Strategy Overview

Strategy With Patients First, transform to value and use as basis for System growth Specialty care referral center Community care provider & population manager Innovative Academic Medical Center Services provider – “CC Inside” On capsule form, our strategy is….

Our Goals Patients First Caregivers Affordability Growth Impact Continuously improve quality, safety and patient experience Caregivers Make Cleveland Clinic the best place to work Affordability Provide high value care Growth Responsibly develop to sustain our mission Impact Make a difference through research, education and innovation

2017 Priorities Engagement High Reliability – Quality, Safety, Experience Care Path Design & Adherence Virtual Health/Telemedicine Access Caregiver Roles – Top of License Documentation Population Health System Development – Growth & Integration

Transformation Agenda Transformed & Growing CC --TODAY-- We are building on the work that has been accomplished to date and moving it towards true transformation.

Highlights of Our Work Population Health Growth & Integration On capsule form, our strategy is….

Evolving the Enterprise Community Care Specialty Care New unit to manage risk for populations

Population Management Framework $$ Risk-based Contracts Attributed lives Retail Venues Self/Virtual CC Clinic Community-Based Organizations Ambulatory D&T Independent Physician Offices Hospitals Rehab Skilled Nursing Facilities CC Integrated Care Model (CCICM) Aligned Physicians QA/CIN Care Venues/Facilities Care System Care paths Data/analytics Care coordination

Tightly integrated care teams Areas Included Internal Medicine Family Practice General Pediatrics Behavioral Health Wellness Nutrition Pharmacy Care Coordination Tightly integrated care teams Tightly integrated care teams to manage access, quality, experience, utilization

Work for 7/1 Launch Care model Business model Operating model Transition plan

CCFL Strategic Direction Destination for differentiated high-end specialties with accompanying referral networks Cancer, Cardiac, GI, Neuro, Ortho, Transplant, Medicine (to support growth) Continue to serve as the preferred hospital for the Weston community

Growth: Path Forward As a clinically-oriented academic health system based in NE Ohio Fully penetrate surrounding NEO region through acquisitions and aligned partnerships Build scaled integrated delivery system in SE Florida Target 1-2 domestic/international markets to establish relevant footprint - London Build other businesses

Imperative: Secure Home Market Patient Origin Total $CM (M) % Total $CM 3-Year CAGR Home - 21 County $2,085 79% 3.8% Rest of Ohio $166 6% 3.4% Super-Regional $247 9% National $126 5% -1.4% International $10 0.4% –

Our Home Market

Partnering Avita Akron Children’s CVSHealth Florida CIN Midwest Health Collaborative Union Hospital Youngstown