1. FPP TRAINING UPDATE

2. Training Dates by Go-Live 2 BJC Medical Group Super User Training Begins March 2017 Training Begins April 2017 Go Live 6/1/2017 Boone Hospital Super User Training Begins June 2017 Training Begins June 2017 Go Live 8/5/2017 Christian Hospital Alton Memorial Hospital Barnes-Jewish St. Peters Hospital Progress West Hospital Super User Training Begins September 2017 Training Begins October 2017 Go Live 12/2/2017 Missouri Baptist Medical Center Parkland Health Center Missouri Baptist Sullivan Hospital Super User Training Begins November 2017 Training Begins December 2017 Go Live 2/3/2018 Barnes Jewish Hospital Barnes-Jewish West County Hospital St. Louis Children’s Hospital Faculty Practice Plan Super User Training Begins Feb/Mar 2018 Training Begins March 2018 Go Live 6/2/2018

3. Go-Live Support Credentialed Trainers for Non-Providers Credentialed Trainers for Providers End User Training Faculty Practice Plan Training Timeline 2018 Super User Training 1/1/181/20/182/26/183/17/186/2/18

4. Faculty Practice Plan Training Room Needs 2018

5. Provider Training Tracks 5 Ambulatory 9.5 Hours General eLearning 2 Hours Ambulatory eLearning 1.5 Hours Ambulatory Classroom Training 4 Hours Ambulatory Personalization Lab 2 Hours Ambulatory Access Ambulatory eLearning 1.5 Hours Ambulatory Personalization Lab 2 Hours Ambulatory Classroom Training 4 Hours Ambulatory Access Inpatient eLearning 1 Hour Inpatient Classroom Training 4 Hours Inpatient Access Inpatient Personalization Lab 1 Hour Ambulatory & Inpatient 15.5 Hours General eLearning 2 Hours Inpatient 9 Hours Inpatient eLearning 1 Hour Inpatient Classroom Training 4 Hours Inpatient Personalization Lab 2 Hours Inpatient Access General eLearning 2 Hours Example: Primary Care/Internist Provider training track (all times are approximate) Note: Prep and classroom times are estimates

6. Example of Non-Provider Training Tracks Ambulatory Nurse 8 Hours Schegistrar 15 Hours Classroom: 7 Hours Coders 21 Hours eLearning: 1 Hour Classroom: 13 Hours eLearning: 2 Hours Classroom: 19 Hours eLearning: 2 Hours 6 Note: Classroom times are estimates

7. Training Lead Charles Albach Training Lead Charles Albach Training Supervisor Kelly McBride (Ambulatory/Ancillary/Revenue Cycle ) Training Supervisor Kelly McBride (Ambulatory/Ancillary/Revenue Cycle ) Training Supervisor Laurie Brown (Inpatient/Ancillary) Training Supervisor Laurie Brown (Inpatient/Ancillary) Training Team Leads

8. Create training templates Review curriculum for formatting and content Track eLearning completion Assess eLearning requests Create training templates Review curriculum for formatting and content Track eLearning completion Assess eLearning requests LMS Administrators and reporting Assist in building training environment Teach registration class for end user signup Schedule end user training LMS Administrators and reporting Assist in building training environment Teach registration class for end user signup Schedule end user training Principal Trainers eLearning Specialists Training Coordinators Training Team Roles Develop curriculum Build training environment Train and supervise the credentialed trainers Train super users and end users Develop curriculum Build training environment Train and supervise the credentialed trainers Train super users and end users

9. Training Role Definitions Principal Trainers – Full-time HIP employee – Develop Curriculum – Build training environment – Train and supervise the Credentialed Trainers – Train Super Users and end users if needed Provider Educator – Existing BJC/Washington University providers and staff, private medical staff, and community physicians – Physicians, residents, fellows, mid-level clinicians, RNs, and non-clinicians with deep understanding of specialty workflow – We will utilize approximately 32 hours of onboarding – Expert resource at go-live Credentialed Trainers – BJC/Washington University, private medical staff and contract employees (full-time HIP employees) – Reports to principal trainers – Attend 6 – 9 weeks of training-Credentialed by Epic and HIP Training Leadership – Assist Provider Educators in the classroom – Teach non-provider classes and administer end user proficiency assessments Super Users – Existing BJC/Washington University employees and physicians, private medical staff, and community physicians – Reports to Operational Readiness Team – Attend Super User specific training 2 weeks before end user training begins – Assist Credentialed Trainers in the classroom (Super Users do not teach classes) – Will serve as go-live support Elbow-to-Elbow Support – Contract employees who provide support during go-live – Usually on-site for 8-10 days during go-live

10. eLearning eLearning Assessment Classroom Training Classroom Assessment Personalization Lab (EUPA) Access Review required eLearnings Successfully complete the eLearning proficiency assessment(s) with at least an 80% at the end of each module Successfully complete proficiency assessment with at least an 80% at the end of each classroom training Successfully complete an End User Proficiency Assessment (EUPA) administered during the Personalization Lab End users will have the necessary skills to navigate and document in the system Attend all required classroom training Steps to Epic Provider Access 10

11. eLearning Classroom Training Classroom Assessment Practice in Playground Environment Log-in Lab (EUPA) Access Review pre- requisite eLearnings Attend all required classroom training Upon completing eLearning and classroom training it is encouraged that employees practice in the playground prior to completing their End User Proficiency Assessment (EUPA) Successfully complete a EUPA and setup access prior to go-live Employees will have the necessary skills to navigate and document in the system Successfully complete proficiency assessment with at least an 80% at the end of each classroom training Steps to Epic Non-Provider Access

12. First view of end-to-end course content Pre-requisite eLearnings completed prior to attending class Training begins 8-10 weeks before Go-Live All physicians receive specialty focused training, regardless of experience Maintains end user proficiency Pilot eLearning End User Provider Thrive Types of Training

13. Specialist Training Specialist

14. Overview: Specialists Training Specialists Providers deliver training to providers in their specialty The providers delivering training consist of well-respected physicians, nurse practitioners/residents and clinicians selected from within each site’s specialty The assumption is that an expert in the specialty can answer and address the workflow questions most effectively Epic has developed specialty-based classes (called Training Tracks) that include course curriculum for 50 unique specialties 14

15. Provider Educator Definition Provider Educator – Existing BJC/Washington University employees – Physicians, specialized residents, fellows, mid-level clinicians, RNs, non-clinicians with deep understanding of specialty workflow – Expert resource at go-live 15

16. Who will be trained as a provider? For HIP implementation training, the term “Provider” includes all licensed independent practitioners including, but not limited to: – Physicians (MD/DO) – Nurse Practitioners (NP) – Physician Assistants (PA) – Audiologists – Optometrists – Podiatrists – Certified Registered Nurse Anesthetists (CRNA) 16

17. Example: Provider Educator Training Timeline 17 Onboarding Provider Educator Kick-off 1 hour Review curriculum Content 6 hours Watch Provider eLearnings 2 hours 9 Hours over 28 Weeks Average hours per week:.5 hrs. Education & Preparation Pilot Education Sessions 5 hours Independent study & practice 12 hours One-on-One/Small Group practice 5 hours Co-training expectation settings 1 hour 23 Hours over 10 Weeks Average hours per week: 2.3 hrs. Training Train Provider Super Users 8 hours Train End Users 20 hours 28 Hours over 12 Weeks Average hours per week: 2.3 hrs. Prep Time: 32 hours Training: 28 Hours Note: Prep and classroom times are estimates July 2017June 2018

18. Approved Compensation for Provider Educators Compensation funded through HIP Compensation model below calculated using the following estimates per hour – 32 hours prep and 28 hours training $150 Attending Physician $ 85 Fellow, Resident, Nurse Practitioner, Physician Assistant, other Provider $ 50 Non-provider Lump sum for prep and flat fee per classroom training Note: Prep and classroom times are estimates Preparation (32 hours)Classroom Training (4 hours) Attending Physician $4,800 for prep$600 per class Fellow, Resident, Nurse Practitioner, Physician Assistant, other Provider $2,720 for prep$340 per class Non-Provider $1,600 for prep$200 per class

19. Go-Live Support Credentialed Trainers for Non-Providers Credentialed Trainers for Providers End User Training Faculty Practice Plan Training Timeline 2018 Super User Training 1/1/181/20/182/26/183/17/186/2/18