Penn Presbyterian Transformation

1. Penn Presbyterian Transformation The Next Chapter…What It Means To You March 2014 PPMC Special All Employee Meetings

2. The Journey Has Begun!

3. Our Pavilion for Advanced Care and Penn Medicine University City are transformative structures for Penn Medicine as well as the revitalization of 38th Street.

4. March Construction Update January ‘14 October ‘13 August ‘13 Penn Medicine University City June ‘13

5. March Construction Update Pavilion for Advanced Care • Steel Topped out – Feb 28th • Exterior skin started • Stud framing and mechanical, Electrical and plumbing started

7. First Patient Schedule – August 2014 8/4 8/24 8/11 9/8 New duplicative Services established : MRI, X-ray, EEG, registration, EKG Ultrasound, Vascular Lab, Phlebotomy, Outpatient Pharmacy Practices close & move: Ortho from Cupp 1 and HUP Silverstein Rheum from 3910 Neurology from MOB 3 Practices close and move: MSK Radiology from PCAM Ground A&I from Mutch 6 Oto from MOB 3 Surgery from W/S 2 Urology from MOB 2 Mammography from W/S 3 Pleural Program 3,200 OPsurgical cases shift from PPMC to new Surgery Center & GSPP closes therapy site at 3624 Market

8. PPMC Campus Impact of Opening The opening of Penn Medicine University City is projected to shift from the main Presbyterian campus: • 68,000 annual outpatient clinical practice visits • All PPMC Mammography and Dexascan screenings • 3,200 outpatient surgical cases • A portion of… outpatient medical imaging (x-ray, ultrasound, MRI) non-invasive vascular lab, EKG, EEG, outpatient phlebotomy, outpatient pharmacy • 64 faculty – from orthopedics, neurology, allergy & immunology, otorhinolaryngology, surgery, urology, rheumatology & neurosurgery • 192 staff – including 40+ new hires in the hospital based areas • Patient parking tied to the above noted visits

9. New Programs Accommodated Via Moves Vacated space due to University City moves allows for new and expanded programs on the main campus..

10. Campus Renovations Underway Complete December 2014 Complete July 2014 Complete July/August 2014

11. Pavilion for Advanced Care Occupancy 2015 Patient Occupancy: SICU (4th) January 4 HVICU (3rd) January 4 PeriOP (2nd) January 10 ED expansion (1st) January 12 CT (1st) (2 units) January 12 Trauma Unit (training) January 6 • Surgical Critical Care • Heart and Vascular Critical Care • OR and Critical Care Pharmacy • Perioperative Services • Emergency Department • Cupp 1 Medical Imaging • Trauma Resuscitation • Prep/Recovery & PACU New construction completion anticipated November 17, 2014 allowing for equipment, furniture, IT , stocking and staff training and licensure activity.

12. Trauma Center at Penn Presbyterian We have set a date to move the Level 1 Trauma Center PPM FEBRUARY 4, 2015

13. Penn Presbyterian Transformation • In addition to the unit transitions to occupy the new Pavilion for Advanced Care several internal main campus units and patient population moves will also occur. • Allows for service line consolidations and co-location of the general acute care population on the campus • Enables staffing & resources as a “full capacity organization” Licensed Beds Ave. Daily Census Occupancy Admissions Surgeries ED visits

14. Penn Presbyterian Internal Transitions

15. Penn Presbyterian Internal Transitions

16. Preparing Teams for the Transitions Total Education Expenses Exceeding 1.8 Million

17. PPMC Nursing Leadership Team

18. New Unit and Team Transitions • We are anticipating 200 FTEs from HUP to transition to PPMC for February 2015 start dates • 72% of the transitioning staff are in the Department of Nursing • All teams will experience a blending of staff, some more than others • Team structure and blending will take into account the following criteria such as competency to serve the patient population, Penn Medicine seniority and compliment of current shift schedules • After the FY15 budgets are finalized in April we will know volume allocations and can provide firm details on unit staffing -- WE NEED YOU – PLEASE GIVE US AN OPPORTUNITY TO PROPOSE OUR PLANS WITH FIRM DETAIL

19. Transitions Timing and Education Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Define areas at All employee meeting Education for Staff Group Interviews led by CMO/CNO pairs • RN Professional Exempt model begins • Shift Diff Changes implemented Staffing plans finalized PAC building is turned over SICU to 4 PAC CCU to 3 PAC Obs. To Cupp 3 SPU/PACU To PAC 2 ED exp. to PAC 1 MICU to 2 Myrin Penn Medicine University City opens PeriOp, hospital operations and CPUP staff move 4 East Trauma • 1st Trauma patient seen at PPMC

20. Transition Details - Human Resources • HUP staff have committed to transition to PPMC by signed letter • Mitigate any Human Resources differences between entities as barriers to transfer and retention to PPMC payroll and internal transfers as a result of our transition • Working to ensure a smooth integration of combined PPMC teams and new job roles • New hires are anticipated for both buildings and positions will be posted • Human Resources programs in development: • Base Pay Compensation program will be the same • Benefits program is the same including Tuition and Paid Time Off programs • Shift Differential policy and rates will be equal • Certification and Preceptor bonus pay will be standardized • Registered Nurses will convert to Exempt/Professional model • Allied Health job requirements will be standardized

21. The Next Round of Details We anticipate a 3rd round of All Employee Meetings to take place in mid-summer Topics for that session will explore in greater detail the plans for • Human resource program details and timing • Parking plan details • Campus security after the Trauma move • Transportation between HUP & PPMC • Traffic and pedestrian plans around campus