Thought Leaders Forum May 4 2018 Presented By

Thought Leaders Forum May 4, 2018 Presented By Parkview Signature Care

Today’s Program Discussion Topic: • Welcome & Introductions Facilitator: Jeanne’ Wickens Chief Financial Officer, Parkview Health • Our Journey So Far…. Jeanne’ Wickens Chief Financial Officer, Parkview Health • Community Health Needs Assessment Mark Michael President & COO, Fort Wayne Metals Sue Ehinger, Ph. D Chief Experience Officer, Parkview Health • Parkview “Telehealth” Jolynn Suko Senior Vice President, Parkview Health

“One Parkview”

Our Journey So Far…. • • Follow-up & Feedback Survey from 3/20/18 Brainstorming Our Charter & Roadmap

Thought Leaders Forum March 19 Survey Results LABOR COST ISSUES Wages Health Care Turnover Productivity Absenteeism Other Worker Comp Training Total Top 5 4 3 1 0 0 14 2 nd 8 3 1 0 1 0 14 3 rd 0 4 4 2 2 1 0 1 14 VALUE Total 13 11 8 3 3 2 1 1 Weighted 31 22 15 5 4 4 2 1 Pt. Experience S&Q Outcomes Cost Rel. w/ Physician Choice/Options Getting Care Technology Other Total Top 8 5 0 1 0 0 14 2 nd 2 5 3 1 2 0 0 0 13 QUALITY Outcomes Care Coordination Few Complications Wellness Mortality Appr. Resource Util Rankings Communication Low Hospitalization Other Total Top 11 0 1 1 1 0 0 0 14 2 nd 1 8 3 2 0 0 0 14 3 rd 1 4 1 2 1 1 0 0 13 Total 13 12 5 5 2 2 1 1 0 0 Weighted 36 20 10 9 4 2 1 1 0 0 3 rd 3 1 5 4 0 1 0 0 14 Total 13 11 8 6 2 1 0 0 Weighted 31 26 11 9 4 1 0 0

Intersection of Community & Employer Health Needs Value Proposition for Employers & Community • Utilization * Price * Market = Cost • Partner on addressing the “Social Determinants of Health” that impact UTILIZATION • Examples: • • Collective Impact Groups Specialty Clinics – High Risk Clinics, Diabetes, CHF, COPD, etc. Well-Being / Value Based Insurance Plan Designs Direct to Employer Contracts

Bending the Payor Cost Curve Signature Care 2. 0/Parkview Health Plan/Uninsured Cost (PMPM) 3 years Investments: (not all inclusive) • • EPIC BI/AI Parkview Care Partners PPG 5 years 10 years Employer Strategy: Value Based Insurance Design • • • Keep Healthy-Healthy Reduce Rising Risk Managed Chronic Care

BMI Analysis

BMI and Hospitalization

Brainstorming our Charter and Roadmap Potential Charter Points Roadmap • Learning together • Potential Future Topics: • Quadruple aim • Design strategies for Engagement • Employer Leadership • Mutual Commitment • Member present engagement current best practice • Joint Member key health need • Case study of Health and Presenteeism • Proposed Meeting Bi-Monthly

Community Health Needs Assessment Mark Michael President & COO, Fort Wayne Metals Sue Ehinger, Ph. D Chief Experience Officer, Parkview Health

2018 – Let’s take a left turn Bob Seymore: https: //www. leftturnproductions. com/leftturn

Medically Underserved Areas

Uninsured Populations Percentage without insurance: 9. 1% Whitley County to 44. 5% in La. Grange County (includes Amish Comm. )

Race and Ethnicity of Communities Served Largest percentage of Hispanic/Latino population: Noble County Largest percentage of African American population: Allen County

Health Risks of Community Phone Survey Respondents

Results: Top Community Health Concerns Based on the community survey, Drug abuse and addiction added as top concern for Allen County. Perceptions of Certain Public Health Problems 34. 4% 51. 1% 12. 7% Smoking Alcohol 42. 9% Drug Addiction 43. 3% 63. 5% Road Accidents a. . . 35. 0% Overweight and. . . 29. 2% 50. 4% 78. 8% Stress, depression. . . 36. 9% Teen Pregnancy A big problem 20% 16. 9% Somewhat a problem 60% Not a problem 4. 2% 21. 0% 48. 3% 40% 6. 2% 14. 6% 42. 2% 34. 6% 0% 13. 8% 17. 2% 80% 100%

Barriers to Patient’s Accessing Care

Community Health Needs Assessment Top Health Issues Tobacco Use Obesity Cardiovascular disease Diabetes Cancer Mental Healthcare access, cost and quality Chronic renal disease Asthma

Parkview “Virtual Health” Jolynn Suko Senior Vice President, Parkview Health

A Comprehensive Strategy

Types of Visits • On. Demand visit – primary care from anywhere, typically video • e. Visit – asynchronous, questionnaire based treatment • • Video Visit – real time, video to your home/work/anywhere • • Dermatology Population Health, EAP Connecting specialties to facilities – arranged, real time, video through Epic, cart • Neurology, Cardiology, Psych assessments, Inpatient psych, CRS

Value of Virtual • • • Patient focused – Care and Convenience, on their terms Less travel - reduces non-productive work time Increased compliance Improved access Satisfied customers, loyalty

Vision of Virtual • Multiple access points to care • • • ER Fast-track Walk-in Clinics Primary Care Virtual from personal devices Virtual from kiosks • Enhancing care at work • Occupational Health • Low acuity diagnosis & care • Specialty follow up visits

Connection Methods

ROI Concepts

2017 Teladoc ROI Calculation

Design a program that minimizes barriers

Clients with the highest utilization have these 3 things in common (employee programs)

We Welcome Your Input! • What is important to you? • What areas would provide the most service or ROI? • What treatment areas would provide the most benefit for your employees? • Depression? • EAP? • Ergonomics? • Wellness?

Recap & Next Steps • • Discussion and feedback What did we learn today? Action Items from Today Anything we can do differently next time?

Thank You! Thank you for joining us today! We welcome any feedback on how to make future Thought Leaders Programs most beneficial to you. Feel free to call or email me with any comments or suggestions. Jeanne. Wickens@Parkview. com 260 -266 -9313