Chief Medical Office Overview November 15, 2017

Chief Medical Office Organizational Structure

Associate Chief Medical Officers Carol Steltenkamp Chief Medical Information Officer Kevin Nelson Dir, Med Staff Affairs Eleftherios Xenos Patient Safety John Draus Interim, Kentucky Children’s Hospital Jay Grider Ambulatory Services Chris DeSimone Perioperative Services

Medical Staff Leadership

Medical Staff Standing Committees Pharmacy and Therapeutics Infection Prevention and Control UK HealthCare Quality and Safety Committee Graduate Medical Education Transfusion Committee Operating Room Committee Transplant Steering Committee Ethics Committee ICU Committee Diagnostic, Imaging & Testing Cancer Committee Nutrition Committee Anatomic Pathology Resuscitation Committee

Accomplishments Our Strategy Enterprise Goal Updates Value-Based Care “A number of our accomplishments within the UK HealthCare clinical enterprise in 2016 demonstrate our progress in creating value through improved quality, efficiency and patient/family experience.” Adapted from the UK HealthCare 2016 Annual Report

Awards & accomplishments

Continued Focus: Improve Patient Care

FY18 Enterprise Goals Focused on: Improving patient survival rates Threshold Target Max MORTALITY Observed to Expected Index (O/E) ≤0.82 ≤0.81 ≤0.80 PATIENT SAFETY Patient Safety Indicator 90 (Harm Score) ≤0.94 ≤0.84 ≤0.74 Hospital Acquired Infections (6 total) 3 of 6 4 of 6 5 of 6 CARE CONTINUUM Ambulatory Access 1 of 3 2 of 3 3 of 3 Length of Hospital Stay Index (LOS O/E) ≤1.04 ≤1.03 ≤1.02 Readmissions (30 day all cause unplanned same hospital) ≤9.6% ≤9.5% ≤9.4% PATIENT EXPERIENCE Inpatient Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey Domains (9 total) 5 of 9 6 of 9 7 of 9 Ambulatory Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) Survey Domains (6 total) 2 of 6 ENGAGEMENT Employee Engagement 4.08 4.12 4.16 Provider Engagement 3.59 3.65 3.71 DIVERSITY AND INCLUSION Diversity and Inclusion 1 of 4 2 of 4 3 of 4 FY18 Enterprise Goals Focused on: Improving patient survival rates Avoiding complications Efficiency of the care continuum Accessibility to care Patient and family experience