October 2007

Since our last newsletter, several interesting and important achievements have been made. In other words, it is time to give you an update. If you have any questions, don't hesitate to contact us.

The VitalHealth Team
October 2007

VitalHealth Software is growing
In the last several months, VitalHealth has grown to a company with about 40 employees actively contributing to our success. Of these, several are located in India and the United States. This expansion has provided us with additional capacity to meet the growing demand for software for integrated care networks and multi-disease management. The professional and motivated VitalHealth team is committed to providing better care! Together with our partner D4H - a company in which we acquired an interest earlier this year - we now have about 70 people actively working on disease management and integrated care. This makes us the largest and most experienced provider in the dutch market.

Joint project of D4H and VitalHealth
In our last newsletter we informed you of the new relationship with our consulting and implementation partner Diagnosis4Health. In the mean time this relationship has strengthened to a solid partnership, that guarantees successful implementations of integrated care networks and disease management projects. Last May, Diagnosis4Health and Vital started a Vital for Diabetes project in the Almelo region in the Netherlands. About 80 family medicine physicians are now actively working with our software, with enthousiastic feedback. The positive response is living proof of the fact that robust software and solid implementation experience are essential ingredients to implementation projects. Our partnership guarantees a successful implementation and adoption of Vital for Diabetes.

New release Vital for Diabetes 2.1
In July 2007, VitalHealth has released a new and improved version of Vital for Diabetes. This 2.1 version adds specific functional capabilities over and above the already robust prior version. For instance, we increased the number of decision support rules that e.g. alert care givers of abnormal lab values or vitals of a patient, or indicate that an eye or foot exam is due. Next to that, the solution has been enriched with powerful graphing capabilities, as well as standardized risk calculations for e.g. adverse smoking effects or heart failure. The solution now supports referrals to providers inside or outside a care network, including the workflow and communication between the providers as well as authorized second line specialists. Accounting has been automated, leaving full control to the practice over timing and details.

New release VitalHealth Platform 2.03
Last August we released a new version 2.03 of our VitalHealth Platform. The VitalHealth Platform is the software framework based on which we model all our solutions. In this new release we have added a significant number of new features and functions, making it an even more powerful framewrok for solution development and modeling.

Vital for COPD - Astma
Together with Diagnosis4Health, VitalHealth Software is nearing the completion of Vital for COPD-Asthma. This solution completey conforms to the latest national standards and guidelines for COPD-Asthma integrated care. This makes VitalHealth Software the first and only provider that completely supports these guidelines. Apart from that, we are about to complete our first life-style coaching application: Vital to Quit Smoking. This month we have started several pilot projects with this software. With these additions to the existing portfolio we are making integrated care and co-morbid chronic disease management for patients a welcome reality.

Vital for Rare Diseases, UMC Utrecht
In our previous newsletter we mentioned that UMC Utrecht selected VitalHealth Software as the solution provider for a Rare Diseases project, led by Dr. R. Fijnheer. In the mean time, this solution is nearing completion. It will enable the central registration of care for patients with the rare diseases TTP and Mastocystosis. The solution is currently in pilot phase, and will be adjusted and completed based on pilot feedback. The expectation is that we will soon start with pre-registration of patients with rare diseases.

Project milestone at Groot Klimmendaal
The rehabilitation center Groot Klimmendaal has sucessfully completed the first phase of a project for creating a "Client Historical Status Overview". Modelled by VitalHealth Software, the solution has become part of the medical record for rehabilitation patients in September. With this step, the first phase of a rollout to all of Groot Klimmendaal was completed. The solution has transformed the traditonally paper-based medical record to a completely digital, user friendly and effective electronic medical record. Several other rehabilitation centers have expressed interest in the solution.

Mayo Primary Care Support
Early September, the Mayo Clinic in Rochester (US) started a pilot with a VitalHealth Platform based solution for Primary Care. The solution providers medical staff and care givers with a quick overview of relevant patient data, saving them significant time compared to manually looking up this information in the individual applications that make up the vast Mayo Electronic Medical Record. Apart from that, the application generates recommended actions for the treatment of patients with chronic diseases (initially Diabetes only), based on national guidelines for care. It also generates reminders for preventive services that are due, such as immunizations, mammographies, colonoscopies and ultrasounds. In the next few montsh, the solution will be rolled out to several departments within the Mayo Clinic. As a next step, it will be enriched with support for additional and co-morbid chronic diseases.