PreMedicus® ER is a novel user-friendly patient facing mobile app for digitally guided self-diagnosis that accurately triages over 100 medical conditions. PreMedicus® ER delivers real-time hyper-personal triage advice with in-app 911 call capability, and GPS guidance to nearby pharmacies, physician offices, urgent care facilities or emergency departments as deemed appropriate by the Triage Engine. PreMedicus® ER can be integrated with telemedicine platforms and the digital front door of urgent care, ER and retail pharmacy facilities. PreMedicus® ER initially collects and organizes patient responses to a carefully crafted health questionnaire to create a custom Health Report. The Health Report helps the patient understand their current health status and risks for future problems in easy to understand language. In times of acute illness, the PreMedicus® ER app takes the patient through a brief targeted interview, and in under five minutes renders a reliable Preliminary Diagnosis and accurate Triage Decision using data from current symptoms and their personal health database. The PreMedicus® ER app delivers relevant health education and advice curated from world-class sources about the likely diagnoses, and then activates global GPS to guide the patient to the closest appropriate facility regardless of where in the world they are located. The patient can share their Illness Report with telemedicine or in-person health providers and family members. We performed a real-world pilot study in a busy inner city academic hospital that cares for a predominantly disadvantaged population with high uninsured and Medicaid rates. We proved that our digital approach to Preliminary Diagnosis and Triage was as reliable as that of the ER physicians. The majority of adult patients regardless of age found the app easy to use, and expressed interest in using this tool. Our pilot study data is available upon request. PreMedicus® ER was released in January 2020. We are eager to partner with a hospital system or health insurer in a pilot study of this unique self-diagnosis, triage and health maintenance tool in a large Medicaid population.

PreMedicus® LLC is an Atlanta based digital medicine startup founded in 2015 by Pulmonary and Critical Care physician Dr. Tony Kimani. While in China with his Georgia Institute of Technology MBA class in 2014, he saw patients waiting long hours for ER care with advanced smart phones in hand. He was inspired to design and commercialize patient-friendly mobile apps for critical healthcare needs. We have been quietly building an integrated suite of mobile applications (apps) that work together to create value for major healthcare stakeholders by digitally streamlining critically important medical and business functions. These digital tools engage patients in their own care, expedite virtual or in-person evaluation, increase workplace safety, optimize staff workflow, provide clinical decision support, shorten reimbursement cycles and provide strategic data insights in the fast paced telemedicine, urgent and emergency care environments. As the Covid-19 pandemic rages, many nations face a looming shortage of providers. The paradigm is rapidly shifting to favor digitally-enabled, patient-centered, inter-connected healthcare technologies that help clinicians safely deliver personalized, high quality, cost-effective and efficient care. Traditional electronic health record (EHR) systems designed primarily for record keeping and medical billing are ill-equipped to handle the rapidly growing demand for user-friendly platforms that capture the essence of the patient-provider relationship (whether in-person or virtually), engage and inform both parties, and automate essential business functions. This opens the door for the small subset of companies like PreMedicus® that provide can deeply embed their technology within the patient-provider interaction to provide value to all stakeholders involved in the care episode. Our customers are large employers, insurers, telemedicine providers, ACOs, hospital systems and government health departments seeking to safely manage urgent and emergency care while engaging patients in their own healthcare decision-making.

• Attracts new patients to your preferred networks. • Improves patient experience using predictably high quality digital interactions. • Delivers accurate and consistent digital triage decisions before and after ER arrival. • Creates opportunities for earlier intervention to reduce avoidable ER visits and admissions. • Provides essential clinical information to reduce provider workload.

• Designed and tested in an IRB approved pilot study by academic physicians in an inner city high volume Emergency Department. • Digital literacy and mobile app user interface scientifically tested for acceptance by Medicaid patients. • Hyper-personalized digital diagnosis and triage capabilities comparable in accuracy to ED physicians in a high morbidity Medicaid population. • Easily integrated with EHR, telemedicine and post-acute care follow-up software. • Comprehensive population health management platform with customizable dashboards delivers value in sickness and in health. • Analytics capabilities for population health managers.

Speed time to market by automating what are now mostly manual tasks for individuals spanning cros-functional teams; futureproof the organization's offerings for interoperability/security, etc via a platform that embraces a radidly evolving landscape; breadth and depth of features and functionality (Orbita is helping define and create new technologies and approaches in this sector. NOTE: Organizations should consider the history and early days of Web sites when content management platforms didn't exist; we are now in a similar realm with voice technology; most entities found it cost-prohibiitive to custom-develop an enterprise-scale web platform, let alone keep it up-to-date as technology rapidly evolved. The same will be true for voice.

Healthcare specific (HIPAA compliance, interoperability, etc); omnichannel (create once, publish to smart speaker, web, mobile, etc.); multimodal (chat, voice, video, etc.); broader in scope than one-off application providers (platform and packaged modules for providers, payors, pharma, and digital health vendors)