AMG Advisory Council Committee MeetingDate: Tuesday, April 26, 2016

Time: 7:30amLocation: Tecumseh Room

Adjourned: 8:30amFacilitator: Jack Berno, MD

Recorder: Katelyn BauerParticipants (with Titles)o John Gabis, MD, Senior Medical Director – Primary Care*o Richard Mizer, MD, Medical Director, West Region*o Collins Okolie, MD, Internal Medicine*o Brian Cohen, MD, Orthopaedic Surgery*o Emiley Blake, DO, Medical Director, Ob/Gyn*o Adam Esham, MD, Urology*o Thomas Lewis, MD, Dermatology*o Beverly Tolle, CNP, Internal Medicine*o Debra Wolf, CNP, Family Medicine*

o Eric Cecava, Chief Operating Officero Jack Berno, MD, Chief of Staffo Wayne Coats, DO, Chief Medical Officer, Inpatient Medicineo Takaji Kittaka, MD, Chief Medical Officer, Primary Careo Anthony Freeman, DO, Chief Medical Officer, Surgical Specialtieso Mark Shuter, Chief Executive Officero Maria Smith, Director of Communicationso John Fortney, MD, Senior System Medical Advisoro Chuck Gooder, Interim VP, Adena Medical Group

Absent: Dr. John Gabis (FMLA);Key: (P)=Phone; (E)=Excused; *=Voting MemberGuests:Quorum Present: Yes (8/9)

Minutes Page 1 of 5Agenda Item Discussion

LeaderDiscussion Action/Recommendation RAIL Follow

UpYes/No

1. Call to Order Jack Berno, MD Dr. Jack Berno called the meeting to order at 7:30 a.m. Acknowledged No

2. Approval of Minutes from the April 12th, 2016 meeting

Jack Berno, MD The minutes from the Tuesday, April 12th, 2016 meeting were accepted and approved as written.

Acknowledged No

3. RAIL review for upcoming agenda items

Jack Berno, MD Dr. Jack Berno reviewed the RAIL items for the meeting. Chuck Gooder noted RAIL item Physician Compensation Plan Overview is a very broad topic and will encompass overall communication for Adena Medical Group.

Dr. Coats requested the RAIL item Process and Capability of the Centralized Authorization Department be included on the agenda for the

Yes

AMG Advisory Council Minutes 4-26-2016 Page 2 of 5Agenda Item Discussion

LeaderDiscussion Action/Recommendation RAIL

Follow UpYes/No

next meeting as a roundtable topic. He added discussion would include centralizing scheduling and coding like Adena Medical Group has done with prior authorization. Chuck added coders will remain under the direction of the Revenue Cycle but will be brought back into the office setting and additional education will be provided to them to have the expertise needed for their respective areas. Chuck encouraged the providers to have strong interaction with the coders when that are present in their clinics.

The committee discussed audits and questioned if there is an audit function being worked on for the overall Health System. Chuck noted currently the only two audits in process are the clinic audits and the standard audits performed by Corporate Compliance. Dr. Coats requested what the big picture looks like in regards to the audit functions for all systems.

Chuck provided an update on the provider scorecard and noted the idea of the scorecard is to allow each one of the providers to view their charges, collections, denials, etc. compared to the benchmark data. He noted with this visibility it will be the provider’s responsibility to note any discrepancies in the overall data.

Items to be added to the RAIL include:

1) Provider Engagement Committee2) Provider Contracts – What should be included in the contracts

and then reviewed during physician evaluations?3) Centralized Legal Support for AMG

4. Election results and “passing of the gavel”

Maria Smith/ Jack Berno, MD

Maria Smith reviewed the election results for the Chairman, Vice Chairman, and term limits for each member of the Council. She noted out of the nine voting members, eight members voted. Four votes for Chairman of the Committee went to Dr. John Gabis. For Vice Chairman of the Committee there was a tie between Dr. Brian Cohen and Dr. Richard

Maria to send out an additional ballet for the Vice Chairman of the Council to vote between Dr. Brian Cohen and Dr. Richard

AMG Advisory Council Minutes 4-26-2016 Page 3 of 5Agenda Item Discussion

LeaderDiscussion Action/Recommendation RAIL

Follow UpYes/No

Mizer.

Maria reviewed the term limits for each member of the Council. For Primary Care, Dr. John Gabis will serve a one year term, Dr. Richard Mizer will service a two year term, and Dr. Collins Okolie will serve a three year term. For Surgical Specialties, Dr. Emiley Blake will serve a one year term, Dr. Adam Esham will serve a two year term, and Dr. Brian Cohen will serve a three year term. For Medical Specialties, Dr. Lewis will serve a two year term. For Advanced Practice Providers, Deb Wolfe will serve a two year term and Bev Tolle will serve a three year term.

Mizer.

Maria to send out a summary of the election results to the Council.

5. Information Chuck Gooder a. Charter ExampleChuck Gooder reviewed the charter for the meeting. He asked that any edits or additions be sent to his attention. A final charter will be presented to the committee at the next meeting. Dr. Berno noted the AMG Advisory Council falls on the 2nd and 4th Tuesday of every month. On the 4th Tuesday it conflicts with the Management Huddle and should be considered and reviewed at the next meeting.

b. Development of Compensation Policy updateChuck Gooder noted to the committee the Compensation Policy draft will be presented to the committee in the next two weeks.

c. Audit Method and Reporting UpdateChuck discussed the Model Clinic Audits and reviewed how the clinics are utilizing the results. He noted the results that come out of the clinic audits are reported out at the AMG Leadership team each month. Chuck noted Lindsey Harr from Corporate Compliance will be transitioning roles and will be focusing on providing coding and compliance education to Adena Medical Group. The committee discussed routine chart auditing and whether this is being done regularly by the responsible parties. Chuck to review and report back to the committee.

d. Scorecard example and update

AMG Advisory Council Minutes 4-26-2016 Page 4 of 5Agenda Item Discussion

LeaderDiscussion Action/Recommendation RAIL

Follow UpYes/No

Chuck Gooder updated the committee and noted the scorecard is not ready to be rolled out. Decision Support has confirmed the data is being pulled into Qlikview but they want to ensure the data is verifiable prior to rolling it out. Chuck noted the idea of the scorecard is to provide providers information on where they stand compared to the benchmarks. Scorecards will be available to each provider including Advanced Practice Providers. In the past, services performed in and around the hospital were encompassed within AMG’s financials. Chuck explained that services that fall outside of AMG will come out and the reports will show true AMG data.

e. Human Resources update on open recruitment of providers

The committee reviewed the current state of recruitment for providers we are seeking and providers who will be coming onboard. He noted the market it very tight and efforts are being made to get additional recruitment firms involved in the process.

6. Other business discussion

a. Semiannual Provider meeting agenda

Dr. Berno/Council

a. President of AMGChuck Gooder discussed with the committee the President of AMG job description and noted the job description is currently being revised by Human Resources and will be shared with Council as soon as it’s complete. Eric Cecava noted an outside recruiting firm will be working to source candidates for the position and will be onsite the week of May 9th to gather additional information. Eric encouraged the AMG Advisory Council members to be involved and provide feedback to the recruitment firm on what we are looking for in a leader for Adena Medical Group.

b. Voting MembersThe committee discussed the voting members of the Council and questioned what constitutes a voting member? How much administrative duties can you hold and still be considered a voting member? Chuck Gooder requested any feedback on this topic to be emailed to him. Further discussion will be held at the next meeting.

President of AMG job description to be sent out to the Council with the minutes from this meeting.

AMG Advisory Council Minutes 4-26-2016 Page 5 of 5Agenda Item Discussion

LeaderDiscussion Action/Recommendation RAIL

Follow UpYes/No

c. Ambulatory MeditechDr. Wayne Coats noted the implementation of Ambulatory Meditech has been pushed back to October 2016. The committee discussed mandatory PTO blackout dates during implementation and the communication plan for presenting the information to staff members.

d. Semiannual Provider MeetingThe committee reviewed the agenda for the upcoming Semiannual Provider meeting on Thursday, May 12th, 2016.

Chuck and Maria to send out communication in regards to PTO blackout dates during Ambulatory Go-Live.

Additions to the Semiannual Provider Meeting agenda to be sent to Chuck Gooder’s attention.

Adjournment Dr. Berno Dr. Berno adjourned the meeting at 8:41 am.The next meeting will be set for Tuesday, May 10th at 7:30am.

Respectfully Submitted:

Katelyn Bauer

Recorder