HISEA Individual Presentation Scott Joslyn April 2012

Long Beach Memorial Orange Coast Memorial Miller Children’s Hospital Long Beach Saddleback Memorial San Clemente Saddleback Memorial Laguna Hills Community Hospital Long Beach Six hospitals with 1,537 licensed beds Hospitals

2,418 affiliated physicians (credentialed staff) Within the last year: –150 employed physicians (medical foundation) –400-physician IPA Physicians

MemorialCare Medical Centers Miller Children’s Hospital Lab Services MemorialCare Health Express MemorialCare Medical Group Greater Newport Physicians GNP Geographic Coverage

A Consolidating Market Clinical Integration? Merge? Hospital MemorialCare Health Plan Home

Other Statistics $1.7 billion in revenues 67,974 discharges 327,987 patient days 37,127 surgeries 169,406 ED visits 9,505 births 57,464 home health visits 514 residents and fellows 317 medical students 11,000 employees and 1,600 volunteers

Routine Heroics… 24 weeks, 4 days 865 grams (1.9 lbs) 88 days NICU

Major Systems Circa 1998 Sunquest Internal Eclipsys (TDS 7000) HCCTSINone Eclipsys (TDS 4000) HBOC TPA HBOC Star Cerner MS Meds HBOC Keane IDX Cerner None Sunquest PeopleSoft Geac HBOC ESI Internal Registration Clinical General Finance Pathology Medical Records Order Entry Pharmacy Radiology Patient Accounting Materials/AP Decision Support HR/Payroll Budgeting APPLICATIONAMMCLB/MCHOCMMCSMMC Campus Geac Matkon MS MedsHealthvision None

Epic Today PeopleSoft Registration Clinical General Finance Pathology Medical Records Order Entry Pharmacy Radiology Patient Accounting Materials/AP Decision Support HR/Payroll Budgeting APPLICATIONSCOCMMCSMMC Kaufman Hall EPSi LB/MCH Campus Cerner  ? Keane

Our “Second Curve” One patient, one record [for whom we can provide complete care and potentially take risk] We promise you will not be a stranger if you have been seen or treated in another part of our organization. We promise to safeguard whatever results are produced as a result of your encounters with us, and to make them securely available to our physicians when needed for your care. We promise that our affiliated providers will not ask you fill out another “intake” form. We will give you the latest information we have so you only have to update it. …and for whom we want to make (at least) these promises:

Scott Joslyn

Family

Long, Long Ago in a Galaxy Far, Far Away…