subject to board approval · 2019. 3. 6. · new mychart activations (2018) early phase &...

System

Shared

Svcs

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 Associated Infection Harm Events)

Effective (Sepsis O/E Mortality Ratio)

Compassionate (Composite of Overall Rating Top Box Score..

Seamless (Readmission O/E Ratio for CMS Conditions)

Personalized (Patient Reported Outcomes)

High Value Care

Provider Engagement

Operating EBIDA ($)

Operating EBIDA (%)

Commercial Growth (2018)

Philanthropy Production

Be Our Communities' Health Partner

Transform Care Composite

Improve Ambulatory Care for All Populations (7 Sub-comp..

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 Utilizati..

Regional Medicaid Improvement Plans - Composite

Pillars Implemented

Metrics Achieved

Improve Medicaid Health – Reduce Avoidable ED Utilization

Mental Health & Wellness

% Patients 65+ in-Hospital with Advance Directive

% Patients 65+ in Outpatient Setting with Advance Directive

Improve Health in Our Communities

Community Benefit Composite

Total Community Benefit % of EBIDA

% Discretionary CB out of Total Community Benefit

Total Users of Consumer/Patient Engagement Platforms

Transform Our Future

EBIDA via Incremental Diversified Revenue Sources

Digitally-enabled Patient Interactions (online scheduling, t..

New MyChart Activations (2018)

Early Phase & Investigator-initiated Studies

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

Data Assets

Visibility & Voice – Increase Awareness of PSJH’s Mission a..

Visibility & Voice – Awareness

Visibility & Voice – Favorability

Visibility & Voice – Stakeholder Management

Be Our Communities' Health Partner

Transform Our Future

December 2018

PSJH System Dashboard Summary

Subject to Board Approval

1

PSJH System Dashboard

System

Shared Svcs

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 26.7%28.7%26.7%28.7%28.9%

21.3%23.3%21.3%23.3%25.6%

36.8%38.8%36.8%38.8%32.8%

23.8%25.8%23.8%25.8%26.0%

23.0%25.2%23.2%25.2%25.4%

21.9%23.9%21.9%23.9%25.7%

19.9%21.9%19.9%21.9%24.7%

19.0%21.0%19.0%21.0%21.1%

21.8%23.8%21.8%23.8%23.3%

18.9%20.9%18.9%20.9%27.0%

26.4%28.6%26.6%28.6%24.4%

21.0%23.0%21.0%23.0%24.4%

24.0%26.0%24.0%26.0%27.4%

26.3%28.3%26.3%28.3%27.8%

22.6%24.6%22.6%24.6%19.4%

38.4%40.4%38.4%40.4%37.5%

22.2%24.5%22.2%24.5%22.3%

25.3%27.3%25.3%27.3%35.1%

24.9%26.9%24.9%26.9%30.7%

First-Year Overall Turnover STRENGTHEN THE CORE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

24.0%

25.0%

26.0%

27.0%

ACTUAL 26.0%

26.8% 26.8%

26.9%26.6%26.6%

26.9%27.0%

27.0%26.4%

27.2%

YE Outstanding (23.8%)

Baseline (25.8%)YE Threshold (25.8%)

DATA SOURCE(S): PHS: HR Operaons Dashboard, SJH: Workday HRIS

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

December 2018

METRIC DESCRIPTION: The number of employees hired to replacethose who le for any reason during the reporng period based onthis criteria. The calculaon includes: (1) Total number ofnon-conngent employees with less than one year of service whovoluntarily or involuntarily terminated employment during the surveyperiod; (2) Candidates who accepted an offer but voluntarily opted outprior to the start date; (3) Dismissals, divestures, and layoffs; (4) Perdiem employees. Exclusions: (1) Candidates who accepted an offer butinvoluntarily never started employment (e.g. failed background check);(2) Conngent workers (temporary, seasonal, or contract) and thoseemployees on leave of absence (LOA); (3) Individuals that transferredfrom one facility or department to another; (4) College interns.

UPDATE FREQUENCY: Monthly.NOTES: (1) PSJH System roll-up value now included. Legacy SJH HCN isincluded under NCA. (2) Due to regional structural changes andconsolidated reporng in Visier, the January - May values, baselines,and targets have been revised for CA, TX/NM, PSCS, and the Home &Community Care regions/service areas. (3) FYTO = (based on inclusion criteria and in thereporng period).

YTD Trend forSystem

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


2


System

Shared Svcs

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%53.0%

47.0%45.9%47.0%45.9%47.0%

65.0%64.0%65.0%64.0%69.0%

51.0%50.0%51.0%50.0%50.0%

43.3%42.5%43.3%42.5%38.0%

44.8%44.3%44.8%44.3%45.0%

52.0%51.0%52.0%51.0%48.0%

49.0%48.2%49.0%48.2%49.0%

59.0%58.0%59.0%58.0%56.0%

47.0%45.8%47.0%45.8%47.0%

48.0%47.0%48.0%47.0%46.0%

61.0%60.0%61.0%60.0%55.0%

43.3%42.5%43.3%42.5%40.0%

40.2%39.5%40.2%39.5%38.0%

57.0%56.0%57.0%56.0%56.0%

55.0%54.0%55.0%54.0%54.0%

57.0%56.0%57.0%56.0%54.0%

Caregiver Engagement – Highly Sustainably Engaged STRENGTHEN THE CORE

Apr 2018

Jun 2018

Aug

2018

Oct 2018

Dec 2018

40.0%

45.0%

50.0%

ACTUAL

40.9%

40.9%

40.9%

50.0%

50.0%50.0%

39.7%39.7%

39.7%

Baseline (49.5%)YE Threshold (50.0%)


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

December 2018

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 2018 CaregiverEngagement Survey. (2) Targets revised to align with regionalstructural changes. (3) Exclusions: Hoag.

Metric Held in CommonYTD Trend forSystem


3


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 78.0%77.0%78.0%77.0%82.0%

75.0%74.0%75.0%74.0%77.0%

86.0%82.0%86.0%82.0%88.0%

77.0%76.0%77.0%76.0%77.0%

69.0%68.0%69.0%68.0%64.0%

74.0%73.0%74.0%73.0%78.0%

74.0%73.0%74.0%73.0%73.0%

78.0%77.0%78.0%77.0%80.0%

82.0%81.0%82.0%81.0%81.0%

75.0%74.0%75.0%74.0%78.0%

77.0%76.0%77.0%76.0%78.0%

83.0%82.0%83.0%82.0%81.0%

73.0%72.0%73.0%72.0%72.0%

64.0%63.0%64.0%63.0%64.0%

80.0%79.0%80.0%79.0%80.0%

80.0%79.0%80.0%79.0%81.0%

82.0%81.0%82.0%81.0%80.0%

Caregiver Engagement – Resonance with the Mission STRENGTHEN THE CORE

Apr 2018

Jun 2018

Aug

2018

Oct 2018

Dec 2018

72.0%

74.0%

76.0%

ACTUAL

73.0%

73.0%

73.0%

73.0%

77.0%

77.0%77.0%

72.0%72.0%

Baseline (74.0%)

YE Threshold (76.0%)


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

December 2018

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 value reflects results from the October 2018 CaregiverEngagement Survey. (2) Exclusions: Hoag (not surveyed),non-employed caregivers, employed physicians (quesons not askedto this segment) - PH&S employed providers (physicians + mid-levelproviders) and PH&S foundaon providers in CA parcipated but onlyfor the safety & teamwork items.

YTD Trend forSystem


4


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

34.0%33.0%34.0%33.0%48.0%

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

Mar 2018

May

2018

Jul 2018

Sep 2018

Nov 2018

30.0%

35.0%

40.0%

45.0%

ACTUAL

48.0%

30.0%30.0%30.0%30.0%30.0%30.0% Baseline (30.0%)



DATA SOURCE(S): PSJH Formaon Instute.

December 2018

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: Annually.

NOTES: System level only.

YTD Trend forSystem


5


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 3737373715

534541534541398

16216416216470

2,0942,1222,0942,1221,263

244247244247106

109110109110117

6666666634

701711701711321

182185182185111

279283279283194

416422416422195

141142141142121

10210310210397

285289285289125

7273727377

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

Feb 2018

May

2018

Aug

2018

Nov

2018

1,000

2,000

ACTUAL

662744

1,263

553

150

860

462259

963

370

1,066

YE Threshold (2,122)

YE Outstanding (2,094)

Baseline (2,299)

DATA SOURCE(S): Naonal Healthcare Surveillance Network.

Loweris better

December 2018

METRIC DESCRIPTION: # healthcare-associated infecon harm events(target progressively lower to 75th%ile by 2022, lower is beer).

UPDATE FREQUENCY: Monthly.NOTES: (1) Reporng January - November 2018 (annualized) data.



6

Lower is better


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 0.971.010.971.011.06

1.061.091.061.091.27

0.900.940.900.940.89

0.971.010.971.011.02

1.071.101.071.101.09

1.061.091.061.091.38

0.950.990.950.991.00

0.950.980.950.980.97

0.961.000.961.001.20

0.930.960.930.960.89

0.880.920.880.920.88

1.281.321.281.321.54

0.860.920.860.920.75

1.031.071.031.071.07

1.011.051.011.051.05

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

DATA SOURCE(S): Enterprise Data Lake / Hospital Data Layer.

December 2018

METRIC DESCRIPTION: Sepsis O/E Mortality Rao (target progressivelylower to 75th percenle by 2022). A lower rao is beer.

UPDATE FREQUENCY: Monthly.

NOTES: (1) Reporng December 2018 year-end data.


Feb 2018

May

2018

Aug

2018

Nov

2018

1.00

1.05

ACTUAL

1.03

1.03

1.071.07

1.021.02

1.05

1.06

1.011.011.01

YE Threshold (1.01)

YE Outstanding (0.97)

Baseline (1.01)


7


System

Shared Svcs

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%77.3%77.9%77.3%78.1%

76.7%76.2%76.7%76.2%74.4%

75.7%75.5%75.7%75.5%73.7%

77.3%77.1%77.3%77.1%75.6%

74.2%73.7%74.2%73.7%72.6%

73.9%72.6%73.9%72.6%71.2%

88.2%86.0%88.2%86.0%85.5%

76.2%74.9%76.2%74.9%73.0%

78.3%78.1%78.3%78.1%76.8%

76.7%75.8%76.7%75.8%74.7%

77.6%77.1%77.6%77.1%76.9%

78.3%78.0%78.3%78.0%77.5%

76.6%75.2%76.6%75.2%73.1%

76.5%76.0%76.5%76.0%71.6%

78.3%77.8%78.3%77.8%76.0%

78.4%77.8%78.4%77.8%76.9%

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

Feb 2018

May

2018

Aug

2018

Nov

2018

75.0%

76.0%

77.0%

ACTUAL

75.2%

75.6%

75.3%

75.1%75.3%75.0% 75.4%74.9%

75.5%

74.9%



Baseline (76.1%)

DATA SOURCE(S): Press Ganey and SHP.

Higheris better

December 2018

METRIC DESCRIPTION: Composite of Press Ganey overall rang topbox scores (inpaent, ED, home health and ambulatory) (targetprogressively higher to 75th %ile by 2022).

UPDATE FREQUENCY: Monthly. PacMed is reported under SharedServices.




8


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 0.940.990.940.990.61

0.940.990.940.990.81

0.940.990.940.990.72

0.940.990.940.990.79

0.940.990.940.990.78

0.940.990.940.990.94

0.940.990.940.990.80

0.940.990.940.990.80

0.940.990.940.990.76

0.940.990.940.990.76

0.940.990.940.990.81

0.940.990.940.990.85

0.940.990.940.990.82

0.940.990.940.990.80

0.940.990.940.990.74

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

Feb 2018

May

2018

Aug

2018

Nov

2018

0.80

0.85

0.90

0.95

1.00

ACTUAL

0.82

0.81

0.840.84

0.86

0.86

0.86

0.790.790.790.79

YE Threshold (0.99)

YE Outstanding (0.94)

Baseline (0.96)

DATA SOURCE(S): Enterprise Data Lake / Hospital Data Layer.

Loweris better

December 2018

METRIC DESCRIPTION: Readmission O/E Rao for CMS condions(target progressively lower to 75th%ile by 2022, 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).


YTD Trend forSystem


9


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

25,00023,00025,00023,00031,434

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

10,000

20,000

30,000

ACTUAL

16,10018,800

13,400

21,600

2,656

31,434

24,200

10,500

29,700

5,200

27,100

7,700

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

Baseline (16,419)

DATA SOURCE(S): Paent Reported Outcomes Dashboard.

Higheris better

December 2018

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.


NOTES: System-level only.

YTD Trend forSystem


10


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

$8,643.8K$3,290.1K$8,643.8K$3,290.1K$6,106.4K

$828.7K$294.3K$828.7K$294.3K$978.5K

$34,694.2K$12,765.1K$34,694.2K$12,765.1K$23,785.9K

$5,099.2K$1,954.5K$5,099.2K$1,954.5K$5,227.6K

$10,955.6K$3,915.3K$10,955.6K$3,915.3K$7,189.9K

$5,637.6K$2,074.0K$5,637.6K$2,074.0K$3,364.0K

$5,003.0K$1,772.3K$5,003.0K$1,772.3K$4,666.3K

$1,598.7K$559.2K$1,598.7K$559.2K$631.2K

$5,952.6K$2,143.0K$5,952.6K$2,143.0K$2,523.6K

$1,930.6K$677.7K$1,930.6K$677.7K$288.4K

Clinical Care – High Value Care STRENGTHEN THE CORE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

$0.0M

$10.0M

$20.0M

$30.0M

ACTUAL

$23.8M

$2.4M$2.0M

$1.9M$1.9M

$1.9M

$1.9M

$1.9M

$1.2M $0.7M$0.5M

YE Threshold ($12.8M)

YE Outstanding ($34.7M)

DATA SOURCE(S): Insights / VOA Exec Dashboard.

Higheris better

December 2018

METRIC DESCRIPTION: Value improvement for a set of 9 clinicalcohorts, expanding to approximately 20 in 2019 (value improvementdefined by maintaining or improving clinical and paent-reportedoutcomes while lowering cost to achieve break even Medicare ratesby 2022). The High Value Care metric has a three-part trigger. If theHigh Value Care metric meets or exceeds its Threshold target for 2018,it will only pay out if the three separate Safe, Effecve andCompassionate metrics are at (or beer than) the 2017 full yearperformance for all three metrics at YE2018. If any one of the triggersfinishes YE2018 below the 2017 full year level, the High Value Caremetric will not pay out.

UPDATE FREQUENCY: Bi-monthly.

NOTES: (1) Reporng November 2018 YTD data. (2) Revised Januarythrough March data due to cohort refinements.

YTD Trend forSystem


11


System

Shared Svcs

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%75.0%80.0%75.0%85.8%

80.0%75.0%80.0%75.0%84.4%

80.0%75.0%80.0%75.0%83.0%

80.0%75.0%80.0%75.0%82.6%

80.0%75.0%80.0%75.0%77.7%

80.0%75.0%80.0%75.0%89.4%

80.0%75.0%80.0%75.0%98.5%

80.0%75.0%80.0%75.0%84.0%

80.0%75.0%80.0%75.0%86.1%

80.0%75.0%80.0%75.0%81.1%

80.0%75.0%80.0%75.0%80.7%

80.0%75.0%80.0%75.0%86.5%

80.0%75.0%80.0%75.0%87.9%

80.0%75.0%80.0%75.0%74.4%

80.0%75.0%80.0%75.0%85.8%

80.0%75.0%80.0%75.0%67.7%

80.0%75.0%80.0%75.0%83.5%

Provider Engagement STRENGTHEN THE CORE

May 2018

Jul 2018

Sep 2018

Nov 2018

74.0%

76.0%

78.0%

80.0%

82.0%

ACTUAL

82.6%82.6%82.6%

82.6%82.6%82.6%



DATA SOURCE(S): Press Ganey.

December 2018

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.

UPDATE FREQUENCY: Annually.NOTES: (1) PacMed is listed under Shared Services. (2) 2018:Numerator: Number of employed and foundaon providerscompleng survey. Denominator: Total number of employed andfoundaon providers. 2019-2022: Work with vendor (Press Ganey) toselect survey queson(s) with strongest predicve power for loyaltyand engagement. Progress toward top quarle survey results by 2022for all provider types (employed, foundaon and independenttogether).

YTD Trend forSystem


12


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT $105.3M$104.9M$105.3M$104.9M$119.2M

$1,055.2M$1,051.1M$1,055.2M$1,051.1M$1,060.5M

$100.1M$99.1M$100.1M$99.1M$105.9M

$1,475.9M$1,449.7M$1,475.9M$1,449.7M$1,525.1M

$571.0M$569.4M$571.0M$569.4M$555.6M

$173.4M$172.3M$173.4M$172.3M$181.7M

($2,165.9M)($2,406.6M)($2,165.9M)($2,406.6M)($2,400.6M)

$222.6M$221.3M$222.6M$221.3M$214.6M

$901.0M$897.4M$901.0M$897.4M$975.6M

$317.2M$315.1M$317.2M$315.1M$295.1M

$883.6M$879.8M$883.6M$879.8M$947.6M

$358.4M$353.8M$358.4M$353.8M$513.4M

$221.6M$220.8M$221.6M$220.8M$214.5M

$126.2M$125.1M$126.2M$125.1M$134.4M

$547.1M$543.6M$547.1M$543.6M$462.2M

$61.4M$60.9M$61.4M$60.9M$61.4M

$351.9M$350.7M$351.9M$350.7M$319.4M

Operang EBIDA ($) STRENGTHEN THE CORE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

$500.0M

$1,000.0M

$1,500.0M

ACTUAL

$691.7M$816.5M

$1,525.1M

$942.3M

$551.7M

$117.0M

$1,031.0M

$449.1M

$209.2M

$1,132.1M

$350.6M

YE Threshold ($1,449.7M)

YE Outstanding ($1,475.9M)

Baseline ($1,204.8M)

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

December 2018

METRIC DESCRIPTION: Operang EBIDA $.


NOTES: (1) Monthly targets adjusted in April 2018. (2) 2018 targetsbased on fully loaded EBIDA for legacy SJH regions and direct EBIDAfor legacy PHS regions.



13


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 23.9%23.8%23.9%23.8%25.8%

22.4%22.3%22.4%22.3%22.2%

6.2%6.1%6.2%6.1%6.4%

6.3%6.2%6.3%6.2%6.2%

21.3%21.2%21.3%21.2%20.7%

22.5%22.4%22.5%22.4%23.3%

-10.2%-10.3%-10.2%-10.3%-9.8%

24.9%24.8%24.9%24.8%23.6%

12.5%12.4%12.5%12.4%13.2%

21.0%20.9%21.0%20.9%19.6%

17.4%17.3%17.4%17.3%18.5%

8.4%8.3%8.4%8.3%11.4%

26.1%26.0%26.1%26.0%25.1%

8.4%8.3%8.4%8.3%8.9%

18.6%18.5%18.6%18.5%16.0%

16.8%16.7%16.8%16.7%16.2%

38.3%38.2%38.3%38.2%35.2%

Operang EBIDA (%) STRENGTHEN THE CORE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

5.4%

5.6%

5.8%

6.0%

6.2%

6.4%

ACTUAL

6.2%

5.7%

5.7% 5.8%

5.8%5.8%

5.4%

5.6%

5.9%5.9%

5.5%5.5%

YE Threshold (6.2%)


Baseline (5.4%)


December 2018

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 methodologyshould be used with one modificaon: for Shared Services, Total NetOperang Revenue should be the system-wide consolidated value.


NOTES: (1) Monthly targets adjusted in April 2018. (2) 2018 targetsbased on fully loaded EBIDA for legacy SJH regions and direct EBIDAfor legacy PHS regions.



14

24 of 28 21 of 28 28 of 28 21 of 28 28 of 28

4 of 4 3 of 4 4 of 4 3 of 4 4 of 4

3 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

4 of 4 3 of 4 4 of 4 3 of 4 4 of 4

3 of 4 3 of 4 4 of 4 3 of 4 4 of 4

4 of 4 3 of 4 4 of 4 3 of 4 4 of 4

4 of 4 3 of 4 4 of 4 3 of 4 4 of 4


System

Shared Svcs

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 2018

May

2018

Jul 2018

Sep 2018

Nov 2018

0

10

20

30

ACTUAL

24

55

5

1214

14

222

YE Outstanding (28)

YE Threshold (21)

December 2018

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: (1) Reporng Q4 data.

YTD Trend forSystem


15


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

$31.5M$28.2M$31.5M$28.2M$27.2M

$6.5M$5.9M$6.5M$5.9M$7.5M

$226.1M$205.3M$226.1M$205.3M$286.5M

$33.0M$30.0M$33.0M$30.0M$40.3M

$1.0M$0.9M$1.0M$0.9M$1.1M

$102.7M$93.5M$102.7M$93.5M$115.3M

$26.9M$24.5M$26.9M$24.5M$65.2M

$17.8M$16.2M$17.8M$16.2M$20.2M

$6.7M$6.0M$6.7M$6.0M$10.0M

Philanthropy Producon STRENGTHEN THE CORE

Mar 2018

Jun 2018

Sep 2018

Dec 2018

$100.0M

$200.0M

$300.0M

ACTUAL

$286.5M

$112.8M$112.8M

$112.8M

$165.7M

$165.7M$165.7M

$49.8M

Baseline ($194.5M)

YE Threshold ($205.3M)YE Outstanding ($226.1M)

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

December 2018

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).


NOTES: (1) Reporng Q4 data. (2) Data from Hoag is excluded.

YTD Trend forSystem


16


2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

Null

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

3 of 3 2 of 3 3 of 3 2 of 3 3 of 3

3 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

1 of 3 2 of 3 3 of 3 2 of 3 3 of 3

1 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

2 of 3 2 of 3 3 of 3 2 of 3 3 of 3

1 of 3 2 of 3 3 of 3 2 of 3 3 of 3

System

Shared Svcs

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 Composite BE OUR COMMUNITIES' HEALTH PARTNER

Jan 2018

Apr 2018

Jul 2018

Oct 2018

0

1

2

3

ACTUAL

11111

1

00

2222

Outstanding (3)

Threshold (2)

December 2018

METRIC DESCRIPTION: Threshold (2 of 3) = 2 components meengtarget. Outstanding (3 of 3) = 3 components meeng target. The 3components of the Transform Care Composite are ImproveAmbulatory Care for All Populaons, Improve Paent Access andConnecvity, and Improve Caregiver Health - Reduce Avoidable EDUlizaon.


NOTES: Excluding legacy St. Joseph Health for 2018.

YTD Trend forSystem


17

6 of 7 5 of 7 5 of 7

4 of 7 5 of 7 5 of 7

2 of 7 5 of 7 5 of 7

5 of 7 5 of 7 5 of 7

7 of 7 5 of 7 5 of 7

7 of 7 5 of 7 5 of 7

7 of 7 5 of 7 5 of 7

4 of 7 5 of 7 5 of 7

4 of 7 5 of 7 5 of 7

5 of 7 5 of 7 5 of 7

5 of 7 5 of 7 5 of 7

6 of 7 5 of 7 5 of 7

4 of 7 5 of 7 5 of 7

System

Shared Svcs

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 2018

Apr 2018

Jul 2018

Oct 2018

0

2

4

6

ACTUAL

3

5

5

2

1111

666

6

YE Outstanding (5)

December 2018

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


NOTES: PacMed is reported under Shared Services. Facey may join latedue to data maturity in Epic and legacy St. Joseph Health may onlyinclude some paents due to different data systems.

YTD Trend forSystem



18


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 47.4%47.4%48.2%

47.5%47.5%47.2%

46.8%46.8%47.3%

48.8%48.8%50.9%

45.8%45.8%42.7%

46.8%46.8%48.9%

45.7%45.7%49.1%

47.8%47.8%49.6%

47.4%47.4%48.0%

46.2%46.2%46.4%

49.9%49.9%48.0%

47.8%47.8%49.6%

33.6%33.6%28.9%

Transform Care #1.1 – Diabetes Management Bundle

BE OUR COMMUNITIES' HEALTH PARTNER

Jan 2018

Apr 2018

Jul 2018

Oct 2018

45.0%

46.0%

47.0%

ACTUAL

46.2%45.7%

44.7%

47.1%

44.8%

47.3%

45.0%

47.4%

47.4%

45.2%

47.5%


Baseline (45.8%)

DATA SOURCE(S): Providers: Epic EMR data (Pre-claims data), Health Plan and some ACO’s: Claims data entered into EMR.

December 2018

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.


NOTES: PacMed is reported under Shared Services. Facey may join latedue to data maturity in Epic and legacy St. Joseph Health may onlyinclude some paents due to different data systems.

YTD Trend forSystem


19


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 78.9%78.9%73.9%

77.1%77.1%75.4%

78.3%78.3%77.3%

79.3%79.3%79.9%

78.3%78.3%79.3%

81.0%81.0%82.5%

74.6%74.6%71.1%

77.9%77.9%78.8%

75.4%75.4%72.6%

79.3%79.3%77.7%

82.4%82.4%80.9%

77.9%77.9%78.8%

77.1%77.1%73.3%

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

76.0%

77.0%

78.0%

ACTUAL 77.3%

76.5%

76.5%76.4% 76.3%

76.3%

77.0%

76.2%

76.8%

76.1%76.1%

76.1%

Baseline (75.9%)


DATA SOURCE(S): Providers: Epic EMR data (Pre-claims data), Health Plan and some ACO’s: Claims data entered into EMR.

December 2018

METRIC DESCRIPTION: The percentage of males 21–75 years of ageand females 40–75 years of age during the measurement year, whowere idenfied as having clinical atheroscleroc cardiovascular disease(ASCVD) and met the following criteria. The following rates arereported: (1) Received Stan Therapy: Members who were dispensedat least one high or moderate-intensity stan medicaon during themeasurement year. (2) Stan Adherence 80%: Members whoremained on a high or moderate-intensity stan medicaon for atleast 80% of the treatment period.


NOTES: PacMed is reported under Shared Services. Facey may join latedue to data maturity in Epic and legacy St. Joseph Health may onlyinclude some paents due to different data systems. Paents must beassigned to a PCP. Paents are excluded if they have a diagnosis ofPregnancy, IVF, ESRD, Cirrhosis, Myalgia, Myosis, Myopathy,Rhabdomyolysis or a prescripon for Clomiphene.

YTD Trend forSystem


20


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 70.3%70.3%77.3%

54.4%54.4%64.2%

53.9%53.9%60.9%

50.9%50.9%58.2%

54.8%54.8%58.2%

41.0%41.0%46.5%

25.7%25.7%56.0%

52.9%52.9%63.5%

57.2%57.2%64.6%

58.9%58.9%62.2%

67.0%67.0%70.1%

52.9%52.9%63.5%

46.9%46.9%50.0%

Transform Care #1.3 – Depression Assessment


Jan 2018

Apr 2018

Jul 2018

Oct 2018

50.0%

55.0%

60.0%

ACTUAL

56.4%

55.3%

60.9%

57.4%

54.5%

58.1% 60.1%

53.1%53.7%

53.2%

59.2%

Baseline (48.9%)


DATA SOURCE(S): Epic EMR.

December 2018

METRIC DESCRIPTION: The percentage of acve PCP assigned paents12 and older in the Healthy Planet Pediatric and Adult WellnessRegistries who have one of the following depression assessments inthe EMR in the last 12 months: PHQ2, PHQ9, PHQ4, GeriatricDepression Scale (GDS), Edinburgh Postnatal Depression Scale (EPDS).


NOTES: PacMed is reported under Shared Services. Facey may join latedue to data maturity in Epic and legacy St. Joseph Health may onlyinclude some paents due to different data systems. Depressionscreening and follow up is a metric under development. This screeningmetric is the first part of that.

YTD Trend forSystem


21


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 75.8%75.8%75.2%

71.8%71.8%72.3%

72.2%72.2%74.2%

74.5%74.5%77.5%

72.0%72.0%67.3%

75.8%75.8%73.4%

73.2%73.2%74.4%

66.6%66.6%71.5%

75.8%75.8%76.1%

72.9%72.9%75.9%

66.8%66.8%67.5%

66.6%66.6%71.5%

65.1%65.1%60.6%

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

70.0%

71.0%

72.0%

73.0%

74.0%

ACTUAL

72.2%

72.8%73.1%

71.8%

73.2%

74.3%

70.7%

74.2%

70.8%

71.5%

71.4%

73.9%

Baseline (70.3%)


DATA SOURCE(S): Providers: Epic EMR data (Pre-claims data). Health Plan and some ACO’s: Claims data entered into Epic EMR.

December 2018

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.


NOTES: PacMed is reported under Shared Services. RegionalExclusions: Facey may join late due to data maturity in Epic and legacySt. Joseph Health may only include some paents due to different datasystems. Metric Exclusions: Bilateral Mastectomy, 2 UnilateralMastectomies 14 days apart.

YTD Trend forSystem


22


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 70.5%70.5%74.6%

64.9%64.9%69.1%

64.7%64.7%69.7%

66.5%66.5%72.5%

64.7%64.7%66.0%

72.2%72.2%69.4%

63.5%63.5%69.5%

53.7%53.7%60.5%

66.5%66.5%70.4%

67.0%67.0%72.5%

62.4%62.4%66.0%

53.7%53.7%60.5%

55.9%55.9%53.4%

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

64.0%

66.0%

68.0%

70.0%

ACTUAL

67.5%

66.5%

69.7%

67.9%

66.1%

68.2%

64.7%64.9%

69.1%

65.5%65.2%

68.8%

Baseline (63.7%)



December 2018

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.


NOTES: PacMed is reported under Shared Services. RegionalExclusions: Facey may join late due to data maturity in Epic and legacySt. Joseph Health may only include some paents due to different datasystems. Metric Exclusions: Exclusions are paent populaons withColorectal Cancer and Colectomy.

YTD Trend forSystem


23


System

Shared Svcs

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%72.9%79.7%

68.5%68.5%77.0%

71.2%71.2%80.0%

75.9%75.9%86.1%

71.0%71.0%75.3%

79.9%79.9%82.0%

65.7%65.7%74.9%

56.2%56.2%66.2%

67.5%67.5%78.4%

73.9%73.9%83.0%

71.2%71.2%77.6%

56.2%56.2%66.2%

53.8%53.8%53.8%

Transform Care #1.6 – Cervical Cancer Screening


Jan 2018

Apr 2018

Jul 2018

Oct 2018

65.0%

70.0%

75.0%

80.0%

ACTUAL

71.2%

65.3%

70.1%

69.8%

69.3%

80.0%

68.8%

79.5%

79.3%

68.4%

78.4%

78.7%

Baseline (67.8%)



December 2018

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.


NOTES: PacMed is reported under Shared Services. RegionalExclusions: Facey may join late due to data maturity in Epic and legacySt. Joseph Health may only include some paents due to different datasystems. Metric Exclusions: Absence of cervix.

YTD Trend forSystem


24


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 69.4%69.4%67.9%

73.2%73.2%73.1%

73.8%73.8%74.6%

80.1%80.1%83.4%

66.1%66.1%72.5%

75.0%75.0%74.7%

78.6%78.6%78.9%

73.9%73.9%74.3%

73.4%73.4%72.7%

67.4%67.4%65.9%

71.1%71.1%70.8%

73.9%73.9%74.3%

58.1%58.1%53.1%

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

72.0%

73.0%

74.0%

ACTUAL

73.3%73.1%

74.6%

73.6%

74.3%

73.8%

72.6%

72.2%

73.9%

72.5%

72.3%72.3%

Baseline (71.8%)



December 2018

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.


NOTES: PacMed is reported under Shared Services. RegionalExclusions: Facey may join late due to data maturity in Epic and legacySt. Joseph Health may only include some paents due to different datasystems. Metric Exclusions: Contraindicated children only ifadministrave data do not indicate that the contraindicatedimmunizaon was rendered in its enrety.

YTD Trend forSystem


25


6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

6 of 6 6 of 6 6 of 6

System

Shared Svcs

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 2018

Apr 2018

Jul 2018

Oct 2018

0

2

4

6

ACTUAL

3

34

2

2

00

66

5

5

1

YE Outstanding (6)

DATA SOURCE(S): Epic EMR data (Pre-claims data).

December 2018

METRIC DESCRIPTION: Define & implement access & connecvitymetric & improvement process. 6 Process Metrics to be achieved in2018: 1. Complete a comprehensive current state assessment forconnecvity to each populaon (i.e. payer, geography, age) (Q1) 2.Define appropriate ways to connect with those populaons (i.e.annual wellness visits, health assessments, digital care, care mgmt)(Q2). 3. Develop materials both hard & digital to educate paentsabout access points (Q3). 4. Begin measurement of current stateacross system (Q3). 5. Develop goals focused on strengthening currentrelaonships with paents & easing their way across our network(Q4). 6. Baseline measurement period & program development (Q4).


NOTES: Regional Exclusions: Facey may join late due to data maturityin Epic and legacy St. Joseph Health may only include some paentsdue to different data systems.

YTD Trend forSystem


26


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 26.8%26.8%27.6%

25.6%25.6%26.8%

24.0%24.0%26.4%

24.0%24.0%26.1%

20.8%20.8%24.6%

23.7%23.7%22.5%

21.7%21.7%27.6%

26.8%26.8%25.1%

24.4%24.4%26.2%

24.7%24.7%25.7%

23.2%23.2%26.6%

26.8%26.8%25.1%

32.7%32.7%28.6%

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

24.0%

25.0%

26.0%

27.0%

ACTUAL

25.9%

27.5%

26.6%26.6%26.9%

26.9%

26.5%

27.0%

27.0%

26.4%26.4%

27.1%

Baseline (26.0%)


DATA SOURCE(S): Epic.

December 2018

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


NOTES: Exclusions: Legacy St. Joseph Health.

YTD Trend forSystem


27


12 of 16 8 of 16 16 of 16 8 of 16 16 of 16

2 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

2 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

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

Jun 2018

Aug

2018

Oct 2018

Dec 2018

0

1

2

3

ACTUAL

111111

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

December 2018

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. Quarterly Status: Threshold (1 of 2) = Green status onimplementaon of both pillars. Outstanding (2 of 2) = Green status onimplementaon of both pillars and green status in achieving 2 or 3high impact metrics. YE Status: Threshold (1 of 2) = Implementaon ofboth pillars. Outstanding (2 of 2) = Threshold plus achievement of 2 of3 high-impact metrics. System-Level Definion: Threshold (1 of 2) = Allregions in green status on implementaon of both pillars. Outstanding(2 of 2) = All regions threshold and green status on 2 or 3 high-impactmetrics.


NOTES: (1) Reporng Q4 year-end data.

YTD Trend forSystem


28


16 of 16 8 of 16 16 of 16 8 of 16 16 of 16

2 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

2 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

2 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

2 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

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 #1.1 – Regional Medicaid Improvement Plans (Implementaon of Both Pillars) BE OUR COMMUNITIES' HEALTH PARTNER

Jun 2018

Aug

2018

Oct 2018

Dec 2018

8

10

12

14

16

ACTUAL

16161616161616

YE Threshold (8)

YE Outstanding (16)

DATA SOURCE(S): Pillar I - One Revenue Cycle, Pillar II - Regional Medicaid Contacts.


December 2018

METRIC DESCRIPTION: Measurement of progress on implemenngboth pillars of regional Medicaid Improvement plans (Pillar I – Finance,Contracng and RevCycle and Pillar II – Complex Paent andPopulaon Management).Quarterly Status Definion: Threshold (1 of 2) = Progress onimplementaon of one pillar. Outstanding (2 of 2) = Progress onimplementaon of both pillars. Year-End Status Definion: Threshold(1 of 2) = Implementaon of one pillar. Outstanding (2 of 2) =Implementaon of both pillars. System-Level Definion: Threshold = 8of 16. Outstanding = 16 of 16.



YTD Trend forSystem


29


11 of 24 8 of 24 16 of 24 8 of 24 16 of 24

2 of 3 1 of 3 2 of 3 1 of 3 2 of 3

3 of 3 1 of 3 2 of 3 1 of 3 2 of 3

0 of 3 1 of 3 2 of 3 1 of 3 2 of 3

1 of 3 1 of 3 2 of 3 1 of 3 2 of 3

1 of 3 1 of 3 2 of 3 1 of 3 2 of 3

0 of 3 1 of 3 2 of 3 1 of 3 2 of 3

2 of 3 1 of 3 2 of 3 1 of 3 2 of 3

2 of 3 1 of 3 2 of 3 1 of 3 2 of 3

System

Shared Svcs

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 #1.2 – Regional Medicaid Improvement Plans (High Impact Metrics) BE OUR COMMUNITIES' HEALTH PARTNER

Jun 2018

Aug

2018

Oct 2018

Dec 2018

8

10

12

14

16

ACTUAL

11

99

9

888YE Threshold (8)

YE Outstanding (16)

DATA SOURCE(S): Regional 835 files, Epic, Insights (legacy Providence), EPSI (legacy St. Joseph).


December 2018

METRIC DESCRIPTION: Achievement of two of the following metrics:A. 5% reducon in regional aggregate denial rate compared tobaseline of Dec. 2017B. A 5 % increase in regional self-pay conversions compared tobaseline of Dec. 2017C. A 1% reducon in regional Medicaid Avoidable ED Ulizaoncompared to baseline of calendar year 2017.Quarterly Status Definion: Threshold (1 of 3) = Green status onachieving 1 metric. Outstanding (2 of 3) = Green status on achieving 2metrics. YE Status Definion: Threshold (1 of 3) = Achieving 1 of 3metrics, Outstanding (2 of 3) = Achieving 2 or 3 metrics. System-LevelDefinion: Threshold = 8 of 24. Outstanding = 16 or more of 24.



YTD Trend forSystem


30


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

38.5%39.5%38.5%39.5%39.5%

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

Feb 2018

May

2018

Aug

2018

Nov

2018

38.5%

39.0%

39.5%

40.0%

40.5%

ACTUAL

40.0%

39.5%

39.9%

39.9%39.9%

40.1%

40.4%

39.8%

40.3%

40.3%

39.7%



DATA SOURCE(S): CPH Insights Table (legacy Providence) & EPSI (legacy St Joseph).

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

December 2018

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, however performance measuredannually at the system level. There is a one-month data lag for thismetric (e.g. values reported in February 2018 reflect January data).

NOTES: (1) Reporng December 2018 year-end data. (2) ED visits thatresulted in an inpaent or observaon stay are not consideredavoidable. Hoag data is not included in the data set.

YTD Trend forSystem


31


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

125.0%100.0%125.0%100.0%125.0%

Mental Health & Wellness BE OUR COMMUNITIES' HEALTH PARTNER

Jan 2018

Apr 2018

Jul 2018

Oct 2018

0.0%

50.0%

100.0%

ACTUAL

50.0%50.0%50.0%

25.0%21.0%

75.0%75.0%

100.0%

0.0% 3.5% Baseline (0.0%)


DATA SOURCE(S): Community Commons, Regional leads, Insights.

December 2018

METRIC DESCRIPTION: Regions will (1) assess readiness/current stateof integrated mental health and wellness iniaves, (2) develop astructure to support and convene community partners, (3) withcommunity partners, idenfy priority focus area(s) and metricsthrough 2022, and (4) develop a community-level mental healthstrategic plan in alignment with their Medicaid strategy andcommunity needs/health improvement plans. Threshold is 100%:compleon of all four acvies. Outstanding is 125%: compleon of allfour acvies plus implementaon of strategic plan.

UPDATE FREQUENCY: Monthly. NOTES:

YTD Trend forSystem


32


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

31.0%30.0%31.0%30.0%29.0%

25.0%24.0%25.0%24.0%25.0%

31.0%30.0%31.0%30.0%31.0%

22.0%21.0%22.0%21.0%20.0%

18.0%17.0%18.0%17.0%18.0%

22.0%21.0%22.0%21.0%20.0%

29.0%28.0%29.0%28.0%32.0%

Whole Person Care – % Paents 65+ In-Hospital with Advance Direcve BE OUR COMMUNITIES' HEALTH PARTNER

Mar 2018

May

2018

Jul 2018

Sep 2018

Nov 2018

23.0%

23.5%

24.0%

24.5%

25.0%

ACTUAL

24.0%24.0%

24.0%

25.0%

25.0%

25.0%

25.0%

25.0%

25.0%25.0%YE Outstanding (25.0%)

Baseline (23.0%)


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

December 2018

METRIC DESCRIPTION: % of paents 65 and older in-hospital with anadvance direcve.

UPDATE FREQUENCY: Monthly. NOTES: Exclusions: Legacy St. Joseph. We will work with them todevelop baseline and ongoing data. In 1-2 years, this measure will bereplaced as the Goals of Care Conversaons measures and WPC SingleIndex are ready.

YTD Trend forSystem


33


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

11.0%10.0%11.0%10.0%23.0%

17.0%16.0%17.0%16.0%19.0%

17.0%16.0%17.0%16.0%17.0%

14.0%13.0%14.0%13.0%16.0%

17.0%16.0%17.0%16.0%17.0%

22.0%21.0%22.0%21.0%25.0%

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

Mar 2018

May

2018

Jul 2018

Sep 2018

Nov 2018

15.0%

16.0%

17.0%

18.0%

19.0%

ACTUAL

19.0%19.0%19.0%19.0%

18.0%18.0%

18.0%

18.0%

18.0%


Baseline (15.0%)


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

December 2018

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


NOTES: Exclusions: Legacy St. Joseph. We will work with them todevelop baseline and ongoing data. In 1-2 years, this measure will bereplaced as the Goals of Care Conversaons measures and WPC SingleIndex are ready.

YTD Trend forSystem


34


41 of 42 35 of 42 42 of 42 35 of 42 42 of 42

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

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

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

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

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

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

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

System

Shared Svcs

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

0

10

20

30

40

ACTUAL 25

0

30

3032

32

7

7

36

36

4140

YE Threshold (35)

YE Outstanding (42)

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

December 2018

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. 2018 Thresholdis 100% compleon of all 5 acvies: Select top regional communityhealth need, select populaon of focus, select social determinant ofhealth, select community partner, community health intervenonidenfied implementaon of community health intervenon. 2018Outstanding is 100% compleon of all acvies plus implementaon.


NOTES: (1) Updated system targets.Regional Threshold (5 of 6) = compleon of all acvies. RegionalOutstanding (6 of 6) = Threshold plus implementaon. SystemThreshold (35 of 42) = All regions at threshold.System Outstanding (42 of 42) = All regions outstanding.

YTD Trend forSystem


35


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

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

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

0 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

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

0 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

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

Community Benefit – Overall BE OUR COMMUNITIES' HEALTH PARTNER

Jul 2018

Aug

2018

Sep 2018

Oct 2018

Nov

2018

Dec 2018

0

1

2

ACTUAL

1

2222

2

YE Threshold (2)

DATA SOURCE(S): Regional operang budgets and Community Benefit Inventory Social Accountability (CBISA) soware.

December 2018

METRIC DESCRIPTION: Meet overall community benefit budget, butshould not exceed Operang EBIDA. Cost of Care: Unpaid costs ofMedicaid services, Charity care, Unpaid cost of other gov't programs.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.Overall community benefit = Cost of Care + Discreonary CommunityBenefit. Threshold (1 of 2) = Total Community Benefit % of EBIDAwithin 10% range of budgeted EBIDA. Outstanding (2 of 2) = Thresholdplus 5% increase in discreonary component.


NOTES: (1) Reporng Q4 year-end data. (2) Exclusions: Pac Med,Facey, Heritage (Medical foundaons and physician groups). For 2018,Operang EBIDA is fully loaded (includes system office expenseallocaon) for legacy SJH regions and direct (does not include systemoffice allocaon) for legacy PHS regions.

YTD Trend forSystem


36


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

21.4%21.4%21.4%21.4%27.3%

54.4%54.4%54.4%54.4%61.4%

108.6%108.6%108.6%108.6%104.0%

19.5%19.5%19.5%19.5%31.8%

-0.9%-0.9%-0.9%-0.9%1.0%

38.2%38.2%38.2%38.2%27.1%

13.4%13.4%13.4%13.4%24.0%

59.6%59.6%59.6%59.6%25.1%

43.7%43.7%43.7%43.7%42.2%

22.6%22.6%22.6%22.6%29.2%

12.8%12.8%12.8%12.8%20.7%

Community Benefit – Total Community Benefit % of EBIDA BE OUR COMMUNITIES' HEALTH PARTNER

Apr 2018

Jun 2018

Aug

2018

Oct 2018

Dec 2018

100.0%

110.0%

120.0%

ACTUAL

104.0%

108.5%108.5%

108.5%

116.4%116.4%

97.5%97.5%



Baseline (122.2%)


December 2018

METRIC DESCRIPTION: Meet overall community benefit budget, butshould not exceed Operang EBIDA. Cost of Care: Unpaid costs ofMedicaid services, Charity care, Unpaid cost of other gov't programs.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.Outstanding = Total Community Benefit % of EBIDA within 10% rangeof budgeted EBIDA.Below Threshold = Total Community Benefit % of EBIDA exceeds 10%range of budgeted EBIDA.


NOTES: (1) Reporng Q4 year-end data. (2) 3-mo performance is notavailable since metric is measured as an absolute value range. (3)Exclusions: Pac Med, Facey, Heritage (Medical foundaons andphysician groups). Consistent with PSJH standard reporng definions,targets are based on fully loaded EBIDA for legacy SJH regions anddirect EBIDA for legacy PHS regions. Fully loaded EBIDA reflectsallocated shared services expenses, while direct EBIDA does not.

YTD Trend forSystem


37


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

23.2%23.2%23.2%23.2%16.7%

18.3%18.3%18.3%18.3%12.1%

21.7%21.7%21.7%21.7%24.0%

39.2%39.2%39.2%39.2%34.1%

32.1%32.1%32.1%32.1%23.3%

20.1%20.1%20.1%20.1%24.9%

40.1%40.1%40.1%40.1%24.0%

16.0%16.0%16.0%16.0%28.1%

22.1%22.1%22.1%22.1%26.7%

27.9%27.9%27.9%27.9%22.0%

40.6%40.6%40.6%40.6%34.7%

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

Apr 2018

Jun 2018

Aug

2018

Oct 2018

Dec 2018

16.0%

18.0%

20.0%

22.0%

24.0%

ACTUAL

24.0%

17.0%

17.0%

18.8%

18.8%

18.8%

14.9%14.9%



Baseline (20.3%)


December 2018

METRIC DESCRIPTION: Increase in % discreonary component ofcommunity benefit. Discreonary (Proacve) Community Benefit: Costof health professions educaon, research programs, Subsidized healthservices, Community health improvement service, Community BenefitOperaons, Cash and in-kind contribuons, and Community building.Threshold = Outstanding.


NOTES: (1) Reporng Q4 year-end data. (2) Exclusions: Pac Med,Facey, Heritage (Medical foundaons and physician groups).

YTD Trend forSystem


38


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 525442525442122

7,5006,3007,5006,3002,142

300250300250421

30,00025,50030,00025,50017,557

6,0005,1006,0005,1005,390

1,5001,2601,5001,260276

1,3501,1341,3501,134347

7,3006,2807,3006,2804,879

2,1001,7642,1001,764517

7,5006,4007,5006,4002,187

1,7501,4801,7501,4802,915

2,0251,7002,0251,700880

20017020017087

5,5504,8005,5504,8001,964

1,2001,0001,2001,00024

Total Users of Consumer / Paent Engagement Plaorms (Circle, Xealth, etc.) BE OUR COMMUNITIES' HEALTH PARTNER

Jan 2018

Apr 2018

Jul 2018

Oct 2018

0

10,000

20,000

30,000

ACTUAL

1,200

2,1853,307

4,4055,6536,8728,0959,986

17,557

11,718

15,74613,441



Baseline (10,000)

DATA SOURCE(S): Circle Team. Data from Google Analycs or other future analycs plaorm.

December 2018

METRIC DESCRIPTION: Grow enrollment in Circle, a personalizedmobile applicaon for women and children’s health. Number ofunique users who have created a PSJH Circle account in the past 12months.


NOTES: (1) The System total includes users not assigned to a region.(2) With the excepon of Hoag, the Orange County region will notpromote Circle to expectant moms unl 2020, due to a pre-exisngsoluon.

YTD Trend forSystem


39


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

5.0%3.0%5.0%3.0%9.0%

EBIDA via Incremental Diversified Revenue Sources TRANSFORM OUR FUTURE

May 2018

Jul 2018

Sep 2018

Nov 2018

4.0%

6.0%

8.0%

ACTUAL

5.0%

9.0%

6.5%6.5%

6.5%

3.2%

3.2%

3.2%


YE Threshold (3.0%)


December 2018

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.


NOTES:(1) Data represents December 2018 year-end value.

YTD Trend forSystem


40


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 8756568756562,155

60,45445,34060,45445,34067,465

1971481971480

228,437171,328228,437171,328276,184

51,69238,76951,69238,76953,287

8,7516,5638,7516,5639,843

14,11710,58814,11710,58818,574

16,71912,53916,71912,53922,060

14,95111,21414,95111,21412,259

98,17773,63398,17773,633105,687

21,76016,32021,76016,32024,634

16,71912,53916,71912,53922,060

560420560420555

Digital Experience – Digitally-enabled Paent Interacons TRANSFORM OUR FUTURE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

100,000

200,000

ACTUAL

131,525114,425

276,184

176,402

95,465

23,443

250,577

198,300

78,221

39,61359,700

225,760YE Outstanding (228,437)

Baseline (161,229)


DATA SOURCE(S): Epic. Ongoing reporng against numerator and denominator for Providence, Swedish, and Kadlec will beprovided by Providence Healthcare Intelligence using the same filters applied in establishing the baseline.

December 2018

METRIC DESCRIPTION: By 2022, deliver 2.3 million digitally enabledpaent interacons per year (e.g. Online Scheduling, Telehealth, etc.).Includes appointments made digitally and completed for PSJH viaMyChart, ODHP (primary, specialty), Express Care and other futuredigitally scheduled services. Includes telehealth/virtual visits, a-synchvisit + other new digitally enabled visits. Excludes appointmentsdigitally enabled outside of PSJH via commercial partnerships and/orlicensing of technology to other health systems.


NOTES: Exclusions: Legacy SJH ministries and medical groups areexcluded from the 2018 target. They will be added in 2019 -2022.Digital Medical Encounter excludes Paent-Doctor communicaon viapaent portal. Digitally Scheduled excludes: Televox: bi-direconaltext appts reminder: Confirm/Cancel, QueueDr: enables paents toelect to move to earlier appt if one is available.

YTD Trend forSystem


41


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT 8,3206,6568,3206,65611,002

82,42065,93682,42065,93697,536

260,000208,000260,000208,000390,670

66,30053,04066,30053,04087,337

11,7009,36011,7009,36014,616

19,50015,60019,50015,60014,448

33,55026,84033,55026,84097,553

24,70019,76024,70019,76031,046

64,80051,84064,80051,84097,753

18,20014,56018,20014,56024,640

33,55026,84033,55026,84097,553

5,0004,0005,0004,00010,491

Digital Experience – New MyChart Acvaons

TRANSFORM OUR FUTURE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

100,000

200,000

300,000

400,000

ACTUAL

171,622

390,670

198,574

144,118

230,265

114,487

30,676

267,292

85,758

55,861

298,640


Baseline (1,274)


DATA SOURCE(S): Epic.

December 2018

METRIC DESCRIPTION: By end of 2018 deliver 260,000 new My Chartsign-ups across Providence, Swedish, Kadlec, Facey, St. John andPacMed.


NOTES: (1) Swedish includes PacMed acvaons. (2) Exclusions:Legacy SJH ministries and medical groups are excluded from the 2018target. They will be added in 2019 -2022. Digital Medical Encounterexcludes Paent-Doctor communicaon via paent portal. DigitallyScheduled excludes: Televox: bi-direconal text appts reminder:Confirm/Cancel, QueueDr: enables paents to elect to move to earlierappt if one is available.

YTD Trend forSystem


42


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

480470480470647

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

Jan 2018

Apr 2018

Jul 2018

Oct 2018

500

550

600

650

ACTUAL 588

588

580

477

566

510

512

638647

656655

649

YE Outstanding (480)Baseline (465)YE Threshold (470)

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.

December 2018

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


43


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

9008509008501,752

Advances in Scienfic Research & Publicaons – Publicaons TRANSFORM OUR FUTURE

Jan 2018

Apr 2018

Jul 2018

Oct 2018

0

500

1,000

1,500

ACTUAL

823

701

1,752

949

501

1,130

84

1,496

376

168232

1,346

YE Outstanding (900)Baseline (800)YE Threshold (850)

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.

December 2018

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.


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

YTD Trend forSystem


44


2 of 2 1 of 2 2 of 2 1 of 2 2 of 2System

Shared Svcs

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

Dec 2018

0

1

2

ACTUAL

2Outstanding (2)

Threshold (1)

December 2018

METRIC DESCRIPTION:Threshold (1 of 2) = Framework and Roadmap established for2018-2022. Outstanding (2 of 2) = Threshold plus develop partnershipagreements with technology partners, go to market partners, andbegin to develop the ecosystem. System performance only.

UPDATE FREQUENCY: Annually.

NOTES:

YTD Trend forSystem


45


2 of 3 2 of 3 3 of 3 2 of 3 3 of 3System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

Visibility & Voice – Increase Awareness of PSJH's Mission and Vision for Future of Health Among Idenfied Influencers

TRANSFORM OUR FUTURE

Nov 2018

Dec 2018

2

3

ACTUAL

22

Outstanding (3)

Threshold (2)

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

December 2018

METRIC DESCRIPTION: Increase awareness of PSJH’s mission/vision forthe future of health among idenfied influencers, including electedofficials, large employers, non-for-profit leaders and our communityboard, community ministry board and foundaon board members.Composite metric with three components: Awareness, Favorability,and Stakeholder Management. Threshold – Achievement ofoutstanding in 2 out of 3 of the following metrics: Awareness,Favorability, and Stakeholder Management. Outstanding –Achievement of outstanding in 3 out of 3 of the following metrics:Awareness, Favorability, and Stakeholder Management.

UPDATE FREQUENCY: Annual.


YTD Trend forSystem


46


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

32.0%29.0%32.0%29.0%30.0%

Visibility & Voice – Awareness TRANSFORM OUR FUTURE

Dec 2018

28.0%

30.0%

32.0%

ACTUAL 30.0%


Baseline (27.0%)



December 2018

METRIC DESCRIPTION: Develop and execute survey to determine abaseline by 2/28/18. Based on survey results, determine YE targets for2018-2022. The survey is based on respondents rang the person ororganizaon on a 0-100 scale. The queson reads:“Below are some people or organizaons. Please read each one andrate your feelings with 100 meaning a VERY FAVORABLE feeling, zeromeaning a VERY UNFAVORABLE feeling; and 50 meaning notparcularly favorable or unfavorable. You can use any number fromzero to 100, the higher the number the more favorable your feelingsare toward that person or organizaon." Awareness: % of allrespondents who are able to give any rang for thatperson/organizaon.



YTD Trend forSystem


47


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

17.0%16.0%17.0%16.0%17.0%

Visibility & Voice – Favorability TRANSFORM OUR FUTURE

Dec 2018

15.0%

15.5%

16.0%

16.5%

17.0%

ACTUAL

17.0%YE Outstanding (17.0%)

Baseline (15.0%)



December 2018

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.



YTD Trend forSystem


48


System

Shared Svcs

Home&Comm Care

AK

NCA

OR

SCA

LA

OC-HD

Swedish

TX-NM

WA-MT

NW WA

SW WA

PHC

SE WA

WMT

115110115110115

Visibility & Voice – Stakeholder Management TRANSFORM OUR FUTURE

Nov 2018

Dec 2018

100

105

110

115

ACTUAL

115115

YE Outstanding (115)

Baseline (100)

YE Threshold (110)

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

December 2018

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 15 percent each year thereaer.



YTD Trend forSystem


49

subject to board approval · 2019. 3. 6. · new mychart activations (2018) early phase &...

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