1. 1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Communications Committee Kick-Off Meeting March 18, 2015

2. 2 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Welcome & Introductions PPS Overview & Organizational Structure DSRIP Updates Progress To Date Implementation Plan Committee Purpose Implementation Plan Draft Draft Communications Plan Resources Next Steps Questions Agenda

3. 3 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Executive Committee Executive Committee PAC AuditCompliance PPS Organizational Structure *Sub-Committees & Workgroups will be formed as needed. NYHQ NYHQ Lead Hospital Practitioner Engagement NYHQ Board of Directors Cultural Comp & Health Literacy Long Term Care High Risk Population Behavioral Health & Primary Care Integration Communications Workforce IT & Performance Reporting Clinical Integration & Population Health Mgmt Finance PMO PMO

4. 4 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. PPS Org Structure: Committees

5. 5 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. CNA Completed & Projects Selected – DSRIP Updates

6. 6 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DSRIP Plan – December 2014 Scale & Speed – January 2015 Implementation Plan – April 2015 Actualization of Plans – Begin April 1, 2015 DSRIP Updates Documents Available: -DSRIP Applications -Scale & Speed by Project -Implementation Plan Draft Current State

7. 7 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DSRIP Updates Distribution Year QuarterReporting PeriodQuarterly Report Due Payment Date Project Plan & Implementation PlanN/AApril 20, 2015 DY1 - Q2April 1, 2015 - June 30, 2015July 31, 2015October 29, 2015 DY1 - Q3July 1, 2015 - September 30, 2015October 31, 2015 April 1, 2016 DY1 Q4October 1, 2015 - December 31, 2015January 31, 2016 DY2 - Q1January 1, 2016 - March 31, 2016April 30, 2016 October 1, 2016 DY2 - Q2April 1, 2016 - June 30, 2016July 31, 2016 DY2 - Q3July 1, 2016 - September 30, 2016October 31, 2016 April 1, 2017 DY2 - Q4October 1, 2016 - December 31, 2016January 31, 2017 DY3 - Q1January 1, 2017 - March 31, 2017April 30, 2017 October 1, 2017 DY3 - Q2April 1, 2017 - June 30, 2017July 31, 2017 DY3 - Q3July 1, 2017 - September 30, 2017October 31, 2017 April 1, 2018 DY3 - Q4October 1, 2017 - December 31, 2017January 31, 2018 DY4 - Q1January 1, 2018 - March 31, 2018April 30, 2018 October 1, 2018 DY4 - Q2April 1, 2018 - June 30, 2018July 31, 2018 DY4 - Q3July 1, 2018 - September 30, 2018October 31, 2018 April 1, 2019 DY4 - Q4October 1, 2018 - December 31, 2018January 31, 2019 DY5 - Q1January 1, 2019 - March 31, 2019April 30, 2019 October 1, 2019 DY5 - Q2April 1, 2019 - June 30, 2019July 31, 2019 DY5 - Q3July 1, 2019 - September 30, 2019October 31, 2019 April 1, 2020 DY5 - Q4October 1, 2019 - December 31, 2019January 31, 2020 First Due Date

8. 8 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Develop a structure for collaboration to focus on organizational functions and project implementation and outcomes specific to DSRIP deliverables according to the need of PPS partners and the community they serve. Committees will: Committee Purpose- Planning Phase Develop plans for actualization of functions or projects Communications Plan Partner Expectations Engage key-stakeholders specific to project or function need Provide guidance for best practice standards & evidence based medicine protocols Recommend strategies or policies to the Executive Committee Establish monthly reporting expectations & communication channels for progress updates Partner with PMO to monitor monthly & quarterly deliverables Create workgroups to continue development or implementation

9. 9 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan Draft Final due to NYS April 1, 2015 Draft available for distribution for review & revisions Implementation Plan should help inform the communications plan & set timing expectations PMO will provide support to the Committee to finalize communication strategy & action items

10. 10 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Draft Communications Plan

11. NYHQ DSRIP PPS Communications Plan Working Draft Current to: 11/21/14 C. Morrissey & M. Castaldi

12. 12 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Timeline to Complete Planning Phase TBD Draft plan to Premier and PMO for review [11/21] Full draft plan to PPS Partners for review [11/24]; include request for workgroup implementation commitments {will serve as PPS Communications Council} TBD Community Town Hall Presentation of Community Needs Assessment [12/3] PPS Partners Webinar/Conf Call to review draft plan, determine workgroup team member roles [by 12/8] TBD All input from PPS Partners [by 12/9] Complete PPS Website Work Environment [est. 12/17] Complete all plan materials for application use [est. 12/18] Assign implementation components in work group [by 12/19]

13. Implementation Phase January 2015 - 2020 As the Implementation Phase rolls out each stakeholder engagement objective has a program with tactical components that apply the plan’s strategy. These program tactics are customized for each of the three macro audience segments, and in some cases apply to multiple segments and cross through multiple engagement objectives.

14. 14 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Today Contact Individuals have heard about DSRIP. Awareness Individuals are aware of the DSRIP transformation. Understanding Stakeholders understand the impact of DSRIP on them, and their employees; Myths dissipate. Project Ownership Project Team members actively see and can communicate how DSRIP benefits them and the industry. They are able to execute necessary implementation tasks. Acceptance Stakeholders accept the new changes; anxiety around DSRIP diminishes and stakeholders begin to see incremental value. PPS Ownership Steering Committee, PAC, Working Group members are updated on concurrent activities, able to promote benefits of DSRIP changes and advise decisions effectively. Time & Effort Stakeholder Adoption DSRIP Communication Objectives Phases of Stakeholder Engagement: Plan is programmed and measured against each objective Planning Phase Implementation: Year 1 – 5 [Contact-Understanding Years 0-3; Ownership Focus Years 3-5 ]

15. 15 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Audience Segments, Priorities Internal/NYHQ Project Teams Medical Staff (employed and voluntary) Employees Trustees Volunteers Hybrid/PPS Partners Governance group Partners’ clinical staff Executive leaders @ partners Project Stakeholders (incl. unions) Stakeholders of individual partners, as determined by each partner External/ Stakeholders Elected officials Media Community influencers & organizations Business Civic Social Faith-based Non-PPS physicians 15 Except for initial contact/awareness activity, external audience programming will occur as implementation phase rolls out PPS Partners will receive direct communication & communication tools to customize for selected audiences they will access Direct communication to NYHQ- specific audiences

16. PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. 16 Create an environment of “Healthcare Transformation Literacy” using consistent and collaborative communication as a tool to enable understanding and foster advocacy for change, and that makes the DSRIP goals part of the community healthcare delivery mission Educate audiences on purpose, value of transformation goal on their terms (what are we doing, why is it important, how does it affect you, what is your role, what’s in it for you) Build a Transformative Community: facilitate knowledge-building and transfer among PPS members, influencers (and obstacles) in communities; Position locally-led transformation program as a matter of pride, quality, recognition and opportunity – how we bring the next level of healthcare to our communities, leading the change not being forced Leverage the Community Needs Assessment (by the community, for the community) as the evidence base for transformation prioritization Re-focus influencers of Medicaid patients on benefit of (true) community-based care “beyond the ED” and debunk myth that reform takes away both entitlement and convenience from a needful population Encourage transparent communication that will help alleviate anxiety about impending changes [Need to address: workforce group/how to manage your own transformation] Overarching Communication Strategies

17. 17 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Communications Approach Audience 1: NYHQ Internal Initial communications will serve to build understanding, and position the program Varied communications will be used to: Clarify roles; show commitment across NYHQ Point to the needs & across-the-board benefits of DSRIP transformation Educate on the value of DSRIP Sustain involvement via ongoing information flow

18. 18 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Today Awareness Individuals are aware of the DSRIP transformation. Understanding Stakeholders understand the impact on them, & employees; Myths dissipate. Project Ownership Project Team members actively see and communicate how DSRIP benefits them and the industry. Acceptance Stakeholders accept the new changes; anxiety diminishes & stakeholders begin to see incremental value. PPS Ownership Steering Committee, PAC, Working Group are updated on concurrent activities; promote benefits of changes and advise decisions effectively. Time & Effort Stakeholder Adoption Contact Individuals have heard about DSRIP. Communication Approach: Internal ContactAwarenessUnderstandingAcceptance Project Ownership PPS Ownership Initial Announcements Info Bulletin Inclusion in Q2/Q3 SOH updates Insight weekly newsletter INSIGHT w/President Message newsletter Digital Signage Staff, Management, Trustee presentations Town Hall- CNA Presentation Provide initial message track to project teams and direct stakeholders of projects Include in special column w/each issue: Insight e-weekly, President message/Insight; digital signage Quarterly Info. Bulletin Quarterly Email to medical staff Feature in 2015 SOH and each quarterly update Case Presentations Conduct Focus Groups Survey results to develop content on gaps/needs Create internal advocacy team PPS content & tool kit Results tracker Employee blog Case presentations Newsletter “Rounding” presentations for key segments Implement Special Projects Create and publish mini- white paper Collaborative Comm. Internal project teams deployed to participate in external stakeholder education See PPS Partners Program

19. 19 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Communications Approach Audience 2: PPS Partners Outreach to PPS partners focuses on education about DSRIP & training on how to develop knowledge & enthusiasm in staff, while managing potential issues Supply tools materials for partners’ use in educating their own organization & training staff to eventually work with external stakeholders Use tools that communicate & track progress across-the- board, stimulating partners’ active participation

20. 20 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Website: microsite that is branded as the new PPS (Including the new name) to inform all stakeholders and to be used as common work environment to provide plans, schedules materials, links to other content, and engagement tools; this is the ‘Grand Central Terminal’ for program management, PPS intra-communication, and implementation of all projects and the communications plan Message Track: outline of the key messages to be used in discussing programs that includes citations for data to support programs; include messages that leverage the Community Needs Assessment (this track will be built upon over time and will be used in presentation/interview training) Includes “Elevator Speech”: 1-page document that describes what it is, why your PPS is doing it, and how you’ll get there. Leaders and team members should customize this speech and use it to talk about DSRIP. Includes FAQs: responses to commonly asked questions collected from leaders, employees, and physicians and provides answers directly from the DSRIP Project Team. Includes Glossary of Terms: common list of terms people may hear during the DSRIP rollout that they may not be familiar with or understand. Master Deck: collection of slides that tells story about DSRIP. This will include a healthy dose of visuals and infographics suitable for varying audiences. While deck should not be used in its entirety, team members and leaders can pull out necessary slides and graphics to suit their purpose. Community Needs Assessment 101: brief on the highlights and what they mean to community Newsletter subscription Template for announcements Results tracker Link to Introductory Video: video that introduces leaders, employees, and physicians to the DSRIP project including what it is, why we’re doing it, and what it will mean for their organization. Project List, Descriptions, Timeline and Site-Specific Involvement: estimated timeline of when major project milestones will occur and what it means for the partners. Timeline will change as project progresses. Archive and Links : relevant content, tools on other websites, including NYSDOH Communication Tool Kit– Core Content All tools to be accessible via PPS website

21. 21 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Today Awareness Individuals are aware of the DSRIP transformation. Understanding Stakeholders understand the impact on them, & employees; Myths dissipate. Project Ownership Project Team members actively see and communicate how DSRIP benefits them and the industry. Acceptance Stakeholders accept the new changes; anxiety diminishes & stakeholders begin to see incremental value. PPS Ownership Steering Committee, PAC, Working Group are updated on concurrent activities; promote benefits of changes and advise decisions effectively. Time & Effort Stakeholder Adoption Contact Individuals have heard about DSRIP. Communication Approach: PPS Partners ContactAwarenessUnderstandingAcceptance Project Ownership PPS Ownership Announcement template for internal comm. Launch microsite link Form workgroup/ Communications Council Town Hall Develop: Training program Progress chart & timeline Communication tool kit Microsite link Template for announcements Launch PPS Partner content and tool kit: Results tracker Employee blog Case presentations Newsletter “Rounding” presentations Institute bi-weekly team calls Facilitate focus groups Continue to provide content to PPS Partners PPS presentation webcasts Create and publish mini- white paper and interactive tool Measure understanding Measure usage Project teams deployed to participate in external stakeholder education Collaborativ e comm. PPS project teams deployed to participate in external stakeholder education

22. 22 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Communication Approach Audience 3: External Stakeholders PPS Communications Council (work group) seeks to involve external community stakeholders – service professionals assisting with DSRIP, as well as media, local politicos, patient organizations, unions – in endorsing, influencing or undertaking DSRIP patient outreach Purpose: To educate & move stakeholders to support/actively participate in community wide program to change behavior of Medicaid patients & reduce readmission to hospitals For example: elected officials developing or endorsing policies and legislation with the understanding of DSRIP, impact, value, potential outcome Pre-empt challenges to change

23. 23 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Today Awareness Individuals are aware of the DSRIP transformation. Understanding Stakeholders understand the impact on them, & employees; Myths dissipate. Project Ownership Project Team members actively see and communicate how DSRIP benefits them and the industry. Acceptance Stakeholders accept the new changes; anxiety diminishes & stakeholders begin to see incremental value. PPS Ownership Steering Committee, PAC, Working Group are updated on concurrent activities; promote benefits of changes and advise decisions effectively. Time & Effort Stakeholder Adoption Contact Individuals have heard about DSRIP. Communication Approach: External/Stakeholders ContactAwarenessUnderstandingAcceptanceProject OwnershipPPS Ownership News release announcement Town Hall Editorial Bd/Publisher meetings Legislative briefing; Launch Transformation News Bureau “What Transformation Looks Like” sessions for stakeholders groups Create DSRIP community advisory Provide content to PPS Partners Publish interactive white paper Tool kit for external stakeholders Message focus on emerging results and positive impact on individuals and community

24. 24 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Measurement & Evaluation Contact Awareness Understanding Acceptance Ownership +Projects +PPS Measurement of the ultimate goal of DSRIP will be the level of reduction in avoidable hospitalization of Medicaid patients, and decreased utilization of Emergency Rooms. How will we measure impact of the Communication Plan? Progress against communication objectives should be measured quantitatively--with a consistent and repeatable methodology. Recommendation: January 2015 measure baseline assessment of awareness and understanding, as well as intent to act/advocate. Survey administered by Survey Monkey tool to 6 targets (2 in each of three macro audience categories – or cross section of each of the 3 the macro audiences); repeat at 6 month intervals. The survey tool can be used for ongoing engagement and education – potentially with an instant feedback mechanism on website. To manage financial resources, survey tool will require database creation by PPS members

25. Appendix Working materials to use or not/tbd

26. 26 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Community Call-to-Collaborate We each play a role in the positive transformation of healthcare – happening right here, right now. Understand. Participate. Collaborate.

27. 27 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Audience Analysis AudienceDescription Internal Stakeholders Steering Committee / Executive decision makers  Those guiding the project, creating the vision, serving as champions, engaging key audiences and individuals and have decision making powers. Working Groups & Project Groups  Those delivering the application process. They are the groups performing the research, analysis, and development of the application itself. Staff  Those who will use and adopt the system. PAC  Those committee members who are actively invested and committed to the success of the PPS by collecting information and informing their respective organizations as well as inform and advise the PPS. External Stakeholders PPS Partners  Those who will support the system through active engagement with the lead PPS. Other Stakeholders – Project  Those providers that are medical, non-medical, or otherwise that are involved in the delivery of services along the project lines. Other Stakeholders – Non- Project  Those individuals, groups, and organizations who will be directly impacted by the projects, but not actively involved in the delivery. The previous audiences are explained in further details below: This list can be expanded and updated as required

28. 28 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Required: Resources Reviewed and approved 10/24/14 The DSRIP program is laden with state requirements and monitoring. The communications component is complex as there are several distinct target audiences – each requiring its own program arm. This will need to be created and implemented on tight timelines and in compliance with the overall DSRIP mandates. As such, the critical communication component requires dedicated focus from a seasoned professional who can plan, manage, produce messages/content/campaign and evaluate progress and modify approach if necessary – and do so consistently and within the timing required to support process Resource background: Engaged healthcare comms contractor Marilyn Castaldi on freelance basis; she has worked with us as recently as 7/14, has been with CUMC and NYU as well as global communications consulting firms » She has a business partner who may be able to participate, as well NYHQ PA & M can support internal communication content delivery, some specific external delivery (media, elected officials) NYHQ PA & M web contractors Beth Granger and Connect Healthcare will support build of microsite and set up of online communication environment for NYHQ.org » Need to determine ongoing resource for microsite materials posting

29. 29 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Resources & Next Steps

30. 30 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ Project Management Office (PMO) – Maria D’Urso – mda9005@nyp.orgmda9005@nyp.org Louisa Low – lil9084@nyp.orglil9084@nyp.org Crystal Cheng – crc9038@nyp.orgcrc9038@nyp.org NYHQ PPS Website - http://www.nyhq.org/dsripppshttp://www.nyhq.org/dsrippps NYS DSRIP Website - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/ https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/ Applications - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_applicati ons/ https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_applicati ons/ Resources

31. 31 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Committee Meetings Additional Members Communication Strategy & Actualization Planning PAC – March 24, 2015 Communication channel Agenda – TBD Implementation Plan – due April 1, 2015 Next Steps

32. PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Questions?