HeartCode e-Learning Workshop Agenda

1. Welcome HeartCode BLS, ACLS andPALS e-Learning WorkshopIncludes AHA Current Guidelines!Available on all HealthStream & Laerdal Learning Platforms! 1

2. HeartCode e-Learning WorkshopAgenda Welcome and Introductions HeartCode BLS Introduction to courses Cognitive: Part 1 Skills Check: Part 2 HeartCode ACLS HeartCode PALS Learn Products Q&A Hands on with the courses and manikins ….

3. MAINE MINI-SUN DAY ONE AGENDA Welcome and Introductions 11:00-12:30 HeartCode workshop with working lunch 12:30-1:00 VitalSim Overview 1:00-3:00 VitalSim Scenario writing 3:00-4:30 VitalSim Breakouts (EMS training center and McKernanCtr) 4:30-6:30 Reception at McKernan Center

4. What is HeartCode BLS, ACLS & PALS? HeartCode is the official American Heart Association Self-Directed Comprehensive eLearning Program HeartCode allows students to take the BLS/HCP, ACLS & PALS courses on a computer, instead of attending traditional, classroom based course. HeartCode BLS and ACLS uses Microsimulation Technology / Scenario-based Learningand VAM -Voice Assisted Manikin Technology Skills on a computerized manikin. 4

5. How does the NEW HeartCode Program Work? NEW HeartCode vs. Old HeartCode • A Brief History Healthcare Providers can get their AHA course certification in just 3 easy steps! • Step 1 – Part 1/Cognitive: lessons, textbook(s), testing • Step 2 – Part2/Skills (2 options for BLS: VAM’s or live instructors, only Live instructor for PALS) • Step 3 – Course Completion Card 5

6. Novi, Michigan History of HeartCode at HealthStream HeartCode BLS completions to date on HealthStream HLC 295,000+ 6

7. A Collection of Abstracts from Scientific Papers ...http://bit.ly/Q-CPR Abstract: Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest Conclusion: The results from the study revealed very poor CPR quality in the in-hospital setting.  That is too few and shallow chest compressions, and too many ventilations per minute. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Abstract:  An Automated Voice Advisory Manikin System for Training in Basic Life Support Without an Instructor.  A Novel Approach to CPR Training Conclusion:  Feedback can (almost immediately)improve the basic CPR skills performance of paramedic students.  In addition, when students begin with feedback, they attain a high level of performance and maintain that high level even when feedback is taken away. 7

8. What are the Benefits of HeartCode? Benefits to the student/provider… • Students can complete the program at their own pace, on their own schedule • Available 24/7 • Provides instant feedback on strengths/weaknesses via detailed debriefing • Allows student to earn Contact Hours provided by the American Heart Association (up to 12 for ACLS an 11.74 for PALS) • Fun, challenging, change of pace from traditional course 8

9. What are the Benefits of HeartCode? Benefits to the institution … • Reduces cost – instructors, supplies, staff replacement • Promotes a clear cost structure • Maintains a standardized, high level of professional competency • Motivates staff due to convenience, fun/challenging testing and credit hours provided (PALS) • Allows for easy monitoring of staff performance …. provides all HealthStream Reporting Capability 9

10. How long does it take for a student to complete the HeartCode? • BLS/HCP • ~1 hour • ACLS • ~4-6 hours • PALS Course • Based on limited student data: • Part 1 Cognitive: ranges from 5 ½ hours to 12+ hours • Part 2 Skills: ranges from 2-3 hours • Traditional course: • Initial – 16 hours - only offered at some facilities - • Recertification – 8 hours

11. AHA Training Memo: Skills Practice and Testing for HeartCode™ PALS Part 1 DATE: January 8, 2010 • Course Completion Requirements • 1. Successful completion of all cases in the HeartCode PALS Part 1 program • (with live AHA PALS Instructor …) • 2. Successful completion of the required CPR skills test administered by an AHA PALS Instructor • 3. Successful demonstration of the management of respiratory emergencies • 4. Successful demonstration of intraosseous access techniques • 5. Successful completion of one (1) PALS Cardiac Core Case Testing Scenario and one (1) Respiratory or Shock Core Case Testing Scenario, functioning as the Team Leader in each

12. Key Questions to consider … • How many students do you train in BLS/HCP, ACLS and PALS annually? • Courses structure – Where? When? What equipment? • What are the biggest challenges/obstacles (over full classes, physicians not attending, lack of instructors…) • Do you charge for the course? How much do you charge employees vs. non-employees? • What does it cost you per student to teach the course? Don’t forget hourly rates in OT, replacing staff on the floor, books, facilities, etc. • Any opportunities to further market and provide these courses to non-employees your area? Become a profit center? 12

13. HeartCode BLS, ACLS & PALS Product Demonstration “The Student Experience” 13

14. HeartCode BLS/ACLS/PALS Pricing for 2010 Volume Discounts Available (the more licenses you purchase, the lower the cost per license) Flexibility (Can be purchased as full system or in parts) Initial Packages (with minimum purchase, VAM’s are complimentary!) Additional Manikins Available 14

15. Achieve High Impact, Cost Effective BLS TrainingBlended Learning Utilizing Laerdal Manikins and HealthStream’s Online Didactic Training is the “Gold Standard” in the Industry HeartCode Improves: Ventilation rate and duration Compression depth, rate and number Completeness of chest recoil Psychomotor skills Ability to consistently exercise sound clinical judgment Student sensitivity to timing of care Potential outcome at your facility:

16. Let’s discuss where we go from here: Tara Landry Territory Manager VT, ME, NH and MA Laerdal Medical Corporation Tara.Landry@Laerdal.com Toll Free Cell 1-800-648-1851 x2588 Nancy McCoy Specialty Account Manager HeartCode ACLS/BLS HealthStream, Inc. 484-424-9878 Nancy.McCoy@HealthStream.com 16