South East Michigan Beacon Community Collaborative Advancing Quality Healthcare Through National, State and Local Community Collaboration Nancy Schlichting President & CEO, Henry Ford Health System, Detroit MI 1

The Concept of the Beacon Community Care Delivery Innovations Provider Feedback & Measurement Payment Reform HIT Foundation: Meaningful Use of EHRs and HIE Improved Quality & Efficiency The Beacon Program is designed to bring clinical care transformation and improved quality and efficiency to the nation. It is not an HIT/HIE project. Beacon communities build on a solid foundation of health information technology and promote the widespread meaningful use of electronic health records and health information exchange (HIE). The Beacon Program is designed to expand existing community resources to spur innovations in care delivery, provide provider feedback and measurement, and participate in payment reform. After 31 months, the 17 Beacon Communities are expected to provide improved quality and efficiency of care 2 2 2

The Ultimate Goal is Improved Health Sustainable Health Outcomes: Quality, Efficiency, Population Health Innovative Care Delivery Processes and Payment Reform The Beacon Program’s ultimate goal is to produce sustainable health outcomes across the nation - measurable improvements in quality, efficiency and population health. Over the next 31 months, Beacon communities will implement innovative changes in clinical care delivery and will participate in payment reform The technical foundation, interoperable EHRs and HIE, will make this a reality. Health IT: Electronic Health Records and Information Exchange 3 3 3

Beacon Team Detroit: Project Objectives Improve continuity, quality and safety of care for underserved patients with chronic diabetes in Detroit, Hamtramck, Highland Park, Dearborn and Dearborn Heights, Michigan Diabetes has a very high prevalence among the target population: 12.8 percent of adults, or 93,000 people. Redesign patient care work processes Apply quality improvement and other change management strategies to improve the quality and efficiency of diabetes care and reduce cost 4

SE Michigan Beacon Community Collaborative (Team Detroit) Organization SEMHA Executive Committee SEMHIE Board Operations Steering SEMBCC “Team Detroit”: Advisory Boards: National Community Executive Advisory Councils: Payer Purchaser Safety-Net Chronic Disease Clinical Care Coordination; Evaluation & Measurement; Process Redesign; IT & Security; Meaningful Use; Research; Sustainability/ Payment Reform; Community Benefit; Communications Core Teams Team Detroit has strong support from its stakeholder organization CEOs, including the 6 anchor health systems National, Community and Executive Advisory Boards will provide vision, leadership and support to Team Detroit Advisory Councils of payers, purchasers, safety-net providers and chronic disease experts will provide direction and expertise to Team Detroit Community experts will lead the Beacon core teams and participate in ONC communities of practice work Team Detroit Executive Committee: Gary Petroni SEMHA and SEMHIE Board - Fiduciary and Grant Awardee Rob Jackson MD, SEMHIE President – Initial Beacon Executive Director Helen Hill, SEMHIE Program Manager – Initial Beacon Program Director Team Detroit Operations Steering Committee: Denise Holmes MSU* David Foster Thompson Reuters Leland Babitch MD DMC* Jackie Rosenblatt MPRO* Mick Talley University Bank* Paula Smith Oakwood Jeanette Klanow St John Providence Julie Moran Trinity Health Vik Kheterpal MD CareEvolution Nancy Walker Beaumont Joe Fortuna MD PRISM* Verniece Anthony GDAHC Herb Smitherman MD VODI Lucille Smith VODI Laura Kolkman Mosaica Partners* Rob Jackson MD Oakwood Primary Care Physicians** Helen Hill Henry Ford Health System** Gary Petroni SEMHA** ** Exec Committee * Core Team Chair 5

Team Detroit $ 16.2M Beacon Award Grant Awardee: SEMHA, the Southeast Michigan Health Association, is the fiduciary for SEMHIE, the Southeast Michigan Health Information Exchange Beacon Implementation: SEMHIE will implement Beacon through the Southeast Michigan Beacon Community Collaborative (SEMBCC) Beacon Funding: $16.2M ARRA HITECH $27.8M non-federal funds (stakeholder in-kind & cash) Through Beacon and SSA federal contracts, SEMHIE has become a $50M business SEMHIE has several near term growth opportunities (VLER, Medicaid Innovation projects, cyber security) ONC will help interested Beacon Communities get additional federal project opportunities, including virtual ACO community pilots 6

SEMHIE’s Success with State and Federal Grants, Pilots, Contracts State of Michigan Planning Grant $1.2M, April ‘07 - Sept ’09 HIMSS / GSA e-Authentication Six-State Pilot July ‘06 – April ‘07 SSA e-Disability Claims with NHIN CONNECT $3M, 12-month federal contract awarded Feb ’10 ONC BEACON Community Cooperative Agreement $16.2M, 31 month contract awarded Sept. ’10 Additional $28 M in non-federal resources, in-kind donations SEMHIE has a solid record of accomplishment in attracting state and federal funding 7

SEMHIE Leverages Michigan’s Federally-Funded HIE Initiatives MiHIN Shared Services $14.9M ONC State-Level HIE SEMHIE named to Governing Board of New Entity M-CEITA Michigan’s Regional Extension Center Health IT Workforce Training Initiatives Internet2 $60M Broadband Funding Working with I2 leadership 8

Beacon Team Detroit Contacts Gary Petroni, SEMHA, Center for Population Health Director; Fiduciary, Beacon Grant gpetroni@semha.org Robert Jackson, M.D., Chairman, SEMHIE; Initial Beacon Executive Medical Director rjacksonwwp@gmail.com Helen Hill, Program Manager, Public-Private Initiatives, SEMHIE; Initial Beacon Program Director hhill1@hfhs.org 9