1. ©2007 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting #4 & #5 July 18, 2007 Heartland Regional Medical Center CONNECT SI Frank Knott, President ViTAL Economy, Inc. Fknottmd@earthlink.net Joe Visker, SIUC Graduate Assistant Connect SI- Health COI jvisker@siu.edu

2. ©2007 ViTAL Economy, Inc. 2 Agenda – Healthcare COI Meeting #4 & #5 1:00 PM - Welcome, Introductions, Meeting Objectives, COI Leaders Update 1:10 PM - Purpose of Milestone #4 and Milestone #5 1:20 PM - Overview of Connect SI COI Goals & Link to Health COI 1:45 AM - Heath COI Goal Team and Physician Progress Reports Health Outcomes Critical Skills Profitability Physician Connectivity 2:30 PM - Broadband Action Agenda Addressing Milestone #4 Requirements 3:00 PM - Breakout of goal teams to address Milestone #5 strategy integration 3:45 PM - Next Steps, Final Phase 1 Meeting Date - Wks of Sep 17 or Oct 15 4:00 PM - Adjourn

3. ©2007 ViTAL Economy, Inc. 3 Healthcare COI Phase 1 Planning Cycle 1 - Organize COI, Issue ID, Priorities & Goal Setting Jul - Sep 2006 Milestone 1b Leadership MtgSeptember 21, 2006 Milestone #1b COI Meeting October 24, 2006 2 - Establish Goal Setting Teams and Set Team Work Plans Dec 2006-Feb 2007 Review Health Economic Model, Gap Analysis Action Team MeetingsJan 2006-Mar 2007 Milestone #2b COI Meeting Mar 2007 3 - Begin Value Chain Mapping, ID & Quantify Mar - Apr 07 Connectivity Implications for Healthcare Providers and PatientsMay 23, 2007 Goal and Action Team Meetings May-July 2007 4 - Prioritize & Define COI Connectivity Requirements May - Sept 07 Tele-Health Applications & Value Propositions 5- Develop & Quantify COI Economic & Jobs Strategy July-Sept 07 Connect COI Strategy to Connect SI Regional Strategy Health COI Milestone #5 COI strategy will be integrated with other COI strategies by Oct 2007

4. ©2007 ViTAL Economy, Inc. 4 Current Healthcare COI Vision Statement Supporting the collaboration and interconnection among healthcare providers and patients to improve: m Healthcare access m Health outcomes m Provider profitability m Through a qualified healthcare workforce in Southern Illinois

5. ©2007 ViTAL Economy, Inc. 5 Milestone #4 Prioritize opportunities to connect providers and users of Healthcare resources. Maximize interaction of providers, patients and/or patient information and diagnostics without regard to geographic location, distance and time. Demonstrate how broadband connection of health resources can enable the improvement of health outcomes and sharing of resources. Establish broadband connectivity plan for the connection of all SI health resources Purpose of Milestone #4 & #5 Milestone #5 Quantify the impact of Health COI goals and strategies. Develop a clear linkage of them to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy. This is intended to improve policy makers understanding of the economic impact of Healthcare as an economic attraction resource for business as well as an economic growth engine rather than just a social service

6. ©2007 ViTAL Economy, Inc. 6 Overview of Connect SI Regional COI Goals & Link To Health COI Goals

7. ©2007 ViTAL Economy, Inc. 7 Strategic Relationship Between Milestones Milestone #1 Foundation Establish Leadership Issues of Challenge and Opportunity Define Sense of Urgency Determine specific goals What is worth the commitment of time and treasure? Uncover short term opportunities Foundation Establish Leadership Issues of Challenge and Opportunity Define Sense of Urgency Determine specific goals What is worth the commitment of time and treasure? Uncover short term opportunities Milestone #2 Discovery Identification of key industries Indigenous Resources Industry Value Chain Mapping Identification of industry trends Climate in innovation Pursue and achieve short term wins Discovery Identification of key industries Indigenous Resources Industry Value Chain Mapping Identification of industry trends Climate in innovation Pursue and achieve short term wins Milestone #3 Connect Analyze discovery and mapping Recognize discoveries Determine how to leverage key industries and assets for economic benefit Connect Analyze discovery and mapping Recognize discoveries Determine how to leverage key industries and assets for economic benefit

8. ©2007 ViTAL Economy, Inc. 8 Southeastern COI Goals Southeastern Region (23 Feb 2007) Baseline 2012 Same Trend 2012 Goal Change vs. Baseline Change vs. 2012 Same Population (2004)49,46547,83356,000+13.2%+17.1% Employable Population (16-64) (2000) 31,11530,37336,400+17.0%+19.8% Labor Participation (16-64) (2000)63.4% 70.0%+10.4% Employed 2004 All Ages21,90319,25625,500+16.4%+32.4% Average Wage 2004$27,494$35,604$40,206+$12,782+$4,672 Total Region Wages 2004$602.2m$685.6m$1,027m+$424.8m+$341.4m Determination of specific measurable, wage and employment goals from change in regional wages vs. 2012 trend NEW JOBS: 3,746 WAGE: $43,500 $163.0m NEW JOBS AT AVERAGE WAGE: 2,498 WAGE: $40,276$100.6m IMPROVEMENT OF EXISTING JOBS: 4,381 WAGE: $5,000$21.9m CLIMATE OF ECONOMIC OPPORTUNITY: $56.0m

9. ©2007 ViTAL Economy, Inc. 9 Greater Egypt COI Goals * Jobs are the result of action plans related to industry cluster and workforce development strategies. Greater Egypt Region (23 Feb 2007) Baseline 2012 Same Trend 2012 Goal Change vs. Baseline Change vs. 2012 Same Population (2004)253,049258,869274,432+8.45%+6.0% Employable Population (16-64) (2000) 164,134167,909179,238+9.2%+6.8% Labor Participation (16-64) (2000)66.0% 71.0%+7.6% Employed 2004 All Ages134,685140,340157,787+17.2%+12.4% Average Wage 2004$27,830$35,765$40,765+$12,935+$5,000 Total Region Wages 2004$3,748m$5,019m$6,432m+$2,684m+$1,413m Determination of specific measurable, wage and employment goals from change in regional wages vs. 2012 trend NEW JOBS:* 10,468 WAGE: $43,500 $455.4m NEW JOBS AT AVERAGE WAGE:* 6,979 WAGE: $40,765$284.5m IMPROVEMENT OF EXISTING JOBS:* 26,937 WAGE: $5,000$134.7m CLIMATE OF ECONOMIC OPPORTUNITY: 1,300 KBE Firms $538.4m

10. ©2007 ViTAL Economy, Inc. 10 Southern Five COI Goals Southern Five Region (23 Feb 2007) Baseline 2012 Same Tren d 2012 Goal Change vs. Baseline Change vs. 2012 Same Population (2004)58,64453,97163,000+7.4%+16.7% Employable Population (16-64) (2000) 35,88733,01440,950+14.1%+24.0% Labor Participation (16-64) (2000)62.8% 71.0%+13.1% Employed 2004 All Ages24,31725,55026,856+10.4%+5.1% Average Wage 2004$27,959$35,980$37,591+$9,632+$1,611 Total Region Wages 2004$679.9m$919.3m$1,010m+$329.7m+$90.3m Determination of specific measurable, wage and employment goals from change in regional wages vs. 2012 trend NEW JOBS: 784 WAGE: $43,500 $34.1m NEW JOBS AT AVERAGE WAGE: 522 WAGE: $36,517$19.6m IMPROVEMENT OF EXISTING JOBS: 4,863 WAGE: $5,000$24.3m CLIMATE OF ECONOMIC OPPORTUNITY: $12.2m

11. ©2007 ViTAL Economy, Inc. 11 Greater Wabash COI Goals Greater Wabash Region (23 Feb 2007) Baseline 2012 Same Trend 2012 Goal Change vs. Baseline Change vs. 2012 Same Population (2004)51,42149,56153,000+3.1%+6.9% Employable Population (16-64) (2000) 31,98030,77732,913+2.9%+6.9% Labor Participation (16-64) (2000)71.1% 72.5%+1.97% Employed 2004 All Ages26,40025,44527,746+5.1%+9.0% Average Wage 2004$26,311$33,671$36,517+$10,206+$2,846 Total Region Wages 2004$694.6m$856.8m$1,013m+$318.9m+$156.4m Determination of specific measurable, wage and employment goals from change in regional wages vs. 2012 trend NEW JOBS: 1,381 WAGE: $43,500 $60.1m NEW JOBS AT AVERAGE WAGE: 920 WAGE: $36,517$33.6m IMPROVEMENT OF EXISTING JOBS: 5,280 WAGE: $5,000$26.4m CLIMATE OF ECONOMIC OPPORTUNITY: $36.4m

12. ©2007 ViTAL Economy, Inc. 12 >$2 Billion New Annual Wages 41,461 Existing Jobs >$5,000/Yr 27,298 New Hi-Wage Jobs $642 Million New KBE Activity 1,600+ Firms +4500 Families with Healthcare Coverage Lift 10,000 Citizens Out Of Poverty $200 Million Information Technology Investment Current Milestone #4B Regional COI Activity National Economic Trends Global Market Trends Connect SI Indigenous Resources and Assets Breakthrough Opportunities Industry Cluster Priorities Diversification Strategy Strategic Thinking& Priorities

13. ©2007 ViTAL Economy, Inc. 13 Potential Impacts of New Health Positions: 30% of Regional COI High Value Job Goals (27,298) JobsEarningsGDPOutput Direct SI impacts4,676$214,688,145$260,284,263$469,835,750 Indirect and induced2,408$75,371,406$156,289,685$253,371,221 TOTAL7,084$282,265,193$424,506,066$688,193,978 Indirect Employment: Employment in down-stream industries that result from the presence of a particular business, activity or industry. Indirect employment is generally generated in industries that supply or provide services the direct business, activity or industry. Induced Employment: Employment generated because of expenditures made by individuals employed directly or indirectly by the particular business, activity or industry. Source: Calculated using BEA RIMS II multipliers

14. ©2007 ViTAL Economy, Inc. 14 Connect SI - Preliminary Industry Cluster Priorities 1.KBE 2.Tourism 3.Agriculture 4.Healthcare Technology Products & Services 5.Advanced Manufacturing 6.Energy 7.Mining Technology 8.Education & Training 9.Transportation, Logistics & Warehousing 10.Senior Living 11.Recreational Products & Technologies 12.Creative & Performing Arts and Services 13.International Incubation and Innovation All New Jobs Created By Industry Clusters Will Be Targeted To Include Private Payer Health Benefits For Workers And Families

15. ©2007 ViTAL Economy, Inc. 15 Potential Impacts of Connect SI Job Goals: Improved Healthcare Revenue Mix Insured population 10% Medicaid 26% Medicare 18% Uninsured 32% Uninsured 32% >$2 Billion New Annual Wages 41,461 Existing Jobs >$5,000/Yr 27,298 New Hi-Wage Jobs $642 Million New KBE Activity 1,600+ Firms +4500 Families with Healthcare Coverage Lift 10,000 Citizens Out Of Poverty $200 Million Information Technology Investment Note: 60% of the US population had employment based insurance in 2004 Current State 2004 Desired Future State 2012 A Far Better Payor Mix than Today Insured Medicaid Medicare Uninsured Source: Estimates based on IPLAN, and Census Bureau data

16. ©2007 ViTAL Economy, Inc. 16 Connect SI 20-County Phase 1 June 06-December 07 Led By Connect SI Leadership Advisory Board Greater Egypt COI Strategy Southeastern COI Strategy Southern Five COI Strategy Greater Wabash COI Strategy Phase 1 Outcomes GIS Asset Maps Broadband Strategy GDP & Healthcare Economic Models Regional Economic Strategy Healthcare Strategy Regional Economic Framework Five-Year Measurable Goals Implementation & Funding Plan GIS Mapping Team Supports COIs Healthcare Providers COI Strategy Network Providers COI Strategy Connect SI Regional CED COI Strategy >$2 Billion New Annual Wages 41,461 Existing Jobs >$5,000/Yr 27,298 New Hi-Wage Jobs $642 Million New KBE Activity 1,600+ Firms +4500 Families with Healthcare Coverage Lift 10,000 Citizens Out Of Poverty $200 Million Information Technology Investment

17. ©2007 ViTAL Economy, Inc. 17 Goal Setting Action Team Reports

18. ©2007 ViTAL Economy, Inc. 18 Health Outcomes Goal Setting Team July Progress Report and Update

19. ©2007 ViTAL Economy, Inc. 19 Committee Members Rob Beynon Doug Corbett Todd Carr Tess Ford Jessica Hall Stan Halle Beth Hartke Nancy Holt Robin Koehl Frank Knott George ONeill Whitney Mehaffy Ginger Meyer Miriam Link-Mullison Lisa Sorensen Woody Thorne

20. ©2007 ViTAL Economy, Inc. 20 Outcomes Goal Setting Team Our group considered the following listed health outcome areas: m Cancer, Cardiovascular Disease, Strokes m Flu and Pneumonia, Chronic Respiratory m Substance Abuse, Depression, Severe Mental Illness, m Alzheimers, Accidents Also considered were issues of access with regard to m Oral, OB/GYN, Behavioral and other Specialists m Increased training of providers around retention m Increased education of patients around retention

21. ©2007 ViTAL Economy, Inc. 21 Finding Measurement Indicators Behavioral Risk Surveillance IPLAN Nine Health Departments: Egyptian, Franklin-Williamson, Hamilton, Monroe Randolph, Jackson, Perry, Southern Seven, Wabash, Wayne

22. ©2007 ViTAL Economy, Inc. 22 Final Healthy Outcome Goals One overarching goal to potentially impact a number of other downstream health outcomes: Reduce cardiovascular disease mortality from 215 ->166 deaths per 100,000 by 2012 (Healthy People 2010). Four strategies will guide achievement of this goal: m Increase physical activity levels (exercise) of population m Improve eating habits m Decrease tobacco use m Increase diabetes management

23. ©2007 ViTAL Economy, Inc. 23 Committee Activities Letter of Intent to apply for RWJ grant The Use of Social Marketing to Prevent Heart Disease in Hard to Reach Populations in Southern Illinois Matrix of all health departments goals under each category: exercise, eating, tobacco, diabetes management Beginning Value Added Linkage development chart Next meeting: July 26 th 1:00 pm, CRHSSD

24. ©2007 ViTAL Economy, Inc. 24 Reduce CVD disease mortality in SI 20 Counties to a rate of 166 deaths per 100,000 by 2012

25. ©2007 ViTAL Economy, Inc. 25 Reduce CVD disease mortality in SI 20 Counties to a rate of 166 deaths per 100,000 by 2012

26. ©2007 ViTAL Economy, Inc. 26 Reduce CVD disease mortality in SI 20 Counties to a rate of 166 deaths per 100,000 by 2012

27. ©2007 ViTAL Economy, Inc. 27 Critical Skills Shortage Goal Setting Team July Progress Report and Update

28. ©2007 ViTAL Economy, Inc. 28 Top Five Priority Critical Skills Shortage Areas

29. ©2007 ViTAL Economy, Inc. 29 Critical Skills Group Next Steps The Critical Skill Shortages group will establish occupational workgroups for each of the top five occupations from the survey. (Nursing, Family and General Practitioners, Child Psychiatrists, Radiological Technologists/Technicians, Psychiatrists) These five workgroups will identify challenges/issues facing each occupation, develop solutions for the challenges, complete the value chain mapping process, and work to implement the solutions to reduce the shortages of their groups occupation.

30. ©2007 ViTAL Economy, Inc. 30 Profitability Goal Setting Team July Progress Report and Update

31. ©2007 ViTAL Economy, Inc. 31 Profitability Team July Progress Report-1 1) Re-assessment of Goals and Objectives m Need to substantiate reasons for patient out-migration m Reasons may vary in their impact in different locales throughout the region. m Action - gathering information necessary to determine the validity of the 9 reasons for patient regional out-migration identified in April 2) Marketing m Group members noted that they already spend a good deal on marketing efforts. m Marketing among providers, identifying regional facilities, capabilities and specialties might be worth considering

32. ©2007 ViTAL Economy, Inc. 32 Profitability Team July Progress Report-2 Marketing (Contd) m Consider marketing to groups such as major employers, chambers of commerce, hospital administrators, and others. m These groups might be included in the action plan for developing marketing plans. m Legal issues associated with a regional healthcare marketing effort must be explored. Is it necessary to gain agreement from individual clinicians to market on their behalf? The legal requirements of stark laws and self- referral regulations must be assessed. m Regional healthcare profitability occurs within a regional competitive environment among providers. An explanation must be given to investors and business partners (cardiologists for example) about how cooperation with Connect SI will positively impact hospitals and their role in it.

33. ©2007 ViTAL Economy, Inc. 33 Profitability Team July Progress Report-3 Marketing to Physicians m It is physicians who refer patients to other physicians and hospitals. Making certain that referring physicians are aware of all services available in the region may enhance relationships among providers. 3) Items for the future m Ongoing discussions among regional hospitals should be encouraged. m A better linkage between Connect SI and the Healthcare Facilities Planning Board should be considered. This may, among other things, provide a basis for expanding hospitals and healthcare services in the region.

34. ©2007 ViTAL Economy, Inc. 34 Profitability Team July Progress Report-4 Items for the future (Contd) m Develop a broader understanding of the relationship among Connect SI, Vital Economy, and the Arthur Agency m Develop a broader understanding of the role of Connect SI in developing healthcare profitability in the region. m Examine key issues that must be addressed before Value- Chain Mapping can occur: m 1) How do providers collaborate within Connect SI and maintain a competitive posture? m 2) How do we collaborate within Connect SI and keep physicians involved? m 3)How do we legally collaborate as healthcare providers?

35. ©2007 ViTAL Economy, Inc. 35 Physicians Workgroup July Progress Report and Update

36. ©2007 ViTAL Economy, Inc. 36 Priorities Identified at Physicians June 21 Meeting 1.Expanded broadband connectivity for providers & health facilities m Connections needed in short term between hospitals, outpatient surgical centers and ambulatory care centers and clinics m Route 13 meetings already underway with NP COI m Connections needed for practitioners at home and at office in near term m Addresses needed to locate gaps and aggregate demand ( Have now from VA) m NP COI meeting in regions to identify gaps and plan B-band rollout by COI m Ridgeway, Omaha City, Cairo, Albion, Fairfield and Mt. Carmel announced

37. ©2007 ViTAL Economy, Inc. 37 Priorities Identified at Physicians June 21 Meeting 2.Implement regional secure exchange of healthcare information Locations identified as critical include critical and urgent care sites, radiology groups, FQHCs, labs, hospitals, nursing homes, pharmacies, rehab centers, health departments, free clinics, physicians in the office, at home and on the go throughout the 20-county region Critical need to improve system inter-operability Improves patient outcomes, safety and convenience, reduces liability and mal practice premiums, increases reimbursement, makes physicians more efficient Connectivity and application priorities parallel Health COI goals

38. ©2007 ViTAL Economy, Inc. 38 Health COI Connectivity Team Goals Fifty different individuals representing 30 different healthcare organizations within the Connect SI region reviewed 14 different connectivity applications identified in prior meetings. From this process five priority e-health applications were identified: m Electronic Master Patient Index m Linking Hospitals and Physicians with Electronic Health Records m Mental Health Primary Consulting m Workforce Education and Training m Tracking System for Drug Seekers

39. ©2007 ViTAL Economy, Inc. 39 Connectivity Goal Setting Team July Progress Report and Update

40. ©2007 ViTAL Economy, Inc. 40 Healthcare Connectivity 20 people attended a June 29 th meeting 4 sub-committees reported on progress m Drug Seek Tracking m Electronic Master Patient Index and Electronic Health Records m Broadband Driven Workforce Education and Training m Mental Health

41. ©2007 ViTAL Economy, Inc. 41 Drug Seek Tracking Team is studying a model from Kentucky ( KASPER Project) Kentuckys Inspector General has agreed to discuss program with CSI Drug Seeker Team Veterans Administration has a Drug Seeker program which will be reviewed as well CSI Drug Seeker team set to meet with Illinois Attorney Generals Office to discuss programs

42. ©2007 ViTAL Economy, Inc. 42 Electronic Master Patient Index and Electronic Health Records Team is focused on three areas m What commonality exists in current patient identifiers m What legal scenarios will effect ability to exchange information m How can the various systems interact in the future

43. ©2007 ViTAL Economy, Inc. 43 Broadband Driven Workforce Education and Training Currently working with Damon Brown to identify a phase one group of users to create a model for applications based interconnectivity

44. ©2007 ViTAL Economy, Inc. 44 Mental Health Team is focusing on mobile operations for psychiatrists ( Vans, Laptops, Desktops) to enable off-site or in patient home consultation Team reviewed IL Senate Bill 6 which supports under the Medicaid program. The Department of Healthcare and Family Services will reimburse psychiatrists for mental health services they provide via Tele-Psychiatry Bill is to provide methods for reimbursement to providers for facilities, equipment to be used at Tele-Psychiatry sites as well as offices

45. ©2007 ViTAL Economy, Inc. 45 Broadband Action Agenda Addressing Milestone #4 Requirements

46. ©2007 ViTAL Economy, Inc. 46 Broadband Action Agenda Addressing Milestone #4 Requirements Medical Transportation Study- Office of Rural Health m How can Health COI leverage this mapping of assets Most Wired Health Care Facilities Survey m Using Survey Monkey to assess current level of e-health applications Regional Connect SI NP COI Broadband Activity m Regional COI broadband expansion planning underway m Route 13 Broadband Expansion for health facilities m Additional health corridors that should be targeted m Access & map addresses of health professionals in region m Health COI assists NP COI achieve 2012 broadband goals

47. ©2007 ViTAL Economy, Inc. 47 NP COI Strategy to Achieve World Class Broadband Benchmark of 54% Penetration Goal by 2012 Today200720082009201020112012 Penetration % Broadband for all Households12%17%24%31%38%45%54% Broadband network coverage25%35%45%55%65%75%85% Take Rate of Households48%49%53%56%58%60%64%

48. ©2007 ViTAL Economy, Inc. 48 Breakout of Goal Teams to Address Milestone #5 Strategy Integration

49. ©2007 ViTAL Economy, Inc. 49 Quantify the impact of Health COI goals and strategies. Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy.* *This is intended to improve policy makers and citizenry understanding of the economic impact of Healthcare on the local and regional economy, its role as an economic attraction resource for business and an economic growth engine rather than just a social service. Each Goal Setting Team Define How Best To Address Milestone #5 Objectives as Outlined Below

50. ©2007 ViTAL Economy, Inc. 50 Quantify the impact of Health COI goals and strategies. Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy. Health Outcomes Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below

51. ©2007 ViTAL Economy, Inc. 51 Quantify the impact of Health COI goals and strategies. Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy. Critical Skills Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below

52. ©2007 ViTAL Economy, Inc. 52 Quantify the impact of Health COI goals and strategies. Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy.* *This is intended to improve policy makers and citizenry understanding of the economic impact of Healthcare on the local and regional economy, its role as an economic attraction resource for business and an economic growth engine rather than just a social service. Profitability Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below

53. ©2007 ViTAL Economy, Inc. 53 Quantify the impact of Health COI goals and strategies. Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way. Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy. Connectivity Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below

54. ©2007 ViTAL Economy, Inc. 54 Profitability Group 1) Quantify the impact of Health COI goals and strategies m - Specific DRG data obtained m - Determine ratios from payer mix databases m Track total revenue and specific medicare revenue 2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way m 5% in crease will develop more jobs (knowledge based jobs) m Increased connectivity will improve physician communication (telemedicine) 3) Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy

55. ©2007 ViTAL Economy, Inc. 55 Profitability Group (Contd)

56. ©2007 ViTAL Economy, Inc. 56 Critical Skills Shortages 1) Quantify the impact of Health COI goals and strategies m Recruiting cost for new hires go down m Increase retention rates m Increases employment base m Increase competition – Increase quality of workforce m Increase productivity 2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way m Short term win – VA can offer clinical services training 3) Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy

57. ©2007 ViTAL Economy, Inc. 57 Critical Skills Shortage Group (Contd)

58. ©2007 ViTAL Economy, Inc. 58 Outcomes Group 1) Quantify the impact of Health COI goals and strategies m Decrease in deaths from heart disease m Decrease in sick days from work m Decrease in health insurance premiums m Decrease in cost of treating people m Increase in quality of life m Increase recreation usage 2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way 3) Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy

59. ©2007 ViTAL Economy, Inc. 59 Outcomes Group (Contd)

60. ©2007 ViTAL Economy, Inc. 60 Connectivity Group 1) Quantify the impact of Health COI goals and strategies m Improve quality of delivered healthcare m Increase retention of healthcare dollars m Facilitate the ability for providers to care for the additional 4,500 workers that will be added 2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way 3) Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy

61. ©2007 ViTAL Economy, Inc. 61 Connectivity Group (Contd)

62. ©2007 ViTAL Economy, Inc. 62 Next Steps Confirm Milestone Meeting Date, Time, Location Follow-up actions: - At milestone #5 meeting – get as many people as possible at this meeting - How do we get these individuals together?