1. PINEHURST SURGICAL Value Driven Healthcare

2. PINEHURST SURGICAL

3. PATIENT SATISFACTION (P-G) REFERRAL SOURCE SATISFACTION HOSPITAL EMPLOYEE SATISFACTION PHYSICIAN PEER REVIEW ORGANIZATIONAL KPI MEANINGFUL USE MEASUREMENTS FINANCIAL: TDABC CLINICAL: OUTCOMES Value Driven Healthcare

4. Patient Comment Format Office Site Dept Category- (Patient Care, Scheduling, Wait time, Positive, Negative) Provider EMR # Comments Suggestions in Improving the lab process Your test/treatments comments Please tell us how your provider or Pinehurst Surgical could have improved the care and services you received.

5. Pinehurst Surgical - Survey Responses - September, 2012 Medical ProvidersNurseDeptSecretaries/SchedulersRegistration Process / Business OfficeAncillary ProcessAllMedical Providers DeptProviderNumber of Surveys Avg Rate - How Medical Provider explained things Avg Rate - Medical Provider showed respect Avg Rate - Medical Provider spent enough time with you Avg Rate - Medical Provider listening skills Avg Rate -Concern and respect of the nurse Avg Rate - Nurse informed you delays while in exam rm. Avg Rate - Wait time Avg Rate - The scheduling process Avg Rate - Helpfulness and courtesy of scheduler Avg Rate - Responsiveness to returning call Avg Rate - Manner greeted Avg Rate - Registration staff courtesy and respect Avg Rate - Speed and efficiency of registration process Avg Rate - Receptionist informed you about any delays? Avg Rate - The Lab testing process Avg Rate - The Diagnostic testing process Avg Rate - Cleanliness & appearance of the office Avg Rate - Likelihood to Recommend Medical Provider Avg Rate -Overall Medical Provider Rating Overall average (Dept & PSC weighted avg) ENTBerk269.859.819.659.739.889.489.159.129.589.739.19 9.319.189.649.869.859.809.729.56 ENTCox119.559.73 9.649.139.099.559.609.509.739.649.559.25 9.649.91 9.58 ENTKilpatrick189.679.729.679.728.888.448.618.829.419.139.289.339.398.809.0010.009.569.829.769.32 ENTMcGuirt379.339.259.069.289.007.908.548.979.098.978.478.678.197.917.899.509.429.539.388.86 ENTRiefkohl249.549.679.639.589.549.338.839.679.529.109.75 9.359.259.839.009.639.839.789.50 ENT-MLHaywood169.9410.00 9.929.8810.00 9.7510.00 9.8810.00 9.96 ENT-MLRose169.509.539.439.509.298.738.139.139.279.299.139.209.138.5410.00 9.649.609.649.30 ENT-MLWhitlock58.808.007.208.00 8.258.208.50 8.608.80 6.505.0010.008.407.007.608.03 GSUAlzamora159.73 9.679.369.008.939.079.159.33 9.479.367.339.299.679.939.809.35 GSUChu89.509.63 9.509.389.63 9.50 9.389.00 9.639.759.639.50 GSUFessenden119.279.559.459.559.649.188.459.829.809.899.73 9.648.369.0010.009.649.91 9.50 GSUGrantham209.719.83 9.769.749.699.219.059.479.169.68 9.509.719.0010.009.749.53 9.57 GSUJeyapalan89.138.88 9.13 8.577.759.299.439.208.888.758.387.67 8.839.509.139.008.86 GSUSteiner78.438.57 9.299.71 10.00 9.759.438.338.009.39 GSUWashington189.509.569.449.569.068.578.009.389.339.588.899.008.828.3110.009.839.449.569.509.23 ORTBrenner458.918.988.588.788.616.795.568.668.798.549.04 8.876.759.118.009.299.048.618.42 ORTCasey249.439.279.149.189.157.556.828.829.058.688.868.778.627.907.758.299.389.299.378.70 ORTConti309.139.318.909.208.798.048.039.46 9.129.379.339.378.389.589.67 9.459.13 ORTEaton189.138.818.758.887.757.447.388.768.828.478.899.069.288.189.0010.009.129.078.938.72 ORTFedder209.379.268.959.219.337.506.799.429.539.449.619.639.167.619.759.509.639.289.009.05 ORTMoore469.719.809.529.70 8.958.309.549.649.469.42 9.408.417.009.009.729.939.829.29 ORTOakley209.159.259.109.25 8.217.409.159.309.009.259.45 8.3510.009.339.609.839.539.15 ORTStrom338.458.277.377.818.817.526.759.459.539.419.339.199.368.199.679.509.317.707.588.59 ORTWashington,T159.87 9.679.879.679.588.209.60 9.209.33 8.648.6710.008.339.679.939.609.40 ORTWohlrab299.599.799.459.669.527.817.629.509.619.28 9.419.178.329.3310.009.729.869.839.30 ORT-MLBlatz129.759.929.759.929.588.828.088.839.088.679.178.83 8.459.809.679.589.929.839.29 ORT-MLKeller189.129.069.189.129.067.137.418.679.00 9.189.298.947.138.885.009.359.509.478.60 ORT-MLMartinez79.57 9.719.579.148.86 9.579.869.579.719.869.579.8610.008.509.869.67 9.53 ORT-MLTighe119.739.82 9.809.649.209.008.899.44 8.82 8.559.119.0010.009.459.919.649.37 PlasticsStokes129.739.929.919.929.919.449.339.9110.00 9.919.92 9.4010.00 9.739.679.919.82 UroChamberlain319.709.809.839.779.579.228.609.559.799.649.379.509.408.829.589.869.779.909.879.55 UroGoetzel219.529.489.439.579.758.868.909.639.729.639.679.719.759.339.6010.009.439.679.479.53 UroGriewe349.509.589.279.479.007.577.158.868.938.799.389.619.328.009.289.339.639.15 9.00 UroLenahan189.289.069.399.179.289.008.599.299.419.359.229.339.179.319.279.50 9.249.359.25 UroStanfield119.459.739.459.649.459.149.279.609.679.579.369.459.189.509.2210.009.649.919.649.52 UroWhite249.179.268.919.309.049.188.828.559.008.739.098.929.099.239.479.809.529.509.299.15 VasAlbrecht49.75 8.757.508.008.678.758.007.757.50 9.009.509.75 8.97 VasAtkinson39.33 8.679.33 10.009.33 10.009.339.37 VasBerman910.00 9.719.339.139.719.579.8910.009.7810.007.5010.00 9.72 Vas-MLPoplin99.67 9.509.338.579.437.869.569.639.389.5010.009.679.569.63 9.45 Vas-MLSaunders219.009.109.059.109.009.118.509.00 9.309.428.808.797.809.778.539.169.108.97 WCCBrooks99.679.78 9.007.786.228.569.508.759.339.507.567.637.609.209.338.678.898.76 WCCButawan118.408.908.108.908.917.646.649.369.558.449.09 8.917.278.3310.009.558.388.638.64 WCCHardenbergh189.599.539.479.539.188.877.828.949.068.199.399.509.008.358.8010.009.509.569.599.15 WCCSzabo279.549.509.049.389.168.287.769.279.739.179.239.278.848.279.509.649.699.369.329.16 WCCTerry238.869.058.558.869.108.527.578.68 8.529.059.098.688.958.639.409.558.959.158.83 WCC-MLPhillips79.14 8.439.149.29 9.008.298.438.508.439.148.147.178.0010.009.2910.009.678.87 WCC-MLWalling199.569.689.419.619.449.208.848.839.359.009.289.429.328.648.759.739.399.899.729.32 PSC OverallW.Average8799.399.439.239.379.268.508.079.169.349.119.289.329.138.489.159.489.539.479.389.16 Target 9.509.569.409.509.559.009.079.359.409.309.659.459.308.919.45 9.709.639.659.41 PSC Percentage of Avg vs Target 1 98.9%98.7%98.2%98.7%97.0%94.4%89.0%98.0%99.4%98.0%96.1%98.6%98.2%95.2%96.8%100.3%98.3%98.4%97.2%97.4% Standard Deviation0.380.440.600.460.450.790.950.490.420.480.370.390.520.861.030.830.280.600.550.38 Lower Limit (psc avg - std dev) 2 9.018.998.628.918.817.717.138.688.938.638.918.938.617.628.128.659.258.878.838.78 Upper Limit (psc avg + std dev) 2 9.779.879.83 9.719.299.029.659.769.599.649.719.669.3510.1710.329.8110.089.929.54 ENT Average1539.57 9.449.549.378.858.829.249.419.279.219.279.118.788.939.679.599.669.629.32 Gen Surg Average879.449.519.489.529.479.228.759.359.479.449.409.419.318.999.009.629.599.549.469.37 Ortho Average3289.289.298.999.189.117.947.359.189.329.089.239.249.128.048.998.919.519.369.188.96 Plastics Average129.739.929.919.929.919.449.339.9110.00 9.919.92 9.4010.00 9.739.679.919.82 Uro Average1399.469.509.399.509.328.728.389.199.379.239.359.439.338.899.429.719.599.539.459.30 Vas Average469.419.469.449.469.419.378.868.839.168.889.429.449.059.098.369.709.159.529.459.24 WCC Average1149.299.399.009.319.178.547.768.929.238.719.179.298.788.278.739.689.529.299.329.02 1 Conditional Formatting (for PSC Avg vs Target): Green = more than 99.5% of target; Red = less than 98% of target 2 Conditional Formatting (for all Provider and Dept Values): Green = more than Upper Limit (1 std dev above norm); Red = less than Lower Limit (1 std dev below norm)

6. Sample Patient Comments I had an x-ray and was comfortable with the process could not have been more sympathetic concerned better listeners or more determined to do what was possible to correct my issue Pinehurst Surgical Office Very courteous and professional staff. Overall a pleasant experience for a Dr. visit.

7. PATIENT SATISFACTION (P-G) REFERRAL SOURCE SATISFACTION HOSPITAL EMPLOYEE SATISFACTION PHYSICIAN PEER REVIEW ORGANIZATIONAL KPI MEANINGFUL USE MEASUREMENTS FINANCIAL: TDABC CLINICAL: OUTCOMES Value Driven Healthcare

8. ORGANIZATIONAL KPI SERVICE PEOPLE QUALITY GROWTH FINANCE Value Driven Healthcare

9. MEANINGFUL USE MEASUREMENTS: ALLERGY MEDICATION RECONCILIATION PREVENTIVE CARE: TOBACCO USE HYPERTENSION ADULT WEIGHT/BMI Value Driven Healthcare

10. “WORKS IN PROGRESS” TIME DEPENDENT ACTIVITY BASED COSTING- TDABC CLINICAL OUTCOMES Value Driven Healthcare

11. PINEHURST SURGICAL SURGEONS OF CHOICE Value Driven Healthcare

12. MOORE REGIONAL HOSPITAL

13. FIRSTHEALTH VALUE DRIVEN INITIATIVES BUNDLING FOR TOTAL HIP & KNEE BUNDLING FOR CABG HOSPITAL ACQUIRED CONDITIONS PUBLICLY REPORTED MEASURES RE-ADMISSIONS PATIENT SATISFACTION

14. FIRSTHEALTH PHYSICIAN QUALITY COMMITTEE Community and FH Physicians Drive Quality and Outcomes ABIM’s “Choosing Wisely” Initiative

15. ROI VALUE DRIVEN HEALTHCARE Meaningful Use EMR PROVIDERS HOSPITALS Re-Admissions Hospital Acquired Conditions Public Reported Conditions

16. ROI VALUE DRIVEN HEALTHCARE Bundled Payments Gainsharing Co-Management Services PROVIDERS HOSPITALS

17. PINEHURST SURGICAL & ACO PINEHURST SURGICAL FH HOSPITAL SYSTEM PRIMARY PROVIDERS