

Equipment Management Surgical Services Wound ManagementFall Management

Challenge: • Managing Hospital Acquired Conditions• Preparing for Accreditation• Managing HCAHPS• Managing the equipment management process

UHS Solution: • Unbiased, 3rd party assessment of processes and protocols• Comparative data and baseline reporting• Actionable analytics• Recommendations that are sustainable

VALUE• Improve controls to reduce capital and operational expenses• Improve operational efficiencies• Improve patient outcomes

• Collaborate with UHS team to identify specific objectives that will yield impactful results

• Obtain current data relevant to objectives

• Customize staff survey• Determine on-site dates

• Facilitate staff interviews• Observe facility processes• Review protocols• Collect survey results

• Present results and recommendations for sustainable areas of improvement


Talk to your UHS rep today to schedule an

assessment!

UHS Company Overview

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