1. Business Plan and Implementation Grosse Pointe Outpatient Business Plan and Implementation Health Management Systems LDR 609 Margie Pokorski, PT, Rehab Manager 10-29-13

2. Initial Proposal to City Council Denied! Brad Lindberg Staff Writer write the author May 16, 2013 CITY OF GROSSE POINTE — A divided city council this week denied a key element of St. John Providence Health System's $5.4 million proposal to establish medical offices in the former Borders Books & Music building in the Village. St. John denied

3. UPDATED PLANS PRESENTED TO THE GROSSE POINTE CITY COUNCIL WELL RECEIVED 8-21-2013

4. IT’S UNANIMOUS! ON 9-16-13 THE GROSSE POINTE CITY COUNCIL APPROVED SJPH’S PLAN TO DEVELOP THE VACANT BORDERS BUILDING IN THE VILLAGE OF GROSSE POINTE WITH A 7-0 VOTE Sent on behalf of the Grosse Pointe Ambulatory Center Planning Committee It’s unanimous! On Monday, September 16, the Grosse Pointe City Council approved St. John Providence Health System’s plan to develop the vacant Borders building in The Village of Grosse Pointe with a 7-0 vote. The approved site plan represents months of work, and is a compromise that fits both the City Council’s vision for The Village, and SJP’s desire to provide convenient access to outpatient services. The 18,000 square feet building will be an approximate 50/50 split between retail and medical, with SJP as the landlord for the retail frontage, which could include between one and three retailers. In the rear of the building (but with access via Kercheval), SJP plans to provide primary medical care with an internal medicine physician group, a lab draw station, imaging services (mammography, ultrasound, X-ray, and bone densitometry), and physical therapy. We are very pleased with the Council’s willingness to work with us, and for welcoming us to The Village. The path to this approval was complicated, and we are thankful for the City Council and Administration’s flexibility and creativity towards finding a suitable solution. Corporate Real Estate will now complete the purchase of the building, followed by approximately 90 days of design and construction planning. We have already begun working with our retail property broker to find high- quality businesses for the retail space. The new site will open in the Summer of 2014. We will keep you updated on the progress, and will post the renderings on www.sjptheloop.com (look in the photo gallery) and on our Facebook page at www.facebook.com/stjohnprovidence within the next 24 hours. In the meantime, if you have any questions, please contact one of the Planning Committee members below:www.sjptheloop.comwww.facebook.com/stjohnprovidence Dave Brooks, President, SJH&MC Frank Poma, President, SJRDH and East Region Cardiology Bob Hoban, President, Care Continuum, SJPHS Richard Abbott, Director, Corporate Real Estate/Design and Construction, SJPHS Tomasine Marx, Chief Financial Officer, East Region, SJPHS Scott Smith, Chief Development Officer, SJPHS Foundations East Region Sara Brown, Marketing, SJH&MC and affiliated campuses

5. BUSINESS PLAN OVERVIEW The project is the market development of an ambulatory center within Grosse Pointe This is an adaptive strategy for SJPHS Rehabilitation Services based on the location of its ambulatory outpatient sites in relation to hospitals, inpatient rehab units, and physician offices This is also a complimentary strategy that captures sports medicine referrals from the SJPHS Sports Medicine contracts at Grosse Pointe North and Grosse Pointe South High Schools The project is also a market penetration of specialty programs which includes the Functional Independent Training Program, Oncology Rehab, Women’s Health, and Vestibular Rehab

6. IMPLEMENTATION PHASE STEPS Communication Design and Construction PlanningEquipment PlanningStaffing TransitionCore and Niche ServicesMarketing Plan Moving Plans and Timetable

7. COMMUNICATION SJPHS Intranet Community Newspapers Associate department meetings Design Layout posted for staff input Individual associate meetings Outpatient Leadership Team Meetings

8. IMPLEMENTATION PHASE DESIGN AND CONSTRUCTION

9. DESIGN PLAN #1 – 4,252 SQUARE FEET

10. DESIGN PLAN #2 - 3,175 SQ. FT REVISED

11. DESIGN PLANS #3 - 3,285 SQ. FT REVISED 10-16-2013

12. DESIGN AND CONSTRUCTION On 10-17-13 a meeting was held regarding Preliminary Plans with Diagnostics, Primary Care, Blood Draw (Lab), Registration and Physical and Occupational Therapy. Action Steps: Determine Work Flow for Patient Arrivals, Reception, Registration, and Check Out. Medical Records Storage Additional exam rooms for the Primary Care area Crash Cart in Physical Therapy or Physician Offices Moving Physical Therapy to the west wall of the facility Overhead Paging

13. DESIGN AND CONSTRUCTION - CONTINUED Meeting scheduled for October 28, 2013 with Design and Construction and Rehab Services Team in the Moross Outpatient Department Determine functionality of space and work flow Meeting scheduled for November 7, 2013 with the goal of having an updated overall floor plan for all four groups

14. EQUIPMENT Equipment lists requested to identify costs and for space State of the art equipment for niche services which include Bioness, ceiling mounted gait track, pilates reformer, vestibular rehab and women’s health equipment and software

15. SERVICES PROVIDED Physical Therapy and Occupational Therapy Sports Medicine Massage Therapy Vestibular Rehab Oncology Rehab Functional Independent Training Program Women’s Health

16. STAFFING AND SERVICE TRANSITION Staffing concerns Outpatient Pediatric Services to remain at Hospital location Will any outpatient rehab services be provided at the Hospital location ? Meeting scheduled October 29 2013 with the Rehab Services Directors and the Vice President who is also a member of the Grosse Pointe Planning Committee Team Dynamic changes as a result of staff moving offsite

17. OPERATIONAL SERVICES TRANSITION Creation of new cost centers, eCare, HBO Linen, courier service, mail forwarding, shredding services, armor services, cleaning services Information Technology and Telecommunication

18. MARKETING PLAN PhysiciansAssociatesCommunity

19. MOVING PLANS AND TIMETABLE Corporate Real Estate will complete the purchase of the building followed by approximately 90 days of design and construction planning SJPHS is working with the retail broker to find high-quality businesses for the retail space The new site will be open in the Summer of 2014

20. REFERENCES Beaumont-Henry Ford merger. (n.d.). Retrieved from Crain's Detroit: http://www.crainsdetroit.com/article/20121031/FREE/121039946http://www.crainsdetroit.com/article/20121031/FREE/121039946 Brooks, D. (2013, August 20). Presentation to grosse pointe council well received. Retrieved from St. John Providence Health : http://www.stjohn.org http://www.stjohn.org Lindberg, B. (2013, May 16). St. john denied. Grosse Pointe News. Retrieved from http://www.grossepointenews.comhttp://www.grossepointenews.com Martin, S. E. (2013, May 14). City of grosse pointe council denies variance for st. john proposal on former borders. Retrieved from HYPERLINK "http://grossepointe.patch.com/articles/city-of-grosse-pointe- council" http://grossepointe.patch.com/articles/city-of-grosse-pointe-council Neighborhood club (2013). Retrieved from Beaumont Health System: http://www.beaumont.edu http://www.beaumont.edu Physical Therapy. (2013). Retrieved from Henry Ford: HYPERLINK "http://www.henryford.com/body.cfm" http://www.henryford.com/body.cfm

21. REFERENCES Reilly, B. (2012, November 12). Crain's List: Largest Michigan Hospitals and Hospital Companies. Crain's Detroit Business. SJPH. (2013, September 16). Sent on behaf of the grosse pointe ambulatory center planning committee. Retrieved from http://www.stjohn.orghttp://www.stjohn.org Southeast Michigan Council of Governments (SEMCOG). (2010, November 29). SEMCOG Quick Facts. Retrieved April 24, 2013, from semcog.org: http://www.library.semcog.org/InmagicGenie/DocumentFolder/QuickFacts2010Census.pdf http://www.library.semcog.org/InmagicGenie/DocumentFolder/QuickFacts2010Census.pdf Swayne, L. E., Duncan, W. J., & Ginter, P. M. (2008). Strategic Management of Healthcare Organizations (6th ed.). San Francisco, CA, USA: Jossey-Bass.