Welcome to John Muir Medical Center, Walnut Creek Campus · proprietary and confidential John Muir Health System Overview •3 Hospital System (approximately $1.4 Billion revenue)

Welcome to John Muir Medical Center,

Walnut Creek CampusRay Nassief, SVP Hospital Operations and Support Services

proprietary and confidential

John Muir Walnut Creek History –Serving the Local Community for Over 50 Years

• 1965 – John Muir Memorial Hospital Opens (50 Year Anniversary)

• 1986 – Trauma Program Implemented

• 1996 – Formation of John Muir Physician Network

• 1997 – Two hospitals merge forming what is now John Muir Health

• 2011 – Expansion 242 bed Long Tower

• 2016 – John Muir Health remains independent, not-for-profit health system

proprietary and confidential

John Muir Health System Overview

• 3 Hospital System (approximately $1.4 Billion revenue)

o Walnut Creek – 554 Licensed Beds

o Concord Campus – 245 Licensed Beds

o Behavioral Health Center – 73 Licensed Bed

o Both acute care medical centers Magnet Designated

• John Muir Physician Network (approximately 1,000 physicians) –Family Medicine, OB/GYN, Pediatrics

o John Muir Medical Group (Foundation Model)

o Muir IPA

Concord Campus

Behavioral HealthWalnut Creek Campus

proprietary and confidential

JMH Ambulatory Services Overview

Ambulatory Serviceso 5 urgent care centers (Brentwood, Walnut Creek, San Ramon,

Concord, Pleasanton)

o Medical Imaging Services – 7 sites throughout Contra Costa County

o 4 Outpatient Rehab Locations - Physical therapy, cardiac rehab, pulmonary rehab

Outpatient Center –

1450 Treat

Outpatient Rehab

Hookston

Urgent Care Center –

Brentwood

proprietary and confidential

Major Service Lines – John Muir Walnut Creek

• Orthopedics/Total Joint Replacement/Spine

• Neurosciences/Neurosurgery/Stroke

• Rehabilitation Services

• Women’s & Children’s Serviceso NICU, PICU, Pediatrics, Pediatric Oncology

o High Risk Obstetrics

o L&D, Mother/Baby, High Risk Antepartum

• Emergency, Trauma and Transfer Services

• Oncology Services

• Cardiac Services

• Imaging Services

proprietary and confidential

Offsite Services

• Imaging Services

• Rehabilitation Services:

OT, PT, ST

• High Risk Infant Clinic

• Neuropsychology Clinic

• Cardiac Rehabilitation

• Diabetes

• Home Health

• Nutrition Counseling

• Wound Care

• Genetic Counseling

proprietary and confidential

• US News & World Report (2017/2018)

– #2 and #3 out of 44 hospitals in the SF Bay Area

– #11 and #13 of 400 acute care hospitals in CA

– Both medical centers recognized as Best Regional Hospitals (Top 10% in U.S.)

– Walnut Creek Top 50 Nationally in Gynecology (11th Straight Year w/National Ranking)

– Concord one of only 48 hospitals nationwide ranked as high performing in 9 procedures/conditions

• Healthgrades (2017/2018)

– America's 50 Best Hospitals - Top 1% in Nation (WC)

– Distinguished Hospital for Clinical Excellence - Top 5% Nationally (WC)

– America’s 100 Best Hospitals

– Joint Replacement (Concord and WC), Orthopedic Surgery (WC)

– Excellence Awards

– Bariatric Surgery, Coronary Intervention, Critical Care,

General Surgery, Pulmonary Care

– Numerous Five-Star Procedure Ratings for Quality

• Joint Commission's Comprehensive Stroke Center Certification (WC)

• One of 17 in CA and 130 in U.S.

• Magnet Recognition for Nursing (Concord and WC)

• CMS 5-Star Rating (Concord) and 4-Star Rating (WC)

• American Heart /American Stroke Association

• Get with the Guidelines Heart Failure Gold-Plus Quality Achievement

• California Children’s Hospital Certification of PICU

• American College of Radiology Accreditation

• Blue Distinction Center for Hip & Knee Replacement/Spine Surgery/Cardiac Care

• Certified Quality Breast Center of Excellence

• Joint Commission Wound Care Center Certification

• Chest Pain Center Accreditation

• Commission on Accreditation of Rehabilitation Facilities

• Leader in LGBT Health Care Equality

• HIMSS Stage 7 Certification

Key Awards and Accomplishments

proprietary and confidential

JMH Partnerships

Mutually Supportive Affiliations

• JV Relationship with LPCH – 2012

• JV Relationship with Tenet/SRRMC – 2013

• JV Relationship with UCSF - 2015

proprietary and confidential

EPIC EMR Systemwide Implementation

EPIC electronic health record implemented

throughout the John Muir Health Enterprise

March 30, 2014

proprietary and confidential

EPIC EMR Systemwide Integration

• Implemented & Integrated Health Systemwide – March 2014o John Muir Medical Group Offices

o 2 Acute Medical Center – Walnut Creek & Concord

o Behavioral Health Center

• Community Physician Integrationo Community Connect Implementation

o Implemented 45 practices across 160 locations

o 230 Community Physicians and 34 specialties

proprietary and confidential

Implementation Overview

Education & Analysis AdoptionImplementation

LANDING &ARRIVAL

NEW DESTINATIONS

IN FLIGHTFINAL

APPROACHWHEELS UPFLIGHT PLAN BOARDING

• Executive education

• Project planning

• Interface and systems analysis

• Project team staffed

• Project team attends training

• Finalize project plans

• Initial discovery and Model System variances identified by Epic team

•Key performance indicators identified and collected

• Project team completes training

• Delivery of initially-tailored version of Model System

• Initial validation sessions with subject matter experts

• Continued validation sessions

• Workflow labs

• Complete configuration

• Integrated testing using Testing Toolkits

• End users trained using Training Wheels

• Go-live readiness assessments

• Dress rehearsal

• Go-Live support

• End user surveys

• Post live visits

• Ongoing training

• Preparation for rollout

• Rollout

PHASE 0 PHASE 1 PHASE 2 PHASE 6+PHASE 3 PHASE 4 PHASE 5

proprietary and confidential

Ambulatory

• 13 sites +

Rev Cycle

• 17 Clinics +

2 Urgent Care +

Case Mgmt.

• Community

Connect

NOV. 5, 2013 JAN. 14, 2014

Ambulatory

• Community

Connect

• 6 OB Practices,

8 sites

FEB. 4, 2014

Inpatient

• Walnut Creek

• Concord

• Behavioral Health

• Rev Cycle

• Outpatient Dept.

/Clinics

• Home Health

MAR. 30, 2014

Go Lives At-a-Glance

Ambulatory

• Outpatient Care

Center (OPC)

• Rev Cycle

• Concord Clinics,

Urgent Care, and

Research Center

• Summit Peds

(new practice)

With the entire Health System up and running on Epic, all patients will benefit from

improved service and care coordination

proprietary and confidential

Questions?

13

proprietary and confidential

Use of Mobile Technology with JMH

Jennifer Angel

proprietary and confidential

Mobility at John Muir Health

• BYOD – Bring Your Own Deviceo JMH no longer provisions phones or tablets to physicians and

staffo Email and Calendars available on personal devices (Airwatch

Agent)

• VDI – Virtual Desktop Infrastructureo Employees and physicians can access the JMH Network from

any deviceo VIP Access Multi-factor authentication

• Haiku/Canto – Physicians and other providerso Phone and Tablet Epic applications

• Cortexto Secure texting

• MyJohnMuirHealth – patient portalo Website and phone/tables application

15

proprietary and confidential

Transformation – From Traditional Care to Digital

Steven Schlossberg, M.D.

Priti Patel, M.D.