Jeffrey W. Rose Chief Executive Officer HealthAlliant A Roadmap to Rendering Better Care Through the Implementation of Health Information Technology 27 June 2005 Jeffrey W. Rose Chief Executive Officer HealthAlliant

Agenda Getting Started Defining the Concept Defining the Plan

Process for Getting Connected Convening Planning Financing Development Operations

Creating the Business Plan Financial Planning Concept Programs Business Model Implementation Plan Budget What is the concept (i.e. vision, mission, strategy, goals) What will be done? What is the expected benefit? How much will it cost? How will it be financed? To whom does the benefit flow?

Creating the Business Model Savings Model Financing Model Cost Model

Agenda Getting Started Defining the Concept Defining the Plan

CareSpark Vision & Mission To be a world-class, quality-driven, clinically integrated, efficient health and wellness system for the people of our region Mission To improve the health of people in Northeast Tennessee and Southwest Virginia through the collaborative use of health information We have remained focus on our original goal: improving the health status. As we improve the care for individuals, then collectively we improve health statistics for the region.

CareSpark Values & Goals Regional Cooperation Community Accountability Privacy Integrity Continuous Improvement Inclusiveness Stakeholder Parity Goals Improve clinical practice Coordinate clinical care Personalize care Improve population health Create an efficient health system We have kept the long-range goals in mind, and worked to focus on those tactics that will help us measure and achieve our goals.

CareSpark Strategy Execute a community-wide approach to healthcare delivery using information technology extensively with aligned incentives. Create Coordinating Entity Improve Quality Of Care Engage Patients In Healthy Living

Agenda Getting Started Defining the Concept Defining the Plan

Program Prioritization Develop a logical, incremental sequencing of programs that ultimately delivers all of the desired functionality while producing early, modest wins. “Keep it relatively modest and narrowly defined early on.” “Just try something that works and demonstrates value.”

Program Alternatives (42) Where What How Location Clinical Financial Social Technology Process Improvement Setting

Program Sequencing Criteria Benefit Financial Impact (Savings) Clinical Impact Cost (Ease of Execution) Data Model Requirements Work Flow Impact Financing Logic (i.e. building block)

6 Ways to Create Value at Community Level Medications Preventive Medicine Diagnostic Services Treatment Services Disease Management Research

Setting (7)

Technology (14)

Social (1)

Financial (4)

Clinical (13)

What To Do (19)

Most Strategic (9)

Least Strategic (3)

Easiest (4)

Most Attractive (2)

A Program Sequencing Model Harder to Do Strategic Impact Near-Term (1-3 Years) Medium-Term (2-5 years) Long-Term (5-10 years) More Medication Management Preventive Medicine Disease Management Public Health Surveillance* Uncompensated Care Lifestyle Evidence-based Medicine Clinical Research Less Diagnostics Management Eligibility Checking Bio-terrorism Surveillance* Claims Submission Fraud & Abuse* Defensive Medicine Futile Care Post-Market Surveillance* Care Coordination * Best done after database is created

“This is a noble idea with tremendous benefit “This is a noble idea with tremendous benefit. The challenge will be doing it. It can be done, but it ain’t going to be easy.”

Jeffrey W. Rose Chief Executive Officer HealthAlliant A Roadmap to Rendering Better Care Through the Implementation of Health Information Technology 27 June 2005 Jeffrey W. Rose Chief Executive Officer HealthAlliant