1. Bringing Radiologists’ Value Proposition Into Clinical Practice

2. S YED F. Z AIDI, MD P RESIDENT, R ADIOLOGY A SSOCIATES O F C ANTON CEO, R AD H ELP C ALIFORNIA R ADIOLOGICAL S OCIETY A DAPT, S URVIVE, T HRIVE S EPTEMBER 6, 2014 How We Do Imaging 3.0: Better Together

3. D ISCLOSURES CEO: RadHelp, LLC: Consulting and Management Services Company

4. O BJECTIVES RAC and Aultman Hospital: How we are doing Imaging 3.0 together How you can make Imaging 3.0 work in your practice Co-Management

5. R ADIOLOGY A SSOCIATES OF C ANTON Radiology Associates of Canton Aultman Hospital Summa Barberton Hospital Union Hospital Affinity Medical Center Off-Site Imaging Locations RadHelp Private Practice 25 radiologists 550,000 annual procedures Outpatient Centric Population Health Management Community Based Hospitals Academic Medical Center

6. V ALUE -A DDED R ADIOLOGY Incorporated concepts learned from ACR Practice Leaders, EDI, and RLI meetings Value = Outcomes/Cost Better IP coordination Decreased LOS Shift inpatient to outpatient Co-Management Utilization Management Imaging 3.0

7. P ATH T O C OMANAGEMENT RAC at Aultman Hospital since 1971 2010: Rocky relationship with Aultman Rehabilitated relationship by establishing trust with CEO Aultman instituted co-management: both employed and independent Co-management as part of contract renewal, to allow more investment in radiology

8. W HY D O C OMANAGEMENT Align goals and strategic plan Improve relationship Improve quality Improve bottom line for both Drive culture change on both sides Formalize radiologists leadership role Report results up to C-suite and Board level Don’t be taken for granted

9. Partner with Aultman to Form an Imaging Service Line of Excellence Grow Outpatient Market Share Through Outreach with Ordering Physicians Institute Patient Centered Imaging Services Resulting in Improved Patient Experience and Outcomes Build a Common List of Metrics to Measure Performance and Service Partner with AHF and AultCare to Better Prepare for Reimbursement Models of the Future Common Vision RAC Vision AULTMAN Vision

10. S HARED G OVERNANCE S TRUCTURE Imaging Service Line Steering Committee Directors: 4 Hospital / 4 Physicians Service Line Administrator Center Medical Director Imaging Service Line Operational & Quality Committee Residency/Research Physician Leader UM/QA Patient Services “Patient Centered” Physician Leader Strategic Focus (Meets Quarterly) Operational Focus (Meets Monthly) ProviderOutreach Physician Leader

11. C OMPENSATION Year 1Year 2Year 3 Medical Directorship (Hrs) KPIs (Number & Value) INVESTMENT Co Management Model Philosophy Administrative Time + Shared Risk/Reward = Contract Value Initial Investment TIME Yrs 2 & 3 RESULTS Co Management Model Philosophy Administrative Time + Shared Risk/Reward = Contract Value Initial Investment TIME Yrs 2 & 3 RESULTS

12. C O -M ANAGEMENT I NITIATIVES Patient Centered Radiology Clinical coordination: Right Care, Right Time, Right Place Cut LOS, optimize IP utilization Focus on IR Data Mining Clinical outcomes data

13. C URRENT S TATUS Relationship better than ever Great cooperation on workflow Heavy investment in IR Expanding on shared savings concepts LOS, IP coordination Expanding model to other sites Partnering with other hospitals and groups

14. F UTURE More Risk-Sharing Manage More of Dept. Budget Comprehensive Population Health Management Hospital IP UM Working with Local Payer/ACO to Do UM Volume to Value Goal is to manage population efficiently under risk based contracts, with excellent clinical outcomes in a data-driven model

15. F UTURE IS N OW ! Thank you! Contact info: Email: szaidi@radcanton.comszaidi@radcanton.com Twitter: @zaidirad Website: RadHelpLLC.com

16. 16 Radiologyleaders.org