So much has transpired over a short amount of time. How we connect with each other and conduct day-to-day business looks very differently than just a week ago. Our priority here at Dialog Health is to ensure our teams and clients are not only safe but can communicate critical, timely information to those who need it. We are prepared to get through this together. In the past two weeks, Dialog Health has increased its support resources to help our clients deliver the crucial, ever-changing COVID-19 communications to their patients, employees, caregivers and vendor partners. We have fast-tracked setup and training for our Mass Text Alerts service. We have also provided text messaging best practices and education concerning FCC guidelines and exceptions for emergency texting communications. Here are how our clients are using the Dialog Health texting platform to communicate updates about COVID-19: 1. Emergency/Mass Text Alerts: Our cloud-based platform allows clients to create and quickly send out mass text messages. While our system is self-service and easy to use, our support team is helping those who require training, assistance with sending messages or help going live with the platform. 2. Virtual Connection via Text Messaging Links: Our clients are making sure their employees, patients and caregivers are receiving the necessary access to virtual meetings, video conferences, web chats and more via links embedded in text messages. Clients know that by texting links, they will have a better open rate and engagement than if the links were emailed. For first-time users of this solution, we are helping with setup, messaging and inserting links. 3. Business Continuity in Uncertain Times: Our most-used solution — two-way texting appointment reminders — is helping our clients postpone, reschedule or confirm and keep thousands of appointments in minutes. Our platform allows users to automate and schedule text messages based on their specific criteria, whether they need to reschedule all upcoming surgeries or inform staff that they cannot enter the building. The system allows clients to send text messages to the right group of people at the right time. Our support team is helping with any resources needed to send campaigns. Finally, we have an Emergency Preparedness via Text Messaging service operational and ready for use. While we hope our clients never need it, we are grateful during times like these that we are ready and able to help. We will get through this together. We just need to stay compassionate, connected and safe. Sincerely, Brandon and Sean Brandon Daniell Co-founder, Dialog Health Sean Roy Co-Founder, Dialog Health

FRANKLIN, Tenn., March 9, 2020 – As the coronavirus continues to spread nationwide, Dialog Health is advising healthcare facilities to place a priority on delivering effective messaging concerning infection prevention and protocols. "The coronavirus represents a significant unknown that is impacting people and processes in ways that known entities like the flu do not," said Brandon Daniell, president and co-founder of Dialog Health, a two-way texting platform that enables information to be pushed to and pulled from patients, caregivers and healthcare facility staff. "There is a growing sense of panic that this unknown is now fueling. While the panic is not all justified, it cannot be ignored." Healthcare facilities have a responsibility to keep patients, staff, providers and vendors safe. "At a time like this, timely communication and appropriate messaging are even more critical," Daniell said. Here are examples of messages healthcare facilities should consider sharing with the people coming to their buildings. For patients and vendors: "If you are not feeling well or are taking care of someone who is ill, please contact us to reschedule your appointment." For staff: "If you are not feeling well or are taking care of someone who is ill, please call the office to reschedule your shift." For anyone: "Please be advised that we have implemented a NO handshake policy on the premise at all times." For staff and providers: "As a valued team member, please remember the importance of following hand hygiene, masking and all other hygiene-related policies per your training." For patients, family members and vendors: "While in our waiting room or other areas of the facility, please cover your nose and mouth if you sneeze and cough. We have tissues and hand sanitizer located throughout the waiting room for your use. Please use both!" For everyone: "To reduce your risk of spreading infection, remember to wash your hands frequently with soap and warm water for at least 20 seconds. It helps to sing 'Happy Birthday' twice. Also, keep your hands away from your eyes, nose and mouth." For staff: "Remember that we have changed our patient pre-screening and screening upon admission policies to include asking where patients have traveled. If you have any concerns about admitting a patient, please speak with your supervisor." Spreading the Word, Not the Virus It is essential to establish processes to best ensure these and other timely messages are distributed in an efficient and effective manner. Posting notices on facility websites, social media and around the building itself are worthwhile. Outbound communication like phone calls and emails can work as well. But texting is likely your best option for mass communication. "Text messaging is a proven method for quickly reaching and successfully engaging with patients, staff, providers and vendors," Daniell says. "If you need to get a message out fast, to a significant number of people and with a high degree of confidence that your audience will receive and read it, send that message as a text." Daniell continues, "We like to say that, 'The time to deploy texting is well before it is needed.' With the coronavirus likely to continue spreading for some time, bringing with it even more panic, the time to deploy texting is as soon as possible." Interview Requests Members of the media interested in speaking with Brandon Daniell about text messaging, emergency preparedness and mass communication should email info@dialoghealth.com or call (877) 666-1132 if on a deadline. About Dialog Health Dialog Health Inc. is a U.S.-based company that provides a two-way texting platform to organizations which they can leverage as a communication and engagement channel. Two-way texting is a convenient, fast, effective and affordable communication resource for stakeholder engagement. For more information, visit www.dialoghealth.com, call (877) 666-1132 and follow Dialog Health on LinkedIn.

Brandon Daniell, president and co-founder of Dialog Health, explains how radiology departments can leverage text messaging to boost revenue in a new column for Diagnostic Imaging. In "Two-Way Texting: The Simple, Effective Way to Reduce Radiology Revenue Loss," Daniell examines why radiology departments lose significant uncaptured revenue and explains how texting and text reminders can help departments enhance several areas of their operations, include topline revenue, waste and workflow. Access Daniell's column on radiology texting. Diagnostic Imaging is an online publication that informs and engages radiologists and other medical imaging professionals with the latest news and commentary in medical imaging. It is published by MJH Life Sciences, the largest privately held medical media company in the United States.

By Brandon Daniell, President, Dialog Health While listening to the news headlines during my commute, I kept being reminded of the motto of the Boy Scouts: "Be Prepared." Be it natural disaster, weather, power outage or new potential threats, how would your business handle communication with your employees, customers and other stakeholders? Late last year, we had an article featured in Becker's ASC Review discussing reasons why surgery centers need a mass communication plan. In reality, all businesses need such a plan. Here are four of the scenarios when businesses will need to deploy a mass communication plan as highlighted in the Becker's article. I've added a fifth after today's commute. 1. Disasters. Disasters have the potential to wreak havoc on a business. An effective mass communication plan will inform stakeholders of changes in operations. 2. Weather. As with disasters, the likes of a blizzard, tornado or hailstorm can force a business to at least temporarily close. Delays in conveying time-sensitive updates to individuals planning to travel to the building will create increased risk. 3. Power outages. While some businesses have backup generators, their use is intended as temporary. During times of extended power outages, businesses will want to inform key stakeholders with relevant updates until the power is fully restored. 4. Active shooters and workplace violence. Mass communication can inform staff of what is happening during such incidents, helping them make decisions to aid in the response and keep others away from the location. 5. Unknown. As the president of a company, I have found myself thinking about communication with my employees if the coronavirus or another new development rapidly spreads in the country and forces disruption of our daily business activities. The article featured in Becker's ASC Review goes on to explain why text messaging should be the mass communication method of choice for ASCs. Since businesses of all types can expect to experience the scenarios outlined above, texting should be an essential communication part of their emergency preparedness plan. The time to deploy texting is well before it is needed. Stay prepared, stay healthy and stay safe.

Brandon Daniell, president and co-founder of Dialog Health, explains why gastroenterology (GI) practices and their affiliated ambulatory surgery centers (ASCs) should use text messaging to drive their recall programs in a new column for Becker's ASC Review. In "10 reasons text reminders can be a GI recall program game-changer," Daniell examines the importance of developing an effective and efficient recall program, reviews the shortcomings of using mailed letters and phone calls, and identifies many of the benefits that come from leveraging texting and text reminders. Access Daniell's column on using text reminders for GI recall. Becker's ASC Review, part of the Becker's Healthcare family of publications, features general business, legal and clinical guidance on topics relevant to outpatient surgery, including joint-ventures, development and expansion, and regulatory and compliance issues.

Tired of robocalls? We have some bad news. The number of robocalls has skyrocketed, and there's no escaping them — even if you move to Alaska. As robocall blocking company YouMail recently reported, U.S. robocalls reached new highs in 2019, with an estimated 58.5 billion robocalls for the year. That's 22% higher than the number recorded in 2018 and a more than 90% increase over 2017. YouMail also looked at aggregate behavior across states. Residents of Washington, D.C., received 1.6 robocalls per day during 2019. Louisiana residents also received an average of more than one robocall per day. Alabama, Nevada and South Carolina round out the top five (or perhaps bottom five, is more apropos) states by robocalls per person. If you live in Alaska, you're in luck … kind of. You only received around 45 robocalls in 2019 — the lowest of any state. Following Alaska is Massachusetts, Minnesota, Vermont and a tie between Wisconsin and West Virginia. If you live in West Virginia, Idaho, Iowa, New Mexico or Wyoming and thought that you received a lot more robocalls in 2019, you were right. These are the five states that experienced the highest percentage increase in robocalls in 2019 compared to 2018. All U.S. states saw some increase, with only South Dakota and Alaska experiencing a less than 10% increase. Despite efforts — even on the government level — to slow robocalls, there is no indication that the robocall problem will be resolved any time soon. The surge in spam calls is driving more people to stop answering their phones altogether. This is just one of many reasons healthcare organizations should consider relying more heavily on two-way text messaging to communicate with patients and staff. Text messaging is a highly effective communication method for patients and staff regardless of age, in part because the amount of text spam is very low. To learn more about the benefits of a HIPAA-compliant text messaging platform, schedule a demo of Dialog Health today!

As we begin the new year, I wanted to share a few of our predictions for trends concerning patient and staff engagement in 2020: Traditional communication methods (i.e., phone, email) will become less effective as robocalls/spam continue to grow (robocalls in the United States went up 35% in 2019), more phone calls go unanswered and email management becomes more difficult. Patient engagement will become more important to the success of healthcare organizations in areas including outcomes, collections (with costs continuing to rise), attracting and retaining patients, online reputation and reducing waste. Emergency preparedness and business continuity will take on greater importance as we continue to see increases in disasters, severe weather and power outages. Fast, effective patient and staff engagement will be essential to ensuring a timely response that reduces harm and risk. "Ease" will be a major area of focus. That includes ease of access to care, ease of communication, ease of billing and ease of care coordination. Experiences perceived as more difficult than necessary will negatively impact patient and staff engagement and satisfaction. Healthcare organizations will rely more heavily on text messaging —specifically secure, HIPAA-compliant platforms — to address growing challenges and capitalize on opportunities concerning patient and staff engagement, such as those highlighted above. Text messaging has proven itself to be a highly effective communication method for patients and staff of all ages. I have touched on many of these subjects in recent columns for various healthcare publications, including HFMA's Healthcare Cost Containment, Becker's Hospital Review, Becker's ASC Review and Physicians Practice. I invite you to read these articles and reach out if you have any questions about how your organization would benefit from a two-way texting platform. Please call or text me at (615) 429-4252. We hope 2020 is your organization's best year yet! Sincerely, Brandon Daniell President Dialog Health Inc. (615) 429-4252 brandon@dialoghealth.com

Brandon Daniell, president and co-founder of Dialog Health, discusses how healthcare organizations can leverage text messaging to reduce expenses and improve communications with patients and staff members for Healthcare Financial Management Association (HFMA). The column — " How texting taps into better patient communications and savings opportunities" — is accessible online and scheduled to appear in the December issue of the Healthcare Cost Containment newsletter. In the piece, Daniell summarizes why texting is an effective communication method and then shares examples of departments within healthcare organizations that use texting — more specifically two-way texting that permit interaction with recipients — to achieve noteworthy savings. He concludes with insight on how organizations without a texting program can easily start one. Access Daniell's column on healthcare cost savings. HFMA represents more than 43,000 healthcare finance leaders from across the healthcare continuum.

Brandon Daniell, president and co-founder of Dialog Health, discusses the importance of a mass communication plan for ambulatory surgery center (ASC) emergency preparedness and business continuity in a new column for Becker's ASC Review In "5 Reasons Your ASC Needs a Mass Communication Plan," Daniell reviews the critical importance of developing a mass communication plan in preparation for an emergency or crisis and then identifies five instances when such a communication plan would be executed. He concludes the column with an explanation and analysis of why text messaging should be the mass communication method ASCs rely upon during an emergency, stating, "ASCs should consider how texting can help strengthen the communication component of their emergency preparedness and business continuity plan. Two-way texting is ubiquitous, effective and very efficient. The time to deploy texting is well before it is needed." Access Daniell's column on ASC mass communication. Becker's ASC Review, part of the Becker's Healthcare family of publications, features general business, legal and clinical guidance on topics relevant to outpatient surgery, including joint-ventures, development and expansion, and regulatory and compliance issues.

Twenty-seven years ago today (Dec. 3, 1992), the first text message was sent. To celebrate its birth, here are 15 more facts and figures about texting. 1. Texting, or SMS (short message service), was developed in the United Kingdom in the late 1980s. 2. The first text message sent to a cellphone was "Merry Christmas." 3. It was sent by engineer Neil Papworth to Vodafone executive Richard Jarvis while Jarvis celebrated an office Christmas party. Jarvis did not have the capability to reply with a text from his Orbitel 901 cellphone, which weighed more than 4.5 pounds. 4. Since cellphones did not yet have the capability to type out and send individual letters of the alphabet, Papworth's greeting was typed and sent via computer. 5. Nokia debuted the first mobile phone capable of sending texts in 1993. 6. The first SMS commercial service was launched in the United Kingdom in 1995. 7. In 1998, it became possible to send messages between cellphone networks. 8. The average American user sent 35 texts per month in 2000. The average person now sends 15 texts per day. 9. 2007 marked the first year Americans sent and received more text messages per month than phone calls. 10. Americans send roughly 5.5 billion text messages every day. That's 63,000 texts every second. 11. The number of text messages exchanged by Americans in 2018 increased nearly 16% over 2017. 12. Text messaging is the most widely used smartphone function. 13. 98% of text messages are read by the end of the day. 14. Age is not a barrier to texting! 15. Healthcare organizations are increasingly relying on texting and leveraging the platform to achieve significant improvements in many aspects of their operations. Sources: CTIA, Encyclopedia Britannica, G2, Mashable, NPR, Pew Research Center, Statista, The Guardian, The Week

FRANKLIN, Tenn., Nov. 20, 2019 – Dialog Health is pleased to share the findings of a five-year analysis of text messages sent to more than 1 million U.S. patients by a single Dialog Health client: a national urgent care company operating and managing urgent care centers located across multiple states. Text messages were delivered via Dialog Health, a two-way texting platform that enables information to be pushed to and pulled from patients, caregivers and healthcare facility staff. Automated, post-discharge text messages were sent to patients who visited urgent care centers during the five-year period. In total, more than 3 million text messages were sent to the million-plus patients. Findings and Analysis The following are Dialog Health's findings and analysis of the results: About 92% of all automated text messages were delivered successfully. This indicates a willingness by patients to share their mobile number with healthcare organizations, with an understanding that they will receive text messages. It also demonstrates the reliability of texting as a patient communication method. The company sent post visit text messages to patients to inquire if anyone wanted a follow up phone call from staff. While no response was required by the patients, slightly more than 350,000 patients did reply with 83% of the replies stating no follow-up call was required. Importantly for the company, 11% of replies from patients (~38,000) were requests for a callback. Approximately 19% of patients who opted in to receive text messages were 55 years of age and older. These patients were responsible for 28% of reply texts mentioned above. This included hundreds of replies from patients 90 years of age and older. As these figures demonstrate, age is not a barrier to texting. More than 91% of patients who opted in remained subscribed after receiving the automated text messages. Most patients do not find text messaging, when used judiciously, intrusive. Commentary Brandon Daniell, president and co-founder of Dialog Health, noted the following: "These findings further validate the tremendous value of two-way text messaging as a platform for communicating with patients of all ages. Text messaging is a proven method for engaging patients, enhancing outcomes, improving staff productivity and strengthening workflow, among other benefits. As text messaging has become the preferred communication method for a growing number of Americans, healthcare organizations should evaluate how to incorporate two-way text messaging as a communication platform or further expand its existing use." Background Only patients who chose (i.e., opted in) to receive text messages were sent post-discharge messages. The initial text message asked patients whether they desired to speak over the phone with an urgent care team member concerning their visit. Patients who responded "Yes" received an automated reply text informing them that they would soon receive a phone call from an urgent care center team member. This text also provided the area code that would be associated with the call to help patients more effectively identify the call as legitimate. Patients who responded "No" received an automated reply text that advised patients to call the urgent care center if they eventually required assistance and provided the phone number to call. Interview Requests Members of the media interested in speaking with Brandon Daniell concerning the findings and value of two-way texting for healthcare should email info@dialoghealth.com or call (877) 666-1132 if on a deadline.

Simple Admit to leverage two-way texting powered by Dialog Health to enhance surgery center operational efficiencies BALDWINSVILLE, N.Y., and FRANKLIN, Tenn., Nov. 12, 2019 – Simple Admit and Dialog Health are pleased to announce they have partnered to help ambulatory surgery centers (ASCs) use two-way text messaging to enhance clinical workflow and financial performance through more effective communication with patients. Through the partnership, Simple Admit, a provider of automated patient relationship management solutions for ASCs, has integrated Dialog Health, a two-way texting platform that enables information to be pushed to and pulled from patients, caregivers and healthcare facility staff. The integration will benefit users of two platforms: Simple Admit, a web-based admissions application that improves the preoperative data collection process, and Simple Pay, a web-based service that enables ASCs to streamline the entire patient responsibility collection process. Simple Admit users can send automated text messages to patients directing them to an ASC's website to provide their preadmission clinical data (e.g., demographic information, insurance details, complete health history). Simple Pay users can send automated text messages to patients directing them to an ASC's credit card portal or online financing options to make payments. These automated communications will significantly reduce time spent by an ASC's clinical and business staff making outbound phone calls to patients concerning clinical documentation and financial responsibility. The use of text messaging will also benefit ASCs through improved patient completion of clinical documentation, reduced cancellations, increased collections and strengthened patient engagement and satisfaction. "Simple Admit continues to look to partner with best-in-breed service providers serving the ASC industry," says Dan Coholan, CEO of Simple Admit "By partnering with Dialog Health, our combined technologies provide the end users — staff and patients — with an industry-leading engagement experience, accessible through the easy-to-use Simple Admit platform." "Dialog Health's commitment to helping clients increase revenue, enhance staff workflow, eliminate costs and improve patient satisfaction aligns perfectly with Simple Admit," says Brandon Daniell, President of Dialog Health. "By partnering together, we are able to offer best practice in a way that benefits nearly every facet of an ASC." Users of Simple Admit and Simple Pay interested in leveraging two-way texting via Dialog Health should contact either Dialog Health by visiting www.dialoghealth.com or calling (877) 666-1132 Simple Admit by visiting www.simpleadmit.com or calling (877) 848-4726. ### About Simple Admit Simple Admit is a leading provider of automated patient relationship management solutions for surgery centers. The platform offers providers a customized suite of online services that provides a strong return on investment, increased revenue, improved efficiencies and cost savings from pre-admissions through post-op care. Additionally, the solutions improve patient safety and patient satisfaction and offer patients convenient options to fund their procedures. About Dialog Health Dialog Health Inc. is a U.S.-based company that provides a two-way texting platform to organizations which they can leverage as a communication and engagement channel. Two-way texting is a convenient, fast, effective and affordable communication resource for stakeholder engagement. For more information, visit www.dialoghealth.com or call (877) 666-1132.