2016 UHMG Incentive - Swim Lane 1: Productivity University Hospitals1 Fixed Weight of 15% - All Depts Category with Lowest Earned % in 2015 Required Weighting Reduced from 20% in 2015 to 15% in 2016 Same Calculation as 2015: - Individual Level Metric - A Relative Percentage Increase to wRVU %ile Required; Depending on Productivity Tier (see below)

2016 UHMG Incentive - Swim Lane 2: Resource Use Measures University Hospitals2 Fixed Weight of 30% - All Depts Similar to 2015’s Budget Category 2 Measurements in Category: UHMG Budget (15%) Department Budget (15%)

2016 UHMG Incentive - Swim Lane 3: Quality University Hospitals3 Fixed Weight of 30% for All Depts Also a Quality Category in Categories All Based on UH Case Medical Center: Hospital Acquired Conditions (HACs): Current = 90 Target = 87 Patient Safety Indicators (PSIs): Current = 127 Target = Day Readmission Rate: Current = 15.0% Target = 14.6%

2016 UHMG Incentive - Swim Lane 4: Clinical Improvement University Hospitals4 Fixed Weight of 15% for All Depts 3 Categories: Avg Days to 1 st Available New Appt: System Target is 10 days (we have Current State by Dept/Div) Patient Satisfaction: HCAPS: CMC – All Domains CGCAPS: No-Inpatient Depts (Derm & Ophth for ex.) EDCAPS: Emergency Department Communication: Physician Mobile App: Download & Use of the App

2016 UHMG Incentive - Swim Lane 4: Clinical Improvement (cont’d) University Hospitals5 Pt Sat – HCAPS at CMC – Meeting 6 out of the 9

UH Provider Directory App Goal Two-part goal is to drive both downloads and usage of Provider App 1.80% of a respective department must download app 2.Each provider on average should use the app search function 25 times during the six month measurement period –Equates to one search per week –To avoid any one provider contributing all the searches, each individual is capped at 50 searches (2X the expected average) Scenario example – Department A has 10 faculty members At least 8 physicians must download app to satisfy part 1 If 8 physicians download, the department would need 200 searches (8 users x 25 searches) during the measurement period with no one doctor contributing more than 50 searches 6

Expected Results for Initial Measurement 7 DepartmentFaculty CountDownloads Needed for 80%Searches Needed at 80% Download Anesthesia Pain Anesthesia Dermatology ED ENT Family Medicine Genetics Medicine Neurology Neurosurgery OB / GYN Ophthalmology Orthopedics Pathology Pediatrics Plastics Psychiatry Radiation Oncology Radiology Surgery Urology Grand Total

2016 UHMG Incentive - Swim Lane 5: Chairs Discretion University Hospitals8 Fixed Weight of 10% - All Depts Reduced from 20% in 2015 to 10% in 2016 Y/N Metrics

2016 UHMG Incentive - Timing of Payout Schedule University Hospitals9

2016 Dept of Medicine Budgeted Recruitment - Current Budgeted Recruitments Timeline - Stage in Recruitment Process by Budgeted Start Quarter University Hospitals10

2016 Dept of Medicine Budgeted Recruitment - Signed PSAs / Onboarded University Hospitals11

2016 Dept of Medicine Budgeted Recruitment - In Process University Hospitals12

2016 Dept of Medicine Budgeted Recruitment - Delayed Starts & Holds for 2016 University Hospitals13