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System Shared Svcs Physician Ent Home& Comm Care AK NCA OR SCA Swedish TX-NM WA-MT Strengthen the Core First-year Overall Turnover Caregiver Engagement – Highly Sustainably Engaged Caregiver Engagement – Resonance with the Mission Mission Formation – %of Leaders Engaged in Formation Safe (#Health Care Acquired Infection HarmEvents) Effective (Sepsis O/E Mortality Ratio) Compassionate (Composite of Overall Rating Top Box Sc.. Seamless (Readmission O/E Ratio for CMS Conditions) Personalized (Patient Reported Outcomes) High Value Care (Value Improvement) Provider Engagement Operating EBIDA($) Operating EBIDA(%) Commercial Growth Initiatives Philanthropy Production Be Our Communities' Health Partner TransformCare Improve Ambulatory Care (7 Sub-compo.. Diabetes Management Bundle Cardiovascular Patient Statin Use Depression Assessment Breast Cancer Screening Colon Cancer Screening Cervical Cancer Screening Pediatric Immunization Improve Patient Access and Connectivity Improve Caregiver Health – Reduce Avoidable EDUtili.. Regional Medicaid Improvement Plans Improve Medicaid Health – Reduce Avoidable EDUtilizat.. Mental Health &Wellness %ICUAdmissions ≥ 5 Days with Goals of Care Conversa.. %Patients 65+ in Outpatient Setting with Advance Dire.. Improve Health in Our Communities Community Benefit – Discretionary %of Net Service Rev.. Digital Engaged Users – Engaged users (Circle, Healthco.. Brand Equity – #1 or #2 in %of Markets TransformOur Future EBIDAvia Incremental Diversified Revenue Sources Digital Registered Users (Health Connect, MyChart, Circ.. Digitally-enabled Patient Transactions Early Phase &Investigator-initiated Studies Publications (e.g. journal publications, book chapters, p.. Data Assets Visibility &Voice – Awareness Visibility &Voice – Favorability Visibility &Voice – Stakeholder Management Be Our Communities' Health Partner TransformOur Future November 2019 PSJHSystem DashboardSummary 1

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  • System

    Shared

    Svcs

    Physician

    Ent

    Home&

    Comm Care

    AK

    NCA OR

    SCA

    Swedish

    TX-NM

    WA-MT

    Strengthen the Core

    First-year Overall Turnover

    Caregiver Engagement – Highly Sustainably Engaged

    Caregiver Engagement – Resonance with the Mission

    Mission Formation – % of Leaders Engaged in Formation

    Safe (# Health Care Acquired Infection Harm Events)

    Effective (Sepsis O/E Mortality Ratio)

    Compassionate (Composite of Overall Rating Top Box Sc..

    Seamless (Readmission O/E Ratio for CMS Conditions)

    Personalized (Patient Reported Outcomes)

    High Value Care (Value Improvement)

    Provider Engagement

    Operating EBIDA ($)

    Operating EBIDA (%)

    Commercial Growth Initiatives

    Philanthropy Production

    Be Our Communities' Health Partner

    Transform Care Improve Ambulatory Care (7 Sub-compo..

    Diabetes Management Bundle

    Cardiovascular Patient Statin Use

    Depression Assessment

    Breast Cancer Screening

    Colon Cancer Screening

    Cervical Cancer Screening

    Pediatric Immunization

    Improve Patient Access and Connectivity

    Improve Caregiver Health – Reduce Avoidable ED Utili..

    Regional Medicaid Improvement Plans

    Improve Medicaid Health – Reduce Avoidable ED Utilizat..

    Mental Health & Wellness

    % ICU Admissions ≥ 5 Days with Goals of Care Conversa..

    % Patients 65+ in Outpatient Setting with Advance Dire..

    Improve Health in Our Communities

    Community Benefit – Discretionary % of Net Service Rev..

    Digital Engaged Users – Engaged users (Circle, Healthco..

    Brand Equity – #1 or #2 in % of Markets

    Transform Our Future

    EBIDA via Incremental Diversified Revenue Sources

    Digital Registered Users (Health Connect, MyChart, Circ..

    Digitally-enabled Patient Transactions

    Early Phase & Investigator-initiated Studies

    Publications (e.g. journal publications, book chapters, p..

    Data Assets

    Visibility & Voice – Awareness

    Visibility & Voice – Favorability

    Visibility & Voice – Stakeholder Management

    Be Our Communities' Health Partner

    Transform Our Future

    November 2019

    PSJH System Dashboard Summary

    1

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    Legacy PSCS*

    Legacy SJH HHN*

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 25.2%26.6%25.4%26.7%37.3%

    24.3%25.7%24.5%25.8%27.5%

    38.8%42.2%39.3%42.5%37.2%

    28.2%30.2%28.4%30.2%27.6%

    25.4%26.8%25.6%26.9%24.5%

    23.0%24.3%23.3%24.4%27.7%

    20.5%21.7%20.7%21.7%23.4%

    22.7%23.9%22.9%24.0%19.7%

    23.7%25.0%23.9%25.1%24.8%

    25.0%26.4%25.2%26.5%27.0%

    23.6%24.9%23.8%25.0%27.8%

    26.3%28.6%26.7%28.8%26.2%

    26.6%28.1%26.9%28.2%29.1%

    26.6%29.0%27.0%29.1%29.7%

    26.3%28.6%26.7%28.8%35.4%

    40.5%44.1%41.1%44.4%28.3%

    34.0%37.0%34.5%37.3%36.3%

    21.2%22.3%21.3%22.4%21.6%

    37.8%41.2%38.4%41.5%33.0%

    27.1%29.5%27.5%29.7%27.5%

    First-Year Overall Turnover STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    28.0%

    29.0%

    30.0%

    ACTUAL

    27.8%

    28.2%

    27.7%27.7%

    27.9%28.1%

    27.5%

    27.6%27.6%

    27.6%

    28.0%

    YE Outstanding (28.2%)

    Baseline (30.2%)YE Threshold (30.2%)

    DATA SOURCE(S): Lawson (Legacy PHS) & Workday (Legacy SJH). Visier People to access and track progress toward goals.

    Access the HR Operations Dashboard - 1st Year 12-Month Rolling Turnover Summaryhttp://tableauserver.providence.org/#/views/FYTOReports-HRIS/1stYearTurnoverReports

    November 2019

    METRIC DESCRIPTION: # of employees hired to replace those who lefor any reason during reporng period based on this criteria. Thecalculaon & criteria align with external benchmarks as well as Visiercalculaon method, & includes factors that core leaders can influence.Calculaon includes: 1) Non-conngent employees with < one year ofservice who voluntarily/involuntarily terminated employment duringthe survey period; 2) Candidates who accepted an offer but voluntarilyopted out prior to start date; 3) Dismissals/divestures; 4) Per diememployees. Exclusions: 1) Candidates who accepted offer butinvoluntarily never started employment; 2) Conngent workers &those employees on leave of absence; 3) Individuals that transferredfrom one facility/department to another; 4) College interns.

    UPDATE FREQUENCY: Monthly.NOTES: Exclusions: Hoag.

    YTD Trend forSystem

    *PSCS: Providence Senior & Community Services, HHN: Home Health Network

    2

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 51.0%50.0%51.0%50.0%49.1%

    47.6%47.2%47.6%47.2%41.6%

    65.0%64.0%65.0%64.0%68.2%

    51.0%50.0%51.0%50.0%49.2%

    45.4%43.7%45.4%43.7%34.1%

    46.6%45.6%46.6%45.6%36.4%

    49.0%48.0%49.0%48.0%48.1%

    50.0%48.9%50.0%48.9%46.4%

    59.0%58.0%59.0%58.0%56.9%

    59.0%58.0%59.0%58.0%63.2%

    48.0%47.1%48.0%47.1%43.0%

    49.0%48.0%49.0%48.0%46.9%

    61.0%60.0%61.0%60.0%57.6%

    45.4%43.7%45.4%43.7%34.4%

    42.1%40.6%42.1%40.6%37.7%

    57.0%56.0%57.0%56.0%56.3%

    55.0%54.0%55.0%54.0%56.7%

    57.0%56.0%57.0%56.0%53.6%

    Caregiver Engagement – Highly Sustainably Engaged STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    40.0%

    45.0%

    50.0%

    ACTUAL

    49.2%

    49.2%

    41.1%

    41.1%

    41.1%40.5%

    40.5% 40.5%40.5%

    Baseline (49.5%)YE Threshold (50.0%)

    YE Outstanding (51.0%)

    DATA SOURCE(S): Willis Towers Watson (WTW) engagement survey tool.

    November 2019

    METRIC DESCRIPTION: “Highly Sustainably Engaged” metric capturesthe percentage of caregivers that rank above the US Healthcare normon all 3 core engagement survey segments (Engagement, Enablement,and Energy). The “Highly Sustainably Engaged” percentage is the bestmeasure of what we are striving to create in terms of an inspiringcaregiver experience.

    UPDATE FREQUENCY: Annually. Final results available aer the annualCaregiver Engagement Survey in October. Updates to this metric maybe available throughout the year as pulse surveys are conducted.

    NOTES: (1) YTD progress reflects results of the October 2019 CaregiverEngagment Survey. (2) Exclusions: Hoag.

    Metric in CommonYTD Trend forSystem

    3

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 80.0%78.0%80.0%78.0%79.6%

    77.0%76.0%77.0%76.0%75.1%

    86.0%82.0%86.0%82.0%89.0%

    79.0%77.0%79.0%77.0%78.6%

    71.0%70.0%71.0%70.0%64.5%

    76.0%75.0%76.0%75.0%72.1%

    76.0%75.0%76.0%75.0%76.3%

    80.0%78.0%80.0%78.0%78.3%

    84.0%82.0%84.0%82.0%83.9%

    84.0%82.0%84.0%82.0%84.6%

    77.0%76.0%77.0%76.0%76.6%

    80.0%78.0%80.0%78.0%79.8%

    85.0%82.0%85.0%82.0%85.8%

    75.0%74.0%75.0%74.0%69.1%

    67.0%65.0%67.0%65.0%67.5%

    84.0%82.0%84.0%82.0%82.1%

    84.0%82.0%84.0%82.0%85.0%

    84.0%82.0%84.0%82.0%81.9%

    Caregiver Engagement – Resonance with the Mission STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    70.0%

    72.0%

    74.0%

    76.0%

    78.0%

    80.0%

    ACTUAL

    78.6%

    78.6%

    71.7%

    71.7%

    71.7%

    71.4%

    71.4%

    71.4%70.4%

    70.4%

    70.4%Baseline (70.0%)

    YE Threshold (77.0%)

    YE Outstanding (79.0%)

    DATA SOURCE(S): Willis Towers Watson (WTW) engagement survey tool.

    November 2019

    METRIC DESCRIPTION: Evidence of an inspiring work experience andworkplace manifests when caregivers resonate personally with themission and our core values. “Caregiver resonance with mission” willbe measured through the following quesons on the caregiverengagement survey: (1) I personally idenfy with the mission and ourvalues and (2) How we do our work is consistent with the mission andour values. This metric counts the number of caregivers who idenfywith the mission and values and agree that how we do our work isconsistent with our mission and values.

    UPDATE FREQUENCY: Annually. Final results available aer the annualCaregiver Engagement Survey in October. Updates to this metric maybe available throughout the year as pulse surveys are conducted.

    NOTES: (1) YTD progress reflects results of the October 2019 CaregiverEngagment Survey. (2) Exclusions: Hoag, non-employed caregivers,employed physicians (quesons not asked to this segment) - PHSemployed providers (physicians, mid-level providers) & PHSfoundaon providers in CA parcipated but only for safety &teamwork items.

    YTD Trend forSystem

    4

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    33.0%30.0%

    Mission Formaon – % of Leaders Engaged in Inial & Ongoing Formaon Annually STRENGTHEN THE CORE

    DATA SOURCE(S): PSJH Formaon Instute.

    November 2019

    METRIC DESCRIPTION: This metric tracks the ongoing priority ofleadership formaon so that by 2022 more than ½ of PSJH leaders willhave parcipated in an inial formaon program and those who havecompleted a program are engaged in some form of ongoing formaon.Formaon program content includes some aspects of the following:Aligning personal mission and values with organizaonal mission andvalues, Engaging in meaningful reflecons, Enabling parcipant tounderstand how to foster Sacred Encounters in the work se ng, andthe Program will have a minimum of two hours of content(cumulavely).

    UPDATE FREQUENCY: Quarterly.

    NOTES: System level only.

    YTD Trend forSystem

    5

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 262822236

    414442345369200

    12012810010742

    1,5711,6801,3091,400739

    17719014815880

    8388697450

    4750394235

    515551429459243

    14315211912767

    20622017218474

    304325254271159

    1151249610342

    8085677141

    21122617618884

    5862485259

    Clinical Care – Safe (# Health Care Associated Infecon Harm Events) STRENGTHEN THE CORE

    Feb 2019

    Apr 2019

    Jun 2019

    Aug 2019

    Oct 2019

    0

    500

    1,000

    1,500

    2,000

    ACTUAL

    396455329

    90

    530

    739

    159246

    600

    671

    YE Threshold (1,680)

    YE Outstanding (1,571)

    Baseline (2,006)

    DATA SOURCE(S): Naonal Healthcare Surveillance Network.

    Loweris better

    November 2019

    METRIC DESCRIPTION: # healthcare-associated infecon harm events(target progressively lower to 75th%ile by 2021, lower is beer).

    UPDATE FREQUENCY: Monthly. There is a one-month data lag for thismetric (e.g. values reported in the February Dashboard reflect Januarydata).

    NOTES: (1) Reporng October 2019 data.

    Metric in CommonYTD Trend forSystem

    6

  • Lower is better

    PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 0.810.840.810.840.89

    0.920.940.920.940.99

    0.810.840.810.840.71

    0.880.890.880.890.88

    0.890.910.890.910.97

    0.930.940.930.941.11

    0.830.850.830.850.75

    0.880.890.880.890.84

    0.860.880.860.880.90

    0.830.850.830.850.83

    0.830.840.830.840.76

    1.081.101.081.101.20

    0.810.840.810.840.79

    0.920.940.920.940.90

    0.910.930.910.930.94

    Clinical Care – Effecve (Sepsis O/E Mortality Rao) STRENGTHEN THE CORE

    DATA SOURCE(S): Callisto.

    November 2019

    METRIC DESCRIPTION: Sepsis O/E Mortality Rao (target progressivelylower to 75th percenle by 2021). A lower rao is beer.

    UPDATE FREQUENCY: Monthly. There is a one-month data lag for thismetric (e.g. values reported in the February Dashboard reflect Januarydata).

    NOTES: (1) Reporng October 2019 data.

    YTD Trend forSystem

    Feb 2019

    Apr 2019

    Jun 2019

    Aug 2019

    Oct 2019

    0.88

    0.90

    0.92

    0.94

    0.96

    ACTUAL

    0.94

    0.90

    0.89

    0.89

    0.91

    0.910.91

    0.880.880.88

    YE Threshold (0.89)

    YE Outstanding (0.88)

    Baseline (0.95)

    7

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 77.9%77.7%77.9%77.7%79.3%

    75.9%75.6%75.9%75.6%74.9%

    74.7%74.5%74.7%74.5%73.2%

    76.7%76.4%76.7%76.4%75.7%

    73.4%73.1%73.4%73.1%71.9%

    73.9%73.3%73.9%73.3%70.7%

    85.9%

    75.0%74.8%75.0%74.8%75.0%

    77.8%77.6%77.8%77.6%76.6%

    86.0%85.7%86.0%85.7%86.1%

    76.0%75.6%76.0%75.6%74.4%

    76.9%76.7%76.9%76.7%77.3%

    78.0%77.8%78.0%77.8%77.1%

    75.5%75.1%75.5%75.1%74.6%

    71.6%70.8%71.6%70.8%71.8%

    77.4%77.2%77.4%77.2%76.0%

    76.6%76.3%76.6%76.3%77.6%

    Clinical Care – Compassionate (Composite of Overall Rang Top Box Scores) STRENGTHEN THE CORE

    Feb 2019

    May

    2019

    Aug 2019

    Nov 2019

    75.5%

    76.0%

    76.5%

    ACTUAL

    76.2%

    75.5%

    75.6%

    75.6% 75.6%75.4%

    75.7%

    75.3%75.2%75.2%

    YE Threshold (76.4%)

    YE Outstanding (76.7%)

    Baseline (75.5%)

    DATA SOURCE(S): Press Ganey and SHP.

    Higheris better

    November 2019

    METRIC DESCRIPTION: Composite Rate of Overall Ministry/ProviderTop Box Score (inpaent, ED, Home Health and Ambulatory) (targetprogressively higher to 75th%ile by 2022).

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) Reporng November 2019 data.

    Metric in CommonYTD Trend forSystem

    8

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 0.750.740.750.740.79

    0.730.750.730.750.83

    0.730.750.730.750.76

    0.710.730.710.730.77

    0.720.700.720.700.71

    0.750.770.750.770.84

    0.710.730.710.730.89

    0.740.760.740.760.77

    0.670.700.670.700.72

    0.680.700.680.700.72

    0.740.760.740.760.78

    0.810.830.810.830.89

    0.700.720.700.720.75

    0.750.760.750.760.76

    0.670.700.670.700.83

    Clinical Care – Seamless (Readmission O/E Rao for CMS Condions) STRENGTHEN THE CORE

    Feb 2019

    Apr 2019

    Jun 2019

    Aug 2019

    Oct 2019

    0.70

    0.72

    0.74

    0.76

    0.78

    ACTUAL

    0.73

    0.770.77

    0.770.77

    0.770.77

    0.74

    0.780.78

    YE Threshold (0.73)

    YE Outstanding (0.71)

    Baseline (0.78)

    DATA SOURCE(S): Epic for Legacy PHS; Meditech for Legacy SJH.

    Loweris better

    November 2019

    METRIC DESCRIPTION: Readmission O/E Rao for CMS condions(target progressively lower to 75th%ile by 2021, lower is beer).

    UPDATE FREQUENCY: Monthly. There is a one-month data lag for thismetric (e.g. values reported in the February Dashboard reflect Januarydata).

    NOTES: (1) Reporng October 2019 data.

    YTD Trend forSystem

    9

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    25,00023,00022,91721,08327,780

    Clinical Care – Personalized (Paent Reported Outcomes) STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    10,000

    20,000

    ACTUAL

    15,596

    17,93413,347

    3,011

    10,704

    21,814

    27,78027,780

    5,208

    7,922

    24,745YE Threshold (23,000)YE Outstanding (25,000)

    Baseline (16,419)

    DATA SOURCE(S): Paent Reported Outcomes Dashboard.

    Higheris better

    November 2019

    METRIC DESCRIPTION: Paent reported outcomes. Target number ofunique paents captured for first 2-3 years; transion to improvementin PROs in laer 2-3 years. System performance only.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) Reporng October 2019 data (repeated in NovemberDashboard). Added August and September data. (2) System-level only.

    YTD Trend forSystem

    10

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    $5,859.5K$2,929.7K$4,794.1K$2,397.1K$2,313.3K

    $543.3K$271.7K$444.5K$222.3K$1,144.6K

    $22,338.2K$11,169.1K$18,276.7K$9,138.4K$6,696.9K

    $3,850.4K$1,925.2K$3,150.3K$1,575.2K$335.5K

    $6,804.6K$3,402.3K$5,567.4K$2,783.7K$562.7K

    $3,521.8K$1,760.9K$2,881.5K$1,440.8K$671.3K

    ($511.8K)

    $473.6K$236.8K$387.5K$193.8K$1,547.0K

    $1,074.5K

    $1,284.9K$642.5K$1,051.3K$525.7K$122.5K

    Clinical Care – High Value Care STRENGTHEN THE CORE

    Apr 2019

    Jun 2019

    Aug 2019

    Oct 2019

    $0.0M

    $10.0M

    $20.0M

    ACTUAL

    ($0.2M)

    $6.3M

    $6.7M$6.8M$3.1M

    $6.8M

    $3.1M

    $7.1MYE Threshold ($11.2M)

    YE Outstanding ($22.3M)

    DATA SOURCE(S): Insights.

    Higheris better

    November 2019

    METRIC DESCRIPTION: Value improvement for a set of 10 clinicalcohorts (value improvement defined by maintaining or improvingclinical and paent-reported outcomes while lowering cost to achievebreak even Medicare rates by 2022). 2019 will include the followingcohorts: Total hip and knee replacement, Spine Fusion, CABG, PCI (forLegacy Providence only due to cosng issues), LaparoscopicCholecystectomy, Laparoscopic Appendectomy, Colectomy, andSepsis. Vaginal Delivery has been temporarily removed from thismetric due to cost normalizaon issues.

    UPDATE FREQUENCY: Monthly. Data lagged by two months.

    NOTES: (1) Reporng data through September 2019.

    YTD Trend forSystem

    11

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 3.593.573.593.573.68

    3.683.663.683.663.58

    3.893.883.893.883.90

    3.743.733.743.733.72

    3.613.583.613.583.63

    3.793.783.793.783.47

    3.903.903.903.903.69

    3.783.773.783.773.54

    3.863.863.863.863.90

    3.743.733.743.733.72

    3.663.643.663.643.64

    3.713.703.713.703.70

    3.843.843.843.843.87

    3.743.723.743.723.46

    3.743.733.743.733.66

    3.893.883.893.883.91

    3.903.903.903.903.95

    3.843.843.843.843.83

    Provider Engagement STRENGTHEN THE CORE

    Jun 2019

    Aug 2019

    Oct 2019

    3.720

    3.725

    3.730

    3.735

    3.740

    ACTUAL

    3.723.723.723.723.723.72

    YE Threshold (3.73)

    YE Outstanding (3.74)

    DATA SOURCE(S): Press Ganey.

    November 2019

    METRIC DESCRIPTION: This measure evaluates PSJH’s performance asthe provider partner of choice through (Year 1) parcipaon in surveyand (Years 2-5) scores compared naonally on key measures ofengagement/sasfacon. The Alignment index (to be determined bythe Medical Group Execuve Council) will be used to measure providerengagement for employed and foundaon providers. Alignment indexbaseline score = 3.69 (55th percenle). The alignment index is a set of6 quesons from the survey that focus on the percepon of a strongand effecve partnership or connecon with the hospital and systemleadership (support and work with Administrave Leadership).

    UPDATE FREQUENCY: Annually.NOTES: Reporng the 2019 year-end results.

    YTD Trend forSystem

    12

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT $118.9M$118.4M$110.3M$109.9M$118.8M

    $1,180.3M$1,175.3M$1,083.3M$1,078.8M$1,011.4M

    $272.0M$270.7M$251.3M$250.0M$262.2M

    $1,725.0M$1,700.0M$1,494.1M$1,471.3M$1,468.1M

    $635.8M$633.1M$582.1M$579.6M$545.2M

    $196.2M$195.4M$180.7M$179.9M$184.2M

    ($3,115.7M)($3,140.7M)($2,926.5M)($2,949.3M)($3,013.5M)

    $260.9M$259.9M$240.4M$239.5M$203.6M

    $1,164.9M$1,157.7M$1,055.6M$1,049.1M$1,227.1M

    ($828.7M)($832.1M)($757.4M)($760.5M)($748.5M)

    $313.7M$312.1M$288.6M$287.1M$289.0M

    $985.1M$979.8M$899.4M$894.6M$907.0M

    $702.2M$697.8M$637.6M$633.6M$795.6M

    $238.0M$237.1M$216.3M$215.4M$199.0M

    $289.4M$287.9M$264.0M$262.6M$257.1M

    $462.7M$459.9M$418.0M$415.5M$431.5M

    $87.2M$86.7M$79.3M$78.8M$74.6M

    $376.2M$375.3M$343.6M$342.7M$309.6M

    Operang EBIDA ($) STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    $0.0M

    $500.0M

    $1,000.0M

    $1,500.0M

    ACTUAL

    $924.8M

    $580.4M

    $1,035.9M

    $96.0M

    $1,468.1M

    $472.0M

    $1,129.3M

    $175.7M

    $1,210.9M

    $1,327.8M

    $331.8M

    YE Threshold ($1,700.0M)

    YE Outstanding ($1,725.0M)

    Baseline ($1,363.4M)

    80% Budget = $1,360.0M

    DATA SOURCE(S): Hyperion Financial Management (HFM).

    November 2019

    METRIC DESCRIPTION: Operang EBIDA $.

    UPDATE FREQUENCY: Monthly.

    NOTES: NEW-Targets for NCA, SCA and Shared Svcs will be adjusteddue to the re-allocaon of the CA provider tax.

    YTD Trend forSystem

    13

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 25.5%25.4%25.8%25.7%27.0%

    23.7%23.6%23.7%23.6%22.5%

    20.4%20.3%20.4%20.3%23.9%

    6.9%6.8%6.5%6.4%6.4%

    23.0%22.9%23.0%22.9%21.5%

    23.9%23.8%24.0%23.9%24.2%

    -12.5%-12.6%-12.5%-12.6%-13.2%

    26.4%26.3%26.6%26.5%24.1%

    16.3%16.2%16.2%16.1%17.3%

    -24.6%-24.7%-24.6%-24.7%-24.7%

    20.0%19.9%20.1%20.0%20.2%

    18.6%18.5%18.5%18.4%18.9%

    16.1%16.0%16.0%15.9%18.4%

    26.4%26.3%26.3%26.2%25.1%

    19.3%19.2%19.2%19.1%18.0%

    16.5%16.4%16.4%16.3%15.6%

    16.0%15.9%15.9%15.8%14.6%

    39.1%39.0%39.0%38.9%36.1%

    Operang EBIDA (%) STRENGTHEN THE CORE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    5.0%

    6.0%

    7.0%

    ACTUAL

    5.8%

    4.5%

    6.4%

    6.4%

    5.7%

    6.5%

    4.7%

    7.3%

    5.5%

    6.8%

    7.1%

    YE Threshold (6.8%)

    YE Outstanding (6.9%)

    Baseline (5.6%)

    DATA SOURCE(S): Hyperion Financial Management (HFM).

    November 2019

    METRIC DESCRIPTION: Operang EBIDA Margin is Hyperion account#931415: (Excess of Revenues over Expenses from Operaons +Depreciaon Expense + Total Interest Expense + AmorzaonExpense)/Total Net Operang Revenue. Hyperion methodology shouldbe used with one modificaon: for Shared Svcs, Total Net OperangRev should be the system-wide consolidated value. Baseline & 2018methodology for EBIDA margin for legacy PHS (direct margin) & legacySJH (fully loaded margin). In 2019, PSJH aligned towards commondirect margin approach. Line of business targets (Shared Svcs,Physician Ent and Home&Comm Care) are custom calculaons thatalign with management reporng. 2019 includes restructure costs.

    UPDATE FREQUENCY: Monthly.

    NOTES: NEW-Targets for NCA, SCA and Shared Svcs will be adjusteddue to the re-allocaon of the CA provider tax.

    Metric in CommonYTD Trend forSystem

    14

  • 6 of 28 21 of 28 28 of 28 21 of 28 28 of 28

    1 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    2 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    0 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    0 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    2 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    1 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    0 of 4 3 of 4 4 of 4 3 of 4 4 of 4

    PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Commercial Growth STRENGTHEN THE CORE

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    0

    10

    20

    30

    ACTUAL

    22

    26

    6

    6

    000

    YE Outstanding (28)

    YE Threshold (21)

    November 2019

    METRIC DESCRIPTION: This measure compleon of four growthiniaves in each region. Each region has selected their owniniaves; therefore they are different in each region. Regions willself-report quarterly progress in relaon to the compleon ofiniaves. Each iniave is worth one point for a total possible scoreof 4 points. System will be measured by total number if iniavescompleted over total number of iniaves.

    UPDATE FREQUENCY: Quarterly.

    NOTES: Reporng Q3 data.

    YTD Trend forSystem

    15

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    $15.0M$13.5M$10.1M$9.1M$8.5M

    $7.5M$6.8M$5.9M$5.3M$9.9M

    $229.8M$206.8M$148.9M$134.0M$198.8M

    $24.0M$21.6M$14.0M$12.6M$9.8M

    $66.4M$59.7M$46.7M$42.0M$37.6M

    $29.8M$26.8M$20.9M$18.8M$30.4M

    $13.8M$12.4M$8.5M$7.7M$9.2M

    $7.7M$6.9M$5.5M$5.0M$5.2M

    $6.1M$5.5M$3.8M$3.4M$6.5M

    Philanthropy Producon STRENGTHEN THE CORE

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    $50.0M

    $100.0M

    $150.0M

    $200.0M

    $250.0M

    ACTUAL

    $142.7M$142.7M

    $142.7M

    $59.3M$59.3M

    $198.8M

    $198.8M$198.8M

    Baseline ($194.5M)

    YE Threshold ($206.8M)

    YE Outstanding ($229.8M)

    DATA SOURCE(S): Financials – Raiser’s Edge, Financial Edge, Lawson.

    November 2019

    METRIC DESCRIPTION: This metric measures total annual philanthropyproducon based on cash, stocks, bonds, real estate; pledges, leersof intent; irrevocable planned gis (Charitable Gi Annuies,Charitable Remainder Trusts, Bargain Sale, etc.) and revocable plannedgis (Legacy Leers of intent for wills, living trusts, rerement plans,etc.). Philanthropy Producon metrics are based on the methodologiesdeveloped by the naonal organizaon, Associaon for HealthcarePhilanthropy (AHP). Saint John's HC Foundaon, Providence GeneralFoundaon, and Instute for Systems Biology are included in thesystem total but are excluded from regions.

    UPDATE FREQUENCY: Quarterly.

    NOTES: (1) Reporng Q3 data. (2) Updated Home&Comm Care, SCA,and WA-MT year-end targets in March Dashboard to align withrestructured en es. (3) Data from Hoag is excluded.

    YTD Trend forSystem

    16

  • 7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    2 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    6 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    4 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    6 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    5 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    6 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    6 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    7 of 7 4 of 7 5 of 7 4 of 7 5 of 7

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Transform Care #1 – Improve Ambulatory Care for All Populaons BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    0

    2

    4

    6

    8

    ACTUAL

    666666

    7777

    7

    YE Threshold (4)

    YE Outstanding (5)

    November 2019

    METRIC DESCRIPTION: Composite of 7 sub-components: DiabetesManagement Bundle, Cardiovascular Paent Stan Use, DepressionAssessment, Breast Cancer Screening, Colon Cancer Screening, CervicalCancer Screening, Pediatric Immunizaon.

    UPDATE FREQUENCY: Monthly.

    NOTES:

    YTD Trend forSystem

    PSJH System Dashboard

    Metric in Common

    17

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 47.8%47.4%47.7%47.3%49.1%

    48.0%47.6%47.9%47.5%47.4%

    48.4%48.1%48.3%48.0%48.1%

    50.7%50.5%50.6%50.4%50.2%

    45.2%44.6%45.0%44.4%45.1%

    47.7%47.3%47.5%47.2%47.2%

    50.0%49.8%49.9%49.7%51.4%

    48.4%48.1%48.3%48.0%48.1%

    48.7%48.4%48.6%48.3%47.8%

    47.8%47.4%47.7%47.3%47.3%

    49.8%49.6%49.7%49.5%48.3%

    50.0%49.8%49.9%49.7%51.4%

    36.3%35.0%35.9%34.6%29.3%

    Transform Care #1.1 – Diabetes Management Bundle

    BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    46.0%

    47.0%

    48.0%

    ACTUAL

    47.4%46.9%

    45.9%

    47.9%

    46.0%

    48.0%

    48.5% 48.4%

    46.4%

    48.1%

    46.3%

    YE Threshold (48.1%)

    YE Outstanding (48.4%)

    Baseline (45.8%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic & AllScripts Touchworks EMRdata for legacy SJH Heritage & Covenant clinics. Also includes Cozeva registry data for Heritage clinics. Health Plan and someACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: The percentage of paents that have allcomponents of the Diabetes bundle that contains 3 metrics: (1) BPcontrol < 140/90, (2) Hemoglobin A1C < 8.0%, (3) Medical aenon fornephropathy.

    UPDATE FREQUENCY: Monthly.

    NOTES: Exclusions: TX/NM, new clinics or medical groups added to thesystem in 2019 will not be included in the performance measure.

    YTD Trend forSystem

    18

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 76.5%75.8%76.3%75.7%76.7%

    76.4%75.7%76.2%75.6%78.2%

    77.8%77.2%77.6%77.1%78.3%

    80.3%79.9%80.1%79.8%77.2%

    77.3%76.7%77.1%76.5%80.1%

    74.3%73.4%74.0%73.2%75.0%

    76.6%75.9%76.3%75.8%77.5%

    77.8%77.2%77.6%77.1%78.3%

    74.4%73.6%74.1%73.4%76.9%

    78.6%78.1%78.4%78.0%79.3%

    80.6%80.3%80.5%80.3%82.8%

    76.6%75.9%76.3%75.8%77.5%

    75.1%74.3%74.8%74.1%75.9%

    Transform Care #1.2 – Cardiovascular Paent Stan Use BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    76.0%

    77.0%

    78.0%

    ACTUAL

    77.6%

    77.6%

    76.6%

    78.3%

    77.2%

    77.2%

    77.8%

    76.8%

    77.0%

    77.9%

    77.9%

    Baseline (75.9%)

    YE Threshold (77.2%)

    YE Outstanding (77.8%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScripts Touchworks EMRdata for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data for Heritage clinics; Health Plan andsome ACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: Stan Therapy for Paents with CardiovascularDisease (Based on a HEDIS metric): The percentage of males 21–75years of age and females 40–75 years of age during the measurementyear, who were idenfied as having clinical atheroscleroccardiovascular disease (ASCVD) and met the following criteria. Thefollowing rate is reported: Received Stan Therapy. Paents who wereprescribed at least one high or moderate-intensity stan medicaonduring the measurement year. Paents who remained on a high ormoderate-intensity stan medicaon for at least 80% of the treatmentperiod.

    UPDATE FREQUENCY: Monthly.

    NOTES: Exclusions: New clinics/medical groups added in 2019.Numerator calculaon: Exclude members who meet any of followingduring measurement year or year prior to measurement year:Pregnancy Value Set; IVF Value Set; Dispensed at least 1 prescriponfor clomiphene (Table SPC-A); ESRD; Cirrhosi; and Myalgia, myosis,myopathy, or rhabdomyoly.

    YTD Trend forSystem

    19

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 60.0%60.0%60.0%60.0%78.0%

    60.0%60.0%60.0%60.0%65.3%

    55.4%54.6%55.1%54.5%61.9%

    54.5%53.7%54.2%53.5%54.0%

    57.0%56.3%56.8%56.1%59.8%

    54.7%54.2%54.5%54.1%57.1%

    39.0%38.3%38.8%38.1%65.6%

    55.4%54.6%55.1%54.5%61.9%

    60.0%60.0%60.0%60.0%65.5%

    60.0%59.8%59.9%59.8%64.7%

    60.0%60.0%60.0%60.0%71.2%

    39.0%38.3%38.8%38.1%65.6%

    50.1%49.3%49.8%49.1%61.8%

    Transform Care #1.3 – Depression Assessment

    BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    50.0%

    55.0%

    60.0%

    ACTUAL

    60.0%

    59.9%60.5%

    59.4%

    57.9%

    60.8% 61.9%

    58.2%

    61.7%

    58.6%

    61.4%

    Baseline (48.9%)

    YE Threshold (54.6%)YE Outstanding (55.4%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic andAllScripts Touchworks EMR data for legacy SJH Heritage and Covenant clinics. Also includes Cozevaregistry data for Heritage clinics; Health Plan and some ACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: The percentage of acve Primary Care assignedpaents 12 and older, who have one of the following depressionassessments in the EMR in the last 12 months during their visit: PHQ2,PHQ9, PHQ4, Geriatric Depression Scale (GDS), Edinburgh PostnatalDepression Scale (EPDS).

    UPDATE FREQUENCY: Monthly.

    NOTES: Exclusions: New clinics/medical groups added to system in2019.

    YTD Trend forSystem

    20

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 74.4%74.3%74.3%74.2%77.5%

    72.2%71.9%72.1%71.8%72.3%

    73.0%72.8%72.9%72.7%74.2%

    75.6%75.6%75.5%75.4%74.8%

    68.5%67.9%68.3%67.7%67.0%

    73.1%72.8%73.0%72.8%73.9%

    71.1%70.7%70.9%70.6%74.0%

    73.0%72.8%72.9%72.7%74.2%

    75.0%75.0%75.0%74.9%76.8%

    74.3%74.2%74.3%74.2%76.9%

    69.2%68.6%69.0%68.5%64.9%

    71.1%70.7%70.9%70.6%74.0%

    65.1%64.3%64.9%64.1%61.2%

    Transform Care #1.4 – Breast Cancer Screening BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    70.0%

    71.0%

    72.0%

    73.0%

    74.0%

    ACTUAL

    73.7%

    73.7%73.7%74.2%

    73.6%

    73.6%

    73.3%73.5%

    74.0%

    73.4%

    74.0%

    Baseline (70.3%)

    YE Threshold (72.8%)YE Outstanding (73.0%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScripts Touchworks EMRdata for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data for Heritage clinics; Health Plan and someACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: Breast Cancer Screening - The percentage ofwomen 50–74 years of age who had a mammogram to screen forbreast cancer. Denominator: Female paents age 52-74 years old withat least 1 Primary Care Office Visit in the last 12 months and at least 1Primary Care Office Visit in the 12 months prior. Paents must beassigned to a PCP. Paents are excluded if they have a bilateralmastectomy documented in their chart. Numerator: Paent has adocumented mammogram in the last 27 months.

    UPDATE FREQUENCY: Monthly.

    NOTES: Regional Exclusions: New clinics/medical groups added to thesystem will not be included in the performance measure in 2019.Metric Exclusions: Bilateral Mastectomy, 2 Unilateral Mastectomies 14days apart.

    YTD Trend forSystem

    21

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 67.2%67.2%67.2%67.2%76.2%

    67.0%67.0%67.0%67.0%69.9%

    65.9%65.8%65.8%65.7%70.1%

    67.2%67.2%67.2%67.2%72.2%

    65.3%65.2%65.3%65.1%66.2%

    66.5%66.5%66.5%66.5%70.1%

    57.0%56.2%56.8%56.0%63.9%

    65.9%65.8%65.8%65.7%70.1%

    67.2%67.2%67.2%67.2%71.4%

    67.2%67.2%67.2%67.2%74.7%

    64.9%64.7%64.8%64.6%66.8%

    57.0%56.2%56.8%56.0%63.9%

    56.5%55.6%56.2%55.3%53.1%

    Transform Care #1.5 – Colon Cancer Screening BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    64.0%

    66.0%

    68.0%

    70.0%

    ACTUAL

    69.0%69.3%

    67.8%

    69.4%

    69.4%

    68.6%

    70.1%

    67.9%

    69.5%

    69.8%

    68.2%

    Baseline (63.7%)

    YE Threshold (65.8%)YE Outstanding (65.9%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScripts Touchworks EMRdata for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data for Heritage clinics; Health Plan and someACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: The percentage of adults 50–75 years of agewho had appropriate screening for colorectal cancer; one or morescreenings for colorectal cancer. Any of the following meet criteria: (1)Fecal occult blood test (FOBT Value Set), (2) Flexible sigmoidoscopyduring the measurement year. For electronic data, assume that therequired number of samples was returned. Flexible SigmoidoscopyValue Set - Colonoscopy during the measurement year or the fouryears prior to the measurement year.

    UPDATE FREQUENCY: Monthly.

    NOTES: Regional Exclusions: All current medical groups will beincluded. New clinics/medical groups added to the system in 2019 willnot be included in the performance measure.

    YTD Trend forSystem

    22

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 72.9%72.4%72.7%72.3%79.3%

    69.6%68.9%69.4%68.8%76.5%

    71.4%70.8%71.2%70.7%77.9%

    78.0%77.8%78.0%77.8%82.6%

    68.6%67.8%68.3%67.6%74.8%

    67.1%66.2%66.8%66.0%74.3%

    61.9%60.5%61.4%60.2%70.5%

    71.4%70.8%71.2%70.7%77.9%

    70.1%69.5%69.9%69.3%77.4%

    74.1%73.8%74.0%73.7%82.4%

    71.3%70.7%71.1%70.6%77.7%

    61.9%60.5%61.4%60.2%70.5%

    55.9%54.0%55.3%53.6%49.0%

    Transform Care #1.6 – Cervical Cancer Screening

    BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    70.0%

    75.0%

    ACTUAL

    77.8%77.8%77.8% 77.5%77.5%

    77.9%78.0%77.9%77.9%77.9%

    77.6%

    Baseline (67.8%)

    YE Threshold (70.8%)YE Outstanding (71.4%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScripts Touchworks EMRdata for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data for Heritage clinics; Health Plan and someACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: The percentage of women 21–64 years of agewho were screened for cervical cancer using either of the followingcriteria: (1) Women age 21–64 who had cervical cytology performedevery three years. (2) Women age 30–64 who had cervicalcytology/human papillomavirus (HPV) co-tesng performed every fiveyears. Exclusions: Absence of cervix.

    UPDATE FREQUENCY: Monthly.

    NOTES: Regional Exclusions: All current medical groups will beincluded. New clinics/medical groups added to the system in 2019 willnot be included in the performance measure. Metric Exclusions:Absence of cervix.

    YTD Trend forSystem

    23

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 68.9%67.8%68.5%67.5%69.0%

    74.4%73.8%74.2%73.6%75.3%

    74.9%74.3%74.7%74.1%76.1%

    81.0%80.8%80.9%80.8%83.3%

    69.3%68.3%69.0%68.0%74.5%

    81.0%80.9%80.9%80.8%81.0%

    72.2%71.4%71.9%71.1%75.8%

    74.9%74.3%74.7%74.1%76.1%

    75.1%74.5%74.9%74.3%76.3%

    70.1%69.1%69.8%68.8%68.7%

    71.5%70.6%71.2%70.4%71.2%

    72.2%71.4%71.9%71.1%75.8%

    61.6%59.9%61.0%59.4%50.9%

    Transform Care #1.7 – Pediatric Immunizaon BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    72.0%

    73.0%

    74.0%

    75.0%

    76.0%

    ACTUAL

    75.1%

    73.5%

    74.9%

    74.8%

    75.7%

    75.8%

    74.0%

    76.2%

    74.4%

    75.9%76.1%

    Baseline (71.8%)

    YE Threshold (74.3%)

    YE Outstanding (74.9%)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScripts Touchworks EMRdata for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data for Heritage clinics; Health Plan and someACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: The percentage of children 2 years of age whohad four diphtheria, tetanus and acellular pertussis (DTaP); three polio(IPV); one measles, mumps and rubella (MMR); three H influenza typeB (HiB); three hepa s B (Hep B), one chicken pox (VZV); fourpneumococcal conjugate (PCV) by their second birthday. Exclusions:Exclude children who had a contraindicaon for a specific vaccine fromthe denominator for all angen rates and the combinaon rates. Thedenominator for all rates must be the same.

    UPDATE FREQUENCY: Monthly.

    NOTES: Exclusions: TX/NM, new clinics or medical groups added to thesystem in 2019 will not be included in the performance measure.Metric Exclusions: Contraindicated children only if administrave datado not indicate that the contraindicated immunizaon was renderedin its enrety.

    YTD Trend forSystem

    24

  • PSJH System Dashboard

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    6 of 6 5 of 6 6 of 6 6 of 6 6 of 6

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Transform Care #2 – Improve Paent Access and Connecvity BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Mar

    2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    0

    2

    4

    6

    ACTUAL

    0

    3

    3

    6

    44

    4

    22

    2

    5

    YE Threshold (6)YE Outstanding (6)

    DATA SOURCE(S): Providers: Epic EMR data (pre-claims data) for legacy PHS groups on Epic and AllScriptsTouchworks EMR data for legacy SJH Heritage and Covenant clinics. Also includes Cozeva registry data forHeritage clinics; Health Plan and some ACOs: Claims data entered into EMR.

    November 2019

    METRIC DESCRIPTION: 6 Process metrics to be achieved: 1) Completemetric build from the design work in 2018 in all ministries, includingSJH, to pull data from all different EMRs in consistent way (i.e. payer,geography, age) (Q1). 2) Complete appropriate data validaon anddata clean-up (Q1). 3) Disseminate materials both hard and digital tohelp educate paents about access points, parcularly focused on newinteracons opportunies (Q2). 4) Begin improvement efforts basedon opportunes idenfied during metric compleon (Q3). 5) Developgoals for 2020 focused on strengthening our current relaonships withpaents and easing their way across our network (Q4). 6) Baselinemeasurement period completed for all regions and ministries (Q4).

    UPDATE FREQUENCY: Monthly.

    NOTES: Regional Exclusions: All medical groups and clinics included inour current system and EMRs will be included in the metric work for2019.

    YTD Trend forSystem

    25

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 23.7%24.7%23.7%24.7%21.8%

    23.8%24.8%23.8%24.8%25.0%

    24.0%25.0%24.0%25.0%26.6%

    26.0%27.0%26.0%27.0%27.9%

    20.4%21.4%20.4%21.4%22.3%

    18.7%19.7%18.7%19.7%26.5%

    27.0%28.0%27.0%28.0%29.0%

    27.0%28.0%27.0%28.0%26.7%

    24.7%25.7%24.7%25.7%24.2%

    24.4%25.4%24.4%25.4%26.9%

    25.0%26.0%25.0%26.0%27.7%

    27.0%28.0%27.0%28.0%27.0%

    28.3%29.3%28.3%29.3%36.6%

    Transform Care #3 – Improve Caregiver Health - Reduce Avoidable ED Ulizaon BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    24.0%

    25.0%

    26.0%

    27.0%

    ACTUAL 26.2%

    26.2%26.1%

    26.1%

    25.7%

    26.7%

    25.8%

    26.5% 26.6%

    26.6%25.9%

    Baseline (27.0%)

    YE Threshold (25.0%)

    YE Outstanding (24.0%)

    DATA SOURCE(S): Claims.

    November 2019

    METRIC DESCRIPTION: % of total ED visits that are avoidable forCaregiver ACO populaon. Claims data and calculate ED visits/NYU+ Medical algorithms.

    UPDATE FREQUENCY: Monthly - data lag by two months due to claimslag.

    NOTES: (1) NEW - Reporng July 2018 - June 2019 claims based data(addional month lag is due to claims lag). Currently reporng NCA &OC-HD as combined value due to data limitaons in parsing theregions. (2) PacMed is now reported under Physician Enterprise(reported under Shared Svcs in 2018). Exclusions: TX-NM.

    YTD Trend forSystem

    26

  • PSJH System Dashboard

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    2 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    2 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Transform Medicaid Care #1 – Regional Medicaid Improvement Plans Composite BE OUR COMMUNITIES' HEALTH PARTNER

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    0

    1

    2

    3

    ACTUAL

    11111111

    1YE Threshold (1)

    YE Outstanding (2)YE Outstanding (2)

    Access the Medicaid Pillar I and II Dashboards athttp://in.providence.org/sss/departments/pophealth/Pages/Medicaid.aspx

    November 2019

    METRIC DESCRIPTION: Measurement of progress on implemenngboth pillars of regional Medicaid Improvement plans (Pillar I – Finance,Contracng and RevCycle and Pillar II – Complex Paent & PopulaonManagement), including emphasis on meeng 2 of 3 high-impactmetrics. Region Score Key: 1 of 2 = Threshold (implementaon of bothpillars), 2 of 2 = Outstanding (implementaon of both pillars, plusachievement of 2 out of 3 high-impact metrics). System Score Key: 1 of2 = Threshold (all regions at threshold), 2 of 2 = Outstanding (allregions at outstanding).

    UPDATE FREQUENCY: Quarterly.

    NOTES: Reporng Q3 data.

    YTD Trend forSystem

    27

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    37.5%38.5%37.5%38.5%39.4%

    Transform Medicaid Care #2 – Improve Medicaid Health - Reduce Avoidable ED Ulizaon BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    38.0%

    39.0%

    40.0%

    ACTUAL

    39.3%

    39.6% 39.5%

    39.5%39.5%39.5%

    39.5%39.5%

    39.4%

    39.4%

    39.4%

    YE Outstanding (37.5%)

    Baseline (40.5%)

    YE Threshold (38.5%)

    DATA SOURCE(S): CPH Insights Table (legacy PHS) & EPSI (legacy SJH).

    Additional details about regional performance available via monthly Pillar II Medicaid scorecards and regional datasupport packages.

    November 2019

    METRIC DESCRIPTION: % of total ED visits that are avoidable for PSJHMedicaid paents. “Avoidable” as defined by the ICD 9 and 10 codesincluded in either the NYU algorithm or the MediCal algorithm (a list ofcodes is available upon request). Avoidable ED visits include boththose with low-acuity diagnoses and emergent visits that could havebeen avoided with beer management/alternave systems of care tomanage exacerbaons outside the hospital, such as ED visits forunmanaged chronic medical condions or MH/SUD condions “PSJHMedicaid paents” as defined by having had an ED visit within thePSJH system during the reported me period. “Medicaid” as definedby paents with acve Medicaid coverage at the end of the reporngperiod.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) Reporng October 2019 data. (2) System-level only. (3)Exclusions: Hoag, Kadlec.

    YTD Trend forSystem

    28

  • PSJH System Dashboard

    Mental Health & Wellness BE OUR COMMUNITIES' HEALTH PARTNER

    DATA SOURCE(S): Regional leads, Insights.

    November 2019

    METRIC DESCRIPTION: Tracking and movement on the regionidenfied metrics supporng their priority for mental health andwell-being. Each region will select three process measures and oneoutcome measure. The process measures will support theacheivement of the outcome measure. Region Score Key: 1 of 2 =Threshold (compleon of 2 out of 3 process measures), 2 of 2 =Outstanding (direconal improvement of the regional outcomemetric). System Score Key: 7 of 14 = Threshold, 14 of 14 = Outstanding.

    UPDATE FREQUENCY: Quarterly. NOTES: Reporng Q3 data.

    YTD Trend forSystem

    7 of 14 7 of 14 14 of 14 7 of 14 14 of 14

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    1 of 2 1 of 2 2 of 2 1 of 2 2 of 2

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    8

    10

    12

    14

    ACTUAL

    77777777

    7

    Outstanding (14)

    Threshold (7)

    29

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    29.0%21.0%27.3%20.0%26.3%

    23.0%15.0%21.1%13.8%23.1%

    31.0%23.0%29.3%22.0%28.4%

    24.0%17.0%22.3%15.8%16.1%

    41.0%33.0%39.7%32.3%39.2%

    23.0%15.0%21.2%13.8%25.8%

    23.0%15.0%21.1%13.8%39.5%

    23.0%15.0%21.1%13.8%27.1%

    41.0%33.0%39.7%32.3%38.9%

    23.0%15.0%21.2%13.8%7.3%

    Whole Person Care –% ICU Admissions > = 5 Days with Goals of Care Conversaon BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    10.0%

    20.0%

    30.0%

    ACTUAL

    18.8%17.6%

    20.1%

    9.0%

    28.4%

    22.2%

    15.2%

    10.6%

    26.9%

    13.4%

    24.6%

    YE Outstanding (31.0%)

    Baseline (11.0%)

    YE Threshold (23.0%)

    DATA SOURCE(S): Whole Person Care Dashboard Reporng (Tableau server).

    November 2019

    METRIC DESCRIPTION: Percentage of all adult (18+) hospitaladmissions with 5 days or greater stay in ICU and goals of careconversaon documented. Numerator: All adult admissions with ICULOS > = 5 days and goals of care conversaon documented.Denominator: All adult admissions with ICU LOS > = 5 days

    UPDATE FREQUENCY: Monthly. NOTES:

    YTD Trend forSystem

    30

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    26.0%25.0%25.8%24.9%27.0%

    21.0%20.0%20.8%19.9%23.3%

    22.0%21.0%21.8%20.9%24.7%

    15.0%14.0%14.8%13.9%19.6%

    22.0%21.0%21.8%20.9%14.5%

    17.0%16.0%16.8%15.9%22.9%

    19.6%

    29.0%28.0%28.8%27.9%27.9%

    Whole Person Care – % Paents 65+ in Outpaent Se ng with Advance Direcve BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    20.0%

    21.0%

    22.0%

    23.0%

    ACTUAL

    21.0%

    23.3%

    22.0%

    22.0%22.0%

    21.9%21.6%

    21.4%

    22.6%

    YE Outstanding (21.0%)

    Baseline (20.0%)YE Threshold (20.0%)

    DATA SOURCE(S): Whole Person Care Dashboard Reporng (Tableau server).

    November 2019

    METRIC DESCRIPTION: % of paents 65 and older in an outpaentse ng with an advance direcve.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) NEW - October, September & August 2019 data unavailablefor Swedish & PacMed (Physician Ent) due to connued validaonissues. (2) Swedish data unavailable for July 2019 due to Epic instancealignment project. (2) PacMed is now reported under PhysicianEnterprise (reported under Shared Svcs in 2018).

    YTD Trend forSystem

    31

  • PSJH System Dashboard

    7 of 14 0 of 14 7 of 14 7 of 14 14 of 14

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    1 of 2 0 of 2 1 of 2 1 of 2 2 of 2

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Improve Health in Our Communies BE OUR COMMUNITIES' HEALTH PARTNER

    Jun 2019

    Aug 2019

    Oct 2019

    8

    10

    12

    14

    ACTUAL

    77777

    7YE Threshold (7)

    YE Outstanding (14)

    DATA SOURCE(S): Region performance reporng, formal program effecveness assessment.

    November 2019

    METRIC DESCRIPTION: Integrate community health needs andpopulaon health management to resolve persistent impacts to healthand wellbeing of people in our communies and ministries associatedwith unmet needs and social determinants of health. 2019 Thresholdis beginning reporng on the PSJH system based metric by the end ofQ2 2019, Outstanding is showing direconal improvement by end ofQ4 2019.

    UPDATE FREQUENCY: Bi-Annual.

    NOTES: Reporng June 2019 / Q2 data.

    YTD Trend forSystem

    32

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    1.8%1.8%1.8%1.8%1.2%

    1.3%1.3%1.3%1.3%0.9%

    2.4%2.3%2.4%2.3%1.9%

    3.4%3.4%3.4%3.4%2.6%

    2.0%1.9%1.9%1.9%1.2%

    2.6%2.6%2.6%2.6%2.0%

    1.8%1.8%1.8%1.8%1.4%

    2.2%2.2%2.2%2.2%2.0%

    2.1%2.1%2.1%2.1%1.0%

    4.5%4.5%4.5%4.5%7.8%

    Community Benefit – Increase Total Discreonary (Proacve) % of Net Service Revenue BE OUR COMMUNITIES' HEALTH PARTNER

    Apr 2019

    Jun 2019

    Aug 2019

    Oct 2019

    1.6%

    1.8%

    2.0%

    2.2%

    2.4%

    ACTUAL

    1.8%1.8%

    1.8% 1.9%

    1.9%

    1.6%1.6%

    YE Threshold (2.3%)

    YE Outstanding (2.4%)Baseline (2.3%)

    DATA SOURCE(S): Hyperion Financial Management (HFM) & Community Benefit Inventory Social Accountability (CBISA)soware.

    November 2019

    METRIC DESCRIPTION: To increase discreonary (proacve) spendwith the expectaon of offse ng reacve total cost of care.Discreonary (Proacve) Community Benefit: Cost of healthprofessions educaon, research programs, Subsidized health services,Community health improvement service, Community BenefitOperaons, Cash and in-kind contribuons, and Community building.

    UPDATE FREQUENCY: Quarterly. There is a one month lag.

    NOTES: (1) Reporng Q3 data. (2) Exclusions: PSJH Shared Services,Physician Enterprise, and Home and Community Care.

    YTD Trend forSystem

    33

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    563,172458,944562,366458,404644,894

    Digital Engaged Users – Engaged Users Across Circle, Health Connect, MyChart, and FollowMyHealth BE OUR COMMUNITIES' HEALTH PARTNER

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    300,000

    400,000

    500,000

    600,000

    ACTUAL

    552,599

    590,643576,831

    644,894604,936

    565,292

    634,873556,691

    543,486

    YE Threshold (458,944)

    YE Outstanding (563,172)

    Baseline (253,614)

    DATA SOURCE(S): Google Analycs, App specific analycs.

    November 2019

    METRIC DESCRIPTION: Engaged users as represented by the sum ofthe monthly acve users (MAU) across each of the Circle, HealthConnect, FollowMyHealth and MyChart applicaons. Annual numbersare the running average of the engaged users each month, not thesum of the month.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) Changed data source from MyChart Usage by Module toMyChart Sessions to accurately capture MyChart unique users perEpic's reommendaon due to instance alignment. Re-stated January -June 2019 values using new data source. (2) System-level only. (3)Exclusions: MyChart and Circle excludes Grace, Heritage.HealthConnect excludes Hoag and legacy SJH.

    YTD Trend forSystem

    34

  • PSJH System Dashboard

    Brand Equity – #1 or #2 in Brand Effecveness Index in % of Markets BE OUR COMMUNITIES' HEALTH PARTNER

    DATA SOURCE(S): NRC.

    November 2019

    METRIC DESCRIPTION: Meet threshold or outstanding in the followingbrand strength KPIs in each service area of operaon. BrandEffecveness Index (Awareness, Recall and Preference) Threshold:Number 1 or number 2 posion in 86% of markets; Outstanding:Number 1 or number 2 posion in 100% of markets.

    UPDATE FREQUENCY: Quarterly.

    NOTES: (1) Reporng Q3 data at system level - regional performanceavailable at hps://sssteams.providence.org/sites/comm/re-search/Markeng_Research/ISFP_Goal_Brand_Equi-ty_Brand_Strength_Scorecard_2019.xlsx (2) Exclusions: Hoag, PMGs,PHP.

    YTD Trend forSystem

    100.0%86.0%100.0%86.0%86.0%System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    90.0%

    95.0%

    100.0%

    ACTUAL

    86.0%86.0%86.0%86.0%86.0%86.0%

    YE Outstanding (100.0%)

    Baseline (86.0%)YE Threshold (86.0%)

    Access addional details about regional performance at:hps://sssteams.providence.org/sites/comm/research/Markeng_Research/ISFP_Goal_Brand_Equity_Brand_Strength_S..

    35

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    10.0%5.0%10.0%5.0%6.0%

    EBIDA via Incremental Diversified Revenue Sources TRANSFORM OUR FUTURE

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    6.0%

    8.0%

    10.0%

    ACTUAL

    6.0%6.0%

    6.0%

    7.6%7.6%

    5.6%5.6%5.6%4.9%

    YE Outstanding (10.0%)

    YE Threshold (5.0%)

    DATA SOURCE(S): Hyperion Financial Management (HFM).

    November 2019

    METRIC DESCRIPTION: Achieve diversified EBIDA of 22% of totalOperang EBIDA. Idenfy diversified businesses that have beenacquired or grown internally and track EBIDA relave to core CareDelivery business. System level only.

    UPDATE FREQUENCY: Quarterly.

    NOTES: (1) Reporng Q3 data.

    YTD Trend forSystem

    36

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 85,532

    742,797

    45,765

    2,822,4042,553,5802,784,2182,532,1072,909,620

    668,736

    102,770

    50,992

    127,975

    646,299

    214,322

    655,792

    202,403

    212,198

    36,282

    443,896

    62,957

    Digital Experience – Digital Registered Users (Health Connect, MyChart, Circle, etc.)

    TRANSFORM OUR FUTURE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    2,000,000

    2,500,000

    ACTUAL

    2,729,2972,693,488

    2,764,889

    2,532,812

    2,909,620

    2,652,661

    2,876,069YE Outstanding (2,822,404)

    Baseline (1,821,600)

    YE Threshold (2,553,580)

    DATA SOURCE(S): Google Analycs, App specific analycs.

    November 2019

    METRIC DESCRIPTION: Digital Registered Users as defined by the sumof the registered users from the Health Connect, My Chart, Circle appsetc. System Registered Users = Health Connect + My Chart +FollowMyHealth + Circle + BabyNBeyond registered users. Regionalnumbers exclude Health Connect, as data is not available at a regionallevel. In addion, regional numbers exclude some Circle registrantsthat are included in the system total, as a small % of Circle userscannot be aributed to a region.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) Restated values from January - September with corrected,cumulave numbers for all of 2019 due to revised 2018 year-endbaseline. (2) Exclusions from MyChart: Grace, Heritage, legacy SJH;exclusions from Health Connect: Hoag, Covenant, Heritage, legacy SJH.

    YTD Trend forSystem

    37

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT 2,1161,6831,8571,4773,799

    113,72290,344103,42482,16094,546

    5,3154,6204,8554,2209,764

    482,696390,682439,908356,073468,625

    87,36569,34579,69763,25860,658

    8,4126,6397,6706,05312,166

    43,05934,29839,27131,28126,937

    62,01154,82056,10449,658111,316

    1,6551,3171,5171,20732,438

    32,31925,69929,27523,27723,223

    211,489169,312193,265154,722155,625

    40,77938,01037,30534,78069,671

    27,81722,02625,35020,07228,421

    5404504954122,951

    21,23216,81018,79914,87841,645

    5984745514361,327

    Digital Experience – Digitally Enabled Paent Transacons TRANSFORM OUR FUTURE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    100,000

    200,000

    300,000

    400,000

    500,000

    ACTUAL

    240,292

    278,813

    204,443

    468,625

    318,789

    40,215

    158,078

    419,095

    75,715

    368,463

    118,250

    YE Outstanding (482,696)

    Baseline (161,229)

    YE Threshold (390,682)

    DATA SOURCE(S): Epic.

    November 2019

    METRIC DESCRIPTION: Scale digitally enabled paent transacons(e.g. scheduling, registraon, telehealth, etc.). Includes appointmentsmade digitally and completed for PSJH via MyChart, FollowMyHealth,ODHP (primary, specialty), Scorpion, Express Care Retail, Express CareVirtual, Express Care Home, Asynch, ClockwiseMD, and Check-in-Now.Excludes appointments digitally enabled outside of PSJH viacommercial partnerships. Includes Community Connect appointments.

    UPDATE FREQUENCY: Monthly.

    NOTES: (1) SCA volumes include Queue Dr starng with Sept.Dashboard. (2) Polyclinic is included under Physician Enterprise. (3)Exclusions: Digital Medical Encounter excludes Paent-Doctorcommunicaon via paent portal. Digitally Scheduled excludes:Televox: bi-direconal text appts reminder.

    YTD Trend forSystem

    Metric in Common

    38

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    485475445435635

    TRANSFORM OUR FUTURE Advances in Scienfic Research & Publicaons – Early Phase & Invesgator-iniated Studies

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    500

    550

    600

    650

    ACTUAL

    675648

    648

    650635

    653

    617

    631

    665

    621625

    YE Outstanding (485)

    Baseline (465)YE Threshold (475)

    DATA SOURCE(S): Velos Clinical Trials Management System database + manual data feeds from sites awaing go-live.Instute for Systems Biology financial planning / sponsored projects database. Addional invesgator studies tracked byClinical Instutes and local research programs.

    November 2019

    METRIC DESCRIPTION: Number of early phase andinvesgator-iniated studies. Early phase studies = phase I, Ib, I/II andII studies. Invesgator-iniated studies = studies developed by PSJHclinicians and sciensts. System performance only.

    UPDATE FREQUENCY: Monthly. Performance is measured annually.

    NOTES: Metric data includes Instute for Systems Biology, Swedish,Oregon, LA service area, Hoag, St Joseph Health, SJH Heritage,WA/MT, AK, TX/NM, Physician Services, Instute for Human Caring,and Wellbeing Trust. System level only.

    YTD Trend forSystem

    39

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    9509008718251,167

    Advances in Scienfic Research & Publicaons – Publicaons TRANSFORM OUR FUTURE

    Jan 2019

    Apr 2019

    Jul 2019

    Oct 2019

    500

    1,000

    ACTUAL

    648

    535

    768

    1,167

    136

    869

    430

    231

    1,054

    346

    961

    YE Outstanding (950)

    Baseline (800)

    YE Threshold (900)

    DATA SOURCE(S): Invesgator submissions of publicaons to the Library Services database validated by local researchprograms, clinical instutes, CPS performance / focus groups, populaon health, physician services.

    November 2019

    METRIC DESCRIPTION: The number of publicaons will include peerreviewed journal publicaons of all kinds (studies, reviews, editorials),poster presentaons, conference presentaons, nominaons tonaonal scienfic advisory commiees, and book chapters. Systemperformance only.

    UPDATE FREQUENCY: Monthly.

    NOTES: Metric data includes all sites and affiliates in PSJH, includingthe Instute for Systems Biology. System level only.

    YTD Trend forSystem

    40

  • PSJH System Dashboard

    4 of 5 2 of 5 4 of 5 2 of 5 5 of 5System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    Data Assets TRANSFORM OUR FUTURE

    Mar 2019

    May

    2019

    Jul 2019

    Sep 2019

    Nov 2019

    0

    2

    4

    ACTUAL

    4444

    4

    000

    0

    Outstanding (5)

    Threshold (2)

    November 2019

    METRIC DESCRIPTION: Measure progress for establishing program torealize value from our data assets. Threshold (2 of 5) = 2 agreementssigned for partner, plaorm, and/or service agreements/transaconsleveraging PSJH data assets. Outstanding (5 of 5): 5 agreements signedfor partner, plaorm, and/or service agreements/transaconsleveraging PSJH data assets.

    UPDATE FREQUENCY: Quarterly.

    NOTES: (1) Reporng Q3 data. (2) System level only.

    YTD Trend forSystem

    41

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    35.0%31.0%

    Visibility & Voice – Awareness TRANSFORM OUR FUTURE

    DATA SOURCE(S): Survey.

    November 2019

    METRIC DESCRIPTION: Increase awareness of PSJH’s Mission andvision for the future of health among idenfied influencers, includingelected officials, large employers, non-for-profit leaders and our boardmembers. The survey is based on respondents rang the person ororganizaon on a 0-100 scale. The queson reads: “Below are somepeople or organizaons. Please read each one and rate your feelingswith 100 meaning a VERY FAVORABLE feeling, zero meaning a VERYUNFAVORABLE feeling; and 50 meaning not parcularly favorable orunfavorable. You can use any number from zero to 100, the higher thenumber the more favorable your feelings are toward that person ororganizaon." Awareness: % of all respondents who are able to giveany rang for that person/organizaon.

    UPDATE FREQUENCY: Annual. Reporng to begin with DecemberDashboard.

    NOTES: System level only.

    YTD Trend forSystem

    42

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    19.0%17.0%

    Visibility & Voice – Favorability TRANSFORM OUR FUTURE

    DATA SOURCE(S): Survey and in-depth interviews, online engagement (social and blog outreach/engagement).

    November 2019

    METRIC DESCRIPTION: The survey is based on respondents rang theperson or organizaon on a 0-100 scale. The queson reads: “Beloware some people/organizaons. Please read each one and rate yourfeelings with 100 meaning a VERY FAVORABLE feeling, 0 meaning aVERY UNFAVORABLE feeling; and 50 meaning not parcularlyfavorable or unfavorable. You can use any number from 0 to 100, thehigher the number the more favorable your feelings are toward thatperson or organizaon." Favorability: % of all respondents who givethat person/organizaon a score between 51-100.

    UPDATE FREQUENCY: Annual. Reporng to begin with DecemberDashboard.

    NOTES: System level only.

    YTD Trend forSystem

    43

  • PSJH System Dashboard

    System

    Shared Svcs

    Physician Ent

    Home&Comm Care

    AK

    NCA

    OR

    SCA

    LA

    OC-HD

    Swedish

    TX-NM

    WA-MT

    NW WA

    SW WA

    PHC

    SE WA

    WMT

    132121

    Visibility & Voice – Stakeholder Management TRANSFORM OUR FUTURE

    DATA SOURCE(S): Survey and in-depth interviews, online engagement (social and blog outreach/engagement).

    November 2019

    METRIC DESCRIPTION: Establish baseline for number of acvelyengaged stakeholders with assigned relaonship managers (reachbaseline by end of year 2018); Increase number of acvely engagednaonal and regional stakeholders by 10 percent each year thereaer.

    UPDATE FREQUENCY: Annual. Reporng to begin with DecemberDashboard.

    NOTES: System level only.

    YTD Trend forSystem

    44