A Preview of Results

1. A Preview of Results July Pulse Survey:

2. Agenda • Correction to Job Role Tagging in Pulse Survey • Preview of July Pulse Survey results • Summary of Comments • Next steps • Engagement Results Response Guide • Rollout Schedule • Integration of Experience Dashboards

3. Benchmark Tagging Inconsistencies between March and July Surveys Overview of Job Role Benchmarking Issue Job roles in the 2018 March Pulse Survey were tagged incorrectly resulting in slight data changes to already presented data Set up of July pulse survey highlighted several issues with the finalized job role tagging assignments from the March survey that were not identified at that time by either Nemours or Advisory Board data teams, and that were ultimately signed off on to go into the finalized results site. 1 2 After Nemours identified the inconsistency between surveys, Advisory Board did a discovery exercise to identify the impact of the issue and how it occurred. Ultimately, there was a manual sorting error in the excel file caused by the Advisory Board that led to 6 job roles being tagged into an incorrect benchmark category. Categories are used to pull holistic data (like the leadership engagement level slide).

4. Advisory Board Findings

5. Leadership Comparison, Original to Updated March

6. Corrected Leadership Engagement Comparison

7. Physician – Employed

8. Implemented Corrective Plan

9. Preview of July Pulse Survey results

10. Survey: July 2018 Pulse Survey (All Associates)

11. Engagement Percentile Performance

12. Engagement Breakdown By Site

13. Comparative analysis of July Pulse Survey to previous surveys will be available August 28

14. Summary of Comments • More than 1600 Associates left comments • More than 70 percent of comments were analyzed as positive or neutral • Roughly 10 percent of comments were analyzed as negative • The vast majority of comments include actionable ideas (still being analyzed) • There were positive references to Dr. Moss joining Nemours • There were well wishes for Dr. Bailey • A deeper analysis will be provided with the release of survey results

15. Sample Comments (Positive) “This is a great organization to work for! I've been with company 10 years, and there has been so many great changes.” “This is a great place to work compared to where I have worked before.” “Nemours is an excellent place to work. I am proud to be a Nemours Employee.” “Nemours is an institution I can be proud to be a part of.” “I am very happy with my position at Nemours. My manager is great and the physicians are awesome.” “I am very happy with my position here at Nemours. I feel valued, informed, and respected everyday.” “I am very happy working for Nemours and really enjoy my job.” “I am very happy working for this great foundation!!!!”

16. Summary of Comments (Constructive) “If everyone had to follow the rules/ schedule/ and standards of behavior it would be better.” “If we had proper staffing I would be more happy. It is difficult to always run short.” “There have been a lot of issues this past year w/ payroll, pension transition, etc. I feel this has made associates second guess paychecks and there are continued concerns re pension and 403b emp contributions without answers.” “Budgetary constraints as well as time constraints can really decrease engagement. I try to give 100% to the organization, but I often feel like another cost-cutting measure is coming, so it is hard to commit fully.” “Do not feel supported with work-life balance.”

17. Next Steps

18. Engagement Results Response Guide

19. Rollout Schedule

20. Next Step: Integration Of Experience Dashboards Side by side display of Associate Engagement, Patient Satisfaction, and Culture of Safety surveys to be implemented after November Engagement Survey “For every one-percent increase in employee engagement, an organization's overall hospital HCAHPS rating increases by 0.33 percent, and patients' willingness to recommend increases by 0.25 percent.” The Advisory Board, 2015