1. Ambulatory Health Information Management HIM Across the Continuum IHIMA Annual Meeting May 11, 2016 Cindy Spann, MIS, RHIA, CHPS, CCS, CCS-P Executive Director Health Information Management

2. About Community: Who we are More than 200 sites of care throughout central Indiana 9 acute and specialty care hospitals (Community Anderson, Community East, Community Howard, Community North, Community South, Community Westview, Community Heart and Vascular, Community Rehabilitation and Community Howard Specialty) 7 Community MedCheck locations (walk-in clinics — 158,000 visits per year) 6 Healthcare Clinics at Select Walgreens (300 patient referrals to Community in first 11 months of affiliation) 11 surgery and endoscopy centers (9 in Indiana and 2 in Michigan) Community Physician Network (600 employed primary care and specialty care providers) Community Home Health (largest home care program in Indiana — caring for 3,300 patients daily) Community Long-Term Care (nursing homes, assisted-living facilities)

3. About Community: Who we are Community ProHealth (PHO/managed care contracting) Community Visionary Enterprises, Inc. (for-profit subsidiary; healthcare ventures) Community Health Network Foundation (fund development/philanthropy) Community Employer Health (employer-based integrated health services) Residency Programs — Family Medicine, Proctology, Podiatry (approximately 48 residents currently enrolled) Medical School Relationships (Indiana University School of Medicine and Marian University College of Osteopathic Medicine)

4. About Community: Statistically speaking Total patient encounters >2 million Hospitals / staffed beds9 / >1,049 Inpatient admissions53,576 Inpatient surgeries12,662 Outpatient visits>1 million Outpatient surgeries82,274 ER visits273,941 Births7,899 Managed lives147,000

5. C About Community: Geographic coverage More than 200 total sites of care in central Indiana Nine acute care and specialty care hospitals Nine ambulatory surgery and endoscopy centers in Indiana Eleven ambulatory pavilions

6. “Deeply committed to the communities we serve, we enhance health and well-being.” About Community: Our Mission

7. About Community: Our Values P atients First: We believe that patients’ needs, and the needs of their families, are our number one priority. R elationships: We are inclusive, working together as partners and teams. I ntegrity: We expect truth-telling and transparency. I nnovation: We foster creativity and openness to new ideas. D edication: We are accountable stewards of the resources entrusted to us. E xcellence: We provide access to a high quality and safe environment of care, known for high performance.

8. “To simply deliver an exceptional experience — with every life we touch.” About Community: Our Vision

9. Vision for HIM at CHNw? Information and medical record management across the continuum Consolidation Standardization Ease of requesting information regardless of site of care IHIMA May 2016

10. Ambulatory HIM Needs/Requests Release of Information Centralized Scanning and/or Indexing Physician chart completion/closing of encounters IHIMA May 2016

11. Ambulatory HIM Needs/Requests Acquisition of new practices Records management (paper/electronic) Abstraction of key data into EMR Migration/assessment of practice EMR Transcription/Editing/Voice Recognition IHIMA May 2016

12. Ambulatory HIM Support Provided by Centralized HIM Division MRN Merging Guarantor Merging Chart Correction Facilitation Minimal Release of Information support/Liaison to external ROI vendor IHIMA May 2016