Creating The Environment for an Electronic Medical Record:

A CEO’s Perspective Peter S. Fine, FACHE

President and Chief Executive Officer

• 23 Acute Care Hospitals • Banner Health Network • Banner Medical Group with more than 800 doctors •Banner Health Centers and Clinics •Behavioral Hospital •Outpatient Surgery •Medical Education •$4.7 billion in revenue, 2011 •AA- bond rating •$381 million in community benefit including $110 million in charity care, 2011

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The Mission Statement Is it a foundation for innovation?

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Banner Health’s Non-Profit Mission

We exist to make a difference in people’s lives through excellent patient care

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Our Vision “We will be a national leader recognized for

clinical excellence and innovation, preferred for a highly coordinated patient experience, and distinguished by the quality of our people.”

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Banner’s 2020 Vision “Our steps to the Future”

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Would someone please turn on the innovation switch?

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Banner’s Vision of Innovation

We will transform care delivery through rapid deployment of information and care processes.

Our people will deliver care that is uniformly safe, effective, accessible and trusted

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Why Banner has gone Big with Innovation

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Innovation Leadership Matters

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If it doesn’t get implemented, don’t call it innovation

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Structure Counts It begins at the Board

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Operating Company Model Integrated Board Structure

Corporate Strategy

Care

Management and Quality

Finance

Investment

Audit Compensation

Executive

System Board of Directors

Committees

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The Sun Health Story EMR in 12 Months

Banner Boswell Medical Center Banner Del E. Webb Medical Center

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•Organize and develop the initiative teams •Articulate the “Vision” •Demand accountability •Provide both capital and expense resources •Exhibit visible leadership: advocate & promote •Drive towards standardization •Measure success •Realize the benefits!

CEO Role in EMR Implementation

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Physicians The essential ingredient!

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Decision Point A leap of confidence beats

a leap of faith

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Plan the Work and

Work the Plan

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Banner CPOE Deployment Schedule

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Inpatient Clinical Technology Investment Complete

“Franchise model” implementation

Currently 19 Banner hospitals at HIMSS Stage 7

Ambulatory system deployment underway

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Novel uses of EMR bringing significant patient care

improvements •Sepsis •Central line infections •CT scan usage •Delirium

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Hospital Mortality Ratios:

BBMC BBWMC BDMC BDWMC BEMC BGMC BGSMC BHH BTMC MMC NCMC SRMC System ICU's

Q1 2011 0.73 0.83 0.69 0.84 0.57 0.72 0.63 0.55 0.52 0.67 0.4 0.86 0.65

Q2 2011 0.59 0.57 0.77 0.58 0.7 0.36 0.47 0.27 0.41 0.57 0.38 1.37 0.53

Q3 2011 0.66 0.4 0.42 0.55 0.43 0.48 0.46 0.46 0.36 0.35 0.28 0.45 0.45

Q4 2011 0.64 0.46 0.46 0.49 0.39 0.37 0.43 0.37 0.43 0.52 0.38 1.07 0.46

ICU LOS Ratios:

BBMC BBWMC BDMC BDWMC BEMC BGMC BGSMC BHH BTMC MMC NCMC SRMC System ICU's

Q1 2011 0.66 0.66 0.74 0.89 0.61 0.72 0.96 0.83 0.78 0.87 0.75 0.86 0.83

Q2 2011 0.67 0.88 0.79 0.8 0.64 0.67 0.92 0.77 0.83 0.62 0.8 0.71 0.8

Q3 2011 0.55 1.13 0.67 0.7 0.75 0.57 0.87 0.85 0.75 0.66 0.61 0.92 0.79

Q4 2011 0.55 0.86 0.78 0.66 0.67 0.55 0.85 0.79 0.69 0.68 0.62 0.79 0.74

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