May 3, 2004
STATag
SBIR Presentation
Daniel Tubbs Brian Easton
Jason Sadler Latricia Simon
Joseph Williams Francis Doligosa
1
Hospitals need to reduce costs to increase profitability
From 1997 to 2001, spending on hospital care increased by $83.6 Billion 3
Hospital gross margins have declined annually every year since 1997 3
Wages & Benefits for nurses account for 36% of Hospital costs ($166.4 Billion) 3
2 May 3, 2004
Percent of Total Hospital Costs by
Type of Expense
17%
Wages &
Benefits
Other Products
(excluding Rx drugs)
Capital
5%
8%
57%
13%
Prescription
Drugs
Other Services
Cost of Caring: Key Drivers of Growth in Spending on Hospital Care , PriceWaterhouseCoopers, February 19, 2003 (Appendix C)
May 3, 2004 3
3560% of a nurse’s time is wasted on 5
Searching for equipment
Clarifying orders
Entering redundant information
Wasting $58 - $99 Billion annually 6
May 3, 2004 4
More difficult for hospital to maintain profitability as Baby Boomers retire 5
Severe shortage of nurses
Will cause further salary increases
Increased patients
Hospitals will be more busy
Decreased reimbursements
Medicare/Medicaid reimburses at only 45%
Private health insurance reimburses at 80-90%
May 3, 2004 5
The use of STATags will:
Reduce man hours searching for needed equipment
Lower operating costs
Save a real $1 for every $4 of efficiency gained 7
(Reduction of overtime, increased turnaround, etc.)
Increase staff efficiency
Increase a nurse’s efficiency at least 10% 5
May 3, 2004 6
Industry Opinion
“Brilliant Idea”
- Cindy Jimmerson, founder of reVIEW
(Realizing Exceptional Value in Everyday
Work), and National Lecturer on Hospital
Efficiency
May 3, 2004 7
•Default screen presents the user with a list of items that can be queried
•User selects item and selects ‘Query Nearest
Device’ to locate that closest particular item
An ‘Administrative Use’ button is also available for authorized personnel to make any necessary maintenance to the system
May 3, 2004 8
Following query execution, the next screen presents a map of the facility and the location of the nearest queried item
9 May 3, 2004
STATag
STATag
STATag
User
`
Web Browser
Network Coordinator DB Server
Internal Webserver
STATag
STATag
May 3, 2004
Database
10
Battery
802.15.4 Module
Microcontoller
Usage Module
(In use switch)
Movement Detection
Module
(Gyroscopes &
Accelrometers)
Flash RAM (1MB)
Tamper Detection Module
(Tag Removed Switch)
May 3, 2004 11
Software Interface
(STATag – Server)
General Specifications
All STATags have a unique ID
STATags transmit their location periodically or when queried
STATag location data is stored in the database by STATag ID
Software interface updates the database using
SQL
12 May 3, 2004
Allows for fast lookups
User selects type equipment to locate
Query is sent to web server
Web server retrieves the locations of the closest pieces of equipment of the selected type
Positions are displayed on a map for the user
13 May 3, 2004
Underlying Interface Abstraction
Installation associates the equipment’s serial number and equipment type with the
STATag’s unique ID
Equipment type queries return all STATag IDs associated with the requested type
Each STATag’s location is compared to the requester’s location
Location of the closest STATag not in use is returned
14 May 3, 2004
Create a Real-Time Equipment Tracking system using STATags that increases staff efficiency and allows hospitals to reduce operating costs
May 3, 2004 15
STATags will:
Use “Dead Reckoning” to determine current location
Use network security
Self-discover & self-configure network
Handle large quantities of equipment
May 3, 2004 16
STATags will (continued):
Activate Alarms
Store historical location and usage data
Run without intervention for long periods
Battery lasts 5-7 years
Need calibration only when battery is changed
May 3, 2004 17
Prevent theft
Collect or transmit personally identifiable health information (covered under HIPAA)
Communicate further than 100 feet between
STATags
May 3, 2004 18
Interference with hospital monitoring equipment
STATag transmits 1% the power of other safe wireless devices
Most major Hospitals are implementing WiFi
Conflicts with other 2.4 GHz networks
802.15.4 has been designed for interoperability
802.15.4 and ZigBee are new standards and therefore there maybe unknown issues
Hardware issues are being resolved by manufactures
Software issues will be correctable by patching
19 May 3, 2004
The management plan encapsulates the following:
Program management overview
Management structure
Project team
Project planning
Financial management
Management reviews
May 3, 2004 20
Project Lead /
Computer
Engineer
Daniel Tubbs
Manufacturing
Director
Francis Doligosa
Personnel
Director
Joseph Williams
Marketing
& Web
Development
Jason Sadler
R&D / QA
Latricia Simon
Financial
Director
Brian Easton
Inventory
Manager
Installation
Engineers
Help Desk
Coordinator
Development
Staff
Technical
Writer
Sales
Manager
Graphics
Designer
Computer
Engineer
Drafter Office Manager
Support
Staff
Accounts
Manager
Accounts
Receivable
21 May 3, 2004
Salesmen
May 3, 2004 22
May 3, 2004 23
May 3, 2004 24
May 3, 2004 25
May 3, 2004 26
Monitor milestones
Track budget and schedule
Monitor quality assurance
Track customer impact and satisfaction
Evaluate areas for improvements
May 3, 2004 27
Target market: US Hospitals
Installation cost: approximately $392,000
The hospital will recover the installation cost in only 7.5 months
The hospital will save $6.1 Million over 10 years
Sold via direct sales
May 3, 2004 28
Our target market is US hospitals:
Hospitals: 5,794 2
Total Registered Beds: 975,962 2
Estimated mobile medical equipment in US:
Approximately 10 Million 4
Potential future market: International hospitals
29 May 3, 2004
Hospital equipment is very expensive and highly mobile
Equipment tracking is a large problem that causes:
Time consuming equipment searches
Unnecessary equipment purchases
Locating equipment is one of the Top 10 most wasteful hospital activities 7
30 May 3, 2004
Cost of Tags:
Server Costs * :
Installation Engineer:
Travel Fees * :
Labor Cost * :
TOTAL
$336,800
$40,000
$4,000
$5,000
$6,300
$392,100
*Supplied by the hospital
May 3, 2004 31
Hospital Annual Cost and Savings
Annual Cost: $60,600
Estimated 1.5% growth and replacement per month
First Year Savings: $263,300
Annual Savings: $655,500
May 3, 2004 32
Total Savings
$7,000,000
$6,000,000
$5,000,000
$4,000,000
$3,000,000
$2,000,000
$1,000,000
$0
May 3, 2004
$2,885,524
1
$263,330
2
$918,878
3
$1,574,427
4
$2,229,975
5
Year
6
$3,541,072
7
$4,196,620
8
$4,852,169
9
$5,507,717
10
$6,163,266
Total Savings
33
Phase 1 – $100,000 SBIR Phase 1 Grant
Phase 2 – $750,000 SBIR Phase 2 Grant
Phase 3 – $200,000 SBA Loan
Break even point – August 15, 2006
Net Profit as of December 31, 2007
$76.4 Million
May 3, 2004 34
Operating Expenses ($162,500)
Income from New STATag Sales $6,737,700
Income from Recurring STATag Sales $1,369,400
Income from Installation
Monthly Profit Margin
$80,000
$8,024,600
Market Share: 4.7%
Recurring Sales 8.4 times Operating Expenses
*Predicted for December, 2007
May 3, 2004 35
Balance
$700,000.00
$600,000.00
$500,000.00
$400,000.00
$300,000.00
$200,000.00
$100,000.00
$0.00
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May 3, 2004
Balance
36
Balance
$90,000,000.00
$80,000,000.00
$76,672,141.46
$70,000,000.00
$60,000,000.00
$50,000,000.00
$40,000,000.00
$30,000,000.00
$20,000,000.00
$10,000,000.00
$0.00
$70,331,538.42
$64,092,001.53
$57,953,530.78
$51,969,526.16
$46,033,187.68
$40,197,915.33
$34,463,709.13
$28,830,569.06
$23,351,895.12
$18,434,218.02
$14,120,831.12
$10,401,627.82
$7,319,901.50
$4,758,745.56
$2,761,453.36
Jul,
2006
Aug,
2006
Sep,
2006
Oct,
2006
Nov,
2006
Dec,
2006
Jan,
2007
Feb,
2007
Mar,
2007
Apr,
2007
May,
2007
Jun,
2007
Jul,
2007
Aug,
2007
Sep,
2007
Oct,
2007
Nov,
2007
Dec,
2007
Balance
May 3, 2004 37
Rent
Utilities
Office Furniture
Computers & Software
Electrical Engineering Equipment
Prototype Parts
May 3, 2004 38
Rent
Utilities
Office Furniture
Computers & Software
Advertising
Lab Servers & Workstations
Production Costs
FCC Approval
May 3, 2004 39
Rent
Utilities
Office Furniture
Computers & Software
Advertising
Production Costs
May 3, 2004 40
Hires
None
Contractors
Drafter
Computer Engineer
May 3, 2004 41
Hires
Office Manager
Software Engineer, Level 2
Installation Engineer
Network Engineer
Contractors
Lawyer
Technical Writer
May 3, 2004 42
Hires
Account Manager
Accounts Recievable
Lead Installation Engineer
Installation Engineers (5)
Help Desk Coordinator
Tech Support (3)
Sales Manager
Salesmen (6)
Software Engineers, Level 1 (3)
Inventory Manager
Contractors
None
May 3, 2004 43
Phase 1
Phase 2
Phase 3
Total
$96,600
$836,000
$3,431,600
$4,364,200
May 3, 2004 44
2004 – $207,000 Phases 0 & 1
Complete
2005 – $505,500 Production Sample
Complete, FCC Testing
Complete
2006 – $1,599,100 Phase 2 Complete,
Full Production, Installed in 43 hospitals
2007 – $2,052,600 Installed in 271 hospitals
Total $4,364,200
45 May 3, 2004
Office Space 2600 Sq. Feet
Utilities
Telephone/Internet
Office Furniture
Electrical Eng. Equipment
Office Computers
Peachtree 2004
Network / Server
MS Visio / MS Project
Web Site Hosting
Prototype Parts
Total
$7,200
$2,000
$1,600
$6,000
$2,500
$8,000
$1,000
$3,500
$3,000
$200
$1,000
$36,000
May 3, 2004 46
Francis Deligosa - Manufacturing Director
Daniel Tubbs - Team Manager / Computer Engineer
Joseph Williams - Personnel Manager
Latricia Simon - R & D Manager / QA Manager
Brian Easton - Finance Officer
Jason Sadler - Marketing Director
Drafter (plastic parts)
Computer Engineer
Total
$9,000
$9,000
$9,000
$9,000
$9,000
$9,000
$600
$6,000
$60,600
May 3, 2004 47
Office Space 2600 Sq. Feet
Utilities
Office Furniture
Network / Server
Web Site Hosting
Trade Show Booth Rental
Airfare to Tradeshow
Entertainment
Test DB Server
Plastic Tooling
Test Run
FCC Approval Testing
Total
$30,600 Car Rental
$8,500 Telephone/Internet
$6,000 Office Computers
$6,000 Development Software
$850 Graphics Designer
$30,000 Trade Magazine Ad
$4,000 Hotel
$1,000 Test WWW Server
$2,500 Test Workstations
$40,000 Production Engineering
$5,000 Error Reporting Software
$20,000
$264,750
$400
$6,800
$12,000
$8,000
$1,600
$55,000
$1,000
$2,500
$3,000
$15,000
$5,000
May 3, 2004 48
Daniel Tubbs - Team Manager
Joseph Williams - Personnel manager
Brian Easton - Finance Manager
Latricia Simon - R&D Manager / QA Manager
Jason Sadler - Marketing Director
Francis Deligosa - Manufacturing Director
Office Manager
Lawyer
Software Engineer 2
Technical Writer
Installation Engineer
Network Engineer
Total
May 3, 2004
$68,000
$59,500
$59,500
$59,500
$59,500
$59,500
$42,500
$8,750
$54,000
$76,500
$12,000
$12,000
$571,250
49
Office Space 6000 Sq. Feet
Utilities
Telephone/Internet
Office Furniture
Office Computers
Network / Server
Development Software
Web Site Hosting
Trade Show Booth Rental
Trade Magazine Ad
Airfare to Tradeshow
Car Rental
Hotel
Entertainment
Ticket Tracking Software
Retool Plastic Mold
Total
$80,000
$20,000
$12,000
$10,000
$20,000
$10,000
$10,000
$1,000
$120,000
$44,000
$32,000
$1,600
$8,000
$8,000
$5,000
$320,000
$701,600
May 3, 2004 50
Daniel Tubbs - Team Manager
Joseph Williams - Personnel manager
Latricia Simon - R&D Manager / QA Manager
Brian Easton - Finance Manager
Jason Sadler - Marketing Director
Francis Delegosa - Manufacturing Director
Office Manager
Accounts Manager
Accounts Receivable
Lead Installation Engineer
Installation Engineers (6)
Help Desk Coordinator
Tech Support (3)
Sales Manager
Salesmen (6)
Software Engineers 1 (3)
Inventory Manager
Total
$100,000
$80,000
$80,000
$80,000
$80,000
$80,000
$70,000
$80,000
$70,000
$100,000
$540,000
$60,000
$150,000
$140,000
$720,000
$240,000
$60,000
$2,730,000
May 3, 2004 51
1 $462,221,560,000 2 x 57% 3 (all wages & Benefits) x
63% 3 (nurses wages & benefits)
2 Hospital Statistics, 2004 edition, American Hospital
Association, as reported by the American Hospital
Association website (Appendix B)
3 Cost of Caring: Key Drivers of Growth in Spending on
Hospital Care , PriceWaterhouseCoopers, February
19, 2003 (Appendix C)
4 975,962 2 Beds x 10 Mobile Medical Devices per bed =
9.76 Million Mobile Medical Devices
52 May 3, 2004
5 Cindy Jimmerson, April 7, 2004
6 $166 Billion (Nurse’s Salary and Benefits) 1 x
35% = $58 Billion
$166 Billion (Nurse’s Salary and Benefits) 1 x
60% = $99 Billion
7 Murphy, Mark: Eliminating Wasteful Work in
Hospitals Improves Margin, Quality, and
Culture (Appendix D)
May 3, 2004 53
May 3, 2004 54