About NeurostarThe Virtual Radiology Network The Virtual Radiology Community NeurostarSolutions.com VirtualRadiologyCommunity.com The Virtual Orthopedic.

About Neurostar The Virtual Radiology Network

The Virtual Radiology

Community

NeurostarSolutions.com

VirtualRadiologyCommunity.com

The Virtual Orthopedic

Network

About Neurostar

Est. 2000 by GA Tech graduate studentsHeadquarters in Midtown Atlanta, GAAs of Q3/2007…

Over 500 sites nationwide8 regional offices

Unique Service Oriented Architecture (SOA):Always available infrastructure24x7x365 serviceBroad portfolio of servicesPay-as-you-go model

Connecting virtual communities of physicians and imaging providers

“Enabling & leading the market of outsourced clinical image management services!”

Service Portfolio

Virtual Radiology Network (VRN) Image DistributionData Archiving – now with Cross-Enterprise Data Sharing NEW!

Disaster Recovery/Business ContinuityPACS Insurance NEW!

Radiology Reporting ENHANCED!

Result DistributionVirtual Practice Management (VPM) NEW!

3D-Anywhere™ NEW!

Virtual Orthopedic Network (VON) ____________________________________________

Broad portfolio of professional services offered by partners.

The Virtual Radiology Community

An online directory of outsourced radiology service providers.Imaging providers can search for and find “their match”.Once a match is made – we recommend using the VRN to consummate the business relationship.

The Virtual Radiology NetworkClick on any of the green buttons to learn more!

VRN Portal

VRN Gateway

Service Oriented Architecture (SOA)

VRN Viewer

PACS

PACS Insurance NEW!

Cross-Enterprise Data Access (CEDA) NEW!

3D-Anywhere™ NEW!

Service Oriented Architecture (SOA)

Please follow the next few slides to see:

• A comparison of traditional PACS, ASP PACS and SOA

• SOA’s actual benefits to you!

ASP PACSNeurostar’s SOA

Off-site Data Center

Disaster Recovery

Customer Site

Client

Servers

Communications

Archiving

Picture Viewing/3D

Web Portal

PACS

Gateway

Neurostar’s SOA

Off-site Data Center

Customer A Disaster Recovery

Customer B Disaster Recovery

PACS ASP PACS

Customer A Customer B

Disaster Recovery

Communications

Archiving

Picture Viewing/3D

Web Portal

Servers

Disaster Recovery

Communications

Archiving

Picture Viewing/3D

Web Portal

Servers

Gateway Gateway

Shared Infrastructure Logically Segmented by Customer

SOA’s Benefits to You…

Easy cross-enterprise/cross-client connection Unlimited scalability Outsourced radiology practice management Standard Internet connections Only one PC required Cash flow positive from day one Instant implementation Obsolescence protection built-in

Virtual Radiology Service Providers

Services:

Image Distribution

Radiology Reporting

VPM

Result Distribution

Benefits:

Access to clients nationwide

Single interface across clients

Universal data access

Workflow, cost & revenue control

Faster, controlled turnaround

Quick & easy client setup

Predictable, affordable costs

Co-marketing opportunities

PACS for the Imaging Provider

Services:

Image Distribution

Data Archiving

Disaster Recovery

Radiology Reporting

Result Distribution

Benefits:

No need to install/maintain system

Most effective total cost of ownership (TCO)

Cash flow positive from day 1

Instant implementation

Obsolescence protection

Easy to outsource reads

Better service to referring doctors

PACS Insurance

Services:

Disaster Recovery

Data Archiving

Result Distribution

Benefits:

No PACS downtime or data loss

Less PACS upgrades/maintenance

No future data migrations

HIPAA Compliance

Secure, no-hassle remote data access (e.g. for outsourced reads, referring doctors, etc.)

THE LAST SYSTEM YOU WILL EVER NEED!

Image Distribution

Image access anywhere, anytime

Intelligent data routing

Efficient image streaming on demand

Data Archiving

Highlights:

Combined on- and off-site storage architecture for redundancy and performance

Always online – always available storage

Unlimited scalability via the Neurostar Data Center

Complete disaster recovery and business continuity ensure HIPAA compliance

Archiving Architecture

Local Area Network (LAN)

VRN Gateway VRN Backend

Imaging Modalities

Legacy PACS(if exists)

On-site cache 1-24 months

Long-term storageDisaster Recovery

VRN Portal & Viewer

On-site Users

VRN Portal & Viewer

Off-site Users

On- and Off-site Storage

On-site:VRN gateway provides scalable on-site storage cacheFrom 30 days to 24 months’ (or more) worth of storageSupports and overlays any local storage architectureOverlays legacy PACSFast retrieval by onsite users and workstationsRouting to local users/ workstations

Off-site:

Neurostar’s Data Center provides virtually unlimited off-site storage

Always online (spinning disks)

Redundant Secure Server Infrastructure (RSSI) ensures high availability

Complete disaster recovery

Business continuity option

Fast retrieval by off-site users via Web

Routing to off-site users

Cross-Enterprise Data Access (CEDA)

On-site cache

Customer ACustomer B

Off-site Data Center

Gateway Cache

Remote Users

Gateway Cache

Data Sharing Circle

1. Local access to local data

2. Local access to central data

3. Cross-enterprise access

4. Remote access to central data

5. Remote access to local data

Disaster Recovery (DR) / Business Continuity (BC)

Data protection

Uninterrupted operations

HIPAA compliance

NeurostarData Center

Customer Facility

Onsite PACSDown

ConnectionDown

Remote Users

VRN – Radiology Reporting

Features:

Digital dictation using attached Philips SpeechMike

Web based transcription tools

Electronic sign-off

Customized report templates

Speech recognition options

Benefits:

Dictated report immediately available with study

Can use any web based transcription service

Efficient report approval

Quick reporting on “standard” cases

Simpler workflow - shorter turnaround time

Virtual Practice Management (VPM)

Features:

Web based order entry

Cross-client worklists

Provider-specific or shared worklists

Resource analysis tools

Billing reports

Benefits:

Better control of work

Optimized throughput

Workload balancing

Better resource management

Enhanced revenue capture

3D-Anywhere™

Interactive 3D anywhere, anytime!

No image download!

No workstation software or server necessary!

Pay per reconstructionNeurostar

Data Center

Users Anywhere

3D-Anywhere™ Backend

Infrastructure

Standard PCs and Internet Connections

Interactive 3D

reconstruction

Imaging Facility

VRN Gateway

Study upload

Features:

Built-in data encryption

On-the-fly compression

Data integrity checks

Standard PC hardware

Web installation & maintenance

Quality Assurance tools

Scan tools

Modality Worklist

Benefits:

Internet safe

Optimizes bandwidth use

Connection tolerant

Software only available

Fast & easy to install and maintain

Verify data accuracy

Eliminate paper/film

Save technician’s time

Your Gateway to a New Worldof Radiology Outsourcing!

The VRN Gateway

Black-Box Mode Interactive (QA) Mode

• Advanced auto-routing capabilities• On-the-fly compression optimizes bandwidth utilization• On-the-fly encryption of data (built-in VPN)• Data integrity control• Fault tolerance for unstable connections• Easy to install and maintain over the Web

All the functionality of the Black-Box mode PLUS:• Quality assurance (QA) of patient demographics & images• Scanning documents (Requisitions/History forms)• Scanning prior films• Modality Worklist display• CD/DVD-ROM burning function• Film printing

Simple Upgrade

Configuration Options

Local Area Network (LAN)

VRN GatewayCT MR

CR NM US

VRN Backend(Neurostar Data Center)

Site Setup Fix lines and arrows

Paper ScannerFilm Digitizer

Scan: Requisition forms Prior reports Patient history, etc.

Scan prior films

Receive DICOMStudies and MWL

Send out complete DICOM dataset

Interactive (QA) Mode

Generate CD/DVD-ROMs w/embedded VRN Viewer-Lite™

Verify and/or edit patient demographics and study data; add notes or custom fields for later review by physicians, study routing to worklists and workstations.

Launch film/paper scan

Display Modality Worklist

Manipulate images (windowing, zoom, add annotations, etc.)

QA Mode – User Interface

The VRN Portal

Features:

Single web portal for all

Personal worklist

Personal tools

Multi-archive search

Data at fingertips…Complete patient timeline

Study status

Reports (audio & text)

Images (clinical/diagnostic)

Benefits:

Easy to maintain

Users work anywhere

User-friendly interface

Overlays legacy PACS

Clinical user efficiency

Easy collaboration among users

The VRN Viewer

Key Features:Push/pull paradigm with streaming on demandCompare modePersonal toolsPersonal hanging protocolsIntegrated 3D tools (optional)Integrated specialty (e.g. orthopedic) tools

Benefits:Fast retrieval of images anywhereQuick patient historyUser-friendly interfaceEfficient, standardized radiology readingJust-in-time diagnostic aids for all modalitiesIdeal for all specialty practices

(1) Single Monitor (2) Dual Monitor

(3) Three Monitors (4) Three Monitors w/ Diagnostic Panels

Typical Display ConfigurationsText needs to be aligned properly with

bitmaps and each other

Personalized toolbar allows user to select desired tools

Configurable image titles

Personalized hanging protocols determine all aspects of the display

Detailed Feature Listings

User Interface

Personalized windowing presets

Cross-reference lines for easy navigation

Series synchronization

Integrated 3D tools (optional)

Result Distribution

Highlights:

Multiple distribution options, including:Electronic faxing to multiple destinations

Secure email to multiple addresses

On-demand access via VRN Portal

Additional “softcopies” via VRN Portable

Fast distribution of reports (audio & text)

Easy access to clinical (key) and diagnostic quality images.

IBM Data Center(Secondary)Internap® Data Center

(Primary)

The VRN infrastructure is co-located within twoworld-class data center facilities

The Neurostar Data Center

100% Network Availability GuaranteeBiometric SecurityMultiple layers of hardened physical securityMultiple layers of electronically controlled card access24x7x365 security presenceClosed-circuit TV surveillance with digital storageSix redundant network backbones (155 Mb link each):

SprintMCI/UUNETGlobal CrossingSAVVISVerio

Climate controlled (64-78 degrees)Very Early Warming Smoke Detection (VESDA)

Environment

5,680 Ton Capacity

Chillers w/ 2 Units on

Emergency Bus

3,000 KVA UPS. N+2

backup

Backup Turbine Generators w/ N+3 backup

Batteries w/ 45 minutes run-time. Tested regularly under full load

Power

“Intelligent Routing” is a patented technology that selects the best path out of nine backbones to deliver your data quickly and reliably. This innovative technology avoids all problem areas and routing gridlocks, judiciously selecting the least congested conduit.

Telecommunications

Redundant storage and server architecture with no single point of failure Clustered processing servers and Oracle 10g database grid Open Systems standard equipment High security and high speed network infrastructure 24x7x365 remote monitoring and on-site technical staff

Redundant Secure Server Infrastructure

Virtual Orthopedic Network (VON)