Sparrow Health Systems - NETWORK PLAN

1. Goals and objectives of the proposed network

Located in Lansing , Sparrow has been offering quality health services to the region since its opening in 1896. Sparrow was created when the Women's Association set out to bring critical medical services to Lansing. Sparrow has two Lansing campuses, Sparrow Clinton Memorial Hospital in St. Johns, Sparrow Ionia Hospital in Ionia, and an affiliate hospital, Carson City Hospital. The health system has dozens of satellite care centers. Sparrow Hospital operates as a short-term acute care, not-for-profit organization. In total Sparrow is licensed for 680 beds and discharges over 30,000 people annually.

The goal is to connect all the remote sites to the hospital's information systems to provide a central source for patient information. Connecting the clinics to the hospital's network allows the clinics to access all of its resources including primary EMR applications, current and NextGen information services.

The long-range vision of Sparrow Health Systems is to enable a set of standard telehealth connection services that will interconnect throughout the region and facilitate any healthcare location in the nearby state to share one or more telehealth services with any other healthcare location in the regional and ultimately to share on a national level.

2. Strategy for aggregating the specific needs of health care providers (HCPs), including providers that serve rural areas, within a state or region

Most of the remote clinics are small, so providing a separate EMR application for each site would not be cost effective, and would make the sharing of this information with other health care providers difficult. By sharing the hospital's resources, each clinic and remote site will have access to a much broader array of information services

. 3. Strategy for leveraging existing technology to adopt the most efficient and cost- effective means of connecting those providers

The clinics already have network equipment to interconnect PCs and printers. By using high speed connections and standard network equipment, Sparrow Health Systems will be able to connect the PCs and printers in the remote offices to the hospital's existing network. This will allow access to servers and applications in the hospital as well as cloud based applications available on the internet. The hospital already has an extensive network of leased facilities, which interconnect connects the Hospital and remote clinics.

4. Discussion of how the broadband services will be used to improve or provide health care delivery

The hospital and clinics have direct access to the internet for cloud based services and dedicated access for such services as radiology and patient records. Remote locations are connected using a combination of Voice Grade data lines, ISDN and high speed Ethernet internet connections. This network will support applications such-as:

• Interactive video conferencing and telemedicine.

• Streaming video for distance learning and continuing education.

• Enabling medical record queries from multiple sources.

• Transmission and receipt of imaging files.

• Web-based collaboration tools for meetings and peer-to-peer consultation and interaction and for hospital administration.

• Access to internet based resources for staff and patient education.

The and all clinics and locations will benefit from these high speed connections. Facilities will be upgraded and expanded, as needed for growth and new services beyond what’s mentioned above.

5. Discussion of previous experience in developing and managing health IT (including telemedicine) programs Thomas A. Bres, SVP, Chief Administrative Officer, CIO and Consortium Leader for The Sparrow Health Systems, will oversee this project.

6. A project management plan outlining the project's leadership and management structure (a work plan, schedule, and budget) • Thomas A. Bres will act as the project manager.

• Schedule: - Bid process to last 28 days with earliest contract selection date on the 29th day - Implementation of service is expected to take place within the associated fund year.

• Budget: -Telecommunication Services – Projected Costs~$500,000 -65% of these costs will be covered under the Healthcare Connect Fund, while the remaining balance will be paid out of the hospital's income.

7. Sites that are participating in this consortium are: HCP NO. Site Name HCP Address 16716 Sparrow Clinton Hospital 805 S Oakland Street, St. Johns, Michigan 48879 18062 Sparrow Medical Supply - Ionia 3192 S. Commerce Lane Suite C-4, Ionia, Michigan 48846 18235 Sparrow Health System- Ionia Physical 537 W. Main Street, Ionia, Michigan Therapy/Rehabilitation 48846 24499 Sparrow Medical Group Ashley 320 South Sterling Street, Ashley, Michigan 48806 24500 Sparrow Medical Group Ithaca 114 North Main Street, Ithaca, Michigan 48847 24501 Sparrow Medical Group Fowler 11017 West 3rd Street, Fowler, Michigan 48835 24503 Sparrow Medical Group Greenville 1014 East Washington, Greenville, Michigan 48838 24504 Sparrow Medical Group Stanton 545 North State Street, Stanton, Michigan 48888 24538 Hayes Green Beach Memorial Hospital-Harris 321 East Harris St., Charlotte, Michigan 48813 24564 Sparrow Medical Group Portland 9751 E. Avenue, Portland, Michigan 48875 24565 Sparrow Medical Group Ionia 550 E. Washington Street, Ionia, Michigan 48846 26365 Edward W.Sparrow Hospital Association- 1210 W. Saginaw Highway, Sparrow St Lawrence Campus Lansing, Michigan 48915 26367 Edward W. Sparrow Hospital Association - 1215 E. Michigan Ave., Lansing, Sparrow Hospital Michigan 48912 61186 One Team Family Health 1415 South Main Street, Eaton Rapids, Michigan 48827 62246 Heart Clinic and Diagnostic Center - Owosso 300 Health Park Drive, Owosso, Michigan 48867 62249 Sparrow Medical Group St. Johns 901 S. Oakland , St. Johns, Michigan 48879 64361 Bowen Center - BOWC Data Center 4765 Barden CT Southeast , Kentwood , Michigan 49512 65233 Sparrow Medical Group Saranac 107 N Bridge St, Saranac, Michigan 48881 65234 Sparrow Medical Group OB/GYN Carson City 639 E. Main Street, Carson City, Michigan 48811 65237 Sparrow Medical Group Carson City 102 South Third Street, Carson City, Michigan 48811 65240 Sparrow Medical Group Muir 1044 Hayden Road, Muir, Michigan 48860 65241 Sparrow Medical Group Potterville 133 W. Lansing Road, Potterville, Michigan 48876 65242 Sparrow Medical Group OB/GYN Carson City 306 E. Elm Street, St. Johns, Michigan 48879 65243 Sparrow Medical Group - Orthopedics Carson 423 E. Main Street, Carson City, City Michigan 48811 65244 Sparrow Medical Group - Pediatrics Carson City 245 S. Second Street, Carson City, Michigan 48811 65245 Sparrow Medical Group - Specialty Care Center 401 E. Elm Street, Carson City, Carson City Michigan 48811 65246 Sparrow Health System- Ionia Specialty Services 848 E. Lincoln Avenue, Ionia, - Allergist/Immunologist Michigan 48846 65247 Sparrow Health System- Williamston 1288 W. Grand River Avenue, Rehabilitation Center Williamston, Michigan 48895 65248 Sparrow Ionia Hospital 3565 S. State Road, Ionia, Michigan 48846 65602 IT Office - East Lansing 1301 N. Hagadorn, East Lansing, Michigan 48823 65604 Sparrow Business and Education Center 3301 E Michigan Ave , Lansing , Michigan 48912 65605 Sparrow Health System- IT Office 4440 S Hagadorn, Okemos, Michigan 48864