AURORA HEALTH CARE MEDICAL GROUP STRUCTURE

1. AURORA HEALTH CARE MEDICAL GROUP STRUCTURE

2. High-Performance Medical Group • Our goal is to continue on our evolution as a high-performance medical group • What does that mean? • 3 phases of transformation • Shared Identity • Early Returns from Integration • Care Redesign

3. Phase 1: Shared Identity • Clinicians view themselves as part of single organization with common purpose • Administrators and physicians have shared vision, values and goals • Clinicians more easily accept new processes and standards • Economy of scale through shared resources • Open information exchange facilitates coordination

4. Phase 2: Early Returns from Integration • Culture-based candidate screening minimizes later turnover • New hires more rapidly internalize group processes and cultural norms • Best improvement opportunities identified • Enhanced provision of care within group • Improved quality, efficiency, and patient experience

5. Phase 3: Care redesign • Improved access, convenience and service attracts patients • Unnecessary variation in care reduced • Improve outcomes for complex patients • Streamline patient handoffs, eliminate redundancies in care • Health system prepared to meet value-based requirements

6. High Performance Through Structure and Leadership • Aurora Health Care Medical Group is a separate entity within Advocate Aurora Health with a Board and President • Governance at larger board level • Combination of integration between markets (local), service lines and hospitals and clinics to reflect needs of patients in all settings of care and transitions in care

7. Market Operations StructureCollaboration and Partnership Provide Market operational support and direction. Oversee integration within the Market to include Hospital, Medical Group, Ancillary Services, Ambulatory facilities, Home Health, Pharmacy, etc. Hold primary budgetary, financial, and human resource (non-physician) accountability Leadership Executive Vice Presidents – 3 Wisconsin Regions (North/Central/South) Market Presidents- 7 Wisconsin Markets Market CMOs- 7 Wisconsin Markets Market Operational Leadership Vice Presidents Senior Directors of Operations Directors of Operations Managers Supervisors Leads

9. AHCMG Governance & Management: Board of Directors • Focus • Strategic • Performance • Membership • 20 physicians elected by geographic markets and service lines/departments (staggered 3 year terms) (initially by legacy medical groups) • 2 Aurora appointees • Committees (12 initially → 4) • Academics Physician Compensation • Governance Physician Engagement • System Committees with significant medical group involvement • Quality Clinical Informatics

10. AHCMG Board ChairDr. John Konkel

11. AHCMG Governance & Management: Senior Leadership • President (Jeff Bahr) • Initially Co-Presidents for two years (2015-2016) • Single President elected by Medical Group Board and approved by Aurora CEO (effective 1/2017) • Reports to CEO • Key direct reports: SVP Service Lines, SVP Medical Group Operations, System Chief Medical Officer (Market CMOs report to), SVP Medical Group Strategic Projects, CMO Population Health (dual) • Cabinets/Committees • Physician Advisory Committee • Market Management Committee Council

12. AHCMG PresidentDr. Jeff Bahr

13. Clinical Service Lines and Departments: Purpose and Objectives • Purpose • Provide consistent, superior, patient-centered, high value clinical services, programs and care models across all markets and venues of care to help achieve the organization’s strategic objectives • Primary Objectives • Clinical Strategy • Program Development & Product Differentiation • Workforce Planning & Physician Recruitment • Value Maximization • Competitive Positioning and Growth

15. Chief Medical Officers

16. Market CMO • Partner with “everyone”…  • Mgt Committees, Operations, HR, Legal, • Work for you as clinician • Answer questions • Problem solver • Responsible for clinical quality, safety, engagement, work • Function as integration point between hospitals, clinics, service lines

17. Hospital CMOs • Partner and lead clinical efforts in hospitals regarding quality, safety, accreditation and operations • Partner with Medical Executive Committees and other key clinician groups • Critical role in medical staff services with credentialing/privileging

18. Advocate Aurora Hospital Structure • Governance – System Hospital Board, *ABMC Board • Administration – Hospital Presidents • Medical Executive Committee/Medical Staff • Chief Medical Officer • President of Hospital Staff • Departmental Structure

19. Management Committee • Purpose: The Management Committee is part of the governing structure for the Aurora Health Care Medical Group. The Management Committee is accountable to the AHCMG Board of Directors and AHCMG President. The role of the Management Committeeis to coordinate and promote the delivery of high quality care in the market in collaboration with the medical service lines, departments and the Market CMO by virtue of those functions delegated to it by the Board and in accordance with the strategic initiatives put forth by Advocate Aurora Health Care and the Aurora Health Care Medical Group Board.

20. Linking it All Together For Single Clinician MD/APC Hospital Management Committee Service Line