OUMS Pillar Goal Update February 15, 2013

OUMS – Voluntary Turnover Rate (FT/PT) GOAL = Decrease OUMC-wide Voluntary FT/PT Turnover to 15% or less The Children’s Hospital Based 15.7%13.6%19.1%20.0% Women’s & Newborn Based 10.1%11.1%14.3%14.9% OU Medical Center Based 21.8%22.0% 22.6% Outpatient & Campus-Wide Ancillary/Support Departments 10.3%12.4%11.9%12.3% OUMC OKC Overall 15.2%15.7%16.9%17.5% OUMC Edmond Overall 19.2%20.0% OU Medical System 17.1%17.8%

OUMS – Employee Engagement GOAL = Achieve employee engagement of 75% or greater

OUMS – Employee Engagement GOAL = Achieve employee engagement of 75% or greater

OU MEDICAL SYSTEM HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q Q Q Q Q Q 2012 HCAHPS 75 TH 90 TH Nursing Communication 75%77%78%77%76%74% 81%84% Physician Communication 82% 84%82% 81% 84%88% Responsiveness 60%62%61%60% 57% 71%77% Pain Management 70%72%71%70%73%68% 73%76% Medication Communication 64%68%66%67% 65% 70% Cleanliness 67%66%68%65%66%64% 77%82% Quietness 67%65% 64% 66%73% Discharge Information 86%88%90%88%87% 86%89% Overall Rating (% top 2 box) 68%70%69%70% 66% 74%80% Willingness to Recommend 73% 72% 75%71% 77%82% Care Transition 52%55% HCA % Top Box: 50% GOAL = Achieve 75 th percentile or greater in “Overall Rating of this Hospital”

OU MEDICAL CENTER HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q Q Q Q Q Q 2012 HCAHPS 75 TH 90 TH Nursing Communication71%76%77%73%74%71%81%84% Physician Communication77% 82%79% 76%84%88% Responsiveness53%55%56%53%54%46%71%77% Pain Management61%65%70%66%70%62%73%76% Medication Communication58%68%65%58%64%62%65%70% Cleanliness64%63% 58%62% 77%82% Quietness60%52%53%49%57%54%66%73% Discharge Information85%88%91%86% 84%86%89% Overall Rating (% top 2 box)62%65% 63%66%59%74%80% Willingness to Recommend68%71%65%63%69%66%77%82% Care Transition51% HCA % Top Box: 51%

CHILDREN’S HOSPITAL HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q Q Q Q Q Q 2012 HCAHPS 75 TH 90 TH Nursing Communication77%81% 82%80%81% 84% Physician Communication82%89%87%86%85%89%84%88% Responsiveness55%63%66%63%66%60%71%77% Pain Management72%71%74%72%75% 73%76% Medication Communication66%68%69%75%70%73%65%70% Cleanliness67%71%73%71%72%68%77%82% Quietness65%72% 68%65%63%66%73% Discharge Information91%92%93%91% 92%86%89% Overall Rating (% top 2 box)72%75%72%69%76%71%74%80% Willingness to Recommend79%81%77%80%83%82%77%82% Care Transition57%59%HCA % Top Box: 51%

WOMEN’S HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q Q Q Q Q Q 2012 HCAHPS 75 TH 90 TH Nursing Communication78%77% 79%77%76%81%84% Physician Communication85%84% 85%82%80%84%88% Responsiveness67%74%66%72%66%69%71%77% Pain Management74%78%70%73%77%72%73%76% Medication Communication71%74%72%76%68%63%65%70% Cleanliness68%63%69%68% 63%77%82% Quietness75% 73%77%73%74%66%73% Discharge Information84%85%89%90%87% 86%89% Overall Rating (% top 2 box)72% 71%76%73%71%74%80% Willingness to Recommend74%73%75%78%77%71%77%82% Care Transition51%57%HCA % Top Box: 51%

OUMC EDMOND HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q Q Q Q Q Q 2012 HCAHPS 75 TH 90 TH Nursing Communication77%70%77%72%76%65%81%84% Physician Communication84%82%81%80%81%83%84%88% Responsiveness70%58%59%52%57%51%71%77% Pain Management78%69%74%70%69%67%73%76% Medication Communication59%58%55%60%64%59%65%70% Cleanliness74%69%66%68%65%64%77%82% Quietness64%60%66%70%60%61%66%73% Discharge Information85%84% 86% 85%86%89% Overall Rating (% top 2 box)70%69%66%72%67%65%74%80% Willingness to Recommend74%67%74%67%70%61%77%82% Care Transition52%51%HCA % Top Box: 50%

OUMS – Risk Adjusted Mortality Index GOAL = Decrease mortality rate to CHOIS benchmark or less

DOWNTOWN - Core Measures GOAL = Maintain performance at top 10 th percentile on publicly reported Core Measures CORE MEASURES OUMC 90th Percentile1Q122Q123Q124Q12 Acute Myocardial Infarction (AMI) 100% Heart Failure 100%99.38%99.23%99%100% Pneumonia 99.10%99.30%97.47%100.0%97.1% Surgical Care Improvement (SCIP) 99.47%97.82%99.20%98.54%98.58% Immunizations 97.5%95%100%96.7%99.2% Outpatient SCIP 99.5%97.97%99.4%100%99.3% TCH /Womens 90th Percentile1Q122Q123Q124Q12 Asthma Care: Composite Score NA98.3%98.6%92.7%97.7% Immunizations TCH 97.5%51.2%NA33.0%98.0% Perinatal Core Measure No Elective Delivery: Wks 100% 94%92%100% Antenatal Steroids 100% Exclusive Breast Milk Feedings 80%32.4%45.5%32.4%38.7% Ceasarean Section Rate (HCA Avg) 50.62%29.5%9.4%15.1%17.8% Immunizations: Women's 97.5%0%59%0%98%

EDMOND - Core Measures GOAL = Maintain performance at top 10 th percentile on publicly reported Core Measures CORE MEASURES OUMC-Edmond 90th Percentile1Q122Q123Q124Q12 Acute Myocardial Infarction (AMI) 100% Heart Failure 100%96.77%100%93%100% Pneumonia 99.10%100% Surgical Care Improvement (SCIP) 99.47%98.33%98.81%99.55%99.35% Hospital Based Inpatient Psych 97.35%98.05%98.48%100% Immunizations 97.5%95%100%92%94.44 Outpatient AMI 100.0%100%85.71%100% Outpatient SCIP 99.5%94.74%100.0% 98.8%

DOWNTOWN – Hospital Acquired Conditions GOAL = Maintain Composite HAC rates to the target level or lower Hospital Acquired Conditions OUMCGoal 1Q122Q123Q124Q12 Retained Foreign Body00010 Air Embolism00000 Blood Incompatibility00000 Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection TCH 1Q122Q123Q124Q12 Retained Foreign Body00000 Air Embolism00000 Blood Incompatibility00000 Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection 00000

EDMOND – Hospital Acquired Conditions GOAL = Maintain Composite HAC rates to the target level or lower Hospital Acquired Conditions OUMC-Edmond 1Q122Q123Q124Q12 Retained Foreign Body00000 Air Embolism00000 Blood Incompatibility00000 Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection 00101

OUMS – Hospital Adjusted Admissions Goal = Increase Adjusted Hospital Admissions to 100% of budget or greater Result = 101.6%

OUMS – Hospital Adjusted Admissions Goal = Increase Adjusted Hospital Admissions to 100% of budget or greater Result = 101.6% *Adult Includes Women’s Admissions

OUMS – Budgeted EBITDA Goal = To Achieve 100% of Budgeted EBITDA Result = 86.9% Earnings Before Interest, Taxes, Depreciation and Amortization 2012 YTD Budget OKC114,546118,546101,340110,438 Edmond7,1687,1717,5028,781

OUMS - Key 2013 Response Better Aligned Organizational Structure Retooled Process for Leadership Engagement Redeployed & Restructured Excel Program Enhanced, Structured, and Transparent Focus on Culture of Quality & Safety System-Coordinated, but Hospital-Driven Strategic Growth Plans