WELCOME TO THE 1Q2018 R4P MEETING February 13, 2018

1. WELCOME TO THE 1Q2018 R4P MEETING February 13, 2018 AGENDA • Board Elections • The IPA Today…Our Opportunities • Dr. Tamaan Osbourne-Roberts

2. HOUSEKEEPING • Did you sign in? • Remember to VOTE and sign your ballot. • Please complete the comment cards. We appreciate your responses and will share the detail with various committees and the Board of Directors.

3. WELCOME NEW MCPIPA MEMBERS Kara A. Danner, M.D. Ob/Gyn SMMG Ob-Gyn Miranda Edwards, MD Pediatrics Dinosaur Junction Pediatrics Karyll Gonzalez, M.D. Pulmonology St. Mary’s Lung & Sleep Center

4. WELCOME NEW MCPIPA MEMBERS Francis Lotrich, MD Psychiatry Mind Springs Kimberly McGregor MD Oncology St. Mary’s Cancer Center Patrick Pevoto, M.D. Ob/Gyn SMMG Ob-Gyn

5. WELCOME NEW MCPIPA MEMBERS James Rich, M.D. Hospitalist St. Mary’s Hospitalist Group Lyrad K. Riley, M.D. Family Medicine St. Mary’s Family Medicine James C. Rose, M.D. Orthopedics Western Orthopedics & Sports Medicine

6. WELCOME NEW MCPIPA MEMBERS Louis Stryker, MD Orthopedics Rocky Mountain Orthopeadic Associates Michael J. White, M.D. Ob/Gyn SMMG Ob-Gyn

7. MCPIPA 2018 INCENTIVE PROGRAM

8. MCPIPA 2018 INCENTIVE PROGRAM Focus on Safe Opioid Prescribing Goal: Use The Established Guidelines And Work Towards Consistent Opioid Prescribing In Mesa County

9. MCPIPA 2018 INCENTIVE PROGRAM • Administrative Measure Technology and Referral Process • Value at 25% • Completed at a practice level • Accessing the PDMP • Utilizing QHN Subscription,Uploading and/or searching for Pain Contracts • Improving the Referral Process through internal audits

10. MCPIPA 2018 INCENTIVE PROGRAM • Quality Measure Safe Opioid Prescribing • Value at 75% • Completed at a physician level • Education on safe opioid prescribing; physician enrollment in PDMP; and implement a practice policy on opioid prescribing

11. MCPIPA 2018 INCENTIVE PROGRAM • Quality Measure - Safe Opioid Prescribing • 1Q2018 Physician attends education session provided by COPIC • Only TWO dates • Thursday February 22, 2018 Noon – 1:30 Saccomanno • Friday March 2, 2018 6:45 -8:15 AM Community Hospital • Receive COPIC Points and CME plus your Incentive dollars

12. MCPIPA ELECTRONIC NEWSLETTER Your official source for news and information from Mesa County Physicians IPA A Word from the President RHMP Medicaid Prime Update TransparencyAct Reminder For Your Calendar Changes in MCPIPA Membership

13. MCPIPA BOARD OF DIRECTORS Election

14. BOARD ELECTIONS - 2017 • Board Positions to be Determined by Vote of the Membership • Non-Procedural Specialty • Incumbent: David Scott, MD • Procedural Specialty • Incumbent: Charles Breaux, MD • Hospital Based Physicians • Joe Kupets, MD • At Large Director • Christopher Taggart, MD • Other nominations will be accepted. • Be involved – this is your organization • Vote Now • Return Ballot to one point on the Table

15. MCPIPA BOARD CONFIGURATION

16. MCPIPA BOARD OF DIRECTORS ELECTION Candidates David Scott, MD Allergist Non-Procedural Specialty Charles Breaux, MD Pediatric Surgeon Procedural Specialty

17. MCPIPA BOARD OF DIRECTORS ELECTION Candidates Christopher Taggart, MD Family Medicine At Large Director Joseph Kupets, MD ER Medicine Hospital Based Specialty

18. BOARD ELECTIONS - 2017 • Board Positions to be Determined by Vote of the Membership • Non-Procedural Specialty • Incumbent: David Scott, MD • Procedural Specialty • Incumbent: Charles Breaux, MD • Hospital Based Physicians • Joe Kupets, MD • At Large Director • Christopher Taggart, MD • Other nominations will be accepted. • Be involved – this is your organization • Vote Now • Return Ballot to one point on the Table

19. MEMBERSHIP CHANGES

20. January 31, 2018 245 PHYSICIANS • SMH Employed 7028.57% • SMH Aligned 13 5.31% • CH Employed 30 12.24% • CH Aligned 6 2.45% • FHW Employed 12 4.90% • FHW Aligned 1 0.41% • Non-Employed 113 46.12%

21. January 31, 2018 245 PHYSICIANS • Primary Care Physicians 57 22.05% • Specialty Care Physicians 188 77.95%

22. MEMBERSHIP CHANGES COMING TO MCPIPA • December 2017: Notice from Western Colorado Radiologic Associates of intent to leave IPA effective March 31, 2018 – 9 members • January 2018: Notice from Community Hospital employed physicians of intent to leave IPA effective mid-Spring 2018 – 32 members • Includes acquisition by Community Hospital of Western Orthopedics and Sports Medicine - 6 members • Includes acquisition by Community Hospital of Grand Junction Vascular (Robert Brooks MD) – 1 member • February 2018: Notice of intent for two physicians to leave current practice and join Western Orthopedics and Sports Medicine – 2 members

23. PROJECTED MCPIPA MEMBERSHIP MAY 1, 2018 - 195 PHYSICIANS • SMH Employed 7035.90% • SMH Aligned 4 2.05% • FHW Employed 12 6.15% • FHW Aligned 1 0.51% • Non-Employed 108 55.38%

24. PROJECTED MCPIPA MEMBERSHIP MAY 1, 2018 - 195 PHYSICIANS • Primary Care Physicians 43 22.05% • Specialty Care Physicians 152 77.95%

25. MCPIPA MOVING FORWARD…… QUESTIONS OR COMMENTS FROM THE AUDIENCE

26. Center for Improving Value in Healthcare (CIVHC) Tamaan Osbourne-Roberts, M.D. Chief Medical Officer

27. Election Results

28. WE VALUE YOUR INPUT AND APPRECIATE YOUR PARTICIPATION IN TONIGHT’S MEETING. PLEASE TAKE A FEW MINUTES TO COMPLETE THE COMMENT CARD

29. SAVE THE DATE 2Q2018 R4P MEETING TUESDAY MAY 22, 2018

30. R4P MEETING CALENDAR • 2018 Meeting Dates • Tuesday May 22, 2018 • Tuesday August 14, 2018 • Tuesday November 13, 2018

31. Thank You Physicians Cooperating to Deliver High Quality Health Care to Our Community