1. OhioHealth Revenue Cycle Work At Home Program

2. Background Financial assistance application (FAA) processing 6000+ FAA’s processed per month Imaged worklist Facility and physician charges/accounts Two financial systems 11.5 FTE’s American Community Survey reports 5.8 million people (4.3% of the US work force) worked the majority of their time at home in 2010

3. Goal Provide efficient, accurate processing of financial assistance applications while reducing administrative costs and providing remote working opportunities for associates.

4. First Step Associate involvement Win – Win situation Assist with ground work Accountable for successful program Co-workers support Build leaders

5. Motto Working from home is a privilege and should be treated as such

6. Managers Role Support Structure Contacts Next Steps Challenges Reiterate Privilege

7. Ground Work Legal documents that provide the work at home structure and associate agreements Review with Legal Department Review with Human Resources Cross Reference Existing HR Policies

8. Acknowledgement Document General Performance standards Subject to policies Program involvement may be terminated at any time Notification of change in ability Notification of change of address/phone number Record calls Time records Not a substitute for child or adult care Maintain safe working environment No liability for injuries outside of home work area

9. Acknowledgement Document Schedule, Management and Time Existing work schedule Comply with time keeping Overtime Activities considered hours worked Setting up Training Travel time to pick up/deliver work Meetings Activities not considered work time System Downtime Travel time for meetings/training

10. Acknowledgement Document Equipment, Space and Supplies Acknowledgment of receipt of equipment, software and materials (separate exhibit) Remain property of organization Phone line if needed Cannot alter, modify or upgrade software Cannot copy, duplicate or allow others to copy Protect equipment, software and materials Cooperation to secure the collection of property upon termination, or liable for reimbursement

11. Acknowledgement Document Access by representatives of organization Deliver, install, etc.. of equipment, software, and materials Inspect home office for safety hazards Inspect after an accident or injury Audit compliance with policies Any other purpose required by law Advance notice of access if applicable

12. Acknowledgement Document Confidentiality Maintain for medical records, medical reports, medical data and information, financial information, and business plans Reasonable precautions to protect information Written or printed information to be kept in a locked file, inaccessible by others in home Not discarded in home trash but shredded Destroy or return information to organization

13. Program Guidelines Document Parameters and understandings of program Does not alter existing terms and conditions Not an employee benefit but a privilege Business and time governed by polices and law

14. Program Guidelines Document Eligibility Current position at least 6 months and not on a performance improvement plan or disciplinary action Demonstrated ability to work independently Demonstrated ability to meet productivity Sound knowledge of processes and procedures Proven time management skills Communicate and share information Private work space with a door High speed DSL or cable internet Allow organization associates access to home office

15. Program Guidelines Document Self Selection for Participation Considerations Private, quiet, dedicated workspace? Door or closure for privacy? Connectivity services? Room for PC, telephone, etc…? Am I organized, self-motivated, able to stay focused? Good at managing time? Comfortable without face-to-face interaction with manager and co-workers? Comfortable with keeping my manager informed about work issues, questions, etc…? What happens if it doesn’t work?

16. Return to Work Site

17. Productivity and Monitoring Utilize current system reports developed to monitor and track productivity for on-sites Same associate score card used QA performed on each associate

18. Sample Sign On Report User Audit Report Generated: Aug 9, 2012 12:12 AM EDT VPN Logins and Logouts null Aug 8, 2012 12:00 AM EDT - Aug 9, 2012 12:00 AM EDT Start TimeUsernameEvent NameSource IPDestination IP 2012-08-08 15:31:34TWO843Logout Success107.10.131.79172.31.69.18 2012-08-08 12:54:35TWO843Login Success107.10.131.79172.31.69.18 2012-08-08 12:54:29TWO843Login Success107.10.131.79172.31.69.18 2012-08-08 10:08:05TWO843Logout Success107.10.131.79172.31.69.18 2012-08-08 10:08:01TWO843Logout Success107.10.131.79172.31.69.18 2012-08-08 07:00:56TWO843Login Success107.10.131.79172.31.69.18 2012-08-08 07:00:51TWO843Login Success107.10.131.79172.31.69.18

19. Home Visits by Management First one within two weeks of implementation Two per year Yearly evaluation Mid year touch base

20. Equipment Purchase Arrangement/Agreement Evaluate costs vs. savings $3000 per associate

21. Scheduling work times System availability Supervisor / lead support Work completion IT Support Calls to patients / customers

22. Miscellaneous Return on-site if all requirements not met Confidentiality for all our patients High speed internet connection Must be in the home Cannot use lap tops

23. Pilot 30 days 2 associates Must be disciplined Other associates depending on success What if it doesn’t work?

24. On Site Monthly Department Meetings Quarterly Revenue Cycle Meetings Training and Education Committee

25. Work Accommodation Associate Health and Wellness assists with costs in providing some equipment for use at home

26. Accomplishments to date Since 2/1/12 six associates working full time from home, one part time Daily productivity increase by 20% (from 37 applications per day to 45) Opened office space for expansion/increase in future staffing Free up parking spaces Team collaboration Associate satisfaction Reduce gas/transportation costs for associates Healthier associates Better manage diabetes Weight loss

27. Home Office

28. Ribbon

29. Questions?

30. Contact Information Mary Cox mcox2@ohiohealth.com 614-544-6220