1. Health IT Leadership and the transition to a Population Health Management Hub David F. Moore, Jr, MD Cornerstone Health Care

2. Strategy and Leadership Alignment Create and Communicate Clear Consistent Vision Create and Communicate Clear Consistent Vision –Start with BOD and continue across the organization mapping the IT initiative to the company’s strategic goals –We defined how the project would be used to improve safety and efficiency of care rendered EHR: Integration of company specific PHI with access across all points of care, decision support for safety, improved efficiencies, data repository created but not robustly used EHR: Integration of company specific PHI with access across all points of care, decision support for safety, improved efficiencies, data repository created but not robustly used

3. Change Leadership Consistently apply change approach and methodology: “Drive Change with Value” Consistently apply change approach and methodology: “Drive Change with Value” Developed strong, positive relationships with physicians and employees with ongoing fostering of those relationships Developed strong, positive relationships with physicians and employees with ongoing fostering of those relationships Highlight early successes Highlight early successes Ongoing assessment of workflows and provider application knowledge with transparent acknowledgement of lessons learned and application of lessons to ongoing assessment Ongoing assessment of workflows and provider application knowledge with transparent acknowledgement of lessons learned and application of lessons to ongoing assessment

4. Decision Making Framework (Governance) High Level decision: High Level decision: –EHR: BOD decided that all providers would adopt EHR utilization and empowered the CIO led EMR Team to implement Mid Level decision: Mid Level decision: –EHR: Practice Standards and Quality Committee leadership (which includes IT leadership) decides and enforces clinical IT related policy like the minimal level of functionality use by providers to qualify for EHR adoption Detailed decisions: Detailed decisions: –EHR: EMR Team decides details of how to implement, educate and continue workflow process improvement