March 3, 2017

NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in an open Board of Directors meeting at 10:00AM on Tuesday March 7, 2017 in the Kaweah Delta Medical Center – Mineral King Wing – Blue Room {400 W. Mineral King, Visalia}.

All Kaweah Delta Health Care District regular board meeting and committee meeting notices and agendas are posted 72 hours prior to meetings (special meetings are posted 24 hour prior to meetings) in the Kaweah Delta Medical Center, Mineral King Wing entry corridor between the Mineral King lobby and the Emergency Department waiting room.

The disclosable public records related to agendas are available for public inspection at the Kaweah Delta Medical Center – Acequia Wing, Executive Offices (Administration Department) {1st floor}, 400 West Mineral King Avenue, Visalia, CA and on the Kaweah Delta Health Care District web page http://www.kaweahdelta.org.

KAWEAH DELTA HEALTH CARE DISTRICT Lynn Havard Mirviss, Secretary/Treasurer

Cindy Moccio Board Clerk Executive Assistant to CEO DISTRIBUTION: Governing Board Legal Counsel Executive Team Chief of Staff www.kaweahdelta.org

400 West Mineral King Avenue · Visalia, CA · (559) 624 2000 · www.kaweahdelta.org

KAWEAH DELTA HEALTH CARE DISTRICT BOARD OF DIRECTORS

Kaweah Delta Medical Center {400 West Mineral King Avenue} Mineral King Wing Basement (Blue Room)

www.KaweahDelta.org

Tuesday, March 7, 2017

SPECIAL OPEN MEETING AGENDA {10:00AM}

Call to order

Approve agenda

Public / Medical Staff participation – Members of the public or the medical staff may comment on agenda items before action is taken and after the item has been discussed by the Board. Each speaker will be allowed five minutes. Members of the public wishing to address the Board concerning items not on the agenda and within the subject matter jurisdictions of the Board are requested to identify themselves at this time.

1. Cerner Clinical Information System – Review and discussion of the implementation of the Cerner Millennium IT System at Kaweah Delta Health Care District - Dick Flanigan, President, Cerner Health Services at Cerner Corporation & Debbie Yantis, Vice President, Premier West at Cerner Corporation

2. Chief Executive Officer Report – Report from the Chief Executive Officer relative to current events and issues - Lindsay Mann, Chief Executive Officer

Adjourn

In compliance with the Americans with Disabilities Act, if you need special assistance to participate at this meeting, please contact the Board Clerk (559) 624-2330. Notification 48 hours prior to the meeting will enable the District to make reasonable arrangements to ensure accessibility to the Kaweah Delta Health Care District Board of Directors meeting.

Herb Hawkins – Zone I ⃰⃰ Lynn Havard Mirviss – Zone II ⃰⃰ John Hipskind, MD – Zone III ⃰⃰ Carl Anderson – Zone IV ⃰⃰ Nevin House – Zone V Board Member Secretary/Treasurer Board Member President Board Member

Health care is too important to stay the same.TM

Kaweah Delta Health Care District Board Update

Cerner Corporate: Dick Flanigan – President Health Services Farrell Sanders – SVP Consulting Debbie Yantis – VP Premier West Michelle Ouellette – VP Consulting

Tuesday March 7, 2017

Cerner Southwest Region: Scott Kehn – VP and General Manager Stuart Nissell – Director / Client Results Executive Patrick Minnehan – Senior Manager Consulting

BRNDEXP 3.0 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 2

Kaweah Delta Health Care District Board Update Agenda

- Introductions - Cerner Update - DoD Project Update - Kaweah Project Update - Questions - Adjourn

BRNDEXP 3.0 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 3

Cerner’s Mission

Better health

Better care

Better Value

Contribute to the systemic improvement of health care delivery and the health of communities.

BRNDEXP 3.0 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 4

Cerner – at the Intersection of Health Care and IT

• Founded in Kansas City in 1979 • Largest standalone health care IT company • 24,000 associates worldwide • 25,000 client facilities in over 30 countries • Annual R&D investment ~$700M

• $5.6B cumulative R&D • 5,000+ person in IP • 2,000 clinicians • 359 patents

20% 10-yr Operating Earnings CAGR

• $4.8B 2016 revenue • 13% 10-yr CAGR (mostly organic growth)

BRNDEXP 3.0 © Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner. 5

Strong Regional Presence in California

All Data from HIMSS Analytics 07.14.2015. *EMR supplier is determined by the supplier of the Clinical Data Repository (CDR) which is the recommended method for determining core EMR supplier.

Sample clients include: • Adventist • Dignity • Pomona • San Mateo • Tri-City • Verity • Martin Luther King • San Antonio • LA County • USC • Torrance • Palomar • Sharp • CHLA • CHOC • Alameda • Delano • North Bay

Cerner - 27% market share

Client Transitions Soarian to Millennium

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Physician Usability • Developed specialty playbooks that tailor Millennium to fit physicians’ natural workflows and

optimize productivity.

Connectivity Across the Continuum of Care • The Cerner EHR spans the continuum of care to enhance communication, collaboration and

care coordination (ambulatory clinics, surgery, etc)

Leverage IT Spend

• Cerner Millennium replaces third party solutions and their associated operational costs

• Open development platform for extensibility

Why are former Siemens HS clients migrating?

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Soarian & Invision Clients are migrating to Millennium

Since the completion of the Siemens Health Services (SHS) acquisition, many clients have selected Millennium

Department of Defense Cerner Millennium Update

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DOD MHS Genesis Objectives and Scope

Program Objectives • Modernize technology • Improve quality and outcomes • Connect the continuum of care • Ensure force readiness • Lay foundation for interoperability

with VA, commercial entities and enlistment to grave record

Scope • 9.6M beneficiaries; approximately

325,000 health care providers • 55 Hospitals / 352 Clinics / 282

Dental Clinics • 225 Ships, 75 Submarines, 450

Resuscitative Sites, 6 Theater Hospital, 2 Hospital Ships and 3 aeromedical staging facilities

• Forward Operating Environments (1st Responder)

• 7 year project

Award Announced July 29, 2015

First Site live February 7, 2017 • Fairchild Airforce Base

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DOD – Why is this important to Kaweah Delta?

• Most Thorough and Objective Process in the Industry • 2 Year Formal Evaluation with Multiple Criteria – Blinded Judging of Proposals

• DoD Commercial Hosting – First Time for DoD…Groundbreaking

• Creating the Model for DoD to Commercialize Hosting – Focus on Cybersecurity

• Resources were Planned Appropriately….Should not be Impacting other Projects

• Ramp up Planned Over Time – Have 40+ Partners with Resources Involved

• DoD_CommonWell and National Network – Leading on Interoperability

• Connecting DoD MTF’s to Commercial Entities in/around Hospitals

• Positive Impacts for Other Clients – Cybersecurity, FHIR Integration, Disconnected

Sync

Creating healthier stories