1. 1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Committee Kick-Off Meeting March 2015

2. 2 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Welcome & Introductions PPS Overview & Organizational Structure DSRIP Updates Progress To Date Implementation Plan Committee Purpose Implementation Plan Draft – Review Revision process Resources Next Steps » Implementation Plan – Final Submission (April 1, 2015) » Next Committee Meetings Agenda

3. 3 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Executive Committee Executive Committee PAC AuditCompliance PPS Organizational Structure *Sub-Committees & Workgroups will be formed as needed. NYHQ NYHQ Lead Hospital Practitioner Engagement NYHQ Board of Directors Cultural Comp & Health Literacy Long Term Care High Risk Population Behavioral Health & Primary Care Integration Communications Workforce IT & Performance Reporting Clinical Integration & Population Health Mgmt Finance PMO PMO

4. 4 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. PPS Org Structure: Committees

5. 5 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. CNA Completed & Projects Selected – DSRIP Updates

6. 6 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DSRIP Plan – December 2014 Scale & Speed – January 2015 Implementation Plan – April 2015 Actualization of Plans – Begin April 1, 2015 DSRIP Updates Documents Available: -DSRIP Applications -Scale & Speed by Project -Implementation Plan Draft Current State

7. 7 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DSRIP Updates Distribution Year QuarterReporting PeriodQuarterly Report Due Payment Date Project Plan & Implementation PlanN/AApril 20, 2015 DY1 - Q2April 1, 2015 - June 30, 2015July 31, 2015October 29, 2015 DY1 - Q3July 1, 2015 - September 30, 2015October 31, 2015 April 1, 2016 DY1 Q4October 1, 2015 - December 31, 2015January 31, 2016 DY2 - Q1January 1, 2016 - March 31, 2016April 30, 2016 October 1, 2016 DY2 - Q2April 1, 2016 - June 30, 2016July 31, 2016 DY2 - Q3July 1, 2016 - September 30, 2016October 31, 2016 April 1, 2017 DY2 - Q4October 1, 2016 - December 31, 2016January 31, 2017 DY3 - Q1January 1, 2017 - March 31, 2017April 30, 2017 October 1, 2017 DY3 - Q2April 1, 2017 - June 30, 2017July 31, 2017 DY3 - Q3July 1, 2017 - September 30, 2017October 31, 2017 April 1, 2018 DY3 - Q4October 1, 2017 - December 31, 2017January 31, 2018 DY4 - Q1January 1, 2018 - March 31, 2018April 30, 2018 October 1, 2018 DY4 - Q2April 1, 2018 - June 30, 2018July 31, 2018 DY4 - Q3July 1, 2018 - September 30, 2018October 31, 2018 April 1, 2019 DY4 - Q4October 1, 2018 - December 31, 2018January 31, 2019 DY5 - Q1January 1, 2019 - March 31, 2019April 30, 2019 October 1, 2019 DY5 - Q2April 1, 2019 - June 30, 2019July 31, 2019 DY5 - Q3July 1, 2019 - September 30, 2019October 31, 2019 April 1, 2020 DY5 - Q4October 1, 2019 - December 31, 2019January 31, 2020 First Due Date

8. 8 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Develop a structure for collaboration to focus on organizational functions and project implementation and outcomes specific to DSRIP deliverables according to the need of PPS partners and the community they serve. Committees will: Committee Purpose Refine & finalize Implementation Plans – Due April 1, 2015 High level milestones / Risks & Mitigations / Financial Milestone Dates Develop plans for actualization of functions or projects Project Plans Budgets Partner Expectations Engage key-stakeholders specific to project or function need Provide guidance for best practice standards & evidence based medicine protocols Recommend strategies or policies to the Executive Committee Establish monthly reporting expectations & communication channels for progress updates Partner with PMO to monitor monthly & quarterly deliverables Create workgroups to continue development or implementation

9. PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan Document Review

10. 10 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Current State Analysis

11. 11 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: IT Governance

12. 12 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Data Sharing

13. 13 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Data Sharing

14. 14 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Risk 1: Partners with varying IT infrastructures; some including paper based systems Mitigation: Identify funding sources, in addition to DSRIP funding, for potential IT upgrades or new system implementation Risk 2: Lack of approval for capital budget (CRFP) funding for PPS/partners Mitigation: Implement a performance based system that will heavily incentivize those providers who require a capital outlay to meet requirements Risk 3: Negative reaction of staff and / or practitioners due to system changes which will affect outcomes Mitigation: Build a robust training program that aligns with Workforce, Cultural Competency, and Communication committees Risk 4: High demand on the PPS RHIO partner which could impact timelines or outcomes Mitigation: Appoint RHIO representative to the IT Committee, establish quarterly RHIO and partner meetings, and ensure transparency of all IT plans and timelines Implementation Plan: Risks & Mitigations

15. 15 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. IT infrastructure is fundamental to all DSRIP work streams in order to achieve milestones, project requirements, metric improvements, and reductions in hospital utilization. Implementation Plan: Dependencies

16. 16 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Roles & Responsibilities

17. 17 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan: Stakeholders

18. 18 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. The PPS will implement standardized monthly reporting expectations for all workflows utilizing consistent tools and reports that outline expectations to the project, milestone, metric, and requirement level. Reporting will be a bottom-up model that feeds directly from patients, providers, and staff and will be leveraged as an accountability tool for the Executive Committee. A project management tool is under review and will be purchased based on finalized budget planning. Implementation Plan: Progress Reporting

19. 19 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. DY2 Q1 Develop Data Security & Confidentiality Plan DY2 Q2DY2 Q3 Perform Current State Analysis DY2 Q4 DY 3 Q1DY3 Q2 Develop IT Change Management Strategy DY3 Q3DY3 Q4 Implementation Plan Milestones

20. 20 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ Project Management Office (PMO) – Maria D’Urso – mda9005@nyp.orgmda9005@nyp.org Louisa Low – lil9084@nyp.orglil9084@nyp.org Crystal Cheng – crc9038@nyp.orgcrc9038@nyp.org NYHQ PPS Website - http://www.nyhq.org/dsripppshttp://www.nyhq.org/dsrippps NYS DSRIP Website - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/ https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/ Applications - https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_applicati ons/ https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_applicati ons/ Resources

21. 21 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Implementation Plan Revision Committee Feedback KPMG Feedback Committee Meetings Additional Members Implementation Plan Finalization Actualization Planning First Quarter Deliverable – Q2 DY1 Next Steps

22. PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. Questions?