1. 1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Committee Kick-Off Meeting March 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 – Review Revision process Resources Next Steps » Implementation Plan – Final Submission (April 1, 2015) » Next Committee Meetings 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 Refine & finalize Implementation Plans – Due April 1, 2015 High level milestones / Risks & Mitigations / Financial Milestone Dates Develop plans for actualization of functions or projects Project Plans Budgets 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: Governance Structure Updates

10. 10 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Governance Structure Updates

11. 11 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Governance Structure Updates

12. 12 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Governance Process Updates

13. 13 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Community Engagement

14. 14 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Community Engagement

15. 15 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Community Engagement

16. 16 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Community Engagement

17. 17 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Community based organizations will play an integral role in the development and execution of projects. The PPS intends to engage and contract with community based organization. Implementation Plan: Inclusion of CBOs

18. 18 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. The major anticipated challenge is to maintain all participating parties engaged in the process throughout the long-term. This includes governance members, providers, and stakeholders. Dis- engagement could impact any of the anticipated processes and project implementation. The PPS will promote continuous engagement through several initiatives which consist of inclusion, two-way communication, financial incentives where appropriate for performance, and formal recognition of best practices and engagement. Implementation Plan: Risks & Mitigations

19. 19 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Several work streams must be in place for the effective operations of the PPS. IT systems and Processes will be required for the timely creation and distribution of reports and dashboards for the governance committees to accomplish their oversight responsibilities. Engagement of practitioners will be critical in the accomplishment of project goals and achievement of metrics. The Finance Committee and Executive Committee will oversee the financial sustainability of partners to ensure there is adequate coverage of services for beneficiaries. Implementation Plan: Dependencies

20. 20 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Roles & Responsibilities

21. 21 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Stakeholders

22. 22 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. The planned IT infrastructure will allow for the timely and actionable reports to the governance committees. This will allow governance members and executives to execute on their oversight and management responsibilities. Implementation Plan: IT Expectations

23. 23 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. The governance work stream will be successful when all its milestones and completed on a timely basis. This includes but is not limited to he formal implementation of the governance structure and processes, when beneficiaries, providers and community are appropriately engaged, and workforce is in place and fully trained. Implementation Plan: Progress Reporting

24. 24 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DY2 Q1DY2 Q2 Finalize Agency Coordination Plan DY2 Q3DY2 Q4 Implementation Plan Milestones DY0DY1 Q2 Finalize Governance & Clinical Structure Finalize Bylaws Finalize Workforce Engagement DY1 Q3 Finalize Governance Reporting Structure DY1 Q4 Finalize Community Engagement Plan Finalize CBO Contracts

25. 25 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

26. 26 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan Revision Committee Feedback KPMG Feedback Committee Meetings Additional Members Implementation Plan Finalization Actualization Planning First Quarter Deliverable – Q2 DY1 Next Steps

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