1. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. A Conversation With … Randy Oostra Continuing the Conversation in the New Year

2. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. Thank you!

3. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. MEDICAID EXPANSION - USA Today - Huffington Post

4. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. MEDICAID EXPANSION Expand coverage and reduce uncompensated care Allow states to benefit from a service they already pay for Don’t leave our Federal dollars on the table Let Medicaid coverage work to manage costs Act to help our hospitals manage deep federal cuts There are consequences for rejecting expansion

5. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. SERVICE EXCELLENCE INCENTIVE - 2012 We exceeded the goal! CONGRATULATIONS! 71.3% significantly greater than the previous year (63.3%)

6. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. SERVICE EXCELLENCE INCENTIVE Ask ourselves each day… What did I do today to be the best at what I do? What did I do today to find a better way forward in delivering high-quality, compassionate care? What did I do today to treat our patients/members and each other with respect and dignity?

7. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. SERVICE EXCELLENCE INCENTIVE - 2013 Single system-wide goal: 76.8% (last year achieved 71.3%) Based on employee feedback, we are evaluating eligibility for incentive System-wide score will be equally weighted Acute care: 81% PPCS: 88.5% Health Plans: 61%

8. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. SERVICE EXCELLENCE INCENTIVE - 2013 What you can do: Understand the top three improvement priorities for your department Treat people the way you would want your family to be treated Commit yourself to active listening. Take a moment to be silent between what someone else says and your response System-wide improvement priority: Intentional rounding

9. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. PROMEDICA UPDATES Daniel Farrell, Jr., board member of ProMedica Board of Trustees and ProMedica Defiance Regional Hospital, named Modern Healthcare’s 2013 Trustee of the Year (small hospital) ProMedica Toledo Hospital recognized by Healthgrades as its 2013 Distinguished Hospital for Clinical Excellence Award Construction beginning on a new 55,000-square-foot building on ProMedica Toledo Hospital north campus Construction of new eight-room intensive care unit and endoscopy suite underway at ProMedica Bay Park Hospital

10. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. PROMEDICA UPDATES Quality Leadership Award and Process Improvement Team Awards announced: ProMedica Defiance Regional Hospital (6 th consecutive year) ProMedica Fostoria Community Hospital ProMedica St. Luke’s Hospital received Chest Pain Center accreditation Sugar-sweetened beverage policy New online job application process New Healthcare Conversation blog

11. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. EXPENSE REVENUE 2012201320142015201620172018 THE STATUS QUO IS UNSUSTAINABLE Reimbursement expected to decline to Medicare levels Average Medicaid inflation expected to range from 2% to 5% Without cost/revenue transformation, long-term financial viability is at risk REVENUE EXPENSE Break Even

12. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. 2013 AREAS OF FOCUS

13. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. 2013 AREAS OF FOCUS Employee and physician engagement and satisfaction Employee opinion survey action plans in process Continue care transformation to a patient-centered organization, delivering safe, reliable, high quality, coordinated care A focus on personal safety as well as patient safety Technology to enable clinical coordination and integration of care iCare, patient portal Accountable care, population health management

14. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. 2013 AREAS OF FOCUS System growth Ohio Medicaid managed care plan implementation Collaborating with community partners Obesity, smoking, behavioral health Service line development and implementation Catalytic philanthropic strategy

15. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. OUR PROMEDICA

16. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. OUR PROMEDICA

17. This is a ProMedica document. You are prohibited from duplicating or otherwise disseminating any of the information contained herein. OUR PROMEDICA