UnityPoint Clinic & UnityPoint at Home: Aligning to Deliver the Brand

1. UnityPoint Clinic & UnityPoint at Home: Aligning to Deliver the Brand Leadership Symposium April 29, 2014 Monique Reese, DNP, ARNP, FNP-C, ACHPN, Vice President and Chief Clinical Officer, UnityPoint at Home Linda Wendt, RN, CPHQ, Director of Quality, UnityPoint Clinic Heather Nahas, Director of Marketing Communications, UnityPoint Clinic and UnityPoint at Home

2. Aligning to Deliver the Brand Our Brand Promise: Coordinated Care

3. Aligning to Deliver the Brand Leading the Brand “Together, UnityPoint Clinic and UnityPoint at Home will lead the delivery of our brand.” – Bill Leaver

4. Aligning to Deliver the Brand System Strategy

5. Aligning to Deliver the Brand Care Coordination Priorities Advanced call center capabilities that improve access to care Primary care emphasis for rising risk patients and populations High risk population management across the continuum of care Technology platform that enables providers with data-driven, point-of-care decisions

6. Aligning to Deliver the Brand Population Health Management • 5% of patients • Complex chronic conditions, comorbidities • Care navigators • Chronic care coordination • Wraparound services High Risk • 15%-35% of patients • May have conditions not under control • Patient-Centered Medical Home • Care coordinators Rising Risk • 60%-80% of patients • Minor conditions, easily managed • Low-acuity access, education • E-health Low Risk

7. Aligning to Deliver the Brand Building the Ambulatory Enterprise

8. Aligning to Deliver the Brand Defining Care Coordination Care coordination is a person-centered, interdisciplinary team-based approach to care that integrates health care and social support services to meet the needs, preferences and goals of each patient.

9. Aligning to Deliver the Brand Care Coordination: Core Components

10. Aligning to Deliver the Brand The People of the Populations • Low Risk • Low acuity • Busy, active lifestyle • Opts for convenience • Access after hours • Web-based communication • Rising Risk • Managing chronic conditions • Multiple medications • Self management • Wants to remain active • High Risk • COPD, heart failure, depression • Multiple medications • Limited activity • Lives alone • ER, hospitalizations

11. Aligning to Deliver the Brand Low Risk Population Priorities PCMH│Information│Communication│Plan│Transitions│Experience

12. Aligning to Deliver the Brand Rising Risk Population Priorities Patient-Centered Medical Home • The primary care model of UnityPoint Clinic • The care coordination platform of UnityPoint Health

13. Aligning to Deliver the Brand Patient-Centered Medical Home Primary Care Team-Based Access and Communication Care Coordinator Care Protocols Data and Metrics

14. Aligning to Deliver the Brand Patient-Centered Medical Home • 20 PCMH sites fully deployed • 12 PCMH sites have achieved NCQA Level 3 recognition • 8 sites pending NCQA recognition • 34 PCMH sites to be deployed • 16 of the 34 sites already in progress • 23 PCMH sites to be deployed

15. Aligning to Deliver the Brand RisingRisk Population Priorities PCMH│Information│Communication│Plan│Transitions│Experience

16. Aligning to Deliver the Brand High Risk Patient Initiative Create a standard care delivery model for the high risk population that we believe, when implemented consistently, will result in competitive differentiation and can be offered as a marketable product.

17. Aligning to Deliver the Brand High Risk Patient Initiative

18. Aligning to Deliver the Brand High Risk Patient Initiative • Steering committee formed • Assessment of clinical programs for high risk patients conducted • Completion and presentation of business plan • Clinical program assessment completed • Project scope, deliverables and timeline finalized

19. Aligning to Deliver the Brand High Risk Population Priorities PCMH│Information│Communication│Plan│Transitions│Experience

20. Leadership Symposium 2014 Aligning to Deliver the Brand