Sentara CarePlex Hospital Administrator, Sentara CarePlex Hospital 8/3/2018 Sentara CarePlex Hospital A new hospital was just the beginning Megan R. Perry Administrator, Sentara CarePlex Hospital December 14, 2005

Sentara CarePlex Hospital 8/3/2018 Commitments made with the new hospital in December 2002 Groundbreaking technology New medical staff Built for patient safety Patient-focused design Clinically superior outcomes

For Hampton Residents 8/3/2018 More advanced services at a more centralized location in the City. Hampton residents now choose Sentara CarePlex Hospital more than any other hospital (not true in 2002 for all of the city) A 20% increase in Hospital Admissions of Hampton residents. (2002-2004) A 12% increase in Emergency visits by Hampton residents. (2002-2004) In 2 years– increased admissions of Hampton Residents by 1,000 (2002 vs 2004)

Beyond the hospital campus 8/3/2018 Sentara Nursing Center Hampton’s new wing opened in April 2005 70 more physicians in 21 Peninsula locations of Sentara Medical Group 2,500+ members use health and fitness services 560 people in Hampton reached with Community Health screenings and Sentara-To-Business in 2005 4,000 more Peninsula residents insured by Optima Health plans than two years ago Sentara supports Hampton’s Healthy Families Partnership SMG Docs—PCPs and specialists

Groundbreaking Technology and Medical Firsts for the Peninsula 8/3/2018 Surgical firsts in vascular, colorectal, bariatric, retinal and gynecology procedures Advanced cancer treatment with IMRT, PET-CT and Intraperitoneal Hyperthermic Chemotherapy eICU® Recent Bariatric Center of Excellence designation Electronic Medical Records system ($240 million investment)

More Highly Skilled Physicians 8/3/2018 Board Certification and Fellowship Training in Specialties Providing more resources to support primary care physicians Hospital-based physician teams add quality and service

Sentara’s Culture of Safety 8/3/2018 Quality & Safety Results Technology Incorporate important information and decision support into processes at point of care Processes Create highly reliable processes built on principles of human factors research People Recruit, train, grow and retain capable, reliable workforce Sentara has achieved 2 very coveted national awards for its culture of safety now expanded to every site of care. Culture of Safety Changing Behavior and Creating Safety Habits

Avoided Deaths at Sentara Hospitals The higher score means more avoided deaths 943 Avoided Deaths in 2004 315 Avoided Deaths in 2003 VHI 2003 and 2004 Data severity adjusted with Medstat Outcomes Analyst

Clinically Superior Outcomes Cardiovascular Program Cardiac Emergency Intervention and Cath Lab Expansion Exceeding National Standards of Care Female Cardiologists Inpatient Caths up 72% and Outpatient up 57% since 2002 Inpatient Cardiac Interventions up 372% since 2002 Vascular Fellowship Training Minimally Invasive Surgery Saving Limbs and Lives Vascular Surgery up 72% since 2002

Serving More Patients Outpatient Care 2002 2004 Increase Emergency 62,134 71,556 15% CT Scan 16,458 19,852 21% MRI 4,657 6,602 42% Caths 870 1,366 57% GI 6,839 13,256 94%

Serving More Hampton Patients Inpatient Care More Hampton Residents Are Choosing Sentara Since the Opening of Sentara CarePlex Hospital The volume of Hampton inpatients at all hospitals from 2002 to 2004 increased by only +2.0% but the rate of growth for Sentara hospitals was +18.2%. 2002 2003 2004 2002-2004 All Admissions 47.7% 53.2% 55.3% + 7.6 Key Services Cardiac Medicine 37.2% 39.1% 43.6% + 6.4 Cardiac Surgery 25.3% 24.0% 30.7% + 5.4 General Surgery 31.7% 34.6% 38.2% + 6.5 Vascular Surgery 63.7% 63.6% 72.4% + 8.7

Continuing to Grow in Coliseum Central 8/3/2018 Continuing to Grow in Coliseum Central Campus expanding across Coliseum Drive Fitness center, bariatric program, women’s imaging and more Opens early 2007

8/3/2018