1. MEDICAL SPECIALISTS OF THE PALM BEACHES INC. PBCMS Future of Medicine Summit September 18, 2015

2. MSPB Mission Statement “We are an integrated health care delivery system committed to providing comprehensive, high quality health care with respect, care and integrity for our patients and community” MSPB Vision Statement “To become the premier health care delivery system offering the highest standard of care utilizing advanced medical practices to achieve the highest quality of life for our community” 2

3. The Innovation Imperative  Transformation is Not a Choice  Absolute urgency of innovation  Understanding the Change & Evaluating the Opportunity  Steady Communication (avoid improvement fatigue)  Strong Physician leadership to connect the dots  Create a Strategic Agenda Beyond Your 4 Walls  Objective is value creation for the patient / caregiver o Organize care around patient conditions …BPs o Engage the entire clinical team (80/20 redefined) o Engaged Physicians will find creative solutions 3

4. The Innovation Imperative  Data is the key  Complete analytics to understand current Revenue Mix vs Future  Gauge practice intensity profiles and risk readiness, determine training needs  Utilize new Govt. released Performance & Referral Data  Incorporate Dartmouth Atlas for unwarranted variation (a:a) 4

5. The Innovation Imperative  Generate Strength to Manage the Transition  Integrate multi-site care delivery systems (remove the fragmentation)  Engage your Patients  Optimize Clinician Roles to create a team structure around the Physician o Practice Scope / Privileges o Performance Review o Peer Review - Protocol Development  Know the Reimbursement Regulations! 5

6. The Innovation Imperative  The Future is Here  Establish clear goals with timelines and milestones  Embrace the cause as greather than yourself  Accept the responsibility  With risk comes rewards Resources –ORC International, "The 2014 State of VBR" –Atul Gawande, M.D. –Charles Cowles, M.D., MD Anderson Cancer Center –Donna King, VP Clinical Operations, Advocate Health Care –David Entwistie, CEO, University of Utah Hospitals –James May, Chief Innovation Officer, Heritage Provider Network –Michael Porter, Professor at Harvard Business School 6