Are you in the CMS Bundled Payments for Care Improvement Initiative or the CMS Shared Savings ACO? Yes No

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1 Executive Poll # 1

2 Are you in the CMS Bundled Payments for Care Improvement Initiative or the CMS Shared Savings ACO? Yes No

3 Are you pursuing bundled payments with a commercial payer or an ACO with a commercial payer? No Yes

4 Have you already implemented or expect to offer a health plan in at least one of your markets? No Yes

5 How engaged is your staff in the move from volume to value? Fully committed Moderately committed Modestly involved Uninvolved

6 What is your current approach to population health? We are conducting small scale pilots with small populations We are in the design stages of a population health program We are targeting certain populations where we can generate the most benefit We have analytic tools and have fully coordinated operations to address community health We have no approach

7 Where are you in the evolution of transforming care models, population health and payment mechanisms? Early in the process of changing clinical models and accepting new payment models Modest progress in changing clinical delivery and taking on new payment models Significant progress in implementing models and accepting new payment models

8 Where do you see the biggest change in the delivery of care at your health system during next year? Converting acute care beds/space to other uses Deeper investments in telemedicine Establishing partnership with retail clinics or urgent care centers Expansion of ACO investments Merger with another health care provider/health plan

9 Where do you see your most likely partners in the next year to improve the continuum of care? A hospital ACO Ambulatory surgery Clinics Health plans Home health other Physician practices/groups Retail pharmacy Skilled nursing facility

10 Executive Poll # 2

11 In the realm of using data and analytics, where do you see your organization? 26% 36% Our data is a tool that is shaping healthcare decisions to improve clinical quality, but we could use it more effectively Our data is helping our organization with predictive modeling and it is shaping strategy and population health efforts We are drowning in data and are not managing it very well 21% 17% We are setting objectives about the best way to use it and are developing a program to use data & analytic tools

12 In your healthcare IT purchasing, how would you describe your approach? 12% We believe in best of breed even if it requires dealing with several vendors 42% We focus on a limited number of vendors 46% We use a combination of approaches

13 What factors are you using in developing your approach to IT outsourcing? 8% 3% 7% Considering outsourcing, but have not developed the approach yet Not considering it at all 29% Seeking to improve ability to effectively address clinical and business requirements Seeking to improve cost 53% Seeking to improve speed

14 1% Where are you making your biggest investments in information technology? 22% 3% 1% 2% 1% 12% 1% Claims analytics Consumer facing IT (social media, portals, home care, mobile) Cyber security Data & analytic tools Data Center/network Electronic health records HR/Finance/administration Telemedicine/eHealth Detailing the cost of care 30% Improving clinical quality 21% No significant benefit 3% 2% 1% Reconciling the cost and quality of care Other

15 Where do you see the biggest benefit from advanced or predictive analytics? 4% 6% Detailing the cost of care Improving clinical quality No significant benefit 46% 42% Reconciling the cost and quality of care Other 2%

16 Where have you been most challenged by your investment in IT? 4% 3% 3% 5% 1% 4% Claims analytics Consumer facing IT (social media, portals, home care, mobile) Contact center/call center Cyber security 36% Data & analytic tools 39% Data Center/network Electronic health records 5% HR/Finance/administration

17 Which investments outside the hospital do you see yourself making in IT? 3% ACOs 27% Home health Other 47% Pharmacy care 9% Physician partnerships 8% 6% Skilled nursing care