1. May 6, 2014 Predictive Insights: A New Way to Satisfy Community Health Needs Assessment Requirements

2. Presenters Robin Rose VP Strategic Initiatives HealthStream robin.rose@healthstream.com Linda Rebrovick President and CEO Consensus Point linda@consensuspoint.com

3. Objectives Review the CHNA process of Today Envision an improved CHNA process for the Future Introduce a new HealthStream partner Preview Predictive Insights and other innovative technologies Discuss how HealthStream can streamline the CHNA process Answer your questions

4. THE CHNA OF TODAY

5. A Valuable Community Service Community Health Needs Assessment Promote market analysis Prioritize community needs Improve community health Connect with community Reinforce positive brand

6. But A Painful Experience Community Health Needs Assessment Pulling staff away from current jobs Scheduling interviews with community leaders Conducting personal interviews Analyzing community data Polling community residents Preparing extensive reports

7. That Can Be Time Consuming and Costly A Business Case for A New Process Typically 6 – 8 months of work just to collect and analyze the data Estimated $50,000 - $130,000 internal cost just for this process Double these amounts to backfill the people assigned to the CHNA Pulling staff out of their comfort zone No infrastructure to support efficient research And after all this effort, nothing has yet been implemented or improved!

8. THE CHNA OF TOMORROW (with a little help from HealthStream…)

9. Benefits of the HealthStream Approach Provide a turnkey approach Use innovative technology to improve efficiency Access deep statistical / research expertise Outsource labor intense data collection and analysis Achieve quick turnaround—6-8 weeks instead of 6-8 months Ensure representative demographics Provide concise reporting Set clear priorities Get annual documentation of progress Offer higher value at a lower cost

10. The HealthStream Support Process Research Infrastructure Predictive Insights e-Survey Platform Expert Analytics & Reporting

11. Letting YOU Focus On… Community Health Needs Assessment Communicating the CHNA Developing the Implementation Plan Making progress

12. INNOVATIVE TECHNOLOGIES Predictive Insights e-Survey Platform 1 st Phase: To determine what community leaders believe 2 nd Phase: To use the wisdom of community residents to forecast and prioritize health needs

13. HealthStream e-Survey Platform Email methodology Rapid turnaround (3 attempts / 3 weeks) Customized announcement letters Use your own logos Mobile integration for smart phones / tablets Use coupons / promotions Low cost

14. Invitation Email - Customizable

15. The e-Survey Platform a

16. Predictive Insights A better, more rapid way to obtain consumer feedback. Used by industry leaders outside of healthcare such as Motorola, GE, Intel, Procter & Gamble, and others Taps into “the wisdom of crowds” to better predict outcomes and the preference of consumers Turns traditional research on its head

17. How does Predictive Insights work? What is the Value? Rapid Turnaround Future Focus Me vs. We Diverse Community Intensity of Response Quantitative Qualitative Innovative Research ResearchGamification 17

18. Comparison of Market Research Techniques Surveys & Focus Group ResearchPredictive Insights Who participates?Requires participant screening for target market representation (increased cost) No sample requirements What do they contribute?Personal OpinionsGroup Judgments How do they contribute?Simple Yes/No, VotingWeighted responses Answer all questionsSelf select questions Why do they participate?Incentives to ParticipateIncentives to Perform Social Game environment Interpreting results“80% believe in idea”“Idea has 80% probability of success” 18

19. Engaging Experience for Respondents Simple 3 step process Respondents invest in outcomes Encourages qualitative feedback #1 #2 #3

20. Mobile Interface and Gamification Techniques Engaging User Interface Easy to use Responsive design

21. ©2014 Consensus Point Inc. Confidential 7 86 % likelihood Results Breakout ThemePrevalence We’ve had new doctors come to town47% There is no wait to get an appointment16% Reasons for YES -I’ve never had any trouble. -We’ve had a lot of new doctors come to town lately. -I was able to get a new appointment with a cardiologist within 2 days of calling. Reasons for NO --There is a long wait time to get an appointment with a physician in this town. -It’s hard to find a doctor who takes my insurance. Commentary 57 % 43 % Likelihood % Probability % of People Breadth of response Strength Meter How strongly respondents felt about their answers 18-2425-3435-4445-5455-6465+Overall Results by Demographic negativepositive 41% NoYes HighLowHighLow Average Male Female Are most people in this community able to visit a doctor when needed? Said “No” Said “Yes” 59% 0%100% Probable Not Probable 86 % 14% LowAverageHigh Patient Healthcare Needs

22. HOW HEALTHSTREAM STREAMLINES THE CHNA PROCESS

23. We Do Research / You Focus on Improvement Assess community needs every 3 years Consult with community leaders Write up the findings Adopt the CHNA Publicize the CHNA Develop an implementation plan for addressing unmet needs Report annually on progress

24. The HealthStream CHNA Product Product Components Market analysis Interviews with community leaders Survey of community members Report of findings Annual update

25. CHNA Market Analysis Looking for opportunities to improve community health Service area definition County analysis and exception reporting Population characteristics Demographics Social and economic factors Physical environment Clinical care Health outcomes

26. Interviews with Community Leaders Two Options e-Survey of 20-30 leaders (using new email survey platform) Executive phone interviews with 20-30 leaders Subset of similar questions asked to both community leaders and community residents

27. Interviews with Community Residents New Predictive Insights Methodology Survey of 200-250 community residents Leverages “wisdom of crowds” to improve decision-making

28. The CHNA Community Survey (19 Qs) Where do most people in this community go for their routine healthcare needs? Are most people in this community able to visit a doctor when needed? What are some of the reasons people in this area may not be able to see a doctor when needed? Will ____ be a Top 3 health challenge in this community over the next 3 years? Where do most people in this community get their information about healthcare issues? To most improve the overall health in the community over the next 3 years, resources should be focused on reducing which of the below activities among residents? Which of the following activities among residents would most improve the overall health of this community over the next 3 years? What additional health services need to be offered to meet the challenges of this community? Still thinking about the next three years, which age group will have the greatest healthcare challenges in your community? Three years from now, how will most residents in this community rate their overall health? Demographic questions

29. Report of Findings Required introduction Review of analytic information Summary of interviews with community leaders Summary of results from Predictive Insights CHNA survey Prioritization of community health needs

30. Annual Updates Predictive Insights- CHNA Annual Update Predictive Insights survey of 250 community residents to assess improvements over the prior year Somewhat shorter survey than the 3-year assessment Short report to trend findings from the 3-year assessment

31. In Summary Turnkey approach Innovative technology Research expertise Quick turnaround Concise reporting Clear priorities Track progress Lower cost

32. NEXT STEPS Follow Up Email Including: Webinar recording and PDF of Slides Healthcare industry study powered by Predictive Insights Opportunity to request follow up

33. QUESTIONS?