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Cloud 2.0™ Strategies

Overview and Approach for Implementing Sophisticated Second-Generation Cloud

Solutions for Healthcare/Medical Data, Processes and Stakeholders

kloudtrack® is a technology and solution services company that offers simple, yet powerful and affordable, Software-

as-a-Service and Cloud Computing (SaaS|Cloud) capabilities concentrating on the Human Side of Compliance®. The

Human Side of Compliance relates to the cross-roads where individuals interact with sensitive data and information.

Compliance, transparency, workflow, data integration, secure collaboration, best-practice management and risk

mitigation are the anchor tenets of kloudtrack® technologies and expertise – see www.kloudtrack.com for more

detailed information. kloudtrack® is one of the only technology and solution providers to address specific

international, federal, state and industry-imposed governance, risk management and compliance (GRC) standards in

the SaaS|Cloud environment.

This understanding of GRC and transparency factors, along with expertise in extending existing IT assets to leverage

SaaS|Cloud benefits, truly sets kloudtrack® and its partners apart in the market. Appropriate certifications have also

been acquired supporting operational excellence and client peace of mind.

Roadmap to Reimbursement™ -- Sophisticated Cloud 2.0 Solutions Take Center Stage in Healthcare

In recent years, the U.S. federal government has taken dead-aim on improving patient outcomes related to healthcare

services and medical services. The main tenet of the initiative relates to a concept referred to as Accountable Care.

Accountable Care programs call for healthcare practitioners and regulators to audit medical processes. Primary goals

include ensuring protection of sensitive patient health records and creating avenues for incentive payments and

reimbursements for services that can be documented as improving patient care/outcomes.

Patients are also being asked to get more “involved” in their healthcare. This participation begins with trusted access

to, portability of and greater visibility into their own EHRs and thrives in an environment where communication with

their practitioners is efficiently supported and encouraged – scenarios specifically supported by kloudtrack®.

kloudtrack® technologies can be deployed very quickly without the typical hard-costs of new computing equipment,

additional IT staff or long-term software maintenance contracts. This “low overhead” aspect of the technology makes

kloudtrack® a definitive platform for both large and small healthcare organizations.

The Human Side of Compliance® – Made Simple | Powerful | Affordable

The kloudtrack® architecture was designed from its inception with redundancy and authentication as its primary

tenets. The company’s flagship technology offering, also branded as kloudtrack®, is easily “verticalized” for adoption

in a variety of business operations and industry sectors. To date, the company has focused efforts on the following

primary target markets – Financial Services, Government (all levels), Healthcare/Medical and Pharmaceutical.

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kloudtrack® currently offers a breadth of SaaS|Cloud software applications and solution expertise to its vertical

markets. The kloudtrack® suite includes the following applications (also referred to as Modules): kloudfile™ – Secure, online data storage and retrieval kloudflow™ – Electronic workflow and business process management oversight kloudexchange™ – “Lingua-franca” -- proprietary technology, IP and methodologies for data import/export to or

from any standards-based object or object-relational database systems and a key element of integration and interoperability with existing IT platforms and assets – extending them to the cloud

kloudcapture™ -- High-volume capture for electronic/scanned data with OCR, Barcode and BPM integration kloudsign™ – Digital Signatures or signature ceremonies; non repudiation kloudcash™ – Electronic processing of checks and transactions kloudmedia™ – Multimedia support integrated with full kloudtrack® business application modules

The combined strengths as well as the broad experience, diverse client base of kloudtrack® and our KADRE™ partner

community blend to form a well balanced team with the right set of capabilities and resources to fulfill a wide variety

of healthcare industry requirements.

With the majority of healthcare practices and institutions striving to keep operating costs to a minimum these firms

naturally rely on third-party vendors or service providers for such operations as legal, accounting, HR and records

management throughout the life-cycle of patient care. Being Software-as-a-Service and Cloud (SaaS|Cloud) based it

does not matter if kloudtrack® users are internal staff, third-party service providers or individual patients.

Access to information is assigned to users at varying “rights” levels which controls exactly what data users can see and

what each user can do with such data. This tiered user structure also controls which kloudtrack® application tools are

available to each individual user as well as the fees associated with accessing the system – keeping costs low.

kloudtrack® was developed to address the Human Side of Compliance® in the healthcare, medical, insurance,

pharmaceutical and related sectors.

This human side is the cross-roads where individuals interact with sensitive patient data. Our heritage of handling

critical financial data in the heavily-regulated securities, insurance, banking and deal-flow communities is the

foundation upon which kloudtrack® was forged.

kloudtrack® is a proven industry leader for cloud computing in three primary categories:

Sophisticated Cloud Computing Services – Cloud 2.0™ for GRC (Governance, Risk and Compliance)

Safe Sharing, Secure Collaboration, Transparent Data Management and Best-Practice Assurance

Legacy IT Integration and Extension to the Cloud

We are confident in our ability to assist organizations across a broad spectrum to meet and exceed goals and

objectives via currently procured contracts or as outlined as Task Areas/Orders in open solicitations. kloudtrack®

technologies and solution services make it affordable for organizations of all sizes (from internal operating units to full

enterprises) to employ comprehensive BPM/workflow automation technologies using SaaS|Cloud cost-savings for

productivity and business process ROI. (See Figure 1 for a graphical depiction of the full suite of application modules).

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Sophisticated GRC (Governance, Risk, Compliance) Cloud Computing Services – Cloud 2.0™

As healthcare reform becomes more refined, stakeholders at all levels will need to be more diligent in addressing

regulatory/compliance scrutiny, best-practice management, data security, risk mitigation and transparency. To that

end, the company and kloudtrack® platform attained certification by the Certification Commission for

Health Information Technology (CCHIT) in 2009 and was also engineered to address additional certifications such as

FIPS/FISMA, FedRAMP and SAJACC.

The kloudtrack® platform and application modules are deliverable in a broad array of offerings. In certain

deployments multi-tenant “public cloud” is acceptable. In other situations, “Hybrid,” “Federated” or completely

“Private Cloud” architectures are required. kloudtrack® is able to deploy these cloud services in a matter of

hours/days instead of weeks/months as with other cloud systems and traditional enterprise software.

Using a variety of patent-pending and unique methodologies, kloudtrack® concentrates on secure access and user

authentication at levels that are much more sophisticated than competitive offerings. Examples of this unique

approach include a redundant architecture (see Figure 2); tiered data model and the User Matrix™ (see Figure 3).

Delivered as a Cloud 2.0™ approach, kloudtrack® incorporates both redundant data-facing methodologies and

facilities protocols. These baseline security measures are just the starting point for ensuring data is secure and

backed-up constantly.

Adding a tiered data model and the User Matrix -- kloudtrack® incorporates a multi-level authentication approach

related to data access and user onboarding. The tiered data model is unique to the cloud and is a fundamental

aspect of the unique kloudtrack® design and the platform’s ability to handle GRC and transparency down to individual

data-files. When combined with the User Matrix – which is a rights-based approach to user access – kloudtrack®

separates itself further from other platforms. The User Matrix is a configurable administration toolset that tightly

controls how users are granted access to application functions (at an audited “rights” level) as well as the manner in

which users are permitted to access data in the tiered model. All user designations or changes are audited and stored

forensically for reporting and analysis.

Safe Sharing, Secure Collaboration, Transparent Data Management and Best-Practice Assurance

Collaborative applications and missions are typically where kloudtrack® customers realize the most powerful return

on investment (ROI). Moving beyond simple data management, kloudtrack® adds sophisticated cloud-based

workflow and business process management tools that are User Managed. User Managed means that IT staff

members are not required to configure or change automated workflows. kloudtrack® is able to offer these User

Managed capabilities because of its unique tiered data model and the User Matrix.

Essentially, users who have task or mission responsibilities to manage BPM or best-practices are given specific “rights”

to kloudtrack® application modules that relate to their specific job functions and responsibilities. All activity is

monitored and meta-data is reportable either internally within kloudtrack® or via export to existing or to-be-

deployed reporting/analytics platforms (i.e. Cognos, WebSphere, SharePoint, BusinessObjects, MicroStrategy, others).

Utilizing the Matrix and audit functions, IT resources are freed from mundane tactical activities and are able to focus

on more strategic operational and LOB mission objectives. Users are also aware that their activities are monitored so

decision-makers have a variety of ways to assist users in becoming better stewards of risk at many levels.

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These capabilities are at the center of an offering referred to as the Secure Collaboration Utility℠ (SCU). The SCU is

most often utilized when organizations or departments want to know exactly what individuals are doing with sensitive

data yet allowing users to interact with each other (and third-party users, as necessary) in a system that captures

forensic meta-data about data interaction – see Figure 4 or the following link for more details about the SCU --

http://www.kloudtrack.com/solutions/solution-services/secure-collaboration-utility/

Legacy IT Integration and Extension to the Cloud

Often referred to as a “Lingua-Franca” – the kloudtrack® kloudexchange™ and kloudcapture™ modules are a

disruptive combination of technology, IP and methodologies for data import/export to-or-from kloudtrack® to any industry standard-based object-relational or relational database management system (O/R DBMS). kloudexchange™ supports the following functions and more:

Legacy IT integration and data index-mapping

Sophisticated interface for advanced reporting and analytics

Extends kloudtrack® capabilities to existing data and IT assets

Allows customers to ease into a deployment of kloudtrack® while still maintaining depreciation schedules or value contained in existing data platforms – Start Small and Scale™

Dating to the genesis of kloudtrack® when it was developed and spun-out of Arthur Andersen, kloudtrack® teams engineered patent-pending methodologies to gather data in virtually unlimited formats and from a wide array of

architectures. This integration pillar of kloudtrack® allows customers to draw multiple and disparate data from existing information assets, hold them “commonly” in the cloud, and then redistribute data however necessary for processing, approval or GRC requirements.

Rather than re-engineering existing IT systems to fit newly designed architectures kloudtrack® technologies and expertise can often allow existing IT assets to stay as they are while kloudexchange™ and kloudcapture™ take on the challenges of data and platform integration. A variety of industry-specific certifications (i.e. NIST – FIPS/FISMA; SEC/FINRA; FedRamp; SAJACC; DHS SAFETY ACT; others) as well as best-practice guidelines can be addressed using this Information Exchange model.

In Summary

kloudtrack® is primed to work closely with its partners in extending value for existing customers and prospects as

trusted advisors who will provide simple | powerful | affordable cloud-based solutions. The breadth and quality of

our past and current performance for customers clearly establishes commitment to meeting diverse challenges

through superior service and proven technology. Past track-records also provide tangible evidence of our ability to

deliver a broad range of solutions.

* kloudtrack® 5.1 was inspected by the Certification Commission for Health Information Technology (CCHIT®) in February 2010 and is preliminary

certified EHR technology, meeting 2 of 24 requirements for Eligible Providers published by the U.S. Department of Health and Human Services

(HHS) in its Interim Final Rule. The certification criteria in the interim rule were superseded by criteria in the Final Rule published by HHS on July 28,

2010. Use of kloudtrack 5.1 would not qualify an eligible healthcare provider to apply for federal incentive payments as described in the American

Recovery and Reinvestment Act (ARRA). Numerous factors relate to ARRA stimulus reimbursement.

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APPENDIX

Figures | Graphics

Figure 1 – Suite of kloudtrack® Application Modules

kloudexchange™ kloudmail™kloudcash™kloudfile™ kloudflow™

ArchiveSearch

Retrieval

Any Data TypeTiered Access

AccountingFinance

Check Processing

ACH/Check 21Elec. Transactions

Email, Archive,

Surveillance

User Managed WorkFlow/BPM

Transparency

Audit-trailsAnalytics

kloudtrack® integrates multiple application modules

© 2006 - 2011 kloudtrack . All Rights Reserved. Patents Pending.

kloudmedia™

‘Lingua Franca’Data

Import/Export

Legacy IT Integration

MultimediaEditing,

Social Media

Training/EdCompliance

kloudcapture™

Paper to PCData-to-CloudBarcode/Zonal

OCR/ScanHigh Vol. Scan

kloudreportal™

Reporting & Analytics, Metadata, Business Intelligence

kloudtrack® Platform Modules

GRC Audit Manager

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Figure 2 – iKloud® Version 8.0 for document and file Retrieval

Introducing our Mobile Device Support Functionality.

kloudtrack® Retrieval is our new browser and device independent system that is expected to be made available to

the general public at the end of Q1 2012.

Here shown on an iPad®, but working equally well on an iPhone®, Android® device, Safari, Chrome, Firefox etc.

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Figure 3 – kloudtrack® User Matrix™ -- Access Levels

kloudtrack® User Matrix

Access Levels *

Basic

(100 Level)

Manager

(200 Level)

Operations /

Admin(400 Level)

Executive /

Principal (800 Level)

kloudfile™ Documents

Retrieve √ √ √ √**

Upload √ √ √**

Universal access √**

kloudflow™ Workflow | BPM

Participate √ √ √ √**

Re-route √ √ √**

Change Route √ √**

Create √ √**

Universal access √**

* Being SaaS-cloud based, kloudtrack customers are able to on-board users at multiple User Matrix Access Levels – affording greater deployment flexibility/scalability helping to keep cost low (Start Small and Scale™)

** 800 Level Access includes functionality of all lower User Matrix Access Levels

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Figure 4 – kloudtrack® Secure Collaboration Utility™

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Figure 5 – kloudtrack® kloudexchange™

The concepts for kloudexchange™ were born out of the necessity to homogenize disparate data from multiple data

sources in the commercial sector when we were part of the old Arthur Andersen team in the 90’s. During that period

we were constantly being presented with datasets from new clients that needed to be worked on commonly.

To deal with these issues in a more automated manner kloudtrack® engineered a set of tools that allows us to draw

in data from multiple and disparate data sources, hold them commonly in our MS SQL database, and then parse out

that data in whatever form or format may be required to report on or process those data streams. kloudtrack® has

applied these same principals to healthcare in the kloudexchange system.

While there are a bevy of Health Information Exchanges (HIEs), translators and data filters being provided by

healthcare information technology firms large and small. Even with a wide variety of vendors delivering solutions, the

fact of the matter is that the marketplace is still widely underserved. Similarly, with over 400 Electronic Health Record

(EHR) platforms on the market and 100’s of HIEs, clients within a particular healthcare community cannot even talk to

others in that same ecosystem let alone effectively exchange data with other HIEs or EHRs or other healthcare

stakeholders. The development of HL7 and CCR ‘standards’ was intended to deal with these issues. However, there

have been multiple ‘flavors’ of regulations in recent years that have exacerbated, rather than solve, these issues.

The graphic below represents how our “kloudexchange for Healthcare™” system delivers a solution that is affordable

and efficient, and one that fits into our process of helping healthcare stakeholder road-map their processes to help

practitioners to qualify for ARRA reimbursement and Meaningful Use incentives.