07/07/15 Epic Combined EPAC: Key Takeaways For Executives/SMEs/Workgroups/Application Teams 1

Epic Project Team Accomplishments A very successful and ambitious Workflow WalkthroughWorkflow Walkthrough Upgraded to Epic 2015 code Completed a Phase 4 testing deep dive with the project team Successful dry run of mass migration from proof of concept to test environment Completed first Epic independent application Review (vendor audit of our build) Downtime Planning – Business Continuity Access (BCA) Support Read Only is Epic Hyperspace frozen in a Read Only mode BCA PC is a PC with an independent power source connected to a local printer with the BCA PC application installed. When we’re on emergency power, you can print critical patient reports. BCA Web allows specific users to log in and view downtime reports from a non-BCA PC. BCA Web Data Entry allows access services users to keep admissions, discharges and transfers up to date during downtime to speed up the downtime recovery process. Providers can still write notes. Forms Standardization work in progress 07/07/15 Combined EPAC ─ Key Takeaways 2

Testing: High-Level Timeline Overall status: Outstanding barriers exist as third party agreements and test server installation continues to impact the project team’s ability to complete connectivity, field-by- field and functional testing, all of which should have been completed by 6/5 for Wave 1. Wave 2 milestone is 8/21. Contingency: o Moved outstanding community hospital interfaces not required for Ambulatory and HMH Go-Lives into new Waves 3 & 4 o Weekly barriers call to review progress and next steps Preparation: o Critical connectivity, field-by-field and functional testing are sequential and required to start integrated testing and should be completed by 8/21 o Delays will have adverse impact to the project timeline Scripts: o 2014 baseline script development will continue with test script changes for 2015 upgrade Upgrade: o 2015 upgrade, mass migration and Test (TST) environment on target 07/07/15 Combined EPAC ─ Key Takeaways 3

Testing: Next Steps Attend weekly barrier calls Monitor dates and progress of interfaces Work with leadership to add ETA’s to barriers Continue to monitor 2015 application script development Monitor environment set up progress: o 2015 Epic Software Upgrade o Super Users o Mass Migration Track and Workgroup Updates Reporting: Working towards several completion dates from the first to mid-week in August for Reporting Workbench/Clarity Reports, Radar Home Pages and Extract Build Staff training scheduled in July; build to begin in August Developing additional custom reports as determined from gap analysis, reviewing Radar Home Page changes/updates based on the Epic 2015 upgrade, onboarding a new consultant and coordinating demands of Extract and Clarity build with Universe/Cube build 07/07/15 Combined EPAC ─ Key Takeaways 4

InPatient/Hospital Clinical Decision Support: Identifying Go-Live Best Practice Advisories (BPA) What’s a BPA? o A triggered notice based on defined criteria alerting a specific user role at a specified time in the employee’s workflow to assist in decision making. o Examples of BPAs clinicians will see: “The prior to admission medication list has not been verified and completed during this encounter.” “Allergies have not been verified during this encounter.” Intent of the BPA by category o Care Support o Health Maintenance o Quality Measure o Workflow Support 529 foundation BPAs were in the initial review by Epic analysts and grouped by intended target audience alert 293 were scored by 26 different meetings/groups, who scored and identified these Foundation BPAs as Go-Live critical 142 BPAs scored as Go-Live critical were reviewed by leadership to prioritize current quality measure focus and the most important clinical measures to Go-Live first 5

Q4 14 Q1 15 Q2 15 Q3 15 Q4 15 Q1 16 Q2 16 Q3 16 Primary Design Complete System Build Complete WFWT Upgrade Testing Starts SPG/PCG Content Build Complete IP Content Build Complete SPG/PCG 1 st Go-Live HMH Training HMH Go-Live (5/21) Key Milestone Events Project and Go-Live Events Q4 16 Q1 17 Q2 17 Q3 17 West Houston, St Catherine, St. John, Woodland Go-Lives SPG/PCG 3 rd Go-Live Willowbrook, San Jac, Sugar Land Go-Live 4 Hospital Training SPG/PCG Training 3 Hosp Training SPG/PCG 2 nd Go-Live Hospital Go-live Project SPG/PCG Go-Live 6