From: "Alice Jacobs"

From: "Alice Jacobs" To: "Jeffrey Epstein" <[email protected]> Subject: RE: Date: Tue, 23 Feb 2010 22:04:05 +0000 Attachments: oledata.mso; image003.emz; image001.emz Inline-Images: image004.gif; image002.gif It's expensive to get sick in a hospital. It's cheaper to control infections at the point of admission. Estimated Costs of Infection-Derived Downstream Events Oft AltliCtnilt) - tnfection site Low Estimate of average attributable Emu (£ base year) High Low Estimate of estimate average adjusted to attributable 200 7 1 Costs (£ using CEI-U base year) High estimate adjusted to 2007£ using CPI -U Adjusted to 2007£ using CFI for Inpatient Hospital Services $11374 Adjusted to 2007 5 using CPI for Inpatient Hospital Services £34,670 SS( £10,44318 (2005) £25,5463 (2002) £11,087 $29,443 asest £5,733419 (2003) £22,93919 (2003) 150461 £25,849 $ 7,283 £29,156 YAP 111,99720 £25,07219 $14,906 (1999) (2005) £27,520 $19,633 £28,598 GAUT( £58921 £75818 (1998) (2002) 6 740 1832 6 862 11,007 Col ...._____... £5,04222 (2003) II 7,17922 (2003) $ 5,682 18,090 16,408 19,124 Plus the hospital is covered if infections are screened at the door... EFTA00762939 Impact of Screening at Point of Admission Medicare tisill continue to assign a discharge to a high's' paying MS,ORG if the selected condition is present on admission (TV 20CI8 :PPS: ma) Point of Admission (POA) ICD-9-CM Official Coding Guidelines • Y • NI • N • U • 1 Condition present on admission Not possible to document when onset of condition occurred Not present on admission Insufficient documentation to determine if present on adrrission Exempt from POA reporting COWLIWITIAL -14- Thanks for sharing and for thinking of me. Alice A. Jacobs, M . Chairman 8 CEO IntelligentMDx 19 Blackstone Street Cambridge. MA 02139 Phone: Cell: Fax: Email: Visit us at www.intelligentM0x.com The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. My review. retransmission, dissemination or other use of. or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sends( and delete the material from all computers. EFTA00762940 From: Jeffrey Epstein [[email protected]] Sent: Tuesday, February 23, 2010 3:15 PM To: Alice Jacobs Subject: http://www.busines,sweek.com/lifestyle/contentfhealthday/636281.html The information contained in this communication is confidential, may be attorney-client privileged, may constitute inside information, and is intended only for the use of the addressee. It is the property of Jeffrey Epstein Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to [email protected], and destroy this communication and all copies thereof, including all attachments. EFTA00762941