EXECUTIVE SUMMARY

online-registries, Inc. (OLR) is a digital medical records company that provides safe, secure, private, and affordable storage of vital personal medical information, combined with the ability to access and share that information with designated healthcare providers in an emergency, when every seconds counts.

BACKGROUND

In the ongoing battle against escalating medical costs, individuals, insurers and employers know only too well what unneeded and unwanted medical measures cost. During emergencies, essential information often is not available, resulting in misdiagnoses and delayed, unwanted, unnecessary or improper treatment costing insurance companies, employers and consumers hundreds of millions of dollars each year.

The National Center for Health Statistics reported that there were almost 114 million emergency room visits in 2003 or 40 visits per 100 persons. Older Americans (over 75) have 65 emergency room visits/ 100 persons/year, while 1 out of every 4 children (14 million) sustains injuries each year requiring medical attention.

Health care costs in the United States will constitute over 20 percent of our nation’s GDP and are expected to reach $4.0 trillion by 2015. (Centers for Medicare and Medicaid Services) 

A Robert Wood Johnson Foundation survey found that ninety-five percent of physicians say they have witnessed serious medical errors, while an Institute of Medicine study concluded that hospital mistakes might have contributed to the deaths of 44,000 to 98,000 Americans annually. Moreover, the new Commonwealth Fund study suggests that the 1999 Institute of Medicine report may be only the tip of the iceberg in determining the full extent of injuries from medical errors. The IOM report also estimated that medical errors cost the Nation approximately $37.6 billion each year; about $17 billion of those costs are associated with preventable errors. About half of the expenditures for preventable medical errors are for direct health care costs. A lack of timely and pertinent information can only make this worse.

SERVICES

In today’s uncertain, mobile and extended family environment, making information readily available is essential. online registries offers collaborative personal healthcare management services. Internet-based, OLR stores essential medical information using 128-bit SSL encryption that limits access only to those who need to know -- emergency physicians and those specifically designated by members, such as family, friends and caregivers -- combined with an e-mail based automatic notification system that alerts the care-community in case of emergency or illness. OLR’s family of sites also provides an extremely useful organizational tool for basic family health information including dates and types of immunizations, illness, allergies and family medical histories.

OLR’s products can save hundreds of millions of dollars in unnecessary and inappropriate health care treatment costs, and save thousands of lives in medical emergencies.

OLR provides individuals:

• a simple, safe and secure solution to storage and retrieval of medical information

• automatic notification of “care community” in case of emergency

• immediate access to critical information by those who need to know

OLR offers health care providers:

• immediate access to  updated information, enabling more effective treatment in emergencies

• operating efficiencies and cost saving by eliminating unnecessary or unwanted treatments and possible misdiagnoses reduction of potential liability.

online registries is an operational business with an existing customer base, has a proven management team, uses an established technology platform and has gained industry recognition.

THE INTERNET

According to research data, almost 202 million Americans use the Internet and growing at 2 million each month. 75% of Americans age 30-49 and 58% of Americans between the ages of 50-64 currently go online. Senior (over age 65) Internet users now exceed 8 million or approximately one-quarter of the senior population in the United States and their use of the Internet has increased 47% since 2000. The Pew Internet and American Life Project found that almost 70% of wired seniors visit the Web daily.

The company is already operational with four active sites addressing critical health-related areas:

• med proxy offers members the security of knowing that their wishes will be respected even if they are incapacitated and unable to participate in treatment decisions. Members with a medical proxy or health care power of attorney, also known as advance directives, can register the information with med proxy to make the name(s) and location(s) of their designated agent(s) available to those with a need to know. Twenty four million Americans already have advance directives, but the records are often stored away in files inaccessible to physicians when most needed…in an emergency.
   

• senior records gives its members a safe, simple, secure and affordable way to organize their medical histories. Tailored to the needs of seniors, the site provides them a valuable tool by making information available to designated caregivers and emergency medical personnel right away, whenever and wherever it is needed.
   

• kid records helps members protect their children against medical error. It enables parents to document their children’s medical histories – including information about allergies, illnesses, medications and special needs. kid records is especially valuable for non-custodial parents, for children in the care of others or for children who are away from home ( e.g. at school or at camp). In an emergency, physicians and other caregivers can get the information they need to make the appropriate treatment decisions when every second counts. kid records allows parents to organize their child’s medical data in a portable and accessible format.
   

• med records provides a comprehensive system of medical record management making an individual’s personal medical information, including family histories, blood type, contact information and insurance information available to those who need to know – immediately, simply and securely.

All of OLR’s products allow subscribers to control the input of medical data, and to change and update the information at any time without additional cost.

Information on all four existing websites is available to hospitals accredited by the Joint Commission for Accreditation of Healthcare Organizations (JCAHO), the nation’s leading organization for accreditation of hospitals and healthcare organizations of all kinds.

The Company believes it is well structured to market existing products and to develop innovative new products to fill both existing and emerging markets. The platform concept is highly extensible.

While the Internet is the nature first phase for the platform, OLR anticipates extending the service to incorporate other digital media as they become more popular and the service infrastructure becomes more reliable, including web services and imbedded application logic to provide “smart alerts” to extended communities via telephony and other wireless devices.

online registries provides you with simple solutions to the problems of everyday life.
Peace of Mind-online ®
 

THE PRODUCT

OLR’s growing family of sites is dedicated to providing access to personal and medical information for individuals and their families. The information entered into the system is controlled exclusively by the individual(s) who have subscribed to the service. Access to the information (read-only) is designated by the subscriber. Medical facilities that are members of JCAHO may read the stored information. Access by other third parties (caregivers, babysitters, school nurses, camp medical personnel, etc.) are authorized and controlled by the subscriber alone. Privacy and access to confidential information is protected by state-of-the-art computer encryption technology.

• med proxy is an Internet registry which permits individuals to identify and provide contact information for their designated health care agent(s) or surrogate(s). In an emergency, med proxy offers hospitals and healthcare organizations the ability to access the proxy information, learn the identity of the agent(s) and how to contact them.
  
  A med proxy member will have the comfort of knowing that his or her wishes will be honored in the event of an emergency and the caregiver will have the security of knowing that the treatment being provided is consistent with the patient’s wishes.
   

• senior records provides a secure Internet service for senior citizens to store and control records of their medical histories. With the increased mobility of adults over the age of 60, and the higher probabilities of use of medical facilities and other caregivers, access to secure and readily available medical histories is essential to protect against medical errors. The organizational tools that senior records offers its member, especially those who travel, is invaluable.
  
  senior records allows subscribers to control the input of medical data, and to change and update the information at their discretion. Access on a read-only basis is restricted to accredited healthcare facilities, and other caregivers specifically authorized by the subscriber.
   

• kid records provides secure Internet access to critical medical and personal information on children to their parents, caregivers and hospitals in emergency situations.
  
  kid records is for all parents; those who face separation from their children due to work, or have children in school/daycare/extra-curricular activities/organized sports. Families who travel with children need the access to the medical information recorded at kid records. It is equally effective for those children who attend camps or schools.
  
  Parents or legal guardians of children who are registered with kid records now have a source of secure information on the children's medical data. Subscriber parents are the only persons authorized to enter the information, and they can update or change information at any time at no additional cost. Accredited member hospitals will have direct, read-only access to kid records medical information. Parents may also authorize other caregivers to have read-only access to the stored information. Access to the information is strictly controlled by the parent subscribers.
   

•  med records provides a comprehensive system of medical record management making an individual’s personal medical information, including family histories, blood type, medication, allergies, contact information and insurance information available to those who need to know.

Only subscribers can enter or alter their data; hospitals may access this data on a read-only basis.

The family of products from online registries is designed to meet the multiple needs of all subscribers. The inaugural sites are simple, safe, secure and affordable.

For each OLR site, there is an initial charge of $19.95 for registration, which allows members to update or change their own proxy information whenever they choose, at no additional cost. There is an annual charge of $9.95.

THE MARKET

med proxy targets three separate groups: those who have an advance directive/medical proxy (estimated to be 24 million by CNN/Time), those who do not yet have medical proxies, and health care providers.
Every adult should have a medical/health care proxy, regardless of age or marital status. A medical proxy differs from a living will, which does not appoint an agent or surrogate and addresses only end of life issues.

A proxy is especially important to those who travel away from home or live alone. med proxy intends to approach this market through normal media channels, website links, and partnerships with public and private affinity groups. The public will be made aware of the need for proxies and of the availability of med proxy, and encouraged to register. Most medical facilities already require proxies for all in- and out-patient procedures.

senior records addresses the needs of those members of society who are entering their senior years of life, most notably related to retirement from their working careers. The active lifestyles of senior citizens, and increased use of medical services argue for increased access to their medical history information. The need for senior records is consistent with the justifications for med proxy, and is clearly a companion product.

kid records is designed to help protect children against medical error by providing secure Internet access to a child's medical information. The under-24 year old segment of the population numbers about 75 million, and is growing. In addition, parents are asking for increased access and control of medical information concerning their children. Fourteen million children sustain injuries each year requiring medical attention.

med records permits its members to enter their personal medical information into a safe, secure, private and affordable environment where it can be retrieved in the event of an emergency – immediately – when every seconds counts…against you.

online registries has identified several factors which significantly effect the market and has developed product offerings to respond to those factors, which include:

• powerful demographic changes

• increased access to and use of computers

•  use of the Internet for electronic filing and retrieval of information

• increased demands for personal control over medical decisions and information

OLR believes it is strategically positioned to market existing products and development innovative new products to fill both existing and emerging markets.


OLR has four target market segment priorities:

1.) Health, life, and disability insurers.
2.) Hospitals, HMO’s and other acute care health providers.
3.) Large self- insured employers and employer consortia
4.) Affinity groups, as sponsors, affinity partners and “trusted reference points”
     to consumers.

CONCLUSION

online registries is an operational business that provides collaborate digital medical records platform designed to provide safe, secure, private and affordable storage of vital personal records combined with the ability to access and share those records within a designated care-community in case of emergency.

Initially Internet based, the system is designed to save insurers, employers and consumers hundreds of millions in unnecessary, unwanted and duplicate health care costs, and to save lives in medical emergencies.