Revenue Cycle Leadership ExchangeCentura Revenue Management Revenue Cycle Operations Best

PracticesApril 20 2017

Centura Health Network

30 HOSPITALSOPERATED AND AFFILIATEDFLIGHT FOR LIFECOLORADO

17 NEIGHBORHOOD HEALTH CENTERS hellipand expanding

900+ PROVIDERS

19 DIAGNOSTIC IMAGING CENTERS

7 EMERGENCY AND URGENT CARE CENTERS hellipand expanding

$35B in revenue bull 21100 of the best hearts and minds in medicineHospitals bull Health Neighborhoods Health at Home bull Emergency amp Urgent Care Centers bull EMS amp

Pre-Hospital bull Mountain Clinics bull Senior Living amp Long-Term Care bull Occupational Medicine

260 PRACTICES CENTURA HEALTH PHYSICIAN GROUP

4000+ PRIMARY CARE PROVIDERS AND SPECIALISTS

MOUNTAIN CLINICS

2 SENIOR LIVING COMMUNITIES

13 AMBULATORY SURGERY CENTERS

VIRTUAL AND MOBILE CARE MDLIVE amp DISPATCHHEALTH

2

COLORADO HEALTH NEIGHBORHOODS

Joint Operating Agreement (JOA)

65 Ownership 35 Ownership

4

Why We ExistWe extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities Centura Health will fulfill a covenant of caring for our communities with excellence and integrity to become their partner for

life We will act with

Compassion bull Respect bull IntegrityStewardship bull Imagination bull Spirituality

Excellence

5

Centura Selects Epic EHR System May 9 2014

Guiding Principles For all decisions we will ask ldquoWhat is best

for the patientrdquo We will standardize patient care processes

and reduce unnecessary variability across the organization

We will promote usage of the foundation system and foundation workflows

We will plan our work and hold ourselves accountable to aggressive but achievable milestones and performance metrics

Epic will be the software suite of choice ensuring maximum integration across the health system and extending out to the community

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Centura Health Network

30 HOSPITALSOPERATED AND AFFILIATEDFLIGHT FOR LIFECOLORADO

17 NEIGHBORHOOD HEALTH CENTERS hellipand expanding

900+ PROVIDERS

19 DIAGNOSTIC IMAGING CENTERS

7 EMERGENCY AND URGENT CARE CENTERS hellipand expanding

$35B in revenue bull 21100 of the best hearts and minds in medicineHospitals bull Health Neighborhoods Health at Home bull Emergency amp Urgent Care Centers bull EMS amp

Pre-Hospital bull Mountain Clinics bull Senior Living amp Long-Term Care bull Occupational Medicine

260 PRACTICES CENTURA HEALTH PHYSICIAN GROUP

4000+ PRIMARY CARE PROVIDERS AND SPECIALISTS

MOUNTAIN CLINICS

2 SENIOR LIVING COMMUNITIES

13 AMBULATORY SURGERY CENTERS

VIRTUAL AND MOBILE CARE MDLIVE amp DISPATCHHEALTH

2

COLORADO HEALTH NEIGHBORHOODS

Joint Operating Agreement (JOA)

65 Ownership 35 Ownership

4

Why We ExistWe extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities Centura Health will fulfill a covenant of caring for our communities with excellence and integrity to become their partner for

life We will act with

Compassion bull Respect bull IntegrityStewardship bull Imagination bull Spirituality

Excellence

5

Centura Selects Epic EHR System May 9 2014

Guiding Principles For all decisions we will ask ldquoWhat is best

for the patientrdquo We will standardize patient care processes

and reduce unnecessary variability across the organization

We will promote usage of the foundation system and foundation workflows

We will plan our work and hold ourselves accountable to aggressive but achievable milestones and performance metrics

Epic will be the software suite of choice ensuring maximum integration across the health system and extending out to the community

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Joint Operating Agreement (JOA)

65 Ownership 35 Ownership

4

Why We ExistWe extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities Centura Health will fulfill a covenant of caring for our communities with excellence and integrity to become their partner for

life We will act with

Compassion bull Respect bull IntegrityStewardship bull Imagination bull Spirituality

Excellence

5

Centura Selects Epic EHR System May 9 2014

Guiding Principles For all decisions we will ask ldquoWhat is best

for the patientrdquo We will standardize patient care processes

and reduce unnecessary variability across the organization

We will promote usage of the foundation system and foundation workflows

We will plan our work and hold ourselves accountable to aggressive but achievable milestones and performance metrics

Epic will be the software suite of choice ensuring maximum integration across the health system and extending out to the community

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Why We ExistWe extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities Centura Health will fulfill a covenant of caring for our communities with excellence and integrity to become their partner for

life We will act with

Compassion bull Respect bull IntegrityStewardship bull Imagination bull Spirituality

Excellence

5

Centura Selects Epic EHR System May 9 2014

Guiding Principles For all decisions we will ask ldquoWhat is best

for the patientrdquo We will standardize patient care processes

and reduce unnecessary variability across the organization

We will promote usage of the foundation system and foundation workflows

We will plan our work and hold ourselves accountable to aggressive but achievable milestones and performance metrics

Epic will be the software suite of choice ensuring maximum integration across the health system and extending out to the community

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Centura Selects Epic EHR System May 9 2014

Guiding Principles For all decisions we will ask ldquoWhat is best

for the patientrdquo We will standardize patient care processes

and reduce unnecessary variability across the organization

We will promote usage of the foundation system and foundation workflows

We will plan our work and hold ourselves accountable to aggressive but achievable milestones and performance metrics

Epic will be the software suite of choice ensuring maximum integration across the health system and extending out to the community

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Timeline to Epic

Group A SAH SAN AAH Sum OCH Clinics

May 1 2016

Group B PAH MRMC RK LAH PK Clinics

October 30 2016

Group C PSF SMC STM SCH Clinics

April 2 2016

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

1 Goal for Centura Champions -Achieve Good Install Rebate at 100

Epicrsquos Good Install Programbull To help ensure a successful implementationbull Based on over 30 years of implementation experiencebull Establish a foundation for long-term success with Epicbull Ensure Centura has a fully staffed and certified project team who

understand Epic softwarebull Well-prepared staff members who can be productive at go-livebull Earn up to 7 rebate on total eligible charges from Epic

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Sample Good Install Rebate Calculation

Project Assessment Overall Score PercentagesAverage Project Assessment Overall Score Project Assessment Overall Score Percentage

450-500 100

425-449 90400-424 80

375-399 70350-374 60325-349 50

lt325 0

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Epic Progress Reports2015 - 2017

Jan Feb March April May June July Aug

Sept Oct Nov Dec Jan Feb March April

May June July Aug Sept Oct Nov Dec

Jan Feb March April

Epic Progress Reports

37 ndash Average Progress Report Score for All Epic Implementations

42 - Highest Customer Average Progress Report Score for an Epic Implementation pre-Centura

48 - Centura Average Progress Report Score for our Epic Implementation

Centura Has Epicrsquos Average Highest Progress Report Score Ever

Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over

$800000Keys to this success Established a ldquoCentura Health Deadlinerdquo

A goal of a minimum deadlines of 7 days prior to Epicrsquos

Established a ldquoNo Pass No Accessrdquo policy for all end users- including physicians Designed to reinforce the importance of robust training prior to go live

Exceeded goal of 15 of patients live in MyChart eight months after go live four month after the second wave

Itrsquos a team effort Received Excellent status reports 20 out of 24 of the last months

Followed Epicrsquos roadmap

12

Staff Motivators bull Monthly cash bonusbull Special one time bonus given to people going above and beyondbull Raffles bull Bingobull Breakfasts or lunches once a monthbull JibJab sent out to staff from leadershipbull Leaders being unexpectedbull High 5rsquos tickets given for a job well done Staff turn them in for

prizesbull SuperUser T-shirtsbull Theme Daysbull Potlucks (all foods start with letters E P I or C)

13

14

15

• Revenue Cycle Leadership Exchange
• Slide Number 2
• Slide Number 3
• Joint Operating Agreement (JOA)
• Why We Exist
• Centura Selects Epic EHR System May 9 2014
• Timeline to Epic
• 1 Goal for Centura Champions -Achieve Good Install Rebate at 100
• Slide Number 9
• Epic Progress Reports
• Epic Progress Reports
• Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over $800000
• Staff Motivators
• Slide Number 14
• Slide Number 15

Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over

$800000Keys to this success Established a ldquoCentura Health Deadlinerdquo

A goal of a minimum deadlines of 7 days prior to Epicrsquos

Established a ldquoNo Pass No Accessrdquo policy for all end users- including physicians Designed to reinforce the importance of robust training prior to go live

Exceeded goal of 15 of patients live in MyChart eight months after go live four month after the second wave

Itrsquos a team effort Received Excellent status reports 20 out of 24 of the last months

Followed Epicrsquos roadmap

12

Staff Motivators bull Monthly cash bonusbull Special one time bonus given to people going above and beyondbull Raffles bull Bingobull Breakfasts or lunches once a monthbull JibJab sent out to staff from leadershipbull Leaders being unexpectedbull High 5rsquos tickets given for a job well done Staff turn them in for

prizesbull SuperUser T-shirtsbull Theme Daysbull Potlucks (all foods start with letters E P I or C)

13

14

15

• Revenue Cycle Leadership Exchange
• Slide Number 2
• Slide Number 3
• Joint Operating Agreement (JOA)
• Why We Exist
• Centura Selects Epic EHR System May 9 2014
• Timeline to Epic
• 1 Goal for Centura Champions -Achieve Good Install Rebate at 100
• Slide Number 9
• Epic Progress Reports
• Epic Progress Reports
• Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over $800000
• Staff Motivators
• Slide Number 14
• Slide Number 15

Staff Motivators bull Monthly cash bonusbull Special one time bonus given to people going above and beyondbull Raffles bull Bingobull Breakfasts or lunches once a monthbull JibJab sent out to staff from leadershipbull Leaders being unexpectedbull High 5rsquos tickets given for a job well done Staff turn them in for

prizesbull SuperUser T-shirtsbull Theme Daysbull Potlucks (all foods start with letters E P I or C)

13

14

15

• Revenue Cycle Leadership Exchange
• Slide Number 2
• Slide Number 3
• Joint Operating Agreement (JOA)
• Why We Exist
• Centura Selects Epic EHR System May 9 2014
• Timeline to Epic
• 1 Goal for Centura Champions -Achieve Good Install Rebate at 100
• Slide Number 9
• Epic Progress Reports
• Epic Progress Reports
• Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over $800000
• Staff Motivators
• Slide Number 14
• Slide Number 15

14

15

• Revenue Cycle Leadership Exchange
• Slide Number 2
• Slide Number 3
• Joint Operating Agreement (JOA)
• Why We Exist
• Centura Selects Epic EHR System May 9 2014
• Timeline to Epic
• 1 Goal for Centura Champions -Achieve Good Install Rebate at 100
• Slide Number 9
• Epic Progress Reports
• Epic Progress Reports
• Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over $800000
• Staff Motivators
• Slide Number 14
• Slide Number 15

15

• Revenue Cycle Leadership Exchange
• Slide Number 2
• Slide Number 3
• Joint Operating Agreement (JOA)
• Why We Exist
• Centura Selects Epic EHR System May 9 2014
• Timeline to Epic
• 1 Goal for Centura Champions -Achieve Good Install Rebate at 100
• Slide Number 9
• Epic Progress Reports
• Epic Progress Reports
• Centura Health is the first Epic customer to receive 100 of the Good Install Rebate resulting in over $800000
• Staff Motivators
• Slide Number 14
• Slide Number 15